Mental Health Lecture Flashcards
Mental Status Assessment
An exam which describes the mental state of the patient through the following:
___________
Level of Consciousness
Memory
Speech – Rate, Quantity, Articulation, Fluency
______ Behavior
_________ Processes
Affect and Mood
Utilizes both objective clinician observations and subjective patient descriptions.
Appearance
Motor
thought
Suicide Prevention
Pharmacist training in suicide awareness and prevention saves lives
2016, Washington state first to require pharmacists to be complete suicide awareness and prevention training
National Suicide Prevention Line 1-800-273-TALK (8255)
Call _________
Text 741741
988
Mental Health First Aid (MHFA)
Skill-based certification on mental health and substance use issues
A – assess for risk of ______ or harm
L – listen __________
G - give reassurance and information
E – encourage appropriate _________ help
E – encourage _________ and other supportive strategies
suicide
nonjudgmentally
professional
self-help
____________(MHFA)
Mental Health First Aid
Depression Assessment
DSM-5 Criteria for major depressive disorder
and persistent depressive disorder:
Used to diagnose ____________
Patient must present with _______ or more
symptoms and at least 1 must be depressed
mood and loss of interest or pleasure.
Symptoms must be present in the same 2-
week period.
depression
5 or more
_______________ (PHQ-9)
Patient Health Questionnaire
Patient Health Questionnaire (PHQ-9)
Used to determine presence and severity of ____________.
Used to monitor condition progression.
Scoring:
Add scored points together:
5-9: Minimal Symptoms
10-14: Minor Depression, Dysthymia, Major Depression, mild
15-19: Major Depression, moderately severe
>20: Major Depression, severe
depression
Delirium onset is ___________
rapid,acute
Dementia onset is ____________
insidious
Depression onset is ___________
insidious
Delirium duration is
less than 1 month (<1 month)
Dementia duration is __________
more than one month
Depression more than ___________
2 weeks
Misconceptions often present in both _______and _________
Delirium and dementia
Depression perception is _____________
normal
The ____________
(MMSE):
Mini-mental state exam
The Mini-Mental State Exam
(MMSE):
Used to detect __________
dementia
The Mini-mental state exam
Activities that aid in determining:
____________
Registration
____________and Calculation
Recall
______________
orientation
attention
language
Assessment of Sensory Neurons:
___________ - ability to identify a letter traced on a hand
___________- ability to perceive the form of solid objects by touch and manipulation
Pain response – ability to recognize pain in response to peripheral stimuli
Graphesthesia
Stereognosis
Assessment of Motor Responses:
__________- observe rate, rhythm, and arm motion of patient while walking
_________ Test – observe patient’s ability to stand still with eyes closed
Gait
Romberg test
Test air and bone conduction of sound – is hearing loss due to conductive or sensorineural
__________ Test – sensorineural loss – sound is heard in good ear only; nml is equal vibrations
Weber
_________Test – Compare air conduction with bone conduction – nml AC heard longer > BC
Conductive loss – sound is heard in impaired ear (ex otitis media, ruptured ear drum, wax) BC ≥ AC
Sensorineural loss – sound is heard longer through AC > BC
Rhine
