Chapter 8 Flashcards
(52 cards)
structured evaluation of your patient’s current state of physical, cognitive, and emotional functioning
mental status examination
purposes of mse
- helps make a diagnosis
- allows to create a vivid patient description for records and referral
7 components of mse
(All Borderline Subjects Are Tough, Troubled, Characters)
- appearance
- behavior
- speech
- affect
- thought process
- thought content
- cognitive examination
observe the patient’s physical characteristics
appearance
- patient-doctor interaction
- answers the question, “how did your patient behave toward you when you first met her?”
behavior
careful listening to the patient’s manner of talk can enable us to understand his thought process
speech
character of talk
- spontaneous speech vs blocking
- deliberate vs pressured speech
well-organized, flows freely, and is logically sequenced
spontaneous speech
sudden stoppage in the stream of talk for no apparent reason
blocking
usual causes of blocking
- affectively changed topics
- delusions
- hallucinations
- pre-occupations
patient’s refusal to talk
negativism
goal-oriented and proceeds at a normal pace
deliberate speech
rate of speech is so fast that it is difficult to keep up with the patient’s train of thought and difficult to interrupt
pressured speech
pressured speech is a cardinal sign of ____
mania
organizations of talk:
- loose associations
- flight of ideas
- circumstantiality
- tangentiality
- perseveration
- neologisms
- clang associations
- echolalia
- echopraxia
condition in which the patient’s verbal production is illogical and impossible to follow due to a lack of organization or continuity
loose associations
most extreme form of loose association in which no two words connect together to form any logical association
word salad
loose associations are a cardinal sign of ____ due to acute organic brain syndrome or schizophrenia
thought disorder
usually accompanied by pressure of speech, characteristically jumping from subject to subject
flight of ideas
flight ideas is a cardinal sign of ____
mania
providing an excessive amount of irrelevant detail before finally answering the question
circumstantiality
circumstantiality is an early sign of ____ and may be organic or functional
thought disorder
the patient gets lost in unnecessary and irrelevant details and never directly answers the question
tangentiality
characterized by repetition of speech, movement, or an idea over which the individual has no control
perseveration