Exam 2 Flashcards
Mental Status
A person’s emotional and cognitive function
Mental Health
A state of well-being in which every individual realizes his or her potential
Mental Disorder
Apparent when a person’s response is greater than expected
Organic Disorder
Disease of known specific organic cause
Delirium, dementia, intoxication, withdrawal
Psychiatric Disorders
Organic etiology has not been established
Anxiety disorder, schizophrenia
When do consciousness and language develop?
18-24mos
Mental Status Examination
Appearance
Behavior
Cognition
Thought Processes
Perform a full mental status when…
- Patient shows anxiety
- Patient shows/reports behavioral changes
- Aphasia occurs
- Symptoms of psychiatric mental illness are present
Standard Drinks (Beer)
12 oz = 1
16oz = 1.3
22oz = 2
40oz = 3.3
Standard Drinks (Malt Liquor)
12oz = 1.5 16oz = 2 22oz = 2.5 40oz = 4.5
Standard Drinks (Hard Liquor)
Mixed Drink = 1-3 or more
Pint (16oz) = 11
Fifth (25oz) = 17
1.75L (59oz) = 39
Moderate Drinking
Men: >2/day
Women: >1/day
At-Risk Drinking
Men: >14/week or >4/occasion
Women: >7/week or >3/occasion
Early Remission
Full criteria met for >3 months
Sustained Remission
Full criteria met for >12 months
AUDIT Test
Helps to detect both less severe alcohol problems and alcohol abuse and dependence disorders
Scores 0-4 on 10 questions
>8 in men or >4 in women indicated hazardous consumption
AUDIT-C Test
Short form that is helpful for acute and critical care units
Valid screening for heavy drinking/active alcohol abuse
Three questions scored 0-4 in 2 minutes
>3 indicates heavy or at-risk drinking
CAGE Questionnaire
Takes less than one minute to answer four yes/no questions
Tests for lifetime alcohol abuse/dependence
Yes to >2 questions signals abuse
TWEAK Questionnaire
Tolerance, Worry, Eye-Opener, Amnesia, Kut Down
Used for at-risk women, especially pregnant women
>2 indicates a drinking problem
SMAST-G
Screening for aging adults
10 questions with yes/no responses
2 or more “yes” responses indicates an alcohol problem
CIWA
Most sensitive scale for objective measurement
Measures progress of withdrawal
Take BP, pulse, respirations, and oxygen saturation and rate with ranges 0-7
Abuse Assessment Screening (AAS)
6 question test to indicate intimate partner violence
EASI
Elder abuse screening tool
Five question yes/no tool
Laceration
Avulsion
Tearing away of a structure/part