Chapter 5: Mental status Flashcards
a persons emotional feelings and cognitive function – “a state of wellbeing in which every individual realizes his or her own potential, can cope with normal stresses of life, can work productively and fruitfully and is able to make contributions to ones society
Mental status
Clinically significant behavioral, emotional, or cognitive syndrome that is associated with significant distress or disability involving social, occupational, or key activities
Mental disorder
caused by brain disease of known specific organic cause (delirium, dementia, alcohol and drug intoxication and withdrawal)
Organic disorders
an organic etiology has not yet been established (anxiety disorder or schizophrenia)
Psychiatric mental disorders
being aware of one’s own existence, feelings, and thoughts and of the environment
Consciosness
using the voice to communicate one’s thoughts and feelings
Language
mood is more durable, a prolonged display of feelings that color the whole emotional life and Affect is a temporary expression or feeling of state of mind
Mood and affect
The awareness of the objective world in relation to the self
Attention: power of concentration, that ability to focus on one specific thing without being distracted
Orientation
ability to lay down and store experiences and perceptions for later recall
Memory
pondering a deeper meaning beyond the concrete and literal
Abstract reasoning
The way a person thinks; the logical train of thought
Thought process
What the person thinks – specific ideas, beliefs, the use of words
Thought content
An awareness of objects through the five senses
Perceptions
What are the ABCT of mental examination?
Appearance, Behavior, Cognition, Thought Process
Aphasia
loss of ability to speak or write coherently
Word comprehension test for Aphasia
point to articles in the room, parts of the body or articles and ask the person to name them
Reading test for Aphasia
Ask person to read available print
Writing test for Aphasia
Ask the person to make up and write a sentence. Note the coherence, spelling and parts of speech
What is the GAD 7 questionnaire?
Tests for anxiety
What is the Psychosocial questionnaire given to adolescents?
HEEADSS, home, education/employment, eating, activities, drugs, sexuality, suicide/depression, safety
What is the MMSE?
Mini Mental State Examination (normal scores between 24-30), focuses on cognitive function and orientation to time, place, naming, reading, copying, writing, ability to follow three stage commands
What is the Denver II screening?
test gives you a chance to interact with the young child to assess mental status and to identify developmental delays in infants and preschoolers with 4 functions (fine motor, gross motor, person and social skills)
Is confusion normal for the aging adult?
Yes
Delirium
is an acute confusional change or loss of consciousness and perceptual disturbances
Dementia
gradual, progressive process, causing decreased cognitive function
What is the new learning test for the aging adult?
with the four word test, a 70 yr old can usually only recall 2 words
What is the mini cog test for the aging adult?
say three words, have then draw a clock with the numbers and then have them draw a certain time on the clock and then have them repeat the words
Awake and readily aroused
Alert
Transitional stage between lethargy and stupor, sleeps and has difficulty being aroused
Obtunded
Not full alert, drifts off to sleep when not stimulated
Lethargic
Spontaneously unconscious, responds only to vigorous shake or pain
Stupor or Semi coma
Completely unconscious
Coma
Type os Aphasia: most common, spontaneous speech is absent or reduced. Comprehension is absent
Global Aphasia
Type of Aphasia: expressive aphasia, person can understand language but cannot express themselves using language
Broca Aphasia
Type of Aphasia: Receptive aphasia, person can hear sound and words but cannot relate them to previous experiences
Wernicke Aphasia
Lack of emotion
Flat effect
Sad, gloomy, dejected
Depression
Loss of identity
Depersonalization
Overconfidence, joy and optimism
Elation
Excessive well-being, unusually cheerful or elated
Euphoria
Worried uneasy from unknown source
Anxiety
Worries, uneasy from external dangers
Fear
Rapid shifts of emotion
Lability
Effects clearly discordant with content of persons speech
Inappropriate affect
a long term- depressed mood with lack of pleasure
Depression
chronic progressive loss of cognitive and intellectual functions, although perception and consciousness are intact
Dementia
An acute confusional state, potentially preventable in hospitalized persons
Delirium
