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  2. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.

  3. Mental status examination - Wikipedia

    en.wikipedia.org/wiki/Mental_status_examination

    The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...

  4. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    The nursing documents may contain a number of assessment forms. In an assessment form, a licensed Registered Nurse records the client's information, such as physiological, psychological, sociological, and spiritual status (see Figure 2). The accuracy and completeness of nursing assessment determine the accuracy of care planning in the nursing ...

  5. Clinical formulation - Wikipedia

    en.wikipedia.org/wiki/Clinical_formulation

    A clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualisation of the information obtained from a clinical assessment. It offers a hypothesis about the cause and nature of the presenting problems and is considered an adjunct or alternative approach to the more ...

  6. Journal of Psychosocial Nursing and Mental Health Services

    en.wikipedia.org/wiki/Journal_of_Psychosocial...

    The Journal of Psychosocial Nursing and Mental Health Services is a monthly peer-reviewed nursing journal for psychosocial and mental health nurses. It includes sections on psychopharmacology , mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues.

  7. Psychosocial - Wikipedia

    en.wikipedia.org/wiki/Psychosocial

    Psychosocial assessment considers several key areas related to psychological, biological, and social functioning and the availability of supports. It is a systematic inquiry that arises from the introduction of dynamic interaction ; it is an ongoing process that continues throughout a treatment, and is characterized by the circularity of cause ...

  8. Trauma symptom inventory - Wikipedia

    en.wikipedia.org/wiki/Trauma_symptom_inventory

    The Trauma Symptom Inventory (TSI) is a psychological evaluation/assessment instrument that taps symptoms of Posttraumatic stress disorder and other posttraumatic emotional problems. It was originally published in 1995 [1] by its developer, John Briere. It is one of the most widely used measures of posttraumatic symptomatology.

  9. Behavioral health outcomes management - Wikipedia

    en.wikipedia.org/wiki/Behavioral_health_outcomes...

    The data collected through formal (typically self-report) measurement (like the PHQ-9 for depression [3]) has been used to enhance the accuracy of clinical assessments, provide a basis for treatment planning, deliver an objective methodology for tracking treatment progress, alert therapists with clinically proven guidelines to get refractory cases back on track, help prevent hospitalizations ...