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People and Illness > Mental State Exam > Flashcards

Mental State Exam Flashcards

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People You Should Know flashcards
1
Q

What is a mental state exam?

A

An assessment of a person’s current state of mind, describing a snapshot of their presentation during your interaction with them

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2
Q

What factors are assessed in a mental state exam?

A 
Appearance
Behaviour
Speech
Mood
Affect
Thought form and content
Perception
Cognition
Insight
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3
Q

When is a mental state exam used?

A

To assess and diagnose psychiatric patients

To monitor psychiatric patients during or after treatment

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4
Q

Describe the assessment of appearance in the mental state exam?

A 
Describe how the person looks - ethnicity, build, hair colour, clothing
well kempt?
evidence of self-neglect?
appear physically unwell or intoxicated?
description of distinguishing features
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5
Q

Describe the assessment of behaviour in the mental state exam?

A 
Describe how the person acts including:
level of motor activity
eye contact
rapport and engagement in interview
body language and posture
any unusual or socially inappropriate behaviour
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6
Q

Describe the assessment of speech in the mental state exam?

A 
rate and quantity of speech
rhythm 
volume
tone
spontaneity
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7
Q

In a mental state exam what is meant by a reactive affect?

A

Appropriate action to the situation or topic

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8
Q

In a mental state exam what is meant by a flattened affect?

A

Limited emotional reaction

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9
Q

In a mental state exam what is meant by a blunted affect?

A

No observed emotional reactions (psychosis)

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10
Q

In a mental state exam what is meant by a labile affect?

A

Excessive emotional fluctuations

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11
Q

In a mental state exam you should report subjectively and objectively on the patient’s mood. What does this mean?

A

Subjectively - how they tell you they fell (use quotes)

objectively - your overall impression of their mood

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12
Q

In a mental state exam what is thought form?

A

The pattern of the person’s thoughts

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13
Q

In a mental state exam what I meant by ‘flight of ideas’?

A

Rapid flow of speech from topic to topic with logical connections

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14
Q

Flight of ideas is associated with mania. What is knight’s move thinking associated with?

A

Schizophrenia

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15
Q

In a mental state exam what is meant by knight’s move thinking?

A

Little or no logical connections between thoughts, associated with schizophrenia

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16
Q

What is meant by a paranoid delusion?

A

Perceived threat from others

17
Q

What is meant by a grandiose delusion?

A

Considerable overestimation of abilities or belief of possession of special powers

18
Q

What is meant by a nihilistic delusion?

A

Belief that they are dead or do not exist

19
Q

What is meant by a delusion of reference?

A

Belief that external events or objects are directly related to them

20
Q

What is the definition of an over valued idea?

A

a false belief which is not completed fixed but which causes great disability

21
Q

What is the definition of an obsession?

A

Recurrent, intrusive, distressing ideas, impulses of images that the patient recognises as their own

22
Q

It should always be documented whether or not a patient has thoughts of harming themselves or others. T/F?

A

True - and if they do an additional risk assessment should be carried out

23
Q

What type of hallucination points towards a likely psychiatric rather than organic cause?

A

Auditory hallucination

24
Q

What factors should be assessed as part of cognition in a mental state exam?

A

Alertness
Orientation
Concentration
Memory

25
Q

In a mental state exam, if you observe abnormality sin concentration and memory what test can be carried out?

A

Mini mental state exam

26
Q

In a mental state exam, what is meant by insight?

A

The patient’s understanding of their presentation and their need for treatment

People and Illness (18 decks)

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