Chapter 5 Mental Status Exam

Question 1

Organic

Answer 1

delirium; dementia; drug intoxication; drug withdrawal

Has a specific etiology

Question 2

Psychiatric

Answer 2

anxiety disorder; schizophrenia

no known etiology

Question 3

To assess mental status, assess the following variables:

Answer 3

a) Consciousness
b) Language
c) Mood and affect
d) Orientation
e) Attention
f) Memory
g) Abstract reasoning
h) Thought process
i) Thought content
j) Perceptions

Question 4

Children: DC

Answer 4

By age 4-5: language used as a social tool
Attention span increases from preschool to school-age
By age 12-15: using abstract thinking

Question 5

Aging adult: DC

Answer 5

Response time slower
Needs longer to process information and respond to it
Recent memory decreases with age
Remote memory does not decrease with age

Question 6

Prevalence of mental disorders in the U.S. adult:

Answer 6

26.2%

Question 7

Main components of a mental status exam:

Answer 7

a) Appearance
b) Behavior
c) Cognition
d) Thought processes

Question 8

1. A full mental status exam should be done when:

Answer 8

a) Your client is anxious or depressed
b) Your client’s family voices concern
c) Your client has a brain lesion
d) Your client is aphasic
e) Your client has symptoms of psychiatric mental illness

Question 9

OD: Appearance you should note

Answer 9

a) posture
b) body movements
c) dress
d) grooming & hygiene

Question 10

OD: Behavior you should note

Answer 10

a) level of consciousness
b) facial expression
c) speech
d) mood & affect

Question 11

OD: Cognitive function you should note

Answer 11

a) orientation
b) attention span
c) recent memory
d) remote memory
e) new learning—the four unrelated word test

Question 12

OD: Thought processes and perceptions

Answer 12

a) thought processes
b) thought content
c) perceptions

Question 13

In addition you should screen for

Answer 13

anxiety
depression
suicidal thoughts

Question 14

What factors from health history could affect YOUR interpretation of findings

Answer 14

any known illness or health problems
current meds with side effects
usuall educational and behvioral levels- you note the factor as the normal base line and not expect performance on the mental status exam to exceed it
response to personal history questions indicating current stress, social interactions patterns, sleep habits and drug/alcohol use

Question 15

eccentric dress/makeup can occur with

Answer 15

schizophrenia and manic syndrome

Question 16

dysphonia

Answer 16

abnormal volume and pitch

Question 17

in what order is orientation lost

Answer 17

time place and rarely person

Question 18

recent memory deficit occurs with

Answer 18

delirium, dementia, amnestic syndrom or korsakoff sundrome in chronic olcoholism

Question 19

people with alzheimer dementia score what on the four word recall

Answer 19

zero to one

Question 20

Age relating hear loss involves what frequency

Answer 20

high and consonants are usually high frequency

Question 21

auditory and visual hallucinations occurs with

Answer 21

psychiatric and organic brean disease and psychedelic drugs

Question 22

GAD-7

Answer 22

the full scale identifies probably presentations of GAD and also a severity measure in that increasing scores are associated with increasing impairment and disability.
5-mild
10-moderate
15-severe

Question 23

Denver II scale

Answer 23

is designed to detect developmental delays in infants and preschoolers within four functions: gross motor, language, fine motor adaptive and personal social skills.

Question 24

Mental status Aging adult

Answer 24

Follow the same ABCT guidelines as described fro younger adults with theses additional consideration
Behavior- LOC
Cognitive- orientation
new learning
supplemental mental status examination- minicog test.

Question 25

minicog test is an easy instrument to screen for cognitive impairment in otherwise healthy older adult

Answer 25

3-item recall and faces drawn on clock

Question 26

mental disorder is apparent when

Answer 26

a person response is much greater than the expected reaction to a traumatic life event. It is clinically significant behavioral, emotional or cognitive syndrome that is associated with significant distress (a painful symptom) or disability (impaired functioning) involving social, occupation, or key activities.