Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

health assessment > mental status assessment > Flashcards

mental status assessment Flashcards

1
Q

older adult special considerations

A
  • vision/hearing
  • appropriate dress
  • slow responses
  • mild confusion in the new setting
  • reminiscing
  • short term memory hesitaiton
  • risk of abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

cultural special considerations

A
  • eye contact
  • cultural beliefs
  • facial expressino
  • risk for under recognized depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does mental status mean?

A

emotional and cognitive functioning, inferred through assessment of individual behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what individual behaviors should you assess in mental status

A

consciousness, language, mood and affect, orientation, memory and abstract reasoning, thought process through content and perception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

consciousness

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

language

A

using the voice to communicate one’s thoughts and feelings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

mood and affect

A

both of these elements deal with prevailing feelings, mood is a prolonged display of feelings that colors the whole emotional life, whereas affect is a temporary expression of feelings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

orientation

A

awareness of the objective world in relation to the self

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

attention

A

the power of concentration, the ability to focus on one specific things without being distracted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

memory

A

the ability to note and store experiences and perceptions for later recall, recent memory evokes day to day evenets, and remote brings up many years of experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

abstract reasoning

A

pondering of a deeper meaning beyond the concrete and literal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

thought process

A

the way a person thinks, the logical train of thought

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

thought content

A

what a person thinks, specific ideas, beliefs, and use of words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

perceptions

A

awareness of objects through any of the five senses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is a mental status examination?

A

the systematic check of emotional and cognitive function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

4 pillars of mental status exam

A

appearance, behavior, cognitive functions (conversations), thought process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when is a full mental status exam necessary?

A
  • initial screening detects anxiety or depression
  • behavioral changes like memroy loss, inappropriate social interaction
  • brain lesions like trauma, tumor, CV accident, stroke
  • aphasia like impairement of language due to brain damage
  • symptoms of psychiatric mental illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

when should one proceed with acute assessment

A

any time there is a suspicion of mental health problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what should an acute assessment include

A

safety assessment, utilize touch cautiously, assume non threatening posture

20
Q

appearance components

A

overall appearance, posture, body movements, grooming and hygeine, dress

21
Q

behavior components

A

level of consciousness (lethargic, obtunded, stupor), facial expressions, speech, mood/affect

22
Q

lethargic

A

drowsy, oriented and appropriate but may be slow

23
Q

obtunded

A

hard to arouse, slow and confused responses, requires almost constant stimulation for even marginal cooperation

24
Q

stupor/semi coma

A

responds only to vigorous shake or pain, purposeful withdrawal to pain, slow or absent verbal responses

25
Q

cognitive function components

A

orientation, attention span, memory, aphasia, judgement

26
Q

immediate memory

A

say 4 words and ask them to repeat after you

27
Q

recent memory

A

remembering the words after about 5 minutes

28
Q

remote memory

A

occupation, birthday, place of birth

29
Q

what does thought process include

A

thought process, thought content, perception

30
Q

logic, relevance, organization of thoughts

A

assessed during conversation, should be able to organize thoughts and make connections between subjects

31
Q

abstract and concrete thinking

A

you can assess by asking a patient to interpret a proverb (ex: what does silver lining mean?)

32
Q

expected findings for thought content

A

reality based and rational thinking, denies irraitonal fears or obsessive thoughts

33
Q

perceptions normal findings

A

accurately perceives people and events, denies voices or seeing things others do not

34
Q

perceptions abnormal

A

hallucinations or delusions, BIG red flag

35
Q

ways to test insight and normal findings

A

“what do you think caused your current problem”, normal findings: verablizes contribution of choices to current physical condition

36
Q

screenings for depression

A

PHQ-2 and PHQ-9, PHQ2 is broader while the 9 question is specific

37
Q

GAD-7

A

anxiety screening tool

38
Q

what is the problem with suicidal risk factors

A

someone can have all the risk factors and not commit suicide, someone can have none and commit suicide

39
Q

suicidal risk factors (9)

A

genetics, abuse, previous attempts, loss, serious illness, mediation, substance abuse, social isolation, impulsive/aggression

40
Q

supplemental mental status testing

A

mini-cog; MMSE, MoCA

41
Q

delirium vs. dementia

A

delirium is acute while dementia is progressive

42
Q

delirium

A

acute confusional change or loss of consciousness and perceptual disturbance, may accompany acute illness, usually resolved when underlying cause is treated

43
Q

dementia

A

gradual progressive process, causing decreased cognitive function even though the person is fully conscious and awake, not reversible

44
Q

red flags in mental status exam

A

acute change in mental status or level of consciousness, delusions and hallucinations, suicidal or homicidal thoughts

45
Q

red flags for general violence

A

new onset behaviors or changes in behavior; withdrawal, depression; agitation, hyperarousal; new displays of anger, noncompliance; sexualized behavior; bowel or bladder problems

46
Q

alcohol use and abuse

A

high incidence of occurrence across patient care settings; morbidity and mortality data reflect adverse consequences

health assessment (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions