MENTAL HEALTH Flashcards
Which of the following is NOT part of the mental status “Cognition” category?
A) Orientation
B) Gnosia
C) Speech quality
D) Immediate memory
C) Speech quality
A person who can’t recognize objects by sight may have an issue with:
A) Judgement
B) Gnosia
C) Akathisia
D) Delirium
B) Gnosia
________ is an impairment of language ability, often after brain damage.
Aphasia
When the patient says things like “I feel like I’m being watched,” you are assessing ________.
Perceptions
The ________ memory test involves asking the patient to recall four unrelated words over time
New learning / Four unrelated words test
What is ABCT of mental health exams>
appearance
behavior
cognition
thought process
What is TRUST?
Traditions: spiritual/religious practices, individually or communal, current or past (as relevant to care/healing)
Reconciliations: unresolved issues and exploration of how/if they might be reconciled
Understandings: personal beliefs and how they influence well being positively or negatively (ex. Sustaining or distressing)
Searching: existential or faith questions prompted by current challenges
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Teachers: spiritual/religious mentors and internal/external resources the individual trusts to help sort through relevant issues
What is defined as an acute, reversible state of confusion characterized by disorientation, hallucinations, agitation, and fluctuating levels of consciousness?
delirium
What is an illusion?
a misinterpretation of real external stimulus
_______ is a chronic, progressive decline in cognitive function, memory and reasoning due to neurodegenerative diseases
Dementia
In mental status exam, describe what you are looking for under Appearance?
-Posture (erect, relaxed)
-Body Movements (voluntary, coordinated?)
-Dress (approp. for season and social situation)
-Grooming, hygiene, distinguishing features
what do you ask when assessing Orientation in Cognition sections of mental status?
what day/year/month/time is it?
what city/building/room/floor are you in?
what is your name and DOB?
What is the difference between immediate memory, recent memory and remote memory?
immediate–enables making sense of what is going on
Recent–in context of interview by 24 hour diet recall or asking patient verifiable questions in that timeframe
Remote–in context of interview, ask questions about past events such as where they were born, DOB, parents names, where were you on 9/11.
what are some important cues/warnings of suicide?
prior attempts
depression
hopelessness
social withdrawal
self-mutiliation
hypersomnia/insomnia
slowed psychomotor activity
anorexia
verbal suicide messages
death themes in art, jokes, etc
saying goodbye
giving away personal items
what are some factors that affect pt response to mental status that aren’t mental related?
illness/health problems
alcohol use/substance use
medications
sleep habits
high stress
_______ is the capacity to feel, think, express emotions and behave in ways that enhance personal capacity to maintain challenges, adapt successfully to a range of demands and enjoy life.
Mental Health
____________ is now the leading cause of disability worldwide, and is a major contributor to overall global burden of disease
depression
