QuestionPlease begin watching the video (https://youtu.be/OO1TnvlBKPc) and pay close attention to al

QuestionPlease begin watching the video (https://youtu.be/OO1TnvlBKPc) and pay close attention to all the different categories during the assessment of the patient in the video as the mental health nurse interviews the patient. You are expected to derive a score at the end of the assessment. RE: Orientation: The patient is oriented, but the video does not allow us to change the date, time, year, etc….so provide full points for this section of the MSE. Re: Three-Stage Command: The psychiatric nurse does ask the patient to follow commands by folding a paper and placing it on the table (not the floor as in the tool). Patient should be given full points for that too. She is asked to draw dissecting pentagons and does so appropriately as well. Pause the video at 7 minutes and 20 seconds (approximately) so you may score your MSE. Continue watching the video until reaching 27 mins and 50 seconds. PAUSE video again. Reflect on your understanding of the MSE at this point after having watched the psychiatric nurse go through the entire MSE during her interview of the patient. ***What aspects of the psychosocial assessment were incorporated and why? ***Did you note any changes in the patient’s demeanor throughout the interview? ***Was there a shift in the prioritizing of needs of this patient from the beginning of the interview up to now? You will now begin the video again so you can watch how to utilize the Patient Safety Plan Template. for the inpatient setting. Note how the psychiatric nurse asks the patient to be the one to fill it in. Note how she asks to sit side-by-side. She does this to show a partnership in filling out the safety plan rather than an authoritative stance. Restart the video and follow along until the break on video that has a “Day of Discharge” pause noted. As you proceed to watch the remainder of the video. Pay particular attention to differences in the safety plan from inpatient to outpatient setting. Note psychiatric nurse agrees to make copies for patient so it is readily available to her in different areas including her vehicle, her friend Mary, etc. Make several copies to place on refrigerator and important locations so it is readily available to patient in times of increased stress or crisis.   I. ORIENTATION (Ask the following questions; correct = ?)    (Maximum Score =10) What is today’s date?  Date (eg, May 15)  1 ? What is today’s year?  Year   1 ? What is the month?  Month   1 ? What day is today?  Day (eg, Monday)  1 ? Can you also tell my what season it is?  Season   1 ? Can you also tell me the name of this hospital/clinic?  Hospital/Clinic   1 ? What floor are we on?  Floor   1 ? What city are we in?  City   1 ? What county are we in?  County   1 ? What state are we in?  State   1 ? II. IMMEDIATE RECALL  correct = ? (Maximum Score = 3) Ask the subject if you may test his/her memory. Say “ball, flag, tree” clearly and slowly, about one second for each. Then ask the subject to repeat them. Check the box at the right for each correct response. The first repetition determines the score. If he/she does not repeat all three correctly, keep saying them up to six tries until he/she can repeat them  Ball  1 ? Flag  1 ? Tree  1 ?   NUMBER OF TRIALS: _________ III. LONG TERM RECALL    (Maximum Score = 3) Ask the subject to name the current president. Ask the subject to name the last three presidents. Check the box at right for each correct response.    Trump  1 ? Obama  1 ? Bush  1 ? Clinton  1 ? IV. ABSTRACTION & CONCEPTULIZATION    (Maximum Score = 1) Ask the subject to explain the meaning of the following proverb: “People who live in glass houses shouldn’t throw stones.” If the subject correctly interprets the meaning of the proverb, check the box at right.  Correctly interprets meaning of proverb.  1 ? IV. ATTENTION AND CALCULATION     A. Counting Backwards Test  (Record each response, correct = ?)  (Maximum Score = 5) Ask the subject to begin with 100 and count backwards by 7. Record each response. Check one box at right for each correct response. Any response 7 or less than the previous response is a correct response. The score of is the number of correct subtractions. For example: 93, 86, 80, 72, 65 is a score of 4; 93, 86, 78, 70, 62 is 2; 92, 87, 78, 70, 65 is 0.  93  1 ? 86  1 ? 79  1 ? 72  1 ? 65  1 ? B. Spelling Backwards Test     Ask the subject to spell the word “WORLD” backwards. Record each response. Use the instructions to determine which are correct responses, and check one box at right for each correct response.  D  1 ? L  1 ? R  1 ? O  1 ? W  1 ?  C. Final Score     Compare the scores of the Counting Backwards and Spelling Backwards tests. Write the greater of the two scores in the box labeled FINAL SCORE at right and use it in deriving the TOTAL SCORE.    FINAL SCORE:___ (Max of 5 or Greater of two Scores) V. RECALL  correct = ? (Maximum Score = 3) Ask the subject to recall the three words that you previously asked him/her to remember. Check the box at right for each correct response.  Ball  1 ? Flag  1 ? Tree  1 ? VI. LANGUAGE  correct = ? (Maximum Score = 9) Naming     Show the subject a wrist watch and ask him/her what it is. Repeat for a pencil    Watch  1 ? Pencil   1 ?                         Repetition     Ask the subject to repeat “no, ifs, ands, or buts”  Repetition   1 ?                         Three-Stage Command     Establish the subject’s dominant hand. Give the subject a sheet of blank paper and say, “Take the paper in your right/left hand, fold it in half, and put it on the floor”  Takes paper in hand   1 ?                         Folds paper in half   1 ?                         Puts paper on the floor   1 ?                         Reading     Hold up the card that reads, “Close your eyes” so the subject can see it clearly. Ask him/her to read it and do what it says. Check the box at right only if he/she actually closes his/her eyes.  Closes eyes   1 ?                         Writing     Give the subject a sheet of blank paper and ask him/her to write a sentence. It is to be written spontaneously. If the sentence contains a subject and a verb, and is sensible, check the box at right. Correct grammar and punctuation are not necessary  Writes sentence   1 ?                         Copying     Show the subject the drawing of the intersecting pentagons. Ask him/her to draw the pentagons (about one inch each side) on the paper provided. If ten angles are present and two intersect, check the box at right. Ignore tremor and rotation.  Copies pentagons  1 ? DERIVING THE TOTAL SCORE Add the number of correct responses.  The maximum is 35.  TOTAL SCORE ____________ 28-35 = Normal 24-28 = Borderline <24 = Impaired  Up to Grade 8 Level       Patient Safety Plan TemplateStep 1:  Warning signs (thoughts, images, mood, situation, behavior) that a crisis may be                                            developing:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Step 2:  Internal coping strategies – Things I can do to take my mind off my problems                                  without contacting another person (relaxation technique, physical activity):_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  Step 3:                      People and social settings that provide distraction:Name____________________________________________________ Phone______________________________Name____________________________________________________ Phone______________________________Place__________________________________________ 4. Place______________________________________ Step 4:                 People whom I can ask for help:Name____________________________________________________ Phone______________________________Name____________________________________________________ Phone______________________________Name____________________________________________________ Phone______________________________ Step 5:                      Professionals or agencies I can contact during a crisis:1. Clinician Name____________________________________________ Phone______________________________   Clinician Pager or Emergency Contact #   _________________________________________________________ 2. Clinician Name____________________________________________ Phone______________________________   Clinician Pager or Emergency Contact #   _________________________________________________________ 3. Local Urgent Care Services______________________________________________________________________  Urgent Care Services Address___________________________________________________________________              Urgent Care Services Phone_____________________________________________________________________4. Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255) Step 6:                Making the environment safe:__________________________________________________________________________________________________________________________________________________________________________________________Safety Plan Template ©2008 Barbara Stanley and Gregory K. Brown, is reprinted with the express permission of the authors. No portion of the Safety Plan Template may be reproduced  without their express, written permission. You can contact the authors at b..2@columbia.edu or g..w@mail.med.upenn.edu.The one thing that is most important to me and worth living for is:________________________________________________________________  Health ScienceScienceNursingNURS 4564Share Question

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