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
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2
Q

appearance

A
weight 
grooming and clothing 
posture 
gait
scars/injuries
track lines/bruising 
tics/tremors
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3
Q

behaviour

A
eye contact 
facial expression 
body language 
agitated/psychomotor
retardation
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4
Q

speech

A
HOW they talk, not what they say
rate 
rhythm
tone
volume
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5
Q

mood

A

scale 1-10
low/high or positive/negative
congruity - presenting in the same way as their mood

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6
Q

affect

A

reactive

blunt

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7
Q

what are the 2 parts to thought

A

form

content

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8
Q

thought (form)

A
how they give information:
relevant 
over inclusive 
tangents
loosening of association 
thought block
clang association (related by sound)
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9
Q

thought (content)

A
information given 
suicidal thoughts 
obsessions 
delusions 
phobias
nihilism 
grandiosity 
thought withdrawal/broadcasting 
depersonalisation
derealisation
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10
Q

perception

A

delusions and hallucinations

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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

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12
Q

insight

A

do they recognise these as being abnormal

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