Patterns of satisfaction and dissatisfaction with sexuality pattern; reproductive pattern. Mental Status Examination: Substance Abuse and other Addictions: Appearance: (cigarettes, gambling, sex, shopping, smoking, internet) Substance: Speech: Amount / Frequency: Eye Contact: Duration: Behavior & Activity: Last Used: Mood & Affect: Withdrawal Symptoms: Orientation, Attention & Concentration: Blood Alcohol Level on admission: Cognitive Functioning & Memory: C.A.G.E. Questionnaire: Yes / No Thought Process: Thought Content: Insight: Judgment: Other Addictions: None reported Risk Assessment: Multidisciplinary Client Outcome and Discharge Teaching Assessment and Client Education: Suicide history, Self-Injurious Behavior, Plans: Include barriers to learning and preferred Hypersexual, Elopement, Fall, Homicidal, Placement, outpatient treatment, partial learning style adherence to treatment hospitalization, sober living, board and care, shelter, long term care facility, 12 step program Pertinent lab test (normal ranges in Abnormal Involuntary Movements: Level of participation in the program: Facial and oral movements, extremity movements, attendance and milieu participation) parentheses) & diagnostic reports (with dates) Include Rationale for Abnormal Labs and trunk movements
Patterns of satisfaction and dissatisfaction with sexuality pattern; reproductive pattern. Mental Status Examination: Appearance: Speech: Eye Contact: Behavior & Activity: Mood & Affect: Orientation, Attention & Concentration: Cognitive Functioning & Memory: Thought Process: Thought Content: Insight: Judgment: Substance Abuse and other Addictions: (cigarettes, gambling, sex, shopping, smoking, internet) Substance: Amount / Frequency: Duration: Last Used: Withdrawal Symptoms: Blood Alcohol Level on admission: C.A.G.E. Questionnaire: Yes / No Other Addictions: None reported Risk Assessment: Suicide history, Self-Injurious Behavior, Hypersexual, Elopement, Fall, Homicidal, to treatment Multidisciplinary Client Outcome and Discharge Plans: Placement, outpatient treatment, partial hospitalization, sober living, board and care, shelter, long term care facility, 12 step program Teaching Assessment and Client Education: Include barriers to learning and preferred learning style Pertinent lab test (normal ranges in parentheses) & diagnostic reports (with dates) Include Rationale for Abnormal Labs Abnormal Involuntary Movements: Facial and oral movements, extremity movements, and trunk movements Level of participation in the program: attendance and milieu participation) adherence
NURS%20214L%20Psychiatric%20Mental%20Health%20Practicum%20Syllabus%20April%202012.docx