Chapter 9 Assessment Strategies and the Nursing Process Menu F

The nursing process in psychiatric mental health nursing 9-2 (Fig. 9-1) B Menu F

Purposes of Psychiatric Assessment Establish rapport Obtain understanding of problem Assess psychological functioning Identify goals Perform mental status examination Identify behaviors/beliefs/areas to be modified to effect positive change Formulate a plan of care B Menu F

Levels of Intervention in Psychiatric Nursing Primary - Prevention Secondary - Treatment Tertiary - Rehabilitation B Menu F

Underlying Premises for All Levels Individuals have the right to decide their destiny and be involved in decision-making Nursing intervention assists individuals to meet their own needs or solve their own problems The ultimate goal of nursing action is to assist individuals to maximize level of functioning B Menu F

Queries to Facilitate Spiritual Assessment What role does religion/spirituality play in your life? Does faith help you in stressful situations? Do you pray/meditate? Who or what supplies you with strength and hope? Has your illness affected religious/spiritual practices? Do you participate in any religious activities? Do you have a spiritual advisor or member of the clergy available? Is there anyone I can contact to help put you in touch with your church/place of worship? B Menu F

Basic Level: Interventions Counseling Milieu therapy Promotion of self care Psychobiological interventions Health teaching Case management Health promotion and health maintenance B Menu F

Advanced Practice: Interventions All basic level interventions plus: Psychotherapy Prescriptive authority and treatment Consultations B Menu