Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

HEALTH ASSESSMENT > Mental Status > Flashcards

Mental Status Flashcards

1
Q

Mental status assessment

A
  • mental status is a person’s emotional (feeling) and cognitive (knowing) fxn
  • plays a role in life satification, work, caring relationships and within self
  • cant be directly seen, touched or ausculated
  • will affect a patients daily well-being and ability to cope with stressful situations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

mental health

A
  • A state of well being in which every individual realizes his or her own potential & can cope with normal stresses of life, can work productively and can make a contribution to their community
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

mental disorder

A
  • Is apparent when a person’s response is much greater than the expected reaction to a traumatic life event.
  • Clinically significant behavioral, emotional, or cognitive syndrome that is associate with significant distress (painful symptom) or disability (impaired functioning)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

organic disorder

A
  • Caused by brain disease of known specific organic causes Delirium, dementia, alcohol or drug intoxication, withdrawal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Psychiatric mental disorder

A
  • In which an organic etiology has not yet been established
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

consciousness

A

Being aware of one’s own existence, feelings and thoughts of the environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

language

A

using the voice to communicate one’s thoughts and feelings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

mood and affect

A

Affect=temporary expression of feelings or state of mind

Mood= more durable, a prolonged display of feelings that color the whole emotional life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

orientation

A

The awareness of the objective world in relation to the self, including person, plaace and time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Attention

A

The power of concentration, the ability to focus on one specific thing without being distracted by many environemental stimuli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Memory

A

The ability to lay down and store experiences and perceptions for later recall, Recent memory evokes day-to-day events; remote memory brings up years worth of experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Abstract reasoning

A

Pondering a deeper meaning beyond the concrete and literal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Thought processes

A

The way the person thinks; the logical train of thought

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Thought content

A

what the person thinks, specific ideas, beliefs and use of words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

perception

A

an awareness of objects through the five senses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Flat affect (blunted affect)

A
  • lack of emotional response; no expression or feelings
  • voice monotone and face immobile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

inappropriate affect

A

discordant with content of person’s speech
(laughts wile discussing admission for liver biopsy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

flight of ideas

A

abrupt change, rapid skipping from topic to topic, practically continuouts flow of accelerated speech; topics usually have recognizable associations or are play on words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

word salad

A

incoherent mixture of words, phases and sentences; illogical, disconnected, includes neologisms

20
Q

confubulation

A

Fabricates events to fill in memory gaps

21
Q

mental status exam

A
  • Mental status is inferred by assessing a patient’s appearance, behaviors, cognition, & thoughts (ABCT)
  • Integrating the mental status examination into the health history is sufficient for most people.
  • Perform a full mental status examination when you discover any abnormality.
  • Anxiety or depression
  • Family Member concern (memory loss, inappropriate social interaction)
  • Bizarre behavior, concentration problems, inappropriate judgment
  • Aphasia
  • Symptoms of psychiatric mental illness
  • Areas that could affect your interpretations:
  • Illness or health problems (ex. alcohol use or chronic renal disease)
  • Current medications (ex. side effects could cause confusion or depression) Education and Behavioral level (what is their normal baseline?)
22
Q

posture

A

Expected findings- should be erect in relaxed position

Unexpected findings- sitting on edge of chair, or curled in bed, tense mm, frowning, restless pacing occur with anxiety and hyperthyrodism. sitting slumped in chair, slow walking, dragging feet

23
Q

body movements

A

expected =voluntary, deliberate, coordinated, smooth and even
Unexpected= restless, fidgety mvmt or hyperkinetic appearance occurs with anxiety
* * Apathy and psychomotor slowing occur with depression and dementia

24
Q

Dress

A

expected= appropriate for setting, season, age, gender

Unexpected= inappropriate dress can occur with organic brain syndrome

[Eccentric] dress= combination and bizzare makeup occur with schizophrenia or manic syndrome

25
Q

Grooming and hygine

A

Expected= The person is clean and well groomed; hair is neat and clean; women have moderate or no makeup; men are shaved, or beard or mustache is well groomed

**Unexpected **= unilateral neglect (total inattention to one side of the body) occurs following some strokes
–poor hygiene and grooming can occur with depression and severe alzherimer disease

26
Q

Pupils

A

note pupil size and reaction to light

unexpected
* dilated or constricted pupils may be a sign of recent drug use.
* unequal pupil size [anisoxoria] can be caused by a brain tumor

27
Q

Behavior
Level of Consciousness

A
  • The person is awake, alert and aware of stimuli from the environment and within the self and responds appropriately and reasonably soon to stimuli
  • Unexpected can occur when a person loses tract of convo, falls asleep, becomes lethargic & obunded (confused)
28
Q

Facial expression

A
  • The look is appropriate to the situation and changes appropriatley with the topic. There is comfortable eye contact unless precluded by cultural norm
  • unexpected expression can be flat, masklike which can occur with parkinsonism and depression
29
Q

speech

A
  • judge the quality of speech by noting that the person makes laryngeal sounds effortlessly and shares convo appropriately
  • Dysphonia is abnormal volume, pitch
  • Dysarthia is distored speech
30
Q

Mood and effect
Behavior

A

expected=Judge by the body language and facial expression and by asking “how do you feel today” or “how do you usually feel?” The mood should be appropriate to the persons place and condition and change appropriately with topics

31
Q

orientation
congnitive

A

you can discern orientation through the course of the interview by asking about the person’s address, phone number and health history. or ask for it directly

32
Q

Attention span

A

Check the person’s ability to concentrate by noting whether he or she completes a thought without wandering. note any distractibility or difficulty attending to you. Or give a series of direction to follow and note the correct sequence of behavhiors

unexpected= digression from inital thought. irrelevant replies to question & easily distracted

33
Q

recent memory

A

can the patient recall what they are in the last 24hr?

recent memory deficit= delirium, dementia, chronic alchoholism

34
Q

Remote memory

A
  • In the context of the interview, ask the person verifiable past events (ask to describe past health, first job, birthday and anniversary dates that are relevant)
  • Remote memory loss is lost when the cortical storage area for that memory is damaged (alzheimer dementia or ant disease that damages the cerebral cortex)
35
Q

New learning

A

Four words test- tests the person’s ability to lay down new memories.

… I am going to say four words. i want you to remember them. in a few minutes i will ask you to recall them accuracy of 3-4 words within 5-10 min is expected in those under 60.

  • people with Alzheimer dementia score a zero or one word recall.
  • impaired new learning ability also occurs with anxiety and depressio
36
Q

Thought process

A

Ask yourself, “Does this person make sense?” can i follow what the person is saying

  • illogical, unrealistic thought process. Digression from initial thought. ideas run together is unexpected
37
Q

Thought content

A

what the person says should be consisstent and logical

  • obessions, compulsions are unexpected
38
Q

perceptions

A
  • The person should be consistently aware of reality.
  • How do other people treat you?
  • do other people talk about you
  • Do you feel as if youre being watched, followed or controlled

–Illusions, hallucination are abnormal perceptions

39
Q

Mini-mental state examination

A
  • simplified scored assessment of cognitive fxns
  • includes a brief assessment of memory, orientation to time and place, naming, reading, copying or visual-spatial orientation
40
Q

Pediatric patients and mental status assessment

A
  • Focuses on the childs behavior, congiive and psychosocial development in coping with his or her environment
41
Q

denver II screening test

A
  • Allows direct interaction with the young child to assess the mental status
  • The A,B,C,T guidelines used for adults may be used for child and adolescents taking into account developmental milestones
42
Q

older adult mental status

A
  • check sensory status and correct deficits
  • The glasgow coma scale is a useful quantitative tool
  • Mini-cog- tests cognitive impairment in healthy older adults
43
Q

Depression scale

A
  • 5-9 minimal symptoms
  • 10-14 minor symptoms
  • 15-19 major depression, severe
44
Q

glasgow coma scale

A
  • score of 15= fully alert, normal person
  • score of <7= coma
  • can be plotted to see if patient is stable, improving or deteriorating
45
Q

Delirium

A
  • acute confusional state, potentially preventable in hospitalized persons characterized by disorientation, disordered thinking and perceptions, defective memory agitation
46
Q

dementia

A
  • chronic progressive loss of cognitive and intellectual functions, although perceptions and consciousness are intact. characterized by disorentation, impaired judgement, memory loss

HEALTH ASSESSMENT (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions