MSE Flashcards
What does appearance examine?
-Appearance on the MSE measures physical attributes and notable abnormalities such as apparent age, grooming/hygiene, attire, pupil dilation, etc.
What does attitude examine?
Attitude on the MSE measures presenting attitude and approach to interview. Such as: cooperative, open, hostile, guarded, etc.
What does behavior examine?
Behavior on the MSE measures level and type of physical activity, and atypical physical and motor movements. Such as: eye contact, facial expressions, activity level, fine/gross motor impairments
What does mood examine?
Mood on the MSE examines prevailing emotion state reported by the client and self-reported emotional background. For example: euthymic, dysphoric, depressed, euphoric, happy, angry, etc.
What does affect examine?
-Affect on the MSE measure prevailing emotional tone observed by the clinician by looking at type, range, intensity, appropriateness, and congruence to mood.
-Range can be broad, constricted/narrow, labile, blunted, flat
-Intensity and depth of expression can be profound, intense, shallow
What does speech examine?
Speech on the MSE examines the characteristics of the flow of speech, rate, and volume. For example: normal rate, rapid, pressure, slow, clear, articulate, slurred, etc
What does language examine?
Language on the MSE examines how receptive and expressive a client’s language is. For example: adequate, impoverished comprehension, coherent/incoherent, disturbances
What does thought process examine?
Thought process on the MSSE examines the organization and composition of thoughts. Also examines the content of speech
Loose associations, flight of ideas, tangential/circumstantial
What does thought content examine?
Thought content on the MSE examines the content, which can be: suicidal/homicidal ideation, consistent with circumstances, obsessions, rumination
What does perception examine?
-Perception on the MSE refers to perceptual disturbances which can be delusions and hallucinations
-Delusions: grandeur, reference, persecution, paranoid
-Hallucinations: auditory, visual, olfactory, tactile, gustatory
What does cognition on the MSE examine?
-Cognition examines memory, intellectual ability, and intellectual functioning
-Looks at immediate, recent, and remote memory
-Intellectual ability looks at estimated IQ: above average, average, below average
What does sensorium examine?
-Sensorium examines the continuum of consciousness and orientation
-Measure by the MMSE, which looks at orientation, registration, attention, concentration, calculation, and language
-Examples: alert, confused, clouded, stuporous
-Orientation x4: time, place, person, situation
What does insight examine?
Insight examines the awareness of thoughts, feelings, behaviors and contribution to symptoms. It can be described as good, partial, poor, absent or defensiveness, false attributions, high awareness of causes
What does judgement examine?
Judgement examines the ability to make constructive, adaptable decision-making. For example: intact, compromised, poor
What does impulse control examine?
Impulse control examines the ability/tendency to resist vs. act on impulse. Can be described as good, fair, poor
