From ANCC Review
Help!
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| Appearance includes | show 🗑
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| Behavior Includes | show 🗑
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| show | mood and affect
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| show | internal feelings that influence behavior
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| Examples of mood provided | show 🗑
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| show | the emotional expression variation - found in face, voice, use of body movements
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| show | flat, guarded, inappropriate, blunted, restricted, labile
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| Thought Processes and Content include | show 🗑
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| show | continuity/org. of ideas - problems w word finding, processing abstract ideas, blocking, unexpected thought stoppage. Consider flow & rhythm - slowed or racing thoughts. Logical coherency, amount - excessive/poverty of speech, language/meaning deficits
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| Evaluation of thought content includes | show 🗑
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| show | plan, intent, opportunity means
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| Evaluation of thought content - Homicide | show 🗑
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| show | fixed, false beliefs - control : can control others thoughts or someone has control over their thoughts
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| Evaluation of thought content - phobias | show 🗑
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| show | intrusive, repetitious
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| show | realization of the problem. The extent of the individuals awareness, willingness to look at role in maintaining the symptoms, awareness of behavioral consequences - lifestyle changes needed for coping
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| show | decision making, realistic foresight. realistic decision making based on current level of knowledge and realistic understanding of options - resources, strengths and limitations.
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| show | False beliefs that cannot be dislodged by logic or contradictory evidence, not congruent with normative culture or religious beliefs.
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| Delusions - of reference | show 🗑
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| Delusions - of persecution | show 🗑
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| show | unrealistic special relationship with God
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| show | destruction of self, world, body part
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| Grandiose Delusions | show 🗑
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| show | choice of words based on similar sound, not associated ideas
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| Language & Thought Processing - Echolalia* | show 🗑
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| show | creation of new words that don't make sense
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| Language & Thought Processing - Word Salad* | show 🗑
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| Language & Thought Processing - Perseveration | show 🗑
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| show | ideas are not logically connected, abrupt changes in topic
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| show | interruption or delay in thought processing, not related to lack of concentration, distraction or anxiety
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| Language & Thought Processing - tangential | show 🗑
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| show | pt answers questions about everything related to question and finally gets to the point
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| Language & Thought Processing - confabulation | show 🗑
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| Disurbances of Perception - depersonalization | show 🗑
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| show | The false sensation that one’s surroundings have become unfamiliar or unreal.
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| Disurbances of Perception - illusions | show 🗑
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| Disurbances of Perception - deja vu, jamais vu | show 🗑
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| Disurbances of Perception - flashbacks | show 🗑
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| Disurbances of Perception - hallucinations | show 🗑
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| Auditory hallucinations are found in | show 🗑
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| show | cognitive and organic disorders
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| show | drug use, medical conditions
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| show | depression*
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| show | schizophrenia*
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| Disturbances in sensorium and cognition are related to | show 🗑
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| Assess memory recall for | show 🗑
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| Assess orientation to | show 🗑
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| show | serial 7s - keep in mind educational level
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| Assess abstract thinking through | show 🗑
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| Two short tests to check cognitive impairment | show 🗑
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| show | 25-30 Normal
21-24 Mild cognitive d/o
16-20 Moderate cognitive d/o
<15 severe cognitive disorder
or mild and severe cut offs of 24 and 18
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| show | 24
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| show | SLUMS
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| show | SLUMS
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| show | w HS education
27-30 Normal
21-26 Mild Neurocog Impairment
1-20 Dementia
<HS education
25
20
<20
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| show | the clock drawing test (11:10 or 8:20)
4 points total
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Created by:
jonquil
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