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Psych > Interview and Mental Status Exam > Flashcards

Interview and Mental Status Exam Flashcards

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1
Q

majority of patients ultimately diagnosed with ADHD initially present where

A

primary care/peds

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2
Q

4 key components of psych interview

A

mental status exam

focused follow-up Qs

social and psych history

specific tests/screenings

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3
Q

3 mental status exam components observed during psych interview

A

observation (face to face)

focused questions (open and closed ended)

specific psych tests (as needed)

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4
Q

12 mental status exam domains

A

appearance

alertness/orientation

speech

motor behavior

mood and affect

attention

memory

perception

insight

judgment

thought content

thought process

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5
Q

difference between unkempt and disheveled

A

unkempt - homeless appearing

disheveled - messy but not as bad as unkempt

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6
Q

what are some things you should be observing when looking at appearance

A

grooming, clothing

skin lesions, body habitus, physique

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7
Q

what three things must they be oriented to

A

person

time

place

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8
Q

two ways to observe speech

A

spontaneous speech AND language tests

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9
Q

what three things do you consider when listening to speech

A

rate

volume

type

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10
Q

what are some examples of different TYPES of speech (descriptive words)

A

slurred

mumbled

aphasia

word salad

clang associations

neologisms

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11
Q

speech can help you differentiate between what

some examples

A

neurological v psych

word salad (stroke v schizophrenia)

slurred (neuro v drunk)

aphasia (typically neuro)

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12
Q

what does motor behavior also help you differentiate between

A

neuro and psych

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13
Q

what types of motor behaviors are you looking for

A

hyperactive

hypoactive (psychomotor retardation)

rigid

restlessness/akathisia

combative

tics

eye contact/gait

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14
Q

patient’s subjective description of his or her emotional state in his or her own words

A

mood

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15
Q

sustained emotion that affects a person’s view of the world

A

mood

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16
Q

an observable feeling or tone expressed through voice, facial expression, and demeanor described by clinician NOT patient

A

affect

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17
Q

emotion conveyed via non-verbal

A

affect

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18
Q

descriptors of affect

A

normal

blunted, flat, constricted

exaggerated

labile

appropriate/inappropriate

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19
Q

memory of childhood =

A

remote memory

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20
Q

memory of current events within the past few months =

A

recent remote memory

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21
Q

memory of what he or she had for breakfast =

A

recent memory

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22
Q

6 digit test (called attention test)

word list recall

= what kind of memory

A

immediate retention and recall

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23
Q

sensory awareness of objects in the environment and their interrelationships

also refers to internal stimuli

A

perception

24
Q

false sensory perception not associated with real external stimuli =

A

hallucination

25
Q

most common type of hallucination

A

auditory

26
Q

5 types of hallucinations

A

auditory

visual

olfactory

tactile

gustatory

27
Q

how are illusions different than hallucinations

A

illusions are misperceptions or misinterpretations of a REAL external stimuli

hallucinations - NO real stimuli involved

28
Q

a person’s subjective sense of being unreal, strange, or unfamiliar =

A

depersonalization

29
Q

a subjective sense that the environment is strange or unreal =

A

derealization

30
Q

the feeling of bugs crawling on or under the skin =

A

formication

31
Q

patient’s awareness that symptoms or disturbed behaviors are normal or abnormal =

A

insight

32
Q

patient’s understanding of his or her illness =

A

insight

33
Q

_____ is a continuum over several encounters:

recognition they may have mental illness

compliance with tx plan

relabel false mental events

A

insight

34
Q

which of the following is most commonly associated with poor insight?

anxiety disorders

mood disorders

personality disorders

ADHD

A

personality disorders

35
Q

process of comparing and evaluating alternatives when deciding on a course of action =

A

judgment

36
Q

what is a way to check judgment?

A

they say they’re going to kill their friend.

ask - what will happen if you kill your friend? what will happen to YOU?

37
Q

what the patient thinks about and the focus of their concerns =

A

thought content

38
Q

what part of the mental status exam evaluates the extent to which they believe their thought/conviction

A

thought content

39
Q

fixed, false personal beliefs that are not shared by other members of person’s culture =

A

delusions

40
Q

can delusions be corrected by reasoning?

A

no

41
Q

types of delusions

A

paranoid

grandeur

nihilistic

ideas of reference

ideas of influence

persecution

42
Q

delusions are part of what aspect of the mental status exam

A

thought content

43
Q

obsessions are what part of the mental status exam

A

thought content

44
Q

recurrent, uncontrollable thoughts, images, or impulses

NOT false thoughts but they are prominent

A

obsessions

45
Q

repetitive behaviors or mental acts that a person feels driven to perform

A

compulsions

46
Q

compulsions are a part of what aspect of mental status exam

A

thought content

47
Q

persistent, irrational, exaggerated fear of a specific stimulus or situation BUT pt knows it is irrational

A

phobias

48
Q

what are accompanied by a compelling desire to avoid the stimulus

A

phobias

49
Q

phobias are a part of what part of mental status exam

A

thought content

50
Q

quantity, tempo and coherence of thought =

A

thought processes

51
Q

the logic, coherence and relevance of the patient’s thought as it leads to selected goals (how a patient thinks) - what part of mental status exam

A

thought processes

52
Q

tangential, circumstantial describes what

A

thought process

53
Q

___ is the basis to formulate any psychiatric diagnosis

A

MSE - mental status exam

54
Q

___ is a brief neuropsychological test to screen for dementia

A

mini mental status ecam

55
Q

what is used to screen for dementia

A

mini mental status exam

Psych (2 decks)

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