10. Patient Assessment and Mental Status Exam

Question 1

what is assessed in the biologic domain

Answer 1

• health status (current and past)
• physical exam
• physical function
• pharmacology

Question 2

what is assessed in the psychological domain

Answer 2

• response to mental health problems
• mental status
• behavior
• self-concept
• stress and coping
• risk assessment

Question 3

what is assessed in the social domain

Answer 3

• functional status
• social systems (culture, family, and community resources)
• spirituality
• occupation
• legal
• quality of life

Question 4

what is part of the physical exam

Answer 4

• body systems review
• neurologic status
• lab results

Question 5

what is part of physical functions

Answer 5

• elimination
• activity and exercise
• sleep
• appetite and nutrition
• hydration
• sexuality
• self-care

Question 6

2 things to identify in response to mental health problems

Answer 6

• meaning of life changes to pt and family

- current strategies or behaviors in dealing w/ disorder

Question 7

What is included in the MSE

Answer 7

• general observations
• orientation
• mood and affect
• speech
• thought process
• cognition and intellectual performance (includes attention, concentration, abstract reasoning, comprehension, memory, insight, and judgement)

Question 8

4 types of moods

Answer 8

• euthymic: normal
• euphoric: elated
• labile: changeable
• dysphoric: depressed or restless

Question 9

4 types of memory assessed

Answer 9

• recall: immediate
• short term
• recent
• remote: long term

Question 10

person’s awareness of their own thoughts and feelings and ability to compare them with the thoughts and feelings of others

Answer 10

insight

Question 11

ability to reach a logical decision about a situation and to choose a course of action after examining and analyzing various possibilities

Answer 11

judgement

Question 12

4 ways affect assessed

Answer 12

• range: full (all emotions) or restricted (few emotions)
• intensity: increased, flat, or blunted
• appropriateness: emotion fits situation
• stability: how quickly does mood change (stabile or labile)

Question 13

what 3 things are included in self-concept

Answer 13

• body image
• self-esteem
• personal identity

Question 14

how does self esteem differ from body image

Answer 14

self esteem concerns satisfaction with a person’s overall self and not just physical appearance

Question 15

What can help patient’s prevent relapse

Answer 15

assess contributing stress and identify health coping skills

Question 16

Describe the suicidal risk assessment

Answer 16

• Have you ever tried to harm or kill yourself?
• Do you have thoughts of suicide now? If yes do you have a plan? If yes can you tell me details of the plan?
• Do you have the means to carry out this plan?
• prepatory behaviors
• evidence of significant episodes related to ideation (recent major stressor)

Question 17

Describe the homicidal risk assessment

Answer 17

• Do you intend to harm someone? If yes, who?
• Do you have a plan? Details?
• Do you have the means to carry out plan?