Chapter 6 Assessing mental status Flashcards Preview

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Flashcards in Chapter 6 Assessing mental status Deck (16):

What does mental health refer to?

cognitive and emotional functioning


What is cognitive functioning?

thinking, knowledge, and problem solving


What is emotional functioning?

feelings, mood, behaviors, and stability


What is the World Health Organization definition of mental health?

Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.


What factors affect mental health?

economic and social factors
unhealthy lifestyle choices
exposure to violence
personality factors
spiritual factors
cultural factors
changes or impairments in structure and function of the neurologic system
psychosocial development level and issues


Features of a mental disorder

behavioral psychological syndrome or pattern that occurs in an individual
reflects an underlying psychobiologic dysfunction
consequences of which are clinically significant distress or disability
must not be merely an expectable response to stressors and losses or a culturally sanctioned response to a particular event
that is not primarily a result of social deviance or conflicts with society


How to asses mental status

observe the client's level of consciousness/orientation
use Glasgow Coma Scale
observe posture, gait, and body movements
observe behavior and affect
observe dress and grooming
observe hygiene
observe speech
observe mood, feelings, and expressions
observe thought processes and perceptions
assess concentration, recent memory, and remote memory


Define lethargy

client opens eyes answers questions and falls back asleep


Define obtunded

client opens eyes to loud voice, responds slowly with confusion and seems aware of environment


Define stupor

client awakens to vigorous shake or painful stimuli but returns to unresponsive sleep


Define coma

Client remains unresponsive to all stimuli eyes stay closed


Define dysphonia

voice volume disorder caused by laryngeal disorders or impairment of cranial nerve X (vagus nerve)


Define cerebellar dysarthria

irregular, uncoordinated speech caused by multiple sclerosis (MD)


Define aphasia

difficulty producing or understanding language, caused by motor lesions in the dominant cerebral hemisphere


Define Wernicke's aphasia

rapid speech that lacks meaning, caused by a lesion in the posterior superior temporal lobe


Define Broca's aphasia

slowed speech with difficulty articulation, but fairly clear meaning, caused by a lesion in the posterior inferior frontal lobe