Mental Status Exam Flashcards Preview

Health and Illness II > Mental Status Exam > Flashcards

Flashcards in Mental Status Exam Deck (19)
Loading flashcards...
1

When to preform a MSE

Risk assessment
admission
changes in patient
after procedures
every shift
ongoing

2

Five Categories of Mental status Exam

General Description (appearance/speech/motor activity/interaction during interview)
Emotional State (mood/affect)
Experiences (Perception)
Thinking (thought content/process)Sensorium/Cognition (loc/memory/concentration/calculation/information/intelligence/judgment/insight)

3

General Description

observed
eye contact
posture

4

Motor Activity
Akathisia
Bradykinesia
Catatonia

excessive activity (pacing, wringing hands)
retardation (slowing reactions)
muscular rigidity

5

Mood

subjective report of emotional state by patient

6

Mood questions
if suicide suspected

non-leading
how is your mood
asking to rate mood
should directly ask about thoughts of self-harm

7

Affect
Abnormal examples

observed
flat
restricted/blunted
labile
incongruent/inappropriate

8

Hallucinations

false sensory experience

9

Command hallucinations

tell patient to do something

10

Illusions

distorted perception to an existing sensory stimuli

11

Delusion

fixed, false belief
paranoid, grandiose or somatic (health related usually)

12

thought broad-casting

thoughts occur and can be heard by others

13

Thought Content

asked about

14

Thought Process

observed

15

Abnormal Thought Processes
Circumstantial
Tangential
Flight of Ideas
Loose Associates
Word Salad
Neologisms
Thought Blocking
Perseveration

unnecessary details before reaching goal
never reach goals but thoughts associated
rapid speech/abrupt topic changes
disrupted speech due to lack of association between thoughts
words totally unrelated
new ords created by patient
interruption in flows of speech
repetition of same words/phrases (not usual filler words)

16

Remote Memory

past events, time, place of birth, age of family members

17

Pseudodemtia

depressed patient

18

Immediate Memory

Recall memory

19

Mental Status examination represents

current snapshot of clinical problems of the patient