Mental Status Assessment Flashcards
why is gathering correct information about the client’s mental status essential
it is essential to the development of an appropriate plan of care
what is the first component of the mental status assessment
identifying data
what is comprised in the identifying data section
name, gender, age, race, occupation, education, significant other, living arrangements, religion, allergies, diet, CC, medical diagnosis
what comprises the appearance section
grooming, hygiene, posture, stated age, hair color/texture, skin
what is ataxia
loss of full control of bodily movements
what comprises the motor activity section
psychomotor retardation, aggressive, agitated, akathesia, restless, slow, tics, tremors, mannerisms, gestures, rigidity, hyperactive, gait pattern, full ROM, echopraxia
movement disorder characterized by a feeling of inner restlessness and inability to stay still
akathesia
meaningless repetition or imitation of the movements of others (mimicking actions of others)
echopraxia
what comprises the behavior section
strikes out, suspicious, agitated, cooperative, hostile, friendly, guarded, defensive
difficult or unclear articulation of speech that is otherwise linguistically normal.
dysarthria
loss of ability to understand or express speech
aphasia
what comprises speech pattern
clear, disorganized, dysarthria, aphasia, loud, intonation, pressured, rapid, slow, soft, stuttering/lisp
making up words
neologisms
what is affect
the emotion expressed on face
is it congruent with mood?
blunted, constricted, flat, appropriate?
what is comprised of orientation
person, place, situation, month/day/year
verbalizations are continuous and rapid and flow from one to another
flight of ideas
verbalizations shift from one unrelated topic to another
associative looseness
verbalizations are lengthy and tedious and delayed in reaching the intended point
circumstantiality
verbalizaitons that are lengthy and tedious and never reach an intended point
tangentiality
the individual is making up nonsensical sounding words which have meaning only to him or her
neologisms
thinking is literal, elemental
absence of ability to think abstractly
unable to translate proverbs
concrete thinking
speaking in puns or rhymes
using words that sound alike but have different meanings
clang associations
using a mixture of words that have no meaning together
sounding incoherent
word salad
persistently repeating the last word of a sentence spoken to the client
preservation
persistently repeating what another person says
echolalia
does not speak
either cannot or will not
mutisim
speaks very little
may respond in monosyllables
poverty of speech
what is content of thought comprised of
delusions, suicidal or homicidal thoughts, paranoia, magical thinking, religiosity, phobias, poverty of content
does the person have unrealistic ideas or beliefs
delusions
a belief that someone is out to get him in some way
persecutory
idea that he is all powerful or of great importance
grandiose
an idea that whatever is happening in the environment is about him
reference
a belief that his behavior or thoughts are being controlled by external forces
control or influence
belief that he has a dysfunctional body part
somatic
belief that he, a part of the body, or even the world does not exist or has been destroyed
nihilistic
what are the components of delusions
persecutory, grandiose, reference, control, somatic, nihilistic
is the person experiencing unrealistic sensory perceptions
hallucinations
what is comprised of hallucinations
auditory, gustatory, olfactory, tactile, visual, command, illusions, none
what are the levels of consciousness
alert
hyper alert
lethargic
sleepy
