assessment of mental status Flashcards

1
Q

mental status

A

assessment of cognitive ability (thinking, knowledge, problem-solving), emotional status (feeling, mood, behaviors, stability)

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2
Q

What is included in mental status?

A

Glasgow coma scale, LOC, posture, gait, body movement

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3
Q

What do you assess in cognitive abilities?

A

orientation (know where are), concentration, recent memory (ex: eat for breakfast), remote memory (ex: first job?), use of memory to learn new information (remember three words), abstract reasoning (picture in mind, makes sense), judgment (ex: wanting to harm self), visual (imagination) perceptual (what color?) constructional ability

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4
Q

During mental health assessment, consider all these items:

A

LOC/mental status, hygiene, facial expressions, speech, mood/feelings/expressions, thought processes/perceptions

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5
Q

Glasgow coma scale

A

eye opening response, most appropriate verbal response, most integral motor response (arm) - spontaneous. highest 15, lowest 3

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6
Q

Scoring Glasgow coma scale

A

best = 15, comatose <8, totally unresponsive 3

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7
Q

Eye opening response

A

4 spontaneously
3 to speech
2 to pain
1 no response

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8
Q

Best verbal response

A

oriented 5
confused 4
inappropriate words 3
incomprehensible sounds 2
none 1

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9
Q

Best motor response

A

Obeys Commands-6
Localizes Pain-5
Withdraws Pain-4
Abnormal Flexion-3
Abnormal Extension-2
None-1

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10
Q

Mental health status

A

an essential part of total health, which is complete well-being not just the absence of disease. person can cope w/ normal stresses, and work productively.

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11
Q

Validate information

A

determine the validity of responses before doing the whole assessment, if thought processes are impaired need a new way to get subjective data

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12
Q

Risk factors for mental health disorders

A

history of behaviors, lack of parental supervision, history of substance abuse, availability of drugs, poverty

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13
Q

History includes

A

biographical data, history of present health concern, personal health history, family history, lifestyle/health practices

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14
Q

Mental health and risk for substance abuse assessment

A

behavior/affect, dress/grooming, CAGE assessment

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15
Q

CAGE assessment tool

A

CHave you ever tried to cut back on your use?
AHave you ever been annoyed/angered when questioned about your use?
G Have you ever felt guilt about your use?
E Have you ever had aneye-opened to get started in the morning?

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16
Q

Depressed client

A

quick self-screen can refer to someone more experienced

17
Q
A