Mental Health Flashcards
What is included in the Mental State Exam?
Appearance – observation that is non-judgmental
Behaviour – general, eye contact, gestures etc
Speech/language - rate/volume/tone/quantity/quality. Also is speech disorganised or incomplete?
Mood and effect (feelings) - emotional state ie depressed, labile (changing), elevated
Thought content (thinking) – amount, continuity, delusional,
Perception – hallucinations (no stimulus), illusions (true stimulus) – difference is misinterpretation
Cognition – LoC, attention, memory, orientation
Insight & judgement – do they recognise their problem, can they make reasonable decisions
Name some tools for Brief Interventions for Alcohol and other Drugs
AUDIT – Alcohol Use Disorders Identification Test – designed as self-report
ASSIST – 8 domain questionnaires from WHO to be used in primary healthcare settings. Produces a risk score.
EIGHT – early intervention gambling health test – primary healthcare setting
Motivational interviewing
Outline the difference between dementia, delirium and depression
Dementia – slow progressive cognitive decline, Alzheimer’s, protein complexes in brain cause different types of dementia; Lewy bodies, early onset, Wernicke’s, Korsakoff’s, vascular
Delirium – rapid usually temporary from a physical underlying cause – like UTI - not a mental illness
Depression – sudden or gradulal -can have somatic symptom – sensory, might feel constipated or in pain when they are not
What is the MINI ACE test
The Mini-ACE is now the recommended screening tool for cognitive impairment in New Zealand. It tests attention/orientation, memory (Anterograde Memory), verbal fluency, visuospatial abilities, memory recall.
Outline key areas of Mental Health (Compulsory Assessment and Treatment) Act 1992 relating to nursing
The Mental Health Act is designed to ensure that individuals with a mental disorder receive appropriate care and treatment, while also protecting their rights. It provides a framework for compulsory assessment and treatment when a person’s mental health condition makes them a risk to themselves or others and they are unwilling or unable to seek treatment voluntarily.
