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2b > Mental state examination > Flashcards

Mental state examination Flashcards

1
Q

7 categories of mental state examination

A 
Appearance and behaviour
Speech
Mood
Thoughts
Perceptions
Cognition
Insight
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2
Q

Things to look for in appearance and behaviour

A 
Eye contact
Rapport
Self care
Dress
Psychomotor agitation
Abnormal movements
Distract-ability
Perplexity
Cooperation
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3
Q

Things to look for in speech

A

Production not content

  • rate
  • rhyme
  • tone
  • volume
  • mutism
  • neurological/ organic signs
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4
Q

Things to look for in mood

A

Subjective (patient view)
Objective (your assessment)
Affect

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5
Q

What does affect mean

A

immediate emotion

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6
Q

What does mood mean

A

Emotion over a more prolonged period of time

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7
Q

Objective assessment of mood

A

Euthymic
Depressed or elated
Irritable
Anxious

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8
Q

Affect assessment

A

Reactive, flat or blunted, incongruent

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9
Q

What is the pressure type of thoughts: stream

A

Unusually rapid, abundant and varied

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10
Q

What is the poverty type of thoughts: stream

A

Unusually slow, few and unvaried

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11
Q

What is the thought blocking type of thoughts: stream

A

The mind is suddenly empty of thoughts

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12
Q

What is the flight of ideas type of thoughts: form

A

Thoughts are moving so quickly that one train of thought is not completed before the next one starts

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13
Q

What is the loosening of associations type of thoughts: form

A

Lack of logical connection between a sequence of thoughts- knights move thinking

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14
Q

What is the preservation thoughts: form

A

Persistent and inappropriate repetition of the same thought

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15
Q

What is an incongruent affect

A

Mood doesnt match what theyre talking about

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16
Q

What is a delusion

A

A false, unshakeable idea of belief that is firmly held despite evidence to the contrary that is not consistent with the persons educational, cultural and social background

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17
Q

What is the persecutory type of thoughts: delusions

A

People or organisations trying to inflict harm

18
Q

What is the delusions of reference type of thoughts: delusions

A

Objects, events or people have special significance to that infdividual

19
Q

What is the grandiose type of thoughts: delusions

A

Beliefs of exaggerated self importance

20
Q

What is guilt or worthlessness type of thoughts: delusions

A

Beliefs that the person has done something shameful based on an innocent error

21
Q

What is delusions of control type of thoughts:delusions

A

Beliefs that actions, impulses and thoughts are controlled by an outside agency

22
Q

What is the delusions concerning the possession of thoughts type of thoughts: delusions

A 
Thought insertion (by an external agency)\
Thought withdrawal (taken away)
Thought broadcast (thoughts known to others)
23
Q

Over-valued thoughts

A

Isolated, preoccupying and strongly held belief that dominates a persons life or actions

24
Q

Obsessive thoughts

A

Recurrent and persistent thoughts, images or impulse s that occur despite efforts to exclude the,. They are their own thoughts and usually cause distress

25
Q

Dissociative symptoms

A

Derealisation
Depersonalisation
Illusions

26
Q

Define derealisation

A

Feeling the world is not real

27
Q

Define depersonalisation

A

Feeling detached from yourself and emotions

28
Q

Define illusions

A

Misinterpretation of an external stimulus in the context of emotional state

29
Q

Define hallucination

A

Perception without an external stimulus

30
Q

four types of hallucination

A

Auditory
Visual
Tactile
Gustatory and olfactory

31
Q

What are auditory hallucinations

A

Can be voices, noises or music.

  • 2nd person (to them)
  • 3rd person (about them)
  • command (telling them to do something)
32
Q

What are visual hallucinations

A

Can be images or flashes

33
Q

What are tactile hallucinations

A

Superficial sensations or being touched

34
Q

What are gustatory and olfactory hallucinations

A

Usually an unpleasant taste or smell

35
Q

Define cognition

A

Referes to a persons current capacity to process information

36
Q

What things contribute to cognition

A 
LOC
Orientation in time and space
Memory functioning
Literacy and arithmetic skills
Visuospatial processing
Attention and concentration
Language
37
Q

Cognition screening tools

A

Mini mental state examination
Abbreviated mental test
Montreal cognitive assessment

38
Q

Define insight

A

The patients awareness and understanding of their mental illness

39
Q

What are olfactory hallucinations associated with

A

Temporal lobe epilepsy

40
Q

Physical assessment

A

Look for signs and symptoms

  • may be exacerbating
  • signs of mental disorder
  • signs of associated physical health
41
Q

Physical investigations

A 
Detailed and focussed exam
Physical obs
Blood investigations
ECG
imaging
42
Q

Non physical investigations

A

Collateral information

Review of clinical records

2b (28 decks)

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