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CHAPTER The Psychiatric Nursing Assessment

39 AffectBiopsychosocial historyChief complaintClosed-ended questionsCollateral historyConcrete thought processCoping skillsCountertransferenceDelusionsDiffer ential diagnosisDiagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR)EmpathyGlobal Assessment of functioning scaleHallucinationsHistory of present illness (HPI)Holistic Psychiatric assessmentHomicidal thoughtsImpulse controlInsightJudgmentMental status examinationMoodMultiaxial DSM-IV-TR diagnosisOpen-ended questionsPhysical assessmentPsychiatric Nursing interviewPsychological testsResistanceSelf-disclosureSuicidal thoughtsTherapeutic contractTransferenceKEY TERMSThe Psychiatric Nursing AssessmentChristine Carniaux-MoranAfter reading this CHAPTER , you will be able to: Identify the components of a holistic Assessment , including mental status examination.

thorough nursing assessment is a prerequisite for formulating an appropriate nursing diagnosis and plan of care. Assessment data also provide a baseline level of functioning that is used to evalu-ate, change, and respond to the treatment plan. Data used for assessment are gathered not only from the client, but also from other sources.

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