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Comprehensive Health Assessment > Chapter 5 - Mental Status Assessment > Flashcards

Chapter 5 - Mental Status Assessment Flashcards

1
Q

A person’s emotional (feeling) and cognitive (knowing) function.

  • Assessed by evaluating a person’s consciousness, language, mood and affect, orientation, attention, memory, abstract reasoning, thought process, thought content, and perception
A

Mental Status

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2
Q

A state of well-being 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 contribution to his or her community.

A

Mental Health

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3
Q
  • Stress surrounding a traumatic life event (death of loved one, serious illness) that tips the balance in mental status and mental health.
  • This a normal response to a trauma.
A

Transient Dysfunction (stress)

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4
Q
  • Conducted during a traumatic event in life
  • Used to identify remain strengths and to help the individual gather resources and use coping skills.
  • Documents a dysfunction and determines how that dysfunction affects self-care in everyday life.
A

Mental Status Assessment

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5
Q
  • When an individual’s response is much greater than the expected (normal) reaction to a traumatic life event.
  • includes organic disorder and psychiatric mental disorder
A

Mental disorder

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6
Q
  • Clinically significant behavioral, emotional, or cognitive syndrome that is associated with significant distress (a painful symptom) or disability (impaired functioning) involving social, occupational, or key activities.
A

Mental Disorder

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7
Q

Major depression - characterized by feelings that are unrelenting or include delusional or suicidal thinking, feelings of low self-esteem or worthlessness, or loss of ability to function.

A

Example of mental disorder.

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8
Q
  • Caused by brain disease of known specific organic cause.

- Example: delirium, dementia, alcohol and drug intoxication, and withdrawal.

A

Organic disorder

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9
Q
  • An organic etiology is not established

- Example - Anxiety disorder or schizophrenia

A

Psychiatric mental disorder

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10
Q
  • assess consciousness, language, mood and affect, orientation, attention, memory, abstract reasoning, thought process, thought content, and perception
A

Mental Status Assessment

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11
Q
  • Being aware of one’s own existence, feelings, and thoughts, and of the environment.
  • The most elementary of the mental status functions.
A

Consciousness

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12
Q
  • Using the voice to communicate one’s thoughts and feelings.
  • It’s loss has heavy social impact on the individual
A

Language

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13
Q
  • Dealing with prevailing feelings

Affect - temporary expression of feelings or state of mind, and mood

Mood - more durable, a prolonged display of feelings that color the whole emotional life.

A

Mood and Affect

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14
Q
  • Awareness of the object world in relation to the self, including person, place, and time.
A

Orientation

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15
Q
  • The power of concentration, the ability to focus on one specific thing without being distracted by many environmental stimuli.
A

Attention

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16
Q
  • Ability to lay down and store experiences and perceptions for later recal

Recent memory - evokes day to day events

Remote memory - brings up years’ worth of experiences

A

Memory

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17
Q
  • Pondering a deeper meaning beyond the concrete and literal
A

Abstract reasoning

18
Q
  • The way a person thinks - logical train of thought
A

Thought process

19
Q
  • What the person thinks - specific ideas, beliefs, the use of words
A

Though content

20
Q
  • Awareness of objects through the five senses.
A

Perception

21
Q

Consciousness - gradually develops along with language
By 18-24 months - child learns he or she is separate from objects in the environment and has words to express it.

Language - crying at 4 weeks, cooing at 6 weeks, 1 word sentences at 1 years old and multi word sentences at 2 years old. Social communication at 4-5 years old

Attention - gradually increases through preschool years

Abstract thinking - 12-15 years old

Logical thinking at 7 years

A

Developmental Competence - Infants and children

22
Q
  • Diagnosed and begins at childhood (ADHD, behavioral or conduct problems, anxiety, depression, Autism’s spectrum disorders)
A

Childhood mental disorder

23
Q
  • 12-17 years experience illicit drug use or alcohol use disorder and cigarette dependence
  • Presents as changes in how children learn, behave, or handle emotions.
A

Adolescents

24
Q
  • No decrease in general knowledge and no loss in vocabulary
  • Response time is slower than in youth
  • Take longer to process information and react to it
  • Slower response affects new learning
  • Recent memory is decreased
  • Loss of loved one can cause disorientation, disability, or depression.
A

Developmental Competence - The Aging Adult

25
Q

A - Appearance
B - Behavior
C - Congnition
T - Thought process

  • important to full mental status emanation for any abnormality discovered (anxiety disorder or depression, bizarre behaviors, brain lesions, aphasia (imparted to language), symptoms of psychiatric mental illness,
A

Components of Mental Status Examination

26
Q

Appearance - Posture, body movements, dress, grooming and hygiene, pupils
Behavior - Level of consciousness, facial expression, speech, mood and affect
Cognitive Functions - Oreintation, attention span, recent memory, remote memory, new learning (the four unrelated word test), with Aphasia (Word compression, reading, writing)
Thought processes and perception - thought processes, though content, perceptions, screen for anxiety disorders (GAD - 7) and depression (PHQ-9), screen for suicidal thoughts.

A

Objective Data

27
Q
  • simplified scored assessment of cognitive functions (not mood or thought process)
  • brief assessment of memory, orientation to time and place naming, reading, copying or visual-spatial orientation, writing, and the ability to follow a 3 stage command.
A

Mini-Mental State Examination

28
Q
  • The level of stimulus used, ranging progressively from
  • The person’s response
  • What the person does on cessation of your stimulus
  • (Person’s response in eye opening, best verbal response, and best motor response)
A

Glasgow Coma Scale

29
Q
  • An acute confusional state, potentially preventable is hospitalized persons

Characterized
- disorientation, disordered thinking and perceptions, defective memory, agitation, inattention

A

Delirium

30
Q
  • A chronic progressive loss of cognitive and intellectual functions, although perception and consciousness are intact

Characterized by
- disorientation, impaired judgement, memory loss

A

Dementia

31
Q
  • A long-term depressed mood (greater than 2 weeks) with lack of pleasure; disturbed sleep and appetitive; feelings of hopelessness, guilt, worthlessness, sadness, loneliness, and despair; suicide ideation
A

Depression

32
Q
  • brief screening suggest anxiety disorder or depression
  • family members express concern about behavioral changes
  • report of organic behavioral system (nocturnal wandering, concentration deficient, trouble with simple activities, inappropriate judgement, or linguistic difficulty
  • emotional or cognitive changes noted with brain lesion
  • language dysfunction (aphasia, agitation, or depression)
A

Full mental status is needed

33
Q

Consciousness, language, attention span, and abstract thinking all develop over time

A

Mental development

34
Q

Allows direct interaction with the young child to assess the mental status

A

Denver II screening test

35
Q
  • a reliable, quick instrument to screen for cognitive impairment in otherwise healthy older adults
A

Mini-Cog

36
Q
  • tests the person’s ability to lay down new memories and is highly sensitive and valid memory test.
A

The Four Unrelated Words Test

37
Q
  • when he or she can compare and evaluate the alternatives in a situation and reach an appropriate course of action.
A

A person’s judgement

38
Q
  • When the person is not fully alert, drifts off to sleep
    when not stimulated, and can be aroused when called by name in a normal voice but looks drowsy.
  • He or she appropriately responds to questions or commands, but thinking seems slow and fuzzy.
  • He or she is inattentive and loses the train of thought.
  • Spontaneous movements are decreased.
A

Lethargic/Somnolent

39
Q
  • a transitional state between lethargy and stupor.
A

Obtunded

40
Q
  • unconscious and responding only to persistent or vigorous shaking or pain.
A

Stuporous/Semi-coma

Comprehensive Health Assessment (16 decks)

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