Chapter 05: Mental Status Assessment

Question 1

What is a significant behavioral or psychological pattern that is associated with distress or disability and has a significant risk for pain, disability, death, or a loss of freedom called?

Answer 1

-Mental Disorder

Question 2

What is a condition due to a brain disease of a known specific organic cause called?

Answer 2

-Organic brain disorders

Question 3

When is a full mental status examination necessary: (4)

Answer 3

• family members are concerned of ones behavioral changes, such as memory loss, or inappropriate social interaction
• brain lesions
• aphasia
• symptoms of psychiatric mental illness, especially with acute onset

Question 4

What are 4 factors that can affect a patient’s response?

Answer 4

-Any known illnesses or health problems.
-Current medications whose side effects may cause confusion or depression.
-The person’s usual educational and behavioral level.
-Responses to personal history questions, indicating current stress, social interaction
patterns, sleep habits, and drug and alcohol use.

Question 5

To assess recent memory within the context of the interview, what can you ask a patient?

Answer 5

• Ask for a 24-hour diet recall
• Ask the time the person arrived at the agency.
• Ask questions you can corroborate with a family member.

Question 6

The Four Unrelated Words Test is a test of:

Answer 6

-The person’s ability to lay down new memories.

Question 7

What are some questions that are used to screen for suicide ideation?

Answer 7

• Have you ever thought of hurting yourself?
• Do you feel like hurting yourself now?
• Do you have a plan to hurt yourself?
• What would happen if you were dead?
• How would other people react if you were dead?

Question 8

What is a painful symptom called?

Answer 8

-Distress

Question 9

What is impaired functioning called?

Answer 9

-Disability

Question 10

What are delirium, dementia, and alcohol/drug intoxication and withdrawal all considered?

Answer 10

-Organic brain disorders

Question 11

What is a brain disorder in which organic etiology has not yet been established called?

Answer 11

-Psychiatric mental illness

Question 12

What are anxiety and schizophrenia considered?

Answer 12

-Psychiatric mental illness

Question 13

When asking questions to assess recent memory, what should you make sure you can do with the questions asked?

Answer 13

-Answers should be able to be corroborated with a family member

Question 14

What aims toward simultaneous life satisfaction in work, caring relationships, and within the self?

Answer 14

Optimal functioning

Question 15

Mental status

Answer 15

a person’s emotional and cognitive functioning

Question 16

What is involved in a mental status assessment?

Answer 16

• Consciousness, language, mood, and affect
• Orientation and attention
• Memory and abstract reasoning
• Thought process, through content, and perception

Question 17

ABCT

Answer 17

• Appearance
• Behavior
• Cognition
• Thought processes

Question 18

loss of ability to speak or write coherently or to understand speech or writing due to a cerebrovascular accident

Answer 18

Aphasia

Question 19

Trauma, tumor, cerebrovascular accident, or stroke

Answer 19

Brian lesions

Question 20

What does the score in the Generalized anxiety disorder scale (GAD-7) tell you?

Answer 20

• Higher the score, greater the likelihood.

- Greater than 3 indicates a diagnosis.

Question 21

What are the 2 depression screening tools?

Answer 21

• Patient Health Questionnaire-2 (PHQ-2)

- PHQ-9

Question 22

Standard set of 11 questions requires only 5 to 10 minutes to do. Detect dementia and delirium and to differentiate these from psychiatric mental illness.

Answer 22

Mini-Mental State Exam (MMSE)

Question 23

Examines more cognitive domains, more sensitive to mild cognitive impairment. Ten minutes to administer.

Answer 23

Montreal Cognitive Assessment (MoCA)

Question 24

helps identify those who may be slow to develop in behavioral, language, cognitive, and psychosocial areas

Answer 24

Denver II

Question 25

“Behavioral Checklist” for school-age children, ages 7 to 11, is tool given to parent along with the history. 5 major areas:

Answer 25

mood, play, school, friends, and family relations

Question 26

Inability to interpret sensations and hence to recognize things, typically as a result of brain damage. (the loss of the ability to identify objects or people.)

Answer 26

Agnosia

Question 27

A neurological disorder characterized by the inability to perform learned (familiar) movements on command, even though the command is understood and there is a willingness to perform the movement

Answer 27

Apraxia