mental state exam Flashcards
1
Q
what are the 8 parts to an MSE
A
appearance behaviour speech mood and affect thought (form and content) perception cognition insight
2
Q
appearance
A
weight grooming and clothing posture gait scars/injuries track lines/bruising tics/tremors
3
Q
behaviour
A
eye contact facial expression body language agitated/psychomotor retardation
4
Q
speech
A
HOW they talk, not what they say rate rhythm tone volume
5
Q
mood
A
scale 1-10
low/high or positive/negative
congruity - presenting in the same way as their mood
6
Q
affect
A
reactive
blunt
7
Q
what are the 2 parts to thought
A
form
content
8
Q
thought (form)
A
how they give information: relevant over inclusive tangents loosening of association thought block clang association (related by sound)
9
Q
thought (content)
A
information given suicidal thoughts obsessions delusions phobias nihilism grandiosity thought withdrawal/broadcasting depersonalisation derealisation
10
Q
perception
A
delusions and hallucinations
11
Q
cognition
A
orientated in time and place
where they are, who you are
how they got there
meaningful personal history - birth place, names and ages of children
12
Q
insight
A
do they recognise these as being abnormal