Chap. 4 - MSE Flashcards
Flight of ideas
Rapid speech, rapid shifts in topic
Loose association (derailment)
Shifts or juxtapositions in topics
Neologisms
Word inventions
Circumstantiality
Inclusion of unnecessary detail and parenthetical information
Tangentiality
Shifts in topic moving ever further from the original topic
Clanging
Loose associations formed by the sounds of words rather than the meanings
Perseveration
Persistent repetition of words, phrases, or thoughts
Confabulation
Fabrication of facts to fill gaps in the memory
Blocking
Sudden stoppage of speech
Echolalia
Echoing of words or phrases just spoken by another
Hallucination
False sensory perception without stimuli present
Illusion
False perception of a real stimulus
Delusion
False fixed beliefs
Anhedonia
Inability to derive pleasure from ordinarily pleasurable activities
Depersonalization
Feeling self far away, disconnected
Derealization
Sense that one’s environment has changed and is different from the way it had been before
Thought insertion
Delusion that thoughts are being placed into one’s mind by another person or force
Thought withdrawal
Delusion that thoughts are being removed by another person or force
Thought broadcasting
Delusion that others can hear one’s thoughts through electronic media
Thought control
Delusion that one’s thoughts are being controlled by another person or force
Structured, or tested, data set of the MSE (7 categories)
Orientation Attention Concentration Memory Abstraction (age 12 and up) Judgment Insight
Backwards spelling and serial subtractions test…
Concentration
Naming the presidents, or three words, tests…
Memory
“What is alike about an apple and an orange, and what is different?” would be testing…
Abstraction
Insight is defined as:
The client’s recognition of need for treatment
Judgment is defined as:
A client making realistic decisions on the basis of the her age, education, and assets.
A depressed client is more apt to say “_ ____ ____”, while a demented patient will ___________.
“I don’t know”
Confabulate
10 sections of an MMSE
Orientation Registration Recall Repeat Attention/calculation Naming Three stage verbal command Written command Sentence writing Intersecting pentagons
Repeat “apple, table, penny” tests what?
Resgistration
“Do you remember the three words I asked you?” tests what?
Recall
“Spell ‘world’ backward” tests what?
Attention
MMSE scoring
25-30 is normal
21-24 - mild cognitive impairment
16-20 - moderate cognitive impairment
Less than 15 - severe cognitive impairment
MMSE score indicative of possible dementia
Below 24
