Bates Ch 5 - Behavior and Mental Status Flashcards
(25 cards)
somatoform symptom
lacks an adequate medical or physical explanation
medically unexplained physical sxs usually due to
depression or anxiety
screening for depression
ask about mood and anhedonia
which kills more? illicit drugs or prescription drugs
prescription drugs
5 parts of mental status exam
1) appearance and behavior
2) speech and language
3) mood
4) thoughts and perceptions
5) cognitive functions
patient that is drowsy but opens eyes and looks at you, responds to questions, then falls asleep
lethargic patient
patient that opens eyes and looks at you, but responds slowly and are somewhat confused
obtunded patient
decreased grooming and personal hygiene in
depression
schizophrenia
dementia
one sided neglect
lesion in opposite parietal cortex (usually non dominant side)
disorder of language
aphasia
defective articulation
dysarthria
substituting a phrase or sentence for a word the person can’t think of
circumlocutions
words are malformed, wrong, or invented
paraphasias
a person who can write a correct sentence does not have
aphasia
speech with indirection and delay in reaching the point
usually occurs in ppl with…
circumstantiality
usually occurs in people with obsessions
person shifts from one topic to another
derailment
changes topic based on loose associations
flight of ideas
invented or distorted words
neologisms
sudden interruption of speech midsentence
blocking
Fabrication of facts or events in response to questions, to fill in the gaps in an impaired memory
confabulation (Korsakoff’s syndrome)
Persistent repetition of words or ideas
perseveration
person chooses word based on sound, not meaning
clanging
asking about birthdays, SSN, jobs held, tests
remote memory
vocabulary can distinguish
mental retardation (vocal limited) vs dementia (vocab preserved)
