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Clinical > Mental State > Flashcards

Mental State Flashcards

1
Q

What are the stages of a mental state exam? (9)

A
  • Appearance
  • Behaviour
  • Speech
  • Mood/affect
  • Thoughts
  • Perceptions
  • Delusions
  • Cognition
  • Insight
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2
Q

What is assessed in appearance in a mental state exam? (6)

A
  1. Clothing - appropriate for time of year and situation?
  2. Personal hygiene/care?
  3. Recent change in weight?
  4. Distinctive features?
  5. Posture/gait?
  6. Evidence of self harm?
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3
Q

What about clothing can be assessed in a mental state exam? (2)

A
  • Appropiate for time of year?

- Appropriate for situation?

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4
Q

What indicates autonomic aurosal in a mental state exam? (3)

A
  • Increased sweating?
  • Increased resp rate?
  • Tremor?
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5
Q

What is normal affect in a mental state exam?

A

Reactive and appropriate

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6
Q

What can be assessed about behaviour in a mental exam? (11)

A
  1. Psychomotor activity?
  2. Level of arousal - calm/agitated/worried/aggression?
  3. Rapport/engagement?
  4. Interaction with doctor? Ability to follow requests?
  5. Eye contact?
  6. Facial expression?
  7. Recent change in weight?
  8. Motor behaviour - drug effects?
  9. Autonomic arousal - increased sweating? increased resp rate? Tremor?
  10. Affect?
  11. Body language/gestures/mannerisms?
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7
Q

What is appearance a useful indicator of in a mental state exam? (2)

A
  • Lifestyle

- Ability to self-care

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8
Q

What is behaviour a useful indicator of in a mental state exam?

A

Non verbal communication provides insights into current mental state

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9
Q

What can be assessed about a patient’s interaction with the doctor in a mental state exam? (2)

A
  • Ability to follow requests

- Rapport/engagement

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10
Q

What can be assessed about a patient’s body language in a mental state exam? (2)

A
  • Gestures

- Mannerisms

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11
Q

What is psychomotor activity?

A

Motor activity related to mental processes (can be slowed or increased)

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12
Q

What levels of arousal can be assessed in a mental state exam? (4)

A
  • Calm?
  • Agitated?
  • Worried
  • Aggression?
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13
Q

What can be assessed about speech in a mental state exam?

A
  • Rate
  • Rhythm/fluency
  • Quantity
  • Fluency
  • Tone
  • Volume - constant? Libale?
  • Content = thoughts?
  • Ununsual language?
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14
Q

What kind of unusual language should be assessed for in speech? (2)

A
  • Neligisms: made up words

- Repetition of the same concept over and over

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15
Q

What does normal speech sound like in a mental state exam?

A

Fluent conversational sponteaneous speech of normal tone and volume

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16
Q

What does retardated speech sound like in a mental state exam?

A
  • Words slow and few
17
Q

What can be assessed from the rate of speech in a mental state exam? (2)

A
  • Pressured

- Slowed

18
Q

What can be assessed from the quantity of speech in a mental state exam? (3)

A
  • Minimal? (response to questions)
  • Excessive?
  • Complete absence?
19
Q

What can be assessed from the tone of speech in a mental state exam? (2)

A
  • Montonous?

- Tremulous?

20
Q

What can be assessed from the volume of speech in a mental state exam? (2)

A
  • Loud?

- Quiet?

21
Q

What can be assessed from the fluency/rhythm of speech in a mental state exam? (3)

A
  • Articulate?
  • Clear?
  • Slurred?
22
Q

What is affect in a mental state exam?

A

How people express mood/inner feelings by observable behaviour e.g facial expressions/demeanor

23
Q

What aspects of affect can be observed? (3)

A
  • Quality
  • Range
  • Intensity
24
Q

What in the quality of affect can be observed? (2)

A
  • Sad/agitated/hostile?

- Euphoric/animated?

25
Q

What in the range of affect can be observed? (3)

A
  • Restricted
  • Normal
  • Expansive
  • Labile
26
Q

What in the intensity of affect can be observed? (3)

A
  • Normal?
  • Blunted?
  • Flat?
27
Q

Define labile?

A

Easily changed between states

28
Q

What does depressive speech sound like? (4)

A
  • Low volume
  • Reduced speech and fluency
  • Monotonous
  • Nialistic content
29
Q

What does manic speech sound like? (6)

A
  • Very fast
  • Pressure of speech
  • Flight of ideas
  • Some rhyme
  • Loose associations
  • Grandiose ideas
30
Q

What is flight of ideas?

A

Connection between utterances but whole doesn’t make sense

31
Q

What does psychotic speech sound like? (4)

A
  • Mumbled words of low volume
  • Change of direction: difficult to understand
  • Indecipherable neoligisms
  • Bizzare content
32
Q

What are the two types of mood? (2)

A
  • Subjective

- Objective

Clinical (21 decks)

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