Mental Health Lecture

Question 1

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.

Answer 1

Appearance

Motor

thought

Question 2

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

Answer 2

988

Question 3

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

Answer 3

suicide

nonjudgmentally

professional

self-help

Question 4

____________(MHFA)

Answer 4

Mental Health First Aid

Question 5

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.

Answer 5

depression

5 or more

Question 6

_______________ (PHQ-9)

Answer 6

Patient Health Questionnaire

Question 7

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

Answer 7

depression

Question 8

Delirium onset is ___________

Answer 8

rapid,acute

Question 9

Dementia onset is ____________

Answer 9

insidious

Question 10

Depression onset is ___________

Answer 10

insidious

Question 11

Delirium duration is

Answer 11

less than 1 month (<1 month)

Question 12

Dementia duration is __________

Answer 12

more than one month

Question 13

Depression more than ___________

Answer 13

2 weeks

Question 14

Misconceptions often present in both _______and _________

Answer 14

Delirium and dementia

Question 15

Depression perception is _____________

Answer 15

normal

Question 16

The ____________
(MMSE):

Answer 16

Mini-mental state exam

Question 17

The Mini-Mental State Exam
(MMSE):

Used to detect __________

Answer 17

dementia

Question 18

The Mini-mental state exam

Activities that aid in determining:
____________
Registration
____________and Calculation
Recall
______________

Answer 18

orientation

attention

language

Question 19

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

Answer 19

Graphesthesia

Stereognosis

Question 20

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

Answer 20

Gait

Romberg test

Question 21

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

Answer 21

Weber

Question 22

_________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

Answer 22

Rhine