Vital Signs Pt. II (tables/pics)

Question 1

BMI Classification: <18.5

Answer 1

Under weight

Question 2

BMI Classification: 18.5-24.9

Answer 2

Normal

Question 2

BMI Classification: 25-29.9

Answer 2

Over weight

Question 3

BMI Classification: 30-34.9

Answer 3

Obesity (Class I)

Question 4

BMI Classification: >40

Answer 4

Extreme Obesity

Question 4

BMI Classification: 35-39.9

Answer 4

Obesity (Class II)

Question 5

Components of Mental Status Examination

Answer 5

First impressions
Feelings
Thinking
Safety

Question 6

Grooming, dress, hygiene, and apparent age (ex. disheveled, eccentric clothing, appears stated age)

Answer 6

Appearance

Question 7

First impressions is composed of ____.

Answer 7

Appearance, behavior, speech

Question 8

Psychomotor activity, eye contact, movement, and response to non-verbal stimuli (as in psychosis)

Ex. agitated, avoiding eye contact, responding to internal voices.

Answer 8

Behavior

Question 9

Characteristics of speech such as rate, rhythm, and volume (ex. pressured speech (rate), stuttering (rhythm))

Answer 9

Speech

Question 10

Feelings are composed of ____.

Answer 10

Mood and affect

Question 11

Patient’s subjective impression of how they feel (often a paraphrase of what the patient says, and may be different than affect).

Ex. depressed, worried, happy

Answer 11

Mood

Question 12

Observer’s objective impression of how the patient appears to feel (Type, Range, Appropriateness, Intensity, and Lability (TRAIL)).

Ex. restricted range, inappropriate mood, highly labile

Answer 12

Affect

Question 13

Thinking is composed of _____.

Answer 13

Thought form
Perceptions
Thought content
Cognition

Question 14

How thoughts are expressed, including flow and connection between thoughts (ex. goal-oriented (normal), flight of ideas (mania), disorganized (schizophrenia), circumstantial)

Answer 14

Thought Form

Question 15

Hallucinations and illusions (ex. anxiety about work, delusions of persecution, auditory hallucinations)

Answer 15

Perceptions

Question 16

Types of thoughts expressed, including specific themes, delusions, obsessions, and suicidal or homicidal ideation

Answer 16

Thought content

Question 17

Overall intelligence based on vocabulary, grammar, memory, executive function, and inferred level of education.

Ex. formally assessed (MOCA, MMSE), not formally assessed but within normal limits, impaired

Answer 17

Cognition

Question 18

Awareness of illness, the symptoms caused by it, and the ability to be introspective about change.

Answer 18

Insight

Question 18

Demographics
Any distinctive features?
Clothing type
Posture
Gait
Grooming
Self-care and hygiene
physical health
Any evidence of self-harm/neglect?
Alcohol/substances

Answer 18

Appearance

Question 19

Ability to act in ways that are safe, prudent, and in the interest of self and others.

Answer 19

Judgement

Question 20

Represents a sustained emotion present over a prolonged period of time that can alter an individual’s perception of the world.

Answer 20

Mood

Question 20

Rate of speech
Quantity of speech
Tone of speech
Voice volume
Fluency of speech

Answer 20

Speech

Question 20

Gestures mannerisms Psychomotor activity Eye contact Facial expressions Body language Level of arousal (calm or agitation) Engagement Any movement disorders Rapport Disinhibited behavior

Answer 20

Behavior

Question 21

An observable emotion expressed immediately

Answer 21

Affect

Question 21

Labile: can be easily altered between states

Answer 21

Fluctuation

Question 21

Flat/blunted

Answer 21

Intensity

Question 21

Sad/agitated/euphoric

Answer 21

Quality

Question 21

Restricted/expansive

Answer 21

Range

Question 21

4 components of affect

Answer 21

Intensity Quality Fluctuation Range

Question 22

4 components of thoughts

Answer 22

Stream of thought Form of thought Content of thought Possession of thought

Question 22

The amount and speed of the thoughts

Answer 22

Stream of thought

Question 23

The way in which the thoughts are linked together.

Answer 23

Form of thought

Question 24

Becoming aware of what is presented to the body through the sense organs

Answer 24

Perception

Question 24

The belief that others can manipulate thoughts

Answer 24

Possession of thoughts

Question 25

What ideas contain

Answer 25

Content of thought

Question 26

An awareness of self and environment, assessing higher cortical functioning

Answer 26

Cognition

Question 27

Components of cognition

Answer 27

Orientation Clouding of consciousness Stupor Memory Visuospatial functioning

Question 28

Time, person, and place

Answer 28

Orientation

Question 29

A state of drowsiness/memory impairment/thinking concentration

Answer 29

Clouding of consciousness

Question 30

Assess immediate, recent, and long-term memory

Answer 30

Memory

Question 30

State where the individual is mute, immobile, or unresponsive.

Answer 30

Stupor

Question 31

Ability to identify visual and spatial relationship among objects

Answer 31

Visuospatial functioning