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Clinical Psych Midterms 2024 > Mental Status Exam > Flashcards

Mental Status Exam Flashcards

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1
Q

(Patient at rest)
- Age/gender, younger/older than stated age, body habitus, type of clothing, hygiene (e.g., smelling of alcohol, urine, feces, cigarette smoke, etc.), grooming, physical abnormalities (e.g., pupil size, bruises, needle marks/tracks, cuts, teeth, etc.), tattoos, body piercings

A

General Appearance

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2
Q

(Patient in action)
- Posture, eye contact, mannerisms, tics, activity level, psychomotor retardation/activation.

A

Behavior

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3
Q

Inner restlessness with inability to stay still.

A

Akathisia

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4
Q

Spontaneous verbal or motor behavior without patient awareness.

A

Automatism

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5
Q

Extreme motor inactivity or hyperactivity.

A

Catatonia

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6
Q

Involuntary combination of chorea (irregular migrating contractions) and athetosis (twisting/writhing).

A

Choreoathetosis

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7
Q

Twisting/repetitive movement or abnormal fixed posturing.

A

Dystonia

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8
Q

Unintentional, rhythmic, oscillatory movement.

A

Tremor

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9
Q

(Patient interaction)
- Cooperative/uncooperative, seductive, flattering, charming, eager to please, entitled, controlling, hostile, guarded, critical, antagonistic, childish

A

Attitude

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10
Q

Patient reported emotional tone in quotations. Equivalent of chief complaint.

A

Mood

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11
Q

Physical expression of a person’s immediate feeling state, typically focusing on facial expression

A

Affect

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12
Q

Normal display of emotion.

A

Euthymic

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13
Q

Intense display of emotion.

A

Hyperthymic

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14
Q

In ​an excited state of intense happiness.

A

Elevated / Euphoric

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15
Q

In a profound state of unease or dissatisfaction.

A

Dysphoric

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16
Q

Easily annoyed or angry.

A

Irritable

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17
Q

Feeling worried or nervous, ​typically over an uncertain future outcome.

A

Anxious

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18
Q

Depth and range of feelings shown.
- Intense > Full > Constricted > Blunted > Flat

A

Quality / Range

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19
Q

Shifting of emotional states.
- Labile > Supple/Stable > Sluggish

A

Motility

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20
Q

Appropriate or not appropriate.

A

Appropriateness to content​

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21
Q

Rate, rhythm, articulation

A

Speech

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22
Q

Pressured > Rapid > Regular > Slowed
Pressured speech: Rapid, frenzied speech driven by an internal sense of urgency.

A

Rate

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23
Q

Prosody, cadence, latency (pauses before speaking), spontaneity (ability to make small talk)

A

Rhythm

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24
Q

Dysarthria, stuttering
Accent/dialect, tone, volume/modulation (loudness/softness)

A

Articulation

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25
Q

A mechanical dysfunction with speech.

A

Dysarthria

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26
Q

Meaningless repetition of another person’s spoken words.

A

Echolalia

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27
Q

Making up of new words.

A

Neologism

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28
Q

Groupings of words (usually rhyming), based on similar-sounding sounds, regardless of logical grouping.

A

Clang associations

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29
Q

Goal-directed/logical, Circumstantial, Tangential, Loosening of associations, Flight of ideas, Perseveration, Thought blocking

A

Thought Process

30
Q

Linear progression of thought without veering from subject at hand.

A

Goal-directed/logical

31
Q

Inability to answer a question without giving excessive, unnecessary detail. Does eventually return to the original point.

A

Circumstantial

32
Q

Wandering from the topic and never returning to it or providing the information requested.

A

Tangential

33
Q

Incoherent slippage of ideas further and further from point of discussion.

A

Loosening of associations

34
Q

Rapid shift from one topic to another.

A

Flight of ideas

35
Q

Repetition of a particular response (e.g., word or phrase), regardless of the absence or cessation of a stimulus.

A

Perseveration

36
Q

Abrupt cessation of speech without explanation in the middle of a sentence

A

Thought blocking

37
Q

Poverty of thought, Overabundance of thought, Delusions, Depersonalization, Derealization, Illusion, Hallucination, Obsession & Compulsion, Phobia, Suicidal & Homicidal ideations

A

Thought content

38
Q

A global reduction in the quantity of thought.

A

Poverty of thought

39
Q

A global increase in the quantity of thought.

A

Overabundance of thought

40
Q

Fixed, false beliefs that do not change even when presented with evidence counter to them, and are outside of cultural, societal or religious norms.

A

Delusions

41
Q

Delusion that one’s bodily function, sensation or appearance is abnormal.

A

Somatic delusion

42
Q

Delusion of possessing superior qualities such as fame, wealth or supernatural powers.

A

Delusion of grandeur

43
Q

Delusion of mistreatment, usually persecution (e.g., being spoken about behind one’s back, “people are out to get me”).

A

Paranoid delusion

44
Q

Delusion ​where an otherwise insignificant event is misconstrued as having special significance specifically to oneself.

A

Delusion of reference

45
Q

Delusion ​where one believes one’s thoughts to be externally placed from an outside party.

A

Delusion of thought insertion

46
Q

Delusion ​where one believes one is being controlled by an outside party or parties, and self-control is lost.

A

Delusion of thought control

47
Q

Delusion ​where one’s thoughts are made known to everyone in the outside world.

A

Delusion of thought broadcasting

48
Q

Delusion where one believes that prominent figures or superstars are in love with or in a relationship with oneself, when that is not the case in reality.

A

Erotomanic delusion

49
Q

Delusion where one believes that nothing is real. This is in contrast to derealization or depersonalization, which have more to do with an altered reality, not the lack of it.

A

Nihilistic delusion

50
Q

Loss of all sense of identity, wherein one’s thoughts and feelings are no longer felt to be one’s own.

A

Depersonalization

51
Q

A change in the perception or experience of the external world to where it feels unrealistic.

A

Derealization

52
Q

A misinterpretation of existing stimuli.

A

Illusion

53
Q

A perception perceived in the absence of any existing stimuli.

A

Hallucination

54
Q

A hallucination experienced before falling asleep.

A

Hypnagogic hallucination

55
Q

A hallucination experienced upon waking up from sleep.

A

Hypnopompic hallucination

56
Q

Repeated intrusive and unwanted thoughts, images or urges.

A

Obsession

57
Q

Repetitive behavior or mental acts in response to obsessions.

A

Compulsion

58
Q

Persistent fear or an object or situation.

A

Phobia

59
Q

Thoughts of, or preoccupation with, suicide.

A

Suicidal ideation

60
Q

Thoughts of, or preoccupation with, homicide.

A

Homicidal ideation

61
Q

Awareness/understanding of situation, illness and available choices
- Full > Partial/limited > None

A

Insight

62
Q

Patient’s decision-making ability (based on HPI and recent behavior)
- Excellent > Good > Fair > Poor

A

Judgement

63
Q

General consciousness, Orientation, Attention, Language, Calculation, Right hemisphere, Abstraction, Memory, Praxis

A

Cognition

64
Q

Alert > drowsy > lethargic > stuporous > comatose

A

General consciousness

65
Q

x4 (person, time, place, situation)

A

Orientation

66
Q

WORLD backwards, serial 7s from 100

A

Attention

67
Q

Name objects, repeat words/sentences

A

Language

68
Q

Ability to add/subtract

A

Calculation

69
Q

Intersecting pentagons, clock-face

A

Right hemisphere

70
Q

Explain similarities between objects, understand simple proverbs

A

Abstraction

71
Q

Immediate (repeat after me), short-term (what were the words?)

A

Memory

72
Q

Engage, applying, exercising, realizing or practising ideas

A

Praxis

Clinical Psych Midterms 2024 (3 decks)

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