Mental Status Assessment Flashcards

1
Q

why is gathering correct information about the client’s mental status essential

A

it is essential to the development of an appropriate plan of care

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2
Q

what is the first component of the mental status assessment

A

identifying data

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3
Q

what is comprised in the identifying data section

A

name, gender, age, race, occupation, education, significant other, living arrangements, religion, allergies, diet, CC, medical diagnosis

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4
Q

what comprises the appearance section

A

grooming, hygiene, posture, stated age, hair color/texture, skin

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5
Q

what is ataxia

A

loss of full control of bodily movements

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6
Q

what comprises the motor activity section

A

psychomotor retardation, aggressive, agitated, akathesia, restless, slow, tics, tremors, mannerisms, gestures, rigidity, hyperactive, gait pattern, full ROM, echopraxia

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7
Q

movement disorder characterized by a feeling of inner restlessness and inability to stay still

A

akathesia

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8
Q

meaningless repetition or imitation of the movements of others (mimicking actions of others)

A

echopraxia

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9
Q

what comprises the behavior section

A

strikes out, suspicious, agitated, cooperative, hostile, friendly, guarded, defensive

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10
Q

difficult or unclear articulation of speech that is otherwise linguistically normal.

A

dysarthria

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11
Q

loss of ability to understand or express speech

A

aphasia

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12
Q

what comprises speech pattern

A

clear, disorganized, dysarthria, aphasia, loud, intonation, pressured, rapid, slow, soft, stuttering/lisp

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13
Q

making up words

A

neologisms

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14
Q

what is affect

A

the emotion expressed on face
is it congruent with mood?
blunted, constricted, flat, appropriate?

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15
Q

what is comprised of orientation

A

person, place, situation, month/day/year

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16
Q

verbalizations are continuous and rapid and flow from one to another

A

flight of ideas

17
Q

verbalizations shift from one unrelated topic to another

A

associative looseness

18
Q

verbalizations are lengthy and tedious and delayed in reaching the intended point

A

circumstantiality

19
Q

verbalizaitons that are lengthy and tedious and never reach an intended point

A

tangentiality

20
Q

the individual is making up nonsensical sounding words which have meaning only to him or her

A

neologisms

21
Q

thinking is literal, elemental
absence of ability to think abstractly
unable to translate proverbs

A

concrete thinking

22
Q

speaking in puns or rhymes

using words that sound alike but have different meanings

A

clang associations

23
Q

using a mixture of words that have no meaning together

sounding incoherent

A

word salad

24
Q

persistently repeating the last word of a sentence spoken to the client

A

preservation

25
persistently repeating what another person says
echolalia
26
does not speak | either cannot or will not
mutisim
27
speaks very little | may respond in monosyllables
poverty of speech
28
what is content of thought comprised of
delusions, suicidal or homicidal thoughts, paranoia, magical thinking, religiosity, phobias, poverty of content
29
does the person have unrealistic ideas or beliefs
delusions
30
a belief that someone is out to get him in some way
persecutory
31
idea that he is all powerful or of great importance
grandiose
32
an idea that whatever is happening in the environment is about him
reference
33
a belief that his behavior or thoughts are being controlled by external forces
control or influence
34
belief that he has a dysfunctional body part
somatic
35
belief that he, a part of the body, or even the world does not exist or has been destroyed
nihilistic
36
what are the components of delusions
persecutory, grandiose, reference, control, somatic, nihilistic
37
is the person experiencing unrealistic sensory perceptions
hallucinations
38
what is comprised of hallucinations
auditory, gustatory, olfactory, tactile, visual, command, illusions, none
39
what are the levels of consciousness
alert hyper alert lethargic sleepy