Ch 5 - mental status objs Flashcards
what are the components of the mental status examination?
appearance, behavior, cognition, thought process
when is a full mental status examination necessary based on the initial screening?
- suggests an anxiety disorder or depression
when is a full mental status examination necessary based on the behavioral changes?
- memory loss
- inappropriate social interaction
when is a full mental status examination necessary based on the brain lesions?
trauma, tumor, stroke
when is a full mental status examination necessary based on the speech?
presence of aphasia
what kind of examination is needed when symptoms of psychiatric mental illness are present?
full mental status examination
what are four factors that could affect interpretation of findings?
Known illnesses or health problems
Medications
Educational and behavioral level
Stress responses
what are the objective date in regards to appearance?
posture, body movements, dress, grooming and pupils
what are the objective date regarding behavior?
Level of consciousness
Facial expression
Speech
Mood and affect
what are the objective dates regarding cognition?
orientation, attention span, recent memory, remote memory
what is the four unrelated word test?
- pick four words unrelated
- ask for recall in 5, 10 , and 30 minutes
what is the expected response for the unrelated word test in a person younger than 60?
3- 4 words
what scale is used to screen for anxiety disorders? how does it work?
- GAD 7
- if they answer yes to the first two questions then we proceed to ask the rest
what are is the tool used to screen for depression? how does it work?
- patient health questionnaire (PHQ - 9)
- if they answer yes to the first two questions then we proceed to ask about the rest
