NURS253 Lecture 3: Lecture 3
Document Summary
Have you ever served active duty in the armed forces: family history - history of mental illness in the family, lifestyle and health practice. Describe typical day; usual eating habits; sleep patterns (insomnia seen with depression, anxiety, and bipolar); describe exercise regimens (sedentary > depression); caffeinated beverages (a psychostimulant); do you drink alcohol (cage or audit screening tools) Describe current stressors - financial, loss of family members, illiterate, etc. Level of consciousness - alert and oriented to person, place, time, and situation (alert times 4, if alert to all 4 things) Posture, gait, body movements - should have relaxed posture, gait rhythmic and coordinated. Behavior and affect - should be cooperative and purposeful; affect should be appropriate for situation. Dress and grooming - should be appropriate for occasion and weather; hygiene. Bizarre or manic schizophrenics may have loose clothing due to weight loss; older adults may wear excessive clothing.