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Semester 2 PM Exam 1 > Mental Status > Flashcards

Mental Status Flashcards

1
Q

importance of checking cognition

A
  1. informed consent
  2. collaboration
  3. screenings (sys rev)
  4. Diff DX
  5. Plan of care (education)
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2
Q

Indications for mental status exam

A
  1. brain lesion
  2. febrile (fever)
  3. headaches
  4. seizures
  5. vague bx complaints
  6. significant bx changes
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3
Q

ABCT

A

Appearance
Behavior
Cognition
Thought processes

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4
Q

Appearance examine…

A
  1. General appearance
  2. Personal cleanliness
  3. Habits of dress
  4. Motor activity
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5
Q

Behavior

A

levels of consciousness

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6
Q

Alert

A

awake and fully aware of normal external and internal stimuli

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7
Q

Lethargy

A

decreased spontaneous movements and responses; easy arousal with normal sounds or touch

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8
Q

Obtundation

A

Difficult to arouse; inconsistent and poor response to normal sound and touch

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9
Q

Stupor

A

Responds to only vigorous and persistent stimulus (when stop will go back into coma like state)
Semi-coma

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10
Q

Coma

A

complete non-responsive state

May have some non-purposeful motion associated with light coma

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11
Q

Purposeful movement

A

in response to a stimulus

None of this in coma

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12
Q

Describing level of consciousness

A
  1. stimulus needed to arouse patient
  2. Patient’s highest level of response (what did they do)
  3. What occurs when stimulus is withdrawn
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13
Q

Glasgow Coma Scale

A 
Formal test for evaluating coma - gives quantitative data
Best eye opening (1-4)
Best verbal response (1-5)
Best motor response (1-6)
15 is normal, 7 or less - coma
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14
Q

Cognitive Functions

A

Attention
Concentration
Orientation
Memory

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15
Q

Attention

A

Ability to attend to a specific stimulus without being distracted by other things

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16
Q

Concentration

A

Ability to sustain attention over an extended period of time

17
Q

Orientation

A

Person (3rd)
Place (2nd)
Time (1st)

18
Q

Memory

A

Stored experiences and emotions

Long term vs. Recent

19
Q

Higher order cognitive functions

A
  1. Abstract thought
  2. Judgment
  3. Problem Solving
  4. Calculations
  5. Interpretation of visual information
20
Q

Thought Processes Concerns

A
  1. Obsession
  2. Delusion
  3. Confabulation
  4. Loosening Associations
21
Q

Thought Processes

A

Integration of sensory information into meaningful interpretation

22
Q

Mood

A

Subjective
Range - Depressed to Elated
Labile - quickly changing, unstable

23
Q

Affect

A

Observable
Full/broad to blunted/flat
Congruent vs incongruent

24
Q

Mini Mental Exam

A

Screening tool only
Reliability/validity issues
Max of 30
score

25
Q

Sociocultural issues

A

primary language
cultural background
economic background

Semester 2 PM Exam 1 (7 decks)

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