Chapter 05: Mental Status Assessment Flashcards
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?
-Mental Disorder
What is a condition due to a brain disease of a known specific organic cause called?
-Organic brain disorders
When is a full mental status examination necessary: (4)
- 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
What are 4 factors that can affect a patient’s response?
-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.
To assess recent memory within the context of the interview, what can you ask a patient?
- 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.
The Four Unrelated Words Test is a test of:
-The person’s ability to lay down new memories.
What are some questions that are used to screen for suicide ideation?
- 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?
What is a painful symptom called?
-Distress
What is impaired functioning called?
-Disability
What are delirium, dementia, and alcohol/drug intoxication and withdrawal all considered?
-Organic brain disorders
What is a brain disorder in which organic etiology has not yet been established called?
-Psychiatric mental illness
What are anxiety and schizophrenia considered?
-Psychiatric mental illness
When asking questions to assess recent memory, what should you make sure you can do with the questions asked?
-Answers should be able to be corroborated with a family member
What aims toward simultaneous life satisfaction in work, caring relationships, and within the self?
Optimal functioning
Mental status
a person’s emotional and cognitive functioning
What is involved in a mental status assessment?
- Consciousness, language, mood, and affect
- Orientation and attention
- Memory and abstract reasoning
- Thought process, through content, and perception
ABCT
- Appearance
- Behavior
- Cognition
- Thought processes
loss of ability to speak or write coherently or to understand speech or writing due to a cerebrovascular accident
Aphasia
Trauma, tumor, cerebrovascular accident, or stroke
Brian lesions
What does the score in the Generalized anxiety disorder scale (GAD-7) tell you?
- Higher the score, greater the likelihood.
- Greater than 3 indicates a diagnosis.
What are the 2 depression screening tools?
- Patient Health Questionnaire-2 (PHQ-2)
- PHQ-9
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.
Mini-Mental State Exam (MMSE)
Examines more cognitive domains, more sensitive to mild cognitive impairment. Ten minutes to administer.
Montreal Cognitive Assessment (MoCA)
helps identify those who may be slow to develop in behavioral, language, cognitive, and psychosocial areas
Denver II
“Behavioral Checklist” for school-age children, ages 7 to 11, is tool given to parent along with the history. 5 major areas:
mood, play, school, friends, and family relations
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.)
Agnosia
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
Apraxia
