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for clients who have
experienced a traumatic brain injury
Glascow Coma Scale (GCS)
Is reflected in one’s speech, appearance, and
thought patterns.
MENTAL STATUS
Components of a General Survey
• Physical development and body build
• Gender and sexual development
• Apparent age as compared to reported age
• Skin condition and color
• Dress and hygiene
• Posture and gait
• Level of consciousness
• Behaviors, body movement, and affect
• Facial expression speech
• Vital signs
A lack of subcutaneous fat with
prominent bones
sign of malnutrition
Decreased height and delayed puberty
with chubbiness,
hypopituitary dwarfism (
Skeletal malformations with a decrease in height
achondroplastic dwarfism
Refers to a client’s level of cognitive and
emotional functioning and stability.
MENTAL STATUS
increased height and weight with delayed sexual
development
gigantism
Observe physical development, body build
ASSESSMENT PROCEDUREand fat distribution
GENERAL IMPRESSION
A behavioral or psychological syndrome or
pattern that occurs in an individual, that reflects
an underlying psychobiologic dysfunction
MENTAL DISORDER FEATURES
The consequences of which are clinically
significant distress or disability
MENTAL DISORDER FEATURES
Requires the nurse to use all observational skills while
interviewing and interacting with the client
GENERAL SURVEY
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