don't; or, has thought about Nervousness, associated with suicide. anxiety. Test cognitive function using tool Suspiciousness, associated with accepted by facility. Areas of paranoia. function assessed include: Seeing or hearing things others do Orientation: This includes Orientation to person, and not, associated with delusions, the person's knowledge of time. hallucinations. his/her own name, current Suicidal thoughts. location, date, time of day, Altered cognitive function, and season. associated with delirium or Language: Spontaneous dementia. speech and appropriateness of responses throughout Appropriate use of language. the interview assist in assessing language function. In addition, the person can be asked to name objects that are pointed to or repeat phrases. Memory: At the start of the examination the person is Ability to recall given three unrelated words (e.g., dog, cup, bed) and asked to repeat the words and remember them. Midway through the examination and again at the end, the person is asked to repeat the words. Attention and concentration: The person is asked to spell the word Ability to spell word world world backwards or to backwards or count backwards count backward from 100 from 100 by 7s for 5 times. by 7s. Executive function: The person is asked to state what two words have in Ability to identify similarity in common (e.g., apple and banana, shoe and sock, coffee and tea) or to list in a minute as many words as possible starting with the same letter. Ability to follow three-stage command: The person is Ability to follow three-stage given instructions to follow command. three basic acts, such as pick up the piece of paper, fold it in half, and hand it to me.
don't; or, has thought about suicide. Test cognitive function using tool accepted by facility. Areas of function assessed include: Orientation: This includes the person's knowledge of his/her own name, current location, date, time of day, and season. Language: Spontaneous speech and appropriateness of responses throughout the interview assist in assessing language function. In addition, the person can be asked to name objects that are pointed to or repeat phrases. Memory: At the start of the examination the person is given three unrelated words (e.g., dog, cup, bed) and asked to repeat the words and remember them. Midway through the examination and again at the end, the person is asked to repeat the words. Attention and concentration: The person is asked to spell the word world backwards or to count backward from 100 by 7s. Executive function: The person is asked to state what two words have in common (e.g., apple and banana, shoe and sock, coffee and tea) or to list in a minute as many words as possible starting with the same letter. Ability to follow three-stage command: The person is given instructions to follow three basic acts, such as pick up the piece of paper, fold it in half, and hand it to me. Orientation to person, and time. Appropriate use of language. Ability to recall Ability to spell word world backwards or count backwards from 100 by 7s for 5 times. Ability to identify similarity in Ability to follow three-stage command. Nervousness, associated with anxiety. Suspiciousness, associated with paranoia. Seeing or hearing things others do not, associated with delusions, hallucinations. Suicidal thoughts. Altered cognitive function, associated with delirium or dementia.
Interpreting%20Nursing%20Assessment%20Findings.docx