Mental Status Examination Flashcards
it is psychiatric equivalent to physical examination and should be done fully in a day to explore areas of pt’s mental fxning
Mental Status Examination
how many components are there in MSE
12 + 1 (work behviors)
Identify if the component can be gathered through observation of interview
- Appearance and Behavior
- Motor Activity
- Speech
- Mood
- Affect
- Observation
- Observation
- Observation
- Interview
- Observation
Identify the mood
“Okay naman ako” + masaya
Euthymic
Identify the mood
“OKAY NA OKAY AKO!!”
Elevated/Euphoric
Identify the mood
“Okay naman ako” + malungkot
Depressed
Identify the mood
Very sad
Dysphoria
mood that is always changing
Labile
Identify if full, constricted, blunted, flat
smiling + Happy
Full
Identify if full, constricted, blunted, flat
force smile + happy
constricted
Identify if full, constricted, blunted, flat
no smile
flat
Identify if full, constricted, blunted, flat
smiles that is not too obvious + happy
Blunted
Identify if the component can be gathered through observation of interview
- Thought Content
- Thought Process
- Perceptual Disturbances
- Sensorium and Cognition
- Abstract Reasoning
- Insight
- Judgement
- interview and observation
- observation
- interview and observation
- Sensorium- observed; Cognition- interview
- interview
- interview
- interview
what is the 13th component of MSE
attitude to self, others and work behaviors
observed
Parts of the Thought Content Component
Delusions
Preoccupations
Obsessions
Ideations
parts of the perceptual disturbances component
Hallucinations
Illusions
Hallucinatory gestures
parts of cognition component
Orientation of Date, Time, Place, Person, Situation
Memory
Concentration
type of memory where you ask patient to recall 3 objects
immediate recall
type of memory where you ask birthday, address
immediate memory
memory from yesterday
recent
how to test the client’s concentration
serial 7s, WORLD in backwards spelling
How to test the client’s abstract reasoning
ask pt to interpret a proverb
what is gathered in the insight component
to identify if the client is aware of their condition
Intellectual insight vs True emotional insight
intellectual insight- awareness of the disease
true emotional insight- aware and understands what can be done to alleviate condition