Chapter 5: Mental status

Question 1

a persons emotional feelings and cognitive function – “a state of wellbeing in which every individual realizes his or her own potential, can cope with normal stresses of life, can work productively and fruitfully and is able to make contributions to ones society

Answer 1

Mental status

Question 2

Clinically significant behavioral, emotional, or cognitive syndrome that is associated with significant distress or disability involving social, occupational, or key activities

Answer 2

Mental disorder

Question 3

caused by brain disease of known specific organic cause (delirium, dementia, alcohol and drug intoxication and withdrawal)

Answer 3

Organic disorders

Question 4

an organic etiology has not yet been established (anxiety disorder or schizophrenia)

Answer 4

Psychiatric mental disorders

Question 5

being aware of one’s own existence, feelings, and thoughts and of the environment

Answer 5

Consciosness

Question 6

using the voice to communicate one’s thoughts and feelings

Answer 6

Language

Question 7

mood is more durable, a prolonged display of feelings that color the whole emotional life and Affect is a temporary expression or feeling of state of mind

Answer 7

Mood and affect

Question 8

The awareness of the objective world in relation to the self
Attention: power of concentration, that ability to focus on one specific thing without being distracted

Answer 8

Orientation

Question 9

ability to lay down and store experiences and perceptions for later recall

Answer 9

Memory

Question 10

pondering a deeper meaning beyond the concrete and literal

Answer 10

Abstract reasoning

Question 11

The way a person thinks; the logical train of thought

Answer 11

Thought process

Question 12

What the person thinks – specific ideas, beliefs, the use of words

Answer 12

Thought content

Question 13

An awareness of objects through the five senses

Answer 13

Perceptions

Question 14

What are the ABCT of mental examination?

Answer 14

Appearance, Behavior, Cognition, Thought Process

Question 15

Aphasia

Answer 15

loss of ability to speak or write coherently

Question 16

Word comprehension test for Aphasia

Answer 16

point to articles in the room, parts of the body or articles and ask the person to name them

Question 17

Reading test for Aphasia

Answer 17

Ask person to read available print

Question 18

Writing test for Aphasia

Answer 18

Ask the person to make up and write a sentence. Note the coherence, spelling and parts of speech

Question 19

What is the GAD 7 questionnaire?

Answer 19

Tests for anxiety

Question 20

What is the Psychosocial questionnaire given to adolescents?

Answer 20

HEEADSS, home, education/employment, eating, activities, drugs, sexuality, suicide/depression, safety

Question 21

What is the MMSE?

Answer 21

Mini Mental State Examination (normal scores between 24-30), focuses on cognitive function and orientation to time, place, naming, reading, copying, writing, ability to follow three stage commands

Question 22

What is the Denver II screening?

Answer 22

test gives you a chance to interact with the young child to assess mental status and to identify developmental delays in infants and preschoolers with 4 functions (fine motor, gross motor, person and social skills)

Question 23

Is confusion normal for the aging adult?

Answer 23

Yes

Question 24

Delirium

Answer 24

is an acute confusional change or loss of consciousness and perceptual disturbances

Question 25

Dementia

Answer 25

gradual, progressive process, causing decreased cognitive function

Question 26

What is the new learning test for the aging adult?

Answer 26

with the four word test, a 70 yr old can usually only recall 2 words

Question 27

What is the mini cog test for the aging adult?

Answer 27

say three words, have then draw a clock with the numbers and then have them draw a certain time on the clock and then have them repeat the words

Question 28

Awake and readily aroused

Answer 28

Alert

Question 29

Transitional stage between lethargy and stupor, sleeps and has difficulty being aroused

Answer 29

Obtunded

Question 30

Not full alert, drifts off to sleep when not stimulated

Answer 30

Lethargic

Question 31

Spontaneously unconscious, responds only to vigorous shake or pain

Answer 31

Stupor or Semi coma

Question 32

Completely unconscious

Answer 32

Coma

Question 33

Type os Aphasia: most common, spontaneous speech is absent or reduced. Comprehension is absent

Answer 33

Global Aphasia

Question 34

Type of Aphasia: expressive aphasia, person can understand language but cannot express themselves using language

Answer 34

Broca Aphasia

Question 35

Type of Aphasia: Receptive aphasia, person can hear sound and words but cannot relate them to previous experiences

Answer 35

Wernicke Aphasia

Question 36

Lack of emotion

Answer 36

Flat effect

Question 37

Sad, gloomy, dejected

Answer 37

Depression

Question 38

Loss of identity

Answer 38

Depersonalization

Question 39

Overconfidence, joy and optimism

Answer 39

Elation

Question 40

Excessive well-being, unusually cheerful or elated

Answer 40

Euphoria

Question 41

Worried uneasy from unknown source

Answer 41

Anxiety

Question 42

Worries, uneasy from external dangers

Answer 42

Fear

Question 43

Rapid shifts of emotion

Answer 43

Lability

Question 44

Effects clearly discordant with content of persons speech

Answer 44

Inappropriate affect

Question 45

a long term- depressed mood with lack of pleasure

Answer 45

Depression

Question 46

chronic progressive loss of cognitive and intellectual functions, although perception and consciousness are intact

Answer 46

Dementia

Question 47

An acute confusional state, potentially preventable in hospitalized persons

Answer 47

Delirium