General Safety Guidelines
■ Safety:Your safety ALWAYS comes first!
■ Awareness:Watch for nonverbal indicators of aggression or violence: clenched fists, pacing, raised tone of voice, increased respirations, profanity, verbal threats, weapons, wide-eyed stare.
■ Exit: Always position yourself between Pt and an exit. Never allow Pt to block your means of escape.
■ Be Assertive: Make your boundaries known, set limits, and stick to them. Avoid arguing or bargaining with Pts.
Psychiatric Mental Status Assessment
Appearance
■ Grooming, hygiene, posture, eye contact, correlation between appearance and developmental stage and age.
Motor Activity
■ Tremors, tics, mannerisms, gestures, gait, hyperactivity, restlessness, agitation, echopraxia, rigidity, aggressiveness.
Speech Pattern
■ Aphasia, volume, impairments, stutter.
General Attitude
■ Cooperative, uncooperative, friendly, hostile, defensive, guarded, apathetic.
Mood
■ Depressed, sad, anxious, fearful, labile, irritable, elated, euphoric, guilty, despairing.
Affect
■ Congruent with mood, flat, inappropriate.
Thought Process
■ Form of Thought:Tangentiality, word salads, neologisms, echolalia, attention span
■ Content of Thought: Delusional, suicidal, homicidal, obsession, paranoid, suspicious, religiosity-based, phobic, magical.
Sensory/Perceptual Disturbances
■ Hallucinations (auditory, visual, tactile, olfactory, gustatory), illusions (depersonalization, derealization).
Cognitive
■ Alertness, orientation, memory, abstract thinking.
Impulse Control
■ Aggression, fear, guilt, affection, sexual.
Judgment/Insight
■ Decision making, problem solving, coping.
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HOW I GOT CURED OF HERPES VIRUS.
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