Mental Status and Behavoir

Question 1

A reliable hx can be impaired by what

Answer 1

LOC, attention, comprehension of words, impaired speech

Question 2

Patients who should get mental status exam

Answer 2

medically unexplained physical sx
multiple physical or somatic sx
disproportionately high severity of the presenting complaint
chronic pain
hx of difficult encounters
recent significant stress
low self rating of health
high use of healthcare services
substance abuse

Question 3

5 general categories to asses a person’s appearance and behavoir

Answer 3

LOC
Posture and motor behavoir
Dress, grooming, and personal hygiene
Facial expression
Manner, affect, and relationship to persons and things

Question 4

Glasgoq coma scale general categories and ratings

Answer 4

rates eye opening, verbal response, and motor response

best score is 15, lowest score is 3

Question 5

What is the difference between aphasia, circumlocutions, paraphasias, and neologism

Answer 5

aphasia- disorder or reception or expression of speech
circumlocutions-phrase substituted for a word that can’t be recalled
paraphasias-malformed, wrong, invented words that are close to the one you want
neologisms-made up words

Question 6

How to test for aphasia

Answer 6

word comprehension (reception): follow 2 stage command
repetition (expression) “no ifs, ands, or buts”
naming: name parts of a watch
reading comp: reads a command then follows it
writing: write a sentence

Question 7

Difference between Wernicke’s area and Broca’s area

Answer 7

W: post. sup. temporal lobe shows paraphasias and neologisms
B: post. inf. frontal lobe, has difficulty writing words but can understand them

Question 8

Basic cognitive functions

Answer 8

orientation, attention, remote memory, recent memory, and new learning ability

Question 9

Higher cognitive functions

Answer 9

info and vocab, calculating ability, abstract thinking, proverbs, similarities, constructional ability

Question 10

What is remote memory

Answer 10

oldest form of memory
birthdays, anniversarys, schools attended, jobs
may be impaired in late dementia

Question 11

What is recent memory

Answer 11

events of the day like weather, what they had for breakfast

imparired in early dementia and delirium

Question 12

What is new learning ability

Answer 12

may be impaired in dementia, delirium ,and can be affected by depression or anxiety

Question 13

mini-mental status exam

Answer 13

Orientation (what is the and where are we questions)
Registration (name 3 objects)
Attention and calculation (Serial sevens, spell WORLD backwards)
Recall (repeat those 3 objects)
Language (point to object, repeat phrase, follow 3 step command, read and obey, write a sentence, copy pentagon picture)