Chapter 5: Mental status Flashcards

1
Q

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

A

Mental status

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2
Q

Clinically significant behavioral, emotional, or cognitive syndrome that is associated with significant distress or disability involving social, occupational, or key activities

A

Mental disorder

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3
Q

caused by brain disease of known specific organic cause (delirium, dementia, alcohol and drug intoxication and withdrawal)

A

Organic disorders

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4
Q

an organic etiology has not yet been established (anxiety disorder or schizophrenia)

A

Psychiatric mental disorders

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5
Q

being aware of one’s own existence, feelings, and thoughts and of the environment

A

Consciosness

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6
Q

using the voice to communicate one’s thoughts and feelings

A

Language

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7
Q

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

A

Mood and affect

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8
Q

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

A

Orientation

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9
Q

ability to lay down and store experiences and perceptions for later recall

A

Memory

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10
Q

pondering a deeper meaning beyond the concrete and literal

A

Abstract reasoning

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11
Q

The way a person thinks; the logical train of thought

A

Thought process

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12
Q

What the person thinks – specific ideas, beliefs, the use of words

A

Thought content

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13
Q

An awareness of objects through the five senses

A

Perceptions

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14
Q

What are the ABCT of mental examination?

A

Appearance, Behavior, Cognition, Thought Process

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15
Q

Aphasia

A

loss of ability to speak or write coherently

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16
Q

Word comprehension test for Aphasia

A

point to articles in the room, parts of the body or articles and ask the person to name them

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17
Q

Reading test for Aphasia

A

Ask person to read available print

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18
Q

Writing test for Aphasia

A

Ask the person to make up and write a sentence. Note the coherence, spelling and parts of speech

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19
Q

What is the GAD 7 questionnaire?

A

Tests for anxiety

20
Q

What is the Psychosocial questionnaire given to adolescents?

A

HEEADSS, home, education/employment, eating, activities, drugs, sexuality, suicide/depression, safety

21
Q

What is the MMSE?

A

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

22
Q

What is the Denver II screening?

A

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)

23
Q

Is confusion normal for the aging adult?

A

Yes

24
Q

Delirium

A

is an acute confusional change or loss of consciousness and perceptual disturbances

25
Q

Dementia

A

gradual, progressive process, causing decreased cognitive function

26
Q

What is the new learning test for the aging adult?

A

with the four word test, a 70 yr old can usually only recall 2 words

27
Q

What is the mini cog test for the aging adult?

A

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

28
Q

Awake and readily aroused

A

Alert

29
Q

Transitional stage between lethargy and stupor, sleeps and has difficulty being aroused

A

Obtunded

30
Q

Not full alert, drifts off to sleep when not stimulated

A

Lethargic

31
Q

Spontaneously unconscious, responds only to vigorous shake or pain

A

Stupor or Semi coma

32
Q

Completely unconscious

A

Coma

33
Q

Type os Aphasia: most common, spontaneous speech is absent or reduced. Comprehension is absent

A

Global Aphasia

34
Q

Type of Aphasia: expressive aphasia, person can understand language but cannot express themselves using language

A

Broca Aphasia

35
Q

Type of Aphasia: Receptive aphasia, person can hear sound and words but cannot relate them to previous experiences

A

Wernicke Aphasia

36
Q

Lack of emotion

A

Flat effect

37
Q

Sad, gloomy, dejected

A

Depression

38
Q

Loss of identity

A

Depersonalization

39
Q

Overconfidence, joy and optimism

A

Elation

40
Q

Excessive well-being, unusually cheerful or elated

A

Euphoria

41
Q

Worried uneasy from unknown source

A

Anxiety

42
Q

Worries, uneasy from external dangers

A

Fear

43
Q

Rapid shifts of emotion

A

Lability

44
Q

Effects clearly discordant with content of persons speech

A

Inappropriate affect

45
Q

a long term- depressed mood with lack of pleasure

A

Depression

46
Q

chronic progressive loss of cognitive and intellectual functions, although perception and consciousness are intact

A

Dementia

47
Q

An acute confusional state, potentially preventable in hospitalized persons

A

Delirium