Interview and Mental Status Exam

Question 1

majority of patients ultimately diagnosed with ADHD initially present where

Answer 1

primary care/peds

Question 2

4 key components of psych interview

Answer 2

mental status exam

focused follow-up Qs

social and psych history

specific tests/screenings

Question 3

3 mental status exam components observed during psych interview

Answer 3

observation (face to face)

focused questions (open and closed ended)

specific psych tests (as needed)

Question 4

12 mental status exam domains

Answer 4

appearance

alertness/orientation

speech

motor behavior

mood and affect

attention

memory

perception

insight

judgment

thought content

thought process

Question 5

difference between unkempt and disheveled

Answer 5

unkempt - homeless appearing

disheveled - messy but not as bad as unkempt

Question 6

what are some things you should be observing when looking at appearance

Answer 6

grooming, clothing

skin lesions, body habitus, physique

Question 7

what three things must they be oriented to

Answer 7

person

time

place

Question 8

two ways to observe speech

Answer 8

spontaneous speech AND language tests

Question 9

what three things do you consider when listening to speech

Answer 9

rate

volume

type

Question 10

what are some examples of different TYPES of speech (descriptive words)

Answer 10

slurred

mumbled

aphasia

word salad

clang associations

neologisms

Question 11

speech can help you differentiate between what

some examples

Answer 11

neurological v psych

word salad (stroke v schizophrenia)

slurred (neuro v drunk)

aphasia (typically neuro)

Question 12

what does motor behavior also help you differentiate between

Answer 12

neuro and psych

Question 13

what types of motor behaviors are you looking for

Answer 13

hyperactive

hypoactive (psychomotor retardation)

rigid

restlessness/akathisia

combative

tics

eye contact/gait

Question 14

patient’s subjective description of his or her emotional state in his or her own words

Answer 14

mood

Question 15

sustained emotion that affects a person’s view of the world

Answer 15

mood

Question 16

an observable feeling or tone expressed through voice, facial expression, and demeanor described by clinician NOT patient

Answer 16

affect

Question 17

emotion conveyed via non-verbal

Answer 17

affect

Question 18

descriptors of affect

Answer 18

normal

blunted, flat, constricted

exaggerated

labile

appropriate/inappropriate

Question 19

memory of childhood =

Answer 19

remote memory

Question 20

memory of current events within the past few months =

Answer 20

recent remote memory

Question 21

memory of what he or she had for breakfast =

Answer 21

recent memory

Question 22

6 digit test (called attention test)

word list recall

= what kind of memory

Answer 22

immediate retention and recall

Question 23

sensory awareness of objects in the environment and their interrelationships

also refers to internal stimuli

Answer 23

perception

Question 24

false sensory perception not associated with real external stimuli =

Answer 24

hallucination

Question 25

most common type of hallucination

Answer 25

auditory

Question 26

5 types of hallucinations

Answer 26

auditory visual olfactory tactile gustatory

Question 27

how are illusions different than hallucinations

Answer 27

illusions are misperceptions or misinterpretations of a REAL external stimuli hallucinations - NO real stimuli involved

Question 28

a person's subjective sense of being unreal, strange, or unfamiliar =

Answer 28

depersonalization

Question 29

a subjective sense that the environment is strange or unreal =

Answer 29

derealization

Question 30

the feeling of bugs crawling on or under the skin =

Answer 30

formication

Question 31

patient's awareness that symptoms or disturbed behaviors are normal or abnormal =

Answer 31

insight

Question 32

patient's understanding of his or her illness =

Answer 32

insight

Question 33

_____ is a continuum over several encounters: recognition they may have mental illness compliance with tx plan relabel false mental events

Answer 33

insight

Question 34

which of the following is most commonly associated with poor insight? anxiety disorders mood disorders personality disorders ADHD

Answer 34

personality disorders

Question 35

process of comparing and evaluating alternatives when deciding on a course of action =

Answer 35

judgment

Question 36

what is a way to check judgment?

Answer 36

they say they're going to kill their friend. ask - what will happen if you kill your friend? what will happen to YOU?

Question 37

what the patient thinks about and the focus of their concerns =

Answer 37

thought content

Question 38

what part of the mental status exam evaluates the extent to which they believe their thought/conviction

Answer 38

thought content

Question 39

fixed, false personal beliefs that are not shared by other members of person's culture =

Answer 39

delusions

Question 40

can delusions be corrected by reasoning?

Answer 40

no

Question 41

types of delusions

Answer 41

paranoid grandeur nihilistic ideas of reference ideas of influence persecution

Question 42

delusions are part of what aspect of the mental status exam

Answer 42

thought content

Question 43

obsessions are what part of the mental status exam

Answer 43

thought content

Question 44

recurrent, uncontrollable thoughts, images, or impulses NOT false thoughts but they are prominent

Answer 44

obsessions

Question 45

repetitive behaviors or mental acts that a person feels driven to perform

Answer 45

compulsions

Question 46

compulsions are a part of what aspect of mental status exam

Answer 46

thought content

Question 47

persistent, irrational, exaggerated fear of a specific stimulus or situation BUT pt knows it is irrational

Answer 47

phobias

Question 48

what are accompanied by a compelling desire to avoid the stimulus

Answer 48

phobias

Question 49

phobias are a part of what part of mental status exam

Answer 49

thought content

Question 50

quantity, tempo and coherence of thought =

Answer 50

thought processes

Question 51

the logic, coherence and relevance of the patient's thought as it leads to selected goals (how a patient thinks) - what part of mental status exam

Answer 51

thought processes

Question 52

tangential, circumstantial describes what

Answer 52

thought process

Question 53

___ is the basis to formulate any psychiatric diagnosis

Answer 53

MSE - mental status exam

Question 54

___ is a brief neuropsychological test to screen for dementia

Answer 54

mini mental status ecam

Question 55

what is used to screen for dementia

Answer 55

mini mental status exam