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Reporting Script Content of Thought

The document discusses topics related to assessing a client's mental status, including content of thought, emotional state, and cognitive ability. Specifically, it describes how a PMH nurse would assess for things like delusions, suicidal thoughts, obsessions, paranoia, sensory perceptions like hallucinations and illusions, orientation, memory, and insight when evaluating a client's mental frame of mind.

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JULIANNE BAYHON
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41 views

Reporting Script Content of Thought

The document discusses topics related to assessing a client's mental status, including content of thought, emotional state, and cognitive ability. Specifically, it describes how a PMH nurse would assess for things like delusions, suicidal thoughts, obsessions, paranoia, sensory perceptions like hallucinations and illusions, orientation, memory, and insight when evaluating a client's mental frame of mind.

Uploaded by

JULIANNE BAYHON
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Good evening, everyone, As you can see on the screen, our topic today is about the content of thought

and the other one is the emotional state and intellect sensorium. These topics focuses on assessing the
mental status of clients with mental health issues. In short, under these topics are the things that
specialists or Psychiatric-Mental Health (PMH) nurses consider in assessing their Patient's Mental Frame
of mind.

First, the content of thought- this describes what the person is thinking. And this is determined by
listening throughout your interview with the client or through direct questioning.

During the assessment the PMH nurse will assess if the client is delusional.

What are Delusions - are false beliefs or ideas that aren’t based in reality. Hindi totoong nangyayari

Now there types of delusions first is

a. Persecutory: a belief that someone is out to get him or her in some way. For example, mu ingon
ang client na paadto na ang pulis dri para dakpon ko this is an example of persecutory delusion
because the client is having beliefs of being targeted.
b. “The FBI will be here at any time to take me away.”

b. second type is Grandiose: an idea that he or she is all-powerful or of great importance. For example,
mu ingon ang client na ako man ang presidente sa pilipinas ako man tagiya sa tanan. This is a grandiose
type of delusion because the client believes that he/she is superior to others. or possess special abilities
or talents

c. third is Reference: an idea that whatever is happening in the environment is about him or her. For
example, mu ingon ang client na tan awa unya sa Gma naay salida permi na about sa akong kinabuhi.
This is an example of reference delusion because the client thinks everything is about them.

d. Control or influence: a belief that his or her behavior and thoughts are being controlled by external
forces. For example: mu ingon ang client na pink akong Sanina permi kay maong gi ingon sakoa nla na
suoton. This is an example of influence delusion because the client is being manipulated by unknown
forces.

e. Somatic: belief that he or she has a dysfunctional body part. For example, ang client ni ingon na putol
mani akong kamot. But in reality, its really not. So this is a somatic delusion

f. Nialistic delusion: a belief that he or she, a part of the body, or even the world does not exist or has
been destroyed. For example, mu ingon ang client na patay naman ko akong kalag nlng man ni. So this is
an example of nialistic delusion because that client believes that she does not exist.

So these are the types of delusions

Next content of thought is suicidal thoughts. These are abstract thoughts about ending your own life-
usually the specialist will assess if the individual is expressing ideas of harming self like sa kamot naay
mga laslas or sa neck and many more.

Next is obsessions or persistent thoughts, or images that cause emotions such as anxiety, fear or disgust.
Usually, the specialist will assess if the person is verbalizing about a persistent feeling that he or she is
unable to eliminate from his/her mind.
Lastly is paranoia- feeling like you are being threatened in some way, even if there is no evidence. An
example of this is when a client Continuously scans the environment and Refuses to answer your
questions.

That ends the 1st topic the second topic is about the emotional state and intellect sensorium.

When we say emotional state this refers to our emotions for example happy, sad, and angry and the
following are factors that can influence a person emotional state.

first is disturbed sensory perception:

1. Hallucinations are false perception of objects or events that involves our senses: like our sight,
sound, smell, touch and taste.

In Auditory the specialist will assess if the individual is hearing voices or other

sounds that do not exist?)

b. for the Visual if he/she is seeing images that do not

exist?)

c. for Tactile if the client feels unrealistic sensations on her/his skin?)

d. for Olfactory if the individual smell odors that do

not exist?)

e. and lastly for Gastatory if the client verbalized that he/she taste something bitter, sour even she’s
not eating

Next, illusions: illusions are perceptions that occurs when a sensory stimulus is present but is mis
interpreted as something else, for example ni ingon ang client na naay syay madunog naga hilak pag
naay hangin. This is an example of illusion because she misinterprets the sound of wind as something
else.

For the last topic, Sensorium and Cognitive Ability

This assessment helps in evaluating a client’s cognitive function.

The assessment of sensorium includes the patient's level and stability of consciousness. So the specialist
will assess how awake, alert, and aware the client is by asking them couple questions like their name, or
ask her/him to repeat the words you will say, questions like Where are you right now? Where were you
born? And many more.

Next is orientation- refers to the ability to understand one's situation in space and time. Usually the
specialist will ask the client about the Place including asking about the building; s name or the floor a
person is in, as well as the city. Another is Orientation to time by asking the client what day is today and
the date.
Next is memory or the ability of the client to remember occurrences of the past few days, or where they
were born and raised, as well as their family’s history and many more.

Lastly is the judgement and insight

Like the Ability of the client to solve problems and make decisions. So Usually, the specialist will ask the
client about his/her

a. plans for the future?

b. The plans to do to reach their goals?

2. Knowledge about self- to do the assessment the specialist will usually ask the client about his/her
problem and the reason why is she/he in a psychiatric institution, or questions about the client’s
perception whether he or she needs treatment.

So that ends my report thank you for ur time!

AUDITORY

1. Monitor Frank’s behavior for signs that he is hearing voices:

listening pose, talking and laughing to self, stopping in

mid-sentence.

2. If these behaviors are observed, ask Frank, “Are you hearing

the voices again?”

3. Encourage Frank to share the content of the hallucinations.

This is important for early intervention in case the content

contains commands to harm himself or others.

4. Say to Frank, “I understand that the voice is real to you, but

I do not hear any voices speaking.” It is important for him to

learn the difference between what is real and what is not real.

5. Try to help Frank recognize that the voices often appear at


times when he becomes anxious about something and his

agitation increases.

6. Help him to recognize this increasing anxiety, and teach him

methods to keep it from escalating.

7. Use distracting activities to bring him back to reality.

Involvement with real people and real situations will help to

distract him from the hallucination.

8. Teach him to use voice dismissal. When he hears the CO’s

(or others’) voice, he should shout, “Go away!” or “Leave me

alone!” These commands may help to diminish the sounds

and give him a feeling of control over the situation

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