Mental Status Exam Flashcards Preview

Mental & Psychiatric NRSNG Canada > Mental Status Exam > Flashcards

Flashcards in Mental Status Exam Deck (40):
1

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

2

A pervasive and sustained emotion that colours the person’s perception of the world

Mood

3

Normal mood

Euthymic

4

elated mood, intense happiness

Euphoric

5

depressed, disquieted, restless mood

dysphoric

6

Emotional responsiveness during the interview- inferred from facial expression, vocalizations and behaviour

Affect

7

Complex series of mental events involved with taking in of sensory information from the environment and the processing of that information into mental representations

Perception

8

Misperception or misrepresentation of real sensory stimuli

example: a child who perceives tree branches at night as if they are goblins.

Illusions

9

False sensory perceptions(not associated with external stimuli and not shared by others)
- auditory, visual, tactile, olfactory, gustatory

Hallucinations

10

What the person is thinking about

Thought content

11

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

Delusions

12

Belief that one’s thoughts are controlled by an outside force

Delusions of control

13

The belief that thoughts are being inserted into one’s mind by someone else

Thought insertion

14

The belief that one’s thoughts are obvious to others or are being broadcast to the world

Thought broadcasting

15

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

16

An irrational distrust of others and/or the belief that others are harassing, threatening, etc.

Paranoid delusions

17

An absurd or implausible belief. Ex -the electricity is making me gain weight

Bizarre delusions

18

A false belief involving the body or bodily functions.

Somatic delusions

19

An exaggerated belief of one’s importance or power (reference to sovereignty or super powers)

Delusions of grandeur

20

The belief that one is an agent of or specially favoured by a greater being.

Religious delusions

21

Common disturbances of thought process:

1. Loosening of association
2. Circumstantiality
3. Tangentiality
4. Thought blocking
5. Neologism
6. Flight of ideas
7. Word salad
8. Perseveration
9. Clang association
10. Echolalia
11. Verbigeration
12. Pressured speech

22

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

23

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)

Circumstantiality

24

Similar to circumstantiality, except that the speaker does not return to a central point

Tangentiality

25

An abrupt pause or interruption in one’s train of thoughts, after which the individual cannot recall what he or she was saying

Thought blocking

26

The creation of new word

Neologism

27

Rapid, continuous verbalization, with frequent shifting from one topic to another

Flight of ideas

28

An incoherent mixture of words and phrases

Word salad

29

A persisting response to a stimulus even after a new stimulus has been presented

Perseveration

30

The use of words or phrases that have similar sounds but are not associated in meaning; may include rhyming or puns

Clang associations

31

The persistent echoing or repetition of words or phrases said by others.

Echolalia

32

The meaningless repetition of words or phrases said by others

Verbigeration

33

Speech that is increased in rate and volume and is often empathic and difficult to interrupt; typically associated with mania or hypomania.

Pressured speech

34

Sensorium consist of:

▫️level of consciousness
▫️orientation 3x
▫️memory
▫️attention and concentration
▫️comprehension
▫️abstract reasoning

35

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.

Insight

36

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.

Judgement

37

Is the sustained emotion a patient reports; record in patients own words

Mood

38

Is observed emotion of the patient. Qualities include: euthymic (normal), depressed (dysphoric), elevated (euphoric).

Affect

39

I say out for my mother. for this to hell I went. how long is road?

Example of “loosening of words”

40

e.g. in an answer to the question “where are you from?”, a response “My dog is from England. They have good fish and chips there. Fish breathe through gills”

Tangentiality