Flashcards in Mental Status Exam Deck (40):
A systematic assessment of an individuals appearance, affect, behaviour, and cognitive processes; it reflects the examiners observation and impression at the time of the interview or assessment
Mental status exam
A pervasive and sustained emotion that colours the person’s perception of the world
elated mood, intense happiness
depressed, disquieted, restless mood
Emotional responsiveness during the interview- inferred from facial expression, vocalizations and behaviour
Complex series of mental events involved with taking in of sensory information from the environment and the processing of that information into mental representations
Misperception or misrepresentation of real sensory stimuli
example: a child who perceives tree branches at night as if they are goblins.
False sensory perceptions(not associated with external stimuli and not shared by others)
- auditory, visual, tactile, olfactory, gustatory
What the person is thinking about
A false, fixed belief, based on an incorrect inference about reality. It is not shared by others and is inconsistent with the individual’s intelligence or cultural background and cannot be corrected by reasoning
Belief that one’s thoughts are controlled by an outside force
Delusions of control
The belief that thoughts are being inserted into one’s mind by someone else
The belief that one’s thoughts are obvious to others or are being broadcast to the world
The belief that other people, objects, and events are related to or have a special significance for one’s self. For example, a person on television is talking to or about them
Ideas of reference
An irrational distrust of others and/or the belief that others are harassing, threatening, etc.
An absurd or implausible belief. Ex -the electricity is making me gain weight
A false belief involving the body or bodily functions.
An exaggerated belief of one’s importance or power (reference to sovereignty or super powers)
Delusions of grandeur
The belief that one is an agent of or specially favoured by a greater being.
Common disturbances of thought process:
1. Loosening of association
4. Thought blocking
6. Flight of ideas
7. Word salad
9. Clang association
12. Pressured speech
The lack of logical relationship between thoughts and ideas; conversations shift from one topic to another in a completely unrelated manner, making it confusing and difficult to follow.
Loosening of association
The individual takes a long time to make a point because his or her conversation is indirect and contains excessive and unnecessary detail (over inclusive)
Similar to circumstantiality, except that the speaker does not return to a central point
An abrupt pause or interruption in one’s train of thoughts, after which the individual cannot recall what he or she was saying
The creation of new word
Rapid, continuous verbalization, with frequent shifting from one topic to another
Flight of ideas
An incoherent mixture of words and phrases
A persisting response to a stimulus even after a new stimulus has been presented
The use of words or phrases that have similar sounds but are not associated in meaning; may include rhyming or puns
The persistent echoing or repetition of words or phrases said by others.
The meaningless repetition of words or phrases said by others
Speech that is increased in rate and volume and is often empathic and difficult to interrupt; typically associated with mania or hypomania.
Sensorium consist of:
▫️level of consciousness
▫️attention and concentration
Understanding the reality of a set of circumstances. Reflects the person’s awareness of his or her own thoughts and feelings and an ability to compare with the thoughts and feelings of others.
Ability to reach a logical decision about a situation and to choose a course of action after examining and analyzing various possibilities. Reflects problems-solving abilities and capacity to learn from experience.
Is the sustained emotion a patient reports; record in patients own words
Is observed emotion of the patient. Qualities include: euthymic (normal), depressed (dysphoric), elevated (euphoric).
I say out for my mother. for this to hell I went. how long is road?
Example of “loosening of words”