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Health Assessment > Mental Status Assessment (Chapter 5) > Flashcards

Mental Status Assessment (Chapter 5) Flashcards

1
Q

mental status is

A

persons emotional and cognitive functioning

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2
Q

optimal functioning of mental health aims toward simultaneous

A

life satisfaction in work, caring relationships and within self

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3
Q

usually mental health strikes a balance, allowing a person to function

A

socially and occupationally

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4
Q

what is a mental disorder

A

situation when a person has a response that is much greater than expected and is characterize by a significant behavioral or psychological pattern, that is associated by distress

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5
Q

what are mental disorders etiology

A

organic
psychiatric

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6
Q

when do we need to do a complete mental status exam

A

recent trauma resulting with a change in memory
report of decline in cognitive ability
when the patient requires a thorough exam of emotional and cognitive functioning

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7
Q

what are the 4 components of a mental status exam

A

appearance
behavior
cognition
thought processes and perceptions

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8
Q

what are some of the components of the mental status exam

A

consciousness
language
mood and affect
orientation
attention
memory
abstract reasoning
thought process
thought content
perceptions

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9
Q

what is included in appearance (general survey)

A

body movements
dress
grooming
hygiene

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10
Q

what is included in behavior (general survey)

A

level of consciousness
facial expression
speech
mood and affect

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11
Q

what is included in cognitive functioning (general survey)

A

orientation
attention span
recent memory
new learning (4 unrelated words)

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12
Q

what is included in thought processes (general survey)

A

thought content (what they say is consistent and logical)
perceptions (person should be consistently aware of reality)
suicidal thoughts

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13
Q

what are some examples of abnormal findings of appearance

A

grabbing something in pain
pacing

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14
Q

abnormal findings for behaviors

A

non responsive
in and out consciousness
laughing in inappropriate conversations

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15
Q

abnormal findings for thought processes and perceptions

A

think they are the president or its 1950
suicidal thoughts: anyone can do screening

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16
Q

what suicidal individual is at high risk

A

patients who have a plan

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17
Q

we want to avoid

A

sterotyping

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18
Q

difference between cognitive function and consciousness

A

cognition involves mental processes and propositional attitudes, such as knowledge, belief, and desire; consciousness is awareness of oneself and one’s surroundings.

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19
Q

sundown syndrome

A

a state of confusion occurring in the late afternoon and lasting into the night

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20
Q

dementia

A

multiple cognitive deficits
chronic disturbance of consciousness and cognition
long and shirt term memory loss with short term more pronounced
disturbances in executive functioning
speech and language
irreversible

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21
Q

delirium

A

acute disturbance of consciousness and cognition (develops over short period of time)
medical conditions preclude this condition
no history of dementia
may develop in addition to deminata during period of hospitalization
reversible

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22
Q

dementia is ______________ disturbance of consciousness and cognition

A

chronic

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23
Q

delirium is _____________ disturbance of consciousness and cognition

A

acute

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24
Q

dementia has ___________ cognitive deficits

A

multiple

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25
Q

dementia has what kind of memory loss

A

long and short term

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26
Q

what is special about dementia short term memory loss

A

more pronounced

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27
Q

what may preclude delirium

A

medical conditions

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28
Q

delirium develops over __________ period of time

A

short

29
Q

dementia can affect the

A

speech and language

30
Q

delirium may develop in addition ton dementia during

A

period of hospitalization

31
Q

is dementia reversible or irreversible

A

irreversible

32
Q

is delirium reversible or irreversible

A

reversible

33
Q

when we have a patient with delirium due to hospital setting how might they act when they return home

A

become more alert and back to normal status

34
Q

what does cognitive impairment look like

A

clouding of consciousness
impaired alertness
impaired memory (recent most common)
disoriented, language impairment
hallucinations
increased confusion at night (sundown)
agitation

35
Q

glasgow coma scale determines

A

consciousness

36
Q

levels of consciousness

A

alert
lethargic
obtunded
stupor/semi coma
coma

37
Q

sedation scale S-4
S

A

asleep, easy to arouse

38
Q

sedation scale S-4
1

A

awake and alert

39
Q

sedation scale S-4
2

A

slightly drowsy, easily aroused

40
Q

sedation scale S-4
3

A

frequently drowsy, arousable, drifts off to sleep during conversation

41
Q

sedation scale S-4
43

A

somnolent, minimal or no response to physical stimulation

42
Q

glasgow coma scale measures

A

best motor, verbal and eye response

43
Q

glasgow coma scale is _____________ in nature

A

quantitative

44
Q

glasgow coma scale below what denotes coma

A

8

45
Q

highest glasgow coma scale

A

15

46
Q

TIA

A

transischemic stroke

47
Q

aphasia

A

difficulty speaking

48
Q

3 types of aphasia

A

global
broca or expressive aphasia
wernicke or receptive aphasia

49
Q

what is the most common type of aphasia

A

global

50
Q

what type of aphasia is the most severe

A

global

51
Q

global aphasia is caused by

A

large lesion that affects anterior and posterior language areas

52
Q

how would a patient with global aphasia would present

A

speech is absent or only a few words
no comprehension
can’t repeat, write or read

53
Q

are people with brocas/expressive aphasia able to understand

A

yes

54
Q

are people with brocas/expressive aphasia able to express self using language

A

no

55
Q

where is the leison brocas/expressive aphasia

A

motor cortex of the anterior portion of the brain (contains brocas area)

56
Q

are people with brocas/expressive aphasia able to repeat or read aloud

A

no

57
Q

are people with brocas/expressive aphasia auditory and reading comprehension intact

A

yes

58
Q

what is the opposite of Broca aphasia

A

wernicke/receptive

59
Q

where is the lesion for wernicke/receptive aphasia

A

posterior area of language center

60
Q

are people with wernicke/receptive aphasia able to hear sounds

A

yes but they cannot relate to them

61
Q

how would someone with wernicke/receptive aphasia talk

A

speech is fluent
patient has a great urge to speak
words are made up and frequented with word substitutions, result is incomprehensible speech

62
Q

people with wernicke/receptive aphasia have imapired

A

repetition, reading, writing

63
Q

how do we communicate with patients with broca/expressive aphasia

A

speak clearly
books on tape
picture board
written words
yes/no questions
email

64
Q

how do we communicate with patients with wernicke/receptive aphasia

A

picture board
don’t keep talking and repeating
don’t write, can’t read
use gestures to help with understanding

65
Q

always check what before doing a mental status assessment

A

sensory status (vision and hearing)

66
Q

in the older adult what is slower

A

response time

67
Q

we need to plan teaching at what pace for the older adult

A

slow pace

68
Q

for the aging adult we need to consider if the person had multiple losses why?

A

because we do not want to be mid explanation/teaching and the patient does not have hearing aid or glassess

69
Q

a major characteristic of dementia is
A. impairment of short and long term memory
B. Hallucinations
C. Sudden onset of symptoms
D. Substance-induced

A

impairment of short and long term memory

Health Assessment (20 decks)

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