Mental Status Terms Flashcards
(115 cards)
1
Q
pt believes that he/she would like to think a thought in his/her head, but someone else is physically preventing him/her from doing so
A
Thought blocking
2
Q
defect in articulation of speech due to disorder of neuromuscular control; maybe lingual, labial, pharyngeal, laryngeal, or cerebellar
A
Dysarthria
2
Q
limited variability of emotion
A
Restricted, constricted range
2
Q
few emotions expressed, low intensity
A
Blunted
3
Q
memory over years
A
Remote memory
4
Q
implies denial of disease and is due to loss of perception of the affected part, usually a paralyzed limb; lesions in frontal and parietal lobes
A
Anosognosia
5
Q
quantity of speech produced (excessive speech)
A
loquacious
6
Q
alternate between stupor and hyperactivity; may show catalepsy, echopraxia, echolalia
A
Catatonia
6
Q
pt’s ability to make wise decisions, especially in everyday activities and social matters– self-care, self-welfare, personal relationships
A
Judgment
7
Q
responds when spoken to, may drift to sleep if no stimulation
A
Lethargic
7
Q
loss of appreciation or identification of a body part; lesions of the parietal lobe
A
Autotopagnosia
7
Q
pt believes others are working against him/her; often secretly, conspiratorially
A
Paranoia
8
Q
phonation
A
Articulation
9
Q
emotional intonation of speech; variations in stress, pitch and rhythm
A
Prosody
10
Q
pt believes that his/her thoughts are audible by others
A
Thought broadcasting
10
Q
Areas in the inferior temporal visual association cortex are important for recognition of
A
color and shape as well as the recognition of faces.
11
Q
motor restlessness, uncomfortable if he keeps still
A
Akisthesia
13
Q
awake, fully aware and responsive; normal waking consciousness
A
Alert
14
Q
pt involuntarily copies others’ movements
A
Echopraxia
16
Q
= stuporous but takes body positions physically imposed by examiner
A
Waxy flexibility, catalepsy
16
Q
There is an acute onset of severely impaired fluency (often mutism), which cannot be accounted for by corticobulbar, cerebellar,or extrapyramidal dysfunction
A
Aphemia
17
Q
unnecessary digression, wanders from point, with unreasonably excessive detail, but eventually returns to the main “stream” of thought
A
Circumstantiality
17
Q
stream of processing seems to stop suddenly, pt may suddenly stop speaking; can be an arrest in thought, or hallucinatory material grabbing pt’s attention
A
Blocking
18
Q
inability to recognize simple objects by palpation; lesions in the parietal lobe
A
Tactile agnosia
19
ordinary external events (bystander conversations, radio, TV) have special significance secretly intended for the pt but pt questions whether or not it is true
Ideas of reference
20
pt believes in magic cause-and-effect
Magical ideation
21
emotion displayed, what the interviewer observes
Affect
21
The major region for expressive language is
Broca's area
22
sudden loss of muscle tone, esp. with emotional arousal
Cataplexy
23
while one is falling asleep
Hypnogogic
23
pt believes that a person, part of the pt's body, part of the world does not exist; "I lost my body in my childhood and now I do not have a body“
Nihilism
23
The dominant parietal lobe is important for (which is the formation of the idea of a complex purposeful motor act)
praxis
25
pt is unresponsive or may show abnormal response to voice or pain
Coma
26
inability to use tactile sensations alone to identify letters or numbers "drawn" on palm
Agraphesthesia
26
pt believes that he/she would like to think a thought in his/her head, but someone has physically removed the thought
Thought withdrawal
27
inability to identify objects based on tactile sensations
Astereognosis
28
pt believes he/she has a defect or disease
Somatic
28
The principle area for receptive language is
Wernicke's area
29
rapid shifting between usually related thoughts; speech may be pressured
Flight of ideas
30
pt continues to repeat idea, phrase, or word; trouble shifting to a new idea
Perseveration
31
important for perception and interpretation of sensory information especially somatosensory information
Parietal Lobes
32
emotional tone the pt subjectively feels
Mood
33
expressed emotion sensibly follows from the precipitating stimuli
Appropriateness, responsiveness
33
ideas which dominate pt's thought, more voluntary than obsessions
Preoccupations
34
condition of disturbed sound, rhythm or tonal quality of speech. Paralysis of one or both vocal cords may produce hoarseness
Dysphonia
35
higher order deficit, cannot sequencing a multi-step task but each elemental step is ok
Ideational apraxia
37
The combination of ACALCULIA (impairment of simple arithmetic), DYSGRAPHIA (impaired writing), FINGER ANOMIA (an inability to name individual fingers such as the index or thumb), and RIGHT-LEFT CONFUSION (an inability to tell whether a hand, foot, or arm of the patient or examiner is on the right or left side of the body)
Gerstmann’s Syndrome
38
pt voluntarily copies others' movements
Mimicry
38
where one word follows next based only on rhyming; e.g. "I want to say the play of the day, ray, stay, may I pay"
Clang association
39
pt believes that he/she has unusual talent, virtue, insight, identity
Grandiosity
40
pt initiates speech on his/her own, not just in response to conversation
Spontaneity
40
words or phrases that have meaning only to the person using them)- in schizophrenic pts
Self-directed neologisms
41
type or intensity shifts suddenly, rapidly
Labile
42
use of proverbs
Abstraction
43
excessive motor activity
Hyperkinesia
44
feeling that an event has already been lived through
Deja vu
45
a sensory perception despite no physical external stimulus
Hallucinations
45
important for attention, executive function, motivation, and behavior. Tests for this lobe's function include working memory (digit span, spelling backward), judgment, fund of knowledge, task organization and set generation such as naming lists of things in a certain category
Frontal Lobes
46
pt sees life events as punishments for previous misdeeds, real or imagined
Persecution
47
thoughts appear nonsensical, unrelated to one another; complete loosening of associations
Rambling
47
Projections from the occipital lobe to the superior temporal-parietal area are important for
perceiving motion of objects
49
inability to percieve the meaning of sound despite the absence of deafness
Auditory agnosia
50
the topics one thinks about
Thought content
52
tactile hallucination of insects crawling over the skin
Formication
54
is the best indicator of a patient’s overall pre morbid intellectual capacity
Vocabulary
56
while one is waking up
Hypnopompic
57
Clinical tests for this lobe's function include tests for agnosia (such as inability to identify objects by tactile exploration), apraxia (inability to perform purposeful motor acts on command) and constructional apraxia (inability to draw objects which require use of visual spatial organization).
Parietal Lobes
58
the movement of thought, the dynamics of how one thought connects to the next
THOUGHT PROCESS
59
one thought sensibly leads to another reasonable thought
Tight associations
60
quantity of speech produced minimal speech, as in monosyllabic and unelaborated responses to questions
Poverty (Amount)
60
strongly-believed idea, others would clearly see as false
Delusions
61
important for perception of visual information
occipital lobes
63
inability to execute a planned motor act in the absence of paralysis
Apraxia
65
parts of environment feel unreal, somehow altered
Derealization
66
involuntary, unwelcome ideas persistently intrude on thinking, demand pt's attention even though pt may recognizes ideas as irrational
Obsessions
68
normal movement between emotions
Stable
70
Variations of melodic stress and intonation influence the meaning and impact of spoken language
Aprosodia
71
nonsense words or real words nonsensically; e.g. "I fribish the cot," "I table the stairs“
Neologisms
72
important for emotional response (amygdala and its connections to the hypothalamus and frontal lobes) and memory (hippocampus and limbic connections). Clinically the main tests for function are those of memory, particularly declarative memory.
Temporal Lobes
74
cannot perform learned motor acts properly; the most common apraxia
Ideomotor apraxia
75
thought process is apparent and understandable
Coherent
77
expressed emotion fit what patient is saying, doing
Concordance
78
normal variation of emotions during exam
Full range
80
capacity to identify and recall one's identity and place in time and space
Orientation
81
visual perceive and reconstruction of spatial relationships;
Visuospatial function
82
pt awareness that he/she has problems, what they are, and their implications
Insight
83
feeling unfamiliar in a situation the pt. knows should be familiar
Jamais vu
84
fund of knowledge and overall assessment of general intelligence
GENERAL KNOWLEDGE
84
analysis is well founded, makes sense
Logical
85
a wrong perception of a real physical external stimulus; e.g. mistaking a shadow for a man
Illusions
86
An anomic aphasia accompanied by dysarthria or a fluent aphasia with hemiparesis should raise the suspicion of a?
subcortical lesion site
88
memory over seconds, minutes: ASSESS by asking pt to repeat three words or numbers
Immediate memory
89
pt believes that another person, often of higher social status, is in love with him/her
Erotic delusions
91
difficulty lies in comprehension talk in jargon; maybe unaware of his disability
Sensory dysphasia
92
sensory experience and its immediate interpretation
Perception
93
thinking stays on target
Goal-directed
94
ease with which pt appears to produce speech
Fluency
95
same as above, but does not return to the original main "stream" of thought
Tangentiality
97
showing pt simple objects and asking him to name them
Visual agnosia
98
difficult to rouse, may groan or become restless to brief pain
Stuporous
99
This generic term designates a complex motor deficit that cannot be attributed to pyramidal, extrapyramidal, cerebellar, or sensory dysfunction and that does not arise from the patient’s failure to understand the nature of the task
Apraxia
100
affect is even less intense than blunted; pt may appear inanimate
Flat
101
Overall state of arousal, readiness, alertness; preparedness to respond to environment
LEVEL OF CONSCIOUSNESS
102
one thought leads to another somewhat less reasonable thought
Loose associations
104
difficulty lies in production understands simple questions or requests but finds difficulty in replying
Motor dysphasia
105
may awaken to voice but is minimally responsive when doing so
Obtunded
106
Damage to ___________ in the right hemisphere can interfere with speech prosody and can lead to syndromes of aprosodia.
perisylvian areas
107
totally incomprehensible, gibberish, real words may be admixed with neologisms
Word salad
108
pt believes that ordinary external events (bystander conversations, radio, TV) have special significance secretly intended for the pt
Delusions of reference
109
pt merely repeats what is said to him/her
Echolalia
110
pt is awake but immobile and mute, may or may not have reduced awareness of environment
Stupor
111
memory over mins, hours, days; ASSESS by asking about events of the past 48 hours
Recent memory
113
pt believes that he/she is thinking thoughts that are actually someone else's thoughts, somehow physically places into the patient's head
Thought insertion
114
pt feels detached, unreal, physically altered; e.g. out of body, body part altered, cut off from other people
Depersonalization
115
The non-dominant parietal lobe is particularly important for
visual-spatial function
