Mental Status Examination Flashcards

1
Q

it is psychiatric equivalent to physical examination and should be done fully in a day to explore areas of pt’s mental fxning

A

Mental Status Examination

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2
Q

how many components are there in MSE

A

12 + 1 (work behviors)

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3
Q

Identify if the component can be gathered through observation of interview

  1. Appearance and Behavior
  2. Motor Activity
  3. Speech
  4. Mood
  5. Affect
A
  1. Observation
  2. Observation
  3. Observation
  4. Interview
  5. Observation
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4
Q

Identify the mood

“Okay naman ako” + masaya

A

Euthymic

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5
Q

Identify the mood

“OKAY NA OKAY AKO!!”

A

Elevated/Euphoric

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6
Q

Identify the mood

“Okay naman ako” + malungkot

A

Depressed

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7
Q

Identify the mood

Very sad

A

Dysphoria

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8
Q

mood that is always changing

A

Labile

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9
Q

Identify if full, constricted, blunted, flat

smiling + Happy

A

Full

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10
Q

Identify if full, constricted, blunted, flat

force smile + happy

A

constricted

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11
Q

Identify if full, constricted, blunted, flat

no smile

A

flat

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12
Q

Identify if full, constricted, blunted, flat

smiles that is not too obvious + happy

A

Blunted

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13
Q

Identify if the component can be gathered through observation of interview

  1. Thought Content
  2. Thought Process
  3. Perceptual Disturbances
  4. Sensorium and Cognition
  5. Abstract Reasoning
  6. Insight
  7. Judgement
A
  1. interview and observation
  2. observation
  3. interview and observation
  4. Sensorium- observed; Cognition- interview
  5. interview
  6. interview
  7. interview
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14
Q

what is the 13th component of MSE

A

attitude to self, others and work behaviors

observed

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15
Q

Parts of the Thought Content Component

A

Delusions
Preoccupations
Obsessions
Ideations

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16
Q

parts of the perceptual disturbances component

A

Hallucinations
Illusions
Hallucinatory gestures

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17
Q

parts of cognition component

A

Orientation of Date, Time, Place, Person, Situation
Memory
Concentration

18
Q

type of memory where you ask patient to recall 3 objects

A

immediate recall

19
Q

type of memory where you ask birthday, address

A

immediate memory

20
Q

memory from yesterday

21
Q

how to test the client’s concentration

A

serial 7s, WORLD in backwards spelling

22
Q

How to test the client’s abstract reasoning

A

ask pt to interpret a proverb

23
Q

what is gathered in the insight component

A

to identify if the client is aware of their condition

24
Q

Intellectual insight vs True emotional insight

A

intellectual insight- awareness of the disease

true emotional insight- aware and understands what can be done to alleviate condition

25
how to gather the pt's judgment
Situational - what they will do | Social - what they will do in a situation with others
26
2 parts of the attitude towards self
self-confidence- trust in oneself (talk in front of everyone) self-esteem appraisal of worth (3 things love/hate to self)
27
identify the appropriate MSE component | (+) thought control
thought content
28
identify the appropriate MSE component | (+) auditory hallucination
Perceptual disturbance
29
identify the appropriate MSE component patient was noted to have body odor
appearance and behavior
30
identify the appropriate MSE component | fleeting eye contact all throughout the session
appearance and behavior
31
identify the appropriate MSE component "i dont know why i am here:
insight
32
identify the appropriate MSE component | Pt. used neologisms from time to time.
speech
33
identify the appropriate MSE component | "Masaya naman ako ngayon"
mood
34
identify the appropriate MSE component | “Hindi ko alam kung nasaan ako ngayon”
cognition
35
identify the appropriate MSE component | Patient was laughing while staring at an empty space.
perceptual disturbances
36
identify the appropriate MSE component | Pt. was uncooperative and often turns off his camera.
attitude towards others
37
identify the appropriate MSE component | Poor recent memory
sensorium and cognition
38
identify the appropriate MSE component | Pt. frequently spoke about Quiboloy.
thought content
39
identify the appropriate MSE component | Pt. expressed intent to hurt her mother-in-law.
thought content
40
identify the appropriate MSE component | "Naamoy ko palagi 'yung paboritong pabango ng nanay ko."
perceptual disturbances
41
identify the appropriate MSE component | Patient kept his right hand raised all throughout the session
motor activity