Mental Status Exam Flashcards

(57 cards)

1
Q

Affect: Normal

A

The patient displays a full range of emotional expressions that are appropriate to the context of the interview. Their facial expressions are in line with their emotional responses.

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2
Q

Affect: Full Range of Expression

A

The patient exhibits a wide variety of emotional expressions, and these expressions align with their emotional experiences. Their facial expressions are flexible and adaptive to different emotional states.

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3
Q

Affect: Restricted

A

Mild decrease in facial animation

The patient’s emotional expressions are somewhat limited or less animated than expected. They may show some emotional response, but it is noticeably less than what would be considered typical for the situation.

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4
Q

Affect: Blunted

A

Significant decrease in facial animation

The patient’s facial expressions are markedly reduced or diminished. They display little emotional responsiveness, even in situations where emotional reactions would be expected.

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5
Q

Affect: Flat

A

No sign of spontaneous facial expression

The patient exhibits no spontaneous facial expression regardless of the emotional content of the conversation. Their face remains impassive and devoid of emotional cues.

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6
Q

Affect: Buoyant

A

The patient’s affect is excessively cheerful or exuberant, which may not be contextually appropriate. They may display heightened enthusiasm or happiness.

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7
Q

Affect: Dysphoric

A

The patient’s affect is excessively cheerful or exuberant, which may not be contextually appropriate. They may display heightened enthusiasm or happiness.

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8
Q

Affect: Euthymic

A

The patient’s affect is characterized by a balanced and stable mood. They exhibit a normal, non-depressed, and non-elevated emotional state.

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9
Q

Affect: Irritable

A

The patient appears easily annoyed, impatient, or quick to anger. They may have a low tolerance for frustration.

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10
Q

Affect: Happy

A

The patient exhibits a cheerful and contented emotional state. They may display smiles and positive body language.

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11
Q

Affect: Agitated

A

The patient is visibly restless, anxious, and fidgety. They may exhibit physical signs of nervousness.

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12
Q

Affect: Tearful

A

The patient frequently sheds tears or becomes emotional during the interview. This affect is often associated with sadness or distress.

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13
Q

Affect: Angry

A

The patient displays a hostile and irate emotional state. They may show signs of frustration, resentment, or aggression.

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14
Q

Affect: Suspicious

A

The patient is distrustful and wary, displaying suspicion or paranoia in their affect.

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15
Q

Affect: Frightened

A

The patient appears fearful or anxious, displaying emotional distress and apprehension.

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16
Q

Affect: Flirtatious

A

The patient engages in playful or suggestive behavior, often involving inappropriate or sexual comments.

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17
Q

Affect: Silly

A

The patient exhibits a childlike or immature affect, displaying inappropriate humor or silliness.

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18
Q

Affect: Threatening

A

The patient displays a menacing or intimidating demeanor, making verbal or physical threats.

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19
Q

Affect: Labile

A

The patient’s affect is characterized by rapid and unpredictable shifts in emotional states, often alternating between different moods quickly.

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20
Q

Affect: Edgy

A

The patient appears tense, nervous, or on edge, often displaying heightened alertness and restlessness.

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21
Q

Thought: Derailment / Loosening of Associations

A

Thoughts appear unconnected

One topic to the next

No logical transitions

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22
Q

Thought: Flight of ideas

A

Tangential thought process

Rapid and pressured speech

Triggered by distracting stimuli, seen in mania

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24
Q

Thought: Thought Blocking

A

Patient stops mid-sentence, does not return to the original idea

Caused by interruptions or hallucinations

25
Thought: Tangential Thought
Wander off-topic, some connection to the preceding thought Do not return to the original topic
26
Thought: Circumstantial Thought
Thoughts wander off-topic but eventually return to the original topic Logical connection, long route to get there
27
Thought: Disjointed Illogical Thought
Thoughts are disjointed and lead to illogical conclusions
28
Thought: Word Salad
The patient speaks in a confused and repetitive manner Language ahs no coherent meaning
29
Thought: Neologisms
The patient uses newly coined words or combines words in a way that is not understandable to others
30
Thought: Clang Associations
Thoughts are associated by sound of words rather than meaning Rhyming or similar sounding words
31
Thought: Perseveration
Fixation on a specific idea or topic, difficulty shifting to other topics
32
Formal Thought Disorder
Disruptions or abnormalities in the way a person forms and expresses thought Issue with structure, organization, and coherence of thought process
33
Psychosis
Broader category of mental disturbances: significant change in thought, perception, or behavior Delusions, hallucinations, disorganized thinking, impaired insight Formal thought disorder could be a symptom of psychosis
34
Thought Content: Ruminations
Repetitive and Intrusive thoughts that individuals may have, often related to worries, guilt, or distressing concerns Document: specific content of ruminations, frequency, impact on emotions
35
Thought Content: Obsessions
Intrusive and distressing thoughts, images, or urges that repeatedly enter the patient's mind Document: nature of obsessions, associated compulsions, and Pt's level of distress
36
Thought Content: Compulsions
Repetitive behaviors or mental acts performed in response to obsessions to reduce distress or prevent a feared event Document: specific compulsions, frequency, Pt's awareness of their irrationality
37
Thought Content: Delusions
Firmly held false beliefs that are resistant to reason or contrary evidence Document: content of the delusions, whether they are bizarre or non-bizarre, impact on the Pt's functioning
38
Thought Content: SI/HI
Assess for the presence of SI/HI, intensity, and any associated plans of intent Inquire about self-harming behaviors or actions taken in the past
39
Thought Content: Reassurance Compulsions
When the patient seeks reassurance repeatedly from others to alleviate distress or uncertainty
40
Delusions: Bizarre
Implausible, not derived from ordinary life experiences.
41
Thought Withdrawal:
one’s thoughts have been removed by outside forces
42
Thought Insertion
alien thoughts have been put into one’s mind
43
Delusions of Control
one’s body or actions are being acted on or manipulated by outside forces
44
Delusions: Non-Bizarre
thought content that is not true but is not out of the realm of possibility
45
Delusions: Persecutory
Belief that one will be harmed by an individual, organization, being conspired against, harassed, or obstructed in the pursuit of long-term goals, repeated attempts to obtain satisfaction by legal or legislative action, resentful, angry, and may resort to violence against those they believe are hurting them
46
Delusions: Grandiose
Belief that one has exceptional abilities, wealth, or fame Having a relationship with a prominent person or being a prominent person
47
Delusions: Erotomanic
falsely believes that another person is in love with them, a famous person, or superior at work
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Delusions: Nihilistic
belief that a major catastrophe will occur
49
Delusions: Jealous
imagined infidelity of partner, unfaithful partner based on incorrect inferences
50
Delusions: Somatic
bodily functions or sensations, emitting a foul odor, insects on or in the skin, internal parasite, certain parts of the body are ugly or misshapen, parts of the body are not functioning
51
Schizophrenic Positive Symptoms: Hallucinations
Arise without any stimuli or specific environmental trigger Seeing, hearing, smelling, or feeling what others don't experience
52
Illusions
Triggered by some real sensory input (watching an animal and the animal transforms into a monster
53
Perception: Hypnagogic Hallucinations
occur as one is falling asleep
54
Perception: Hypnopompic Hallucinations
occur as one is waking up
55
Perceptions: Depersonalization
feeling that one is not oneself
56
Perceptions: Derealization
feeling that one’s environment has changed in some strange way that is difficult to describe
57