Chap. 4 - MSE

Question 1

Flight of ideas

Answer 1

Rapid speech, rapid shifts in topic

Question 2

Loose association (derailment)

Answer 2

Shifts or juxtapositions in topics

Question 3

Neologisms

Answer 3

Word inventions

Question 4

Circumstantiality

Answer 4

Inclusion of unnecessary detail and parenthetical information

Question 5

Tangentiality

Answer 5

Shifts in topic moving ever further from the original topic

Question 6

Clanging

Answer 6

Loose associations formed by the sounds of words rather than the meanings

Question 7

Perseveration

Answer 7

Persistent repetition of words, phrases, or thoughts

Question 8

Confabulation

Answer 8

Fabrication of facts to fill gaps in the memory

Question 9

Blocking

Answer 9

Sudden stoppage of speech

Question 10

Echolalia

Answer 10

Echoing of words or phrases just spoken by another

Question 11

Hallucination

Answer 11

False sensory perception without stimuli present

Question 12

Illusion

Answer 12

False perception of a real stimulus

Question 13

Delusion

Answer 13

False fixed beliefs

Question 14

Anhedonia

Answer 14

Inability to derive pleasure from ordinarily pleasurable activities

Question 15

Depersonalization

Answer 15

Feeling self far away, disconnected

Question 16

Derealization

Answer 16

Sense that one’s environment has changed and is different from the way it had been before

Question 17

Thought insertion

Answer 17

Delusion that thoughts are being placed into one’s mind by another person or force

Question 18

Thought withdrawal

Answer 18

Delusion that thoughts are being removed by another person or force

Question 19

Thought broadcasting

Answer 19

Delusion that others can hear one’s thoughts through electronic media

Question 20

Thought control

Answer 20

Delusion that one’s thoughts are being controlled by another person or force

Question 21

Structured, or tested, data set of the MSE (7 categories)

Answer 21

Orientation
Attention
Concentration
Memory
Abstraction (age 12 and up)
Judgment
Insight

Question 22

Backwards spelling and serial subtractions test…

Answer 22

Concentration

Question 23

Naming the presidents, or three words, tests…

Answer 23

Memory

Question 24

“What is alike about an apple and an orange, and what is different?” would be testing…

Answer 24

Abstraction

Question 25

Insight is defined as:

Answer 25

The client’s recognition of need for treatment

Question 26

Judgment is defined as:

Answer 26

A client making realistic decisions on the basis of the her age, education, and assets.

Question 27

A depressed client is more apt to say “_ ____ ____”, while a demented patient will ___________.

Answer 27

“I don’t know”

Confabulate

Question 28

10 sections of an MMSE

Answer 28

Orientation
Registration
Recall
Repeat
Attention/calculation
Naming
Three stage verbal command
Written command
Sentence writing
Intersecting pentagons

Question 29

Repeat “apple, table, penny” tests what?

Answer 29

Resgistration

Question 30

“Do you remember the three words I asked you?” tests what?

Answer 30

Recall

Question 31

“Spell ‘world’ backward” tests what?

Answer 31

Attention

Question 32

MMSE scoring

Answer 32

25-30 is normal
21-24 - mild cognitive impairment
16-20 - moderate cognitive impairment
Less than 15 - severe cognitive impairment

Question 33

MMSE score indicative of possible dementia

Answer 33

Below 24