Exam 1 - Mental Status Examination Flashcards
Hallucination
Sensory perception that occurs without any external stimulation.
Delusion
False belief based on incorrect inference about external reality that goes against what everyone else believes and has obvious evidence.
Illusion
Misperception of something real.
Types of hallucinations
Auditory Gustatory Olfactory -odor Somatic - not involving skin Tactile - skin Visual Mood congruent/incongruent
Types of delusions
Bizarre - totally implausible phenomenon Delusional Jealousy - unfaithful partner Erotomanic Grandiose Of Being Controlled Of Reference - true belief in which things in environment have significance Persecutory Somatic - body Thought Broadcasting Thought Insertion Mood Congruent/Incongruent
Thought processing disturbances
Blocking - stopping Echolalia Clang Association - rhyming Flight of Ideas - telephone Perseveration Circumstantiality - my storytelling Tangentiality - unrelated topics
Difference between mood and affect
Mood - long term feeling; emotional climate
Affect - short term; externally presented
Types of mood
Dysphoric - negative emotion Elevated - euphoric exaggerated Euthymic - normal Expansive - lack of restraint in expression Irritable
Types of affect
Flat Blunted Restricted/Constricted - mild reduction Broad Inappropriate - discordance b/w affect and speech content Labile - abrupt shifts
Mental Status Examination
Physical Appearance Orientation Reaction Speech Motor Activity Mood Affect Homicidal/Suicidal Ideation, Intent, Plan Thought Processes Thought Content Memory Abstract Thinking Judgment Insight
Classification of SITB
Suicidal
Ideation
Intent
Plan
Nonsuicidal
Gesture
NSSI Thoughts
NSSIMeasuring SITB in adults
Structured - Self Injurious Thoughts and Behaviors Interview
Semi Structured - Scale for Suicide Ideation
Self Report - Beck Scale for Suicide Ideation
Measurements used with Children
Structured - Self Injurious Thoughts and Behaviors Interview
Semi structured - Child Suicide Prevention Scales
Self report -Suicidal Behaviors Questionnaire
Evidence based process for assessing SITB
IDENTIFICATION
1. Assess presence of SITB in all pts
2. Use multiple ass. methods and informants whenever possible
3. If SITB is identified, conduct more thorough eval and risk ass
CASE CONCEPT/TREATMENT PLANNING
4. Assess risk and protective factors of SITB
5. Assess function of SITB
6. Treatment should target SITB directly
TREATMENT MONITORING/ OUTCOME EVAL
7. Ass should begin before treatment and continue as frequently as feasible
8. Measure multiple forms of SITB, ones that are treatment sensitive
9. Examine clinical utility of into gained
Risk factors
Traumatic event/ Trigger
Prior MI
Family history of MI
