Ch. 39 the psych evaluation Flashcards
What is the point of the psych eval
To elicit information needed to make a DSM diagnosis and to assess a person’s risk for suicide or aggressive behavior
The Mental Status Exam Evaluates what
- Appearance
- Motor Behavior
- Mood
- Affect
- Speech and Language
- Thought content
- Thought form
- Perception
- Insight/judgement
- Cognitive functioning
- Risk assessment
AM MAST T PICR
Abnormalities of thought form include
- Tangentiality (wandering from a topic)
- Circumstantiality (providing excessive detail)
- Rapid jumps from ideas
Abnormalities of thought form include
Rumination, obsession, delusion
Folstein Mini-mental screens for which of the following conditions
cognitive impairment
Fluctuating level of consciousness is the cardinal sign of
delirium
Folstein is especially useful in identifying and following delirium and dementia of the alzheimers type and differentiating these from severe depression
Perfect score is 30. If the pt falls under 20 they are almost definitely demented or delirious
Imaging method of choice in psych
MRI