Chapter 8 Flashcards

(52 cards)

1
Q

structured evaluation of your patient’s current state of physical, cognitive, and emotional functioning

A

mental status examination

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2
Q

purposes of mse

A
  • helps make a diagnosis
  • allows to create a vivid patient description for records and referral
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3
Q

7 components of mse
(All Borderline Subjects Are Tough, Troubled, Characters)

A
  • appearance
  • behavior
  • speech
  • affect
  • thought process
  • thought content
  • cognitive examination
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4
Q

observe the patient’s physical characteristics

A

appearance

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5
Q
  • patient-doctor interaction
  • answers the question, “how did your patient behave toward you when you first met her?”
A

behavior

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6
Q

careful listening to the patient’s manner of talk can enable us to understand his thought process

A

speech

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7
Q

character of talk

A
  • spontaneous speech vs blocking
  • deliberate vs pressured speech
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8
Q

well-organized, flows freely, and is logically sequenced

A

spontaneous speech

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9
Q

sudden stoppage in the stream of talk for no apparent reason

A

blocking

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10
Q

usual causes of blocking

A
  • affectively changed topics
  • delusions
  • hallucinations
  • pre-occupations
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11
Q

patient’s refusal to talk

A

negativism

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12
Q

goal-oriented and proceeds at a normal pace

A

deliberate speech

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13
Q

rate of speech is so fast that it is difficult to keep up with the patient’s train of thought and difficult to interrupt

A

pressured speech

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14
Q

pressured speech is a cardinal sign of ____

A

mania

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15
Q

organizations of talk:

A
  • loose associations
  • flight of ideas
  • circumstantiality
  • tangentiality
  • perseveration
  • neologisms
  • clang associations
  • echolalia
  • echopraxia
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16
Q

condition in which the patient’s verbal production is illogical and impossible to follow due to a lack of organization or continuity

A

loose associations

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17
Q

most extreme form of loose association in which no two words connect together to form any logical association

A

word salad

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18
Q

loose associations are a cardinal sign of ____ due to acute organic brain syndrome or schizophrenia

A

thought disorder

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19
Q

usually accompanied by pressure of speech, characteristically jumping from subject to subject

A

flight of ideas

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20
Q

flight ideas is a cardinal sign of ____

A

mania

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21
Q

providing an excessive amount of irrelevant detail before finally answering the question

A

circumstantiality

22
Q

circumstantiality is an early sign of ____ and may be organic or functional

A

thought disorder

23
Q

the patient gets lost in unnecessary and irrelevant details and never directly answers the question

A

tangentiality

24
Q

characterized by repetition of speech, movement, or an idea over which the individual has no control

A

perseveration

25
perseveration is a sign of ____
organic brain disturbance
26
words or phrases that the patient creates de novo or arrangements or words or syllables in a nonsense fashion
neologisms
27
the patient makes frequent rhymes, or in severe cases, may talk only in rhymes
clang associations
28
phenomenon whereby the patient repeats the interviewer's speech or question
echolalia
29
occurs when the patient repeats or mimics the movement of the examiner
echopraxia
30
objectively defined (by the interviewer), brief state of emotional tone attached to a specific idea, event, or situation
affect
31
types of affect:
- appropriate vs inappropriate - flat - blunted - elated - labile - histrionic - anxious - angry
32
absence or near absence of emotional expression
flat
33
significant reduction in intensity of emotional expression
blunted
34
intense feeling of well-being, happiness, excitement, and joy
elated
35
abnormal variability in affect
labile
36
hysterical, out of proportion to normal affect
histrionic
37
worry apprehension of future event
anxiety
38
strong feeling of annoyance, displeasure or hostility
angry
39
subjectively defined feeling state that the patient reports he is experiencing
mood
40
types of mood
- depression - euthymism / normal - euphoria
41
manner in which a patient interprets what is happening on his environment that can tell how much in touch he is with reality
thought process
42
unusual or dangerous ideas and includes suicidal & homicidal ideation
thought content
43
cognitive examination includes:
- level of awareness or wakefulness - attention and concentration - orientation - memory - general information - abstract thinking ability - judgement and reasoning
44
continuum of wakefulness ranges from ___ to ___
- comatose - fully alert
45
diagnoses given to drowsy patient
- benzodiazepine abuse - alcohol abuse
46
diagnoses given to a hyperalert patient
- mania - stimulant abuse
47
continuum of attention runs from ___ and ___ at one end to ____ and ____ at the other
- attentive and focused - confused and distractible
48
best way to assess attention and concentration
talk to your patient and observe how she thinks
49
an individual's awareness of his relationship to his immediate surroundings is evaluated in terms of 4 orienting factors
orientation
50
4 orienting factors:
- time - place - person - situation
51
3 memory areas that should be tested
- remote - recent - immediate
52
- patient's understanding of the immediate situation - patient's in-depth understanding of his problems and their origins
insight