Chapter 5. History and Assessment: The Basis for Effective Nurse Prescribing

  1. DR Adrian Jones RN, BN (HONS), PHD Nurse Consultant Visiting Reader in Psychiatric Nursing1,2

Published Online: 1 JUL 2009

DOI: 10.1002/9781444311624.ch5

Nurse Prescribing in Mental Health

Nurse Prescribing in Mental Health

How to Cite

Jones, A. (2009) History and Assessment: The Basis for Effective Nurse Prescribing, in Nurse Prescribing in Mental Health, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444311624.ch5

Author Information

  1. 1

    North Wales NHS Trust, UK

  2. 2

    Glyndwr University, UK

Publication History

  1. Published Online: 1 JUL 2009
  2. Published Print: 20 MAR 2009

ISBN Information

Print ISBN: 9781405170925

Online ISBN: 9781444311624

SEARCH

Keywords:

  • basis for effective nurse prescribing;
  • process of taking a history - enabling prescriber to understand patient's symptoms;
  • history taking process and its components;
  • past psychiatric history;
  • substance misuse in older people and misdiagnosis of illness;
  • substance misuse issues;
  • mental status examination;
  • attention and concentration - ability in applying one's mind to a task;
  • process of establishing diagnosis

Summary

This chapter contains sections titled:

  • Introduction

  • Section 1: Why is history important?

  • What is the process?

  • What do you intend to find out?

  • Presenting complaint and history of the presenting complaint

  • Personal history

  • Financial history

  • Past medical history

  • Past psychiatric history

  • Medication history

  • Forensic history

  • Premorbid personality

  • Issues for older people

  • Issues for co-occurring learning disability

  • Issues for substance misuse

  • Issues for adult areas

  • Issues for all areas

  • Section 2: Why do a mental state examination?

  • What is the process?

  • What other assessments can be used?

  • Section 3: The consultation

  • Process of establishing a diagnosis

  • Case summary and formulation

  • Communicating the action plan to patients

  • Conclusion