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Psych > Mental Status Exam > Flashcards

Mental Status Exam Flashcards

1
Q

What is the MSE?

A
  • Psychiatric equivalent to physical examination
  • Description of patient’s appearance, speech, actions, and thoughts during the interview
  • Changes day to day and even hour to hour
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2
Q

Goals of MSE

A
  • Gather baseline
  • identify actual and potential problems
  • assist team in making accurate diagnosis
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3
Q

Components of MSE

A
  • Appearance and Behavior
  • Motor Activity
  • Speech
  • Mood/affect
  • Thought content/process
  • Cognition
  • Perceptual disturbances
  • Abstract reasoning
  • Insight and Judgment
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4
Q

Appearance and Behavior

A
  • General description of how the patient looks and behaves during interview
  • Hygiene
  • Eye contact
  • Dress/grooming
  • Posture
  • Height/Weight
  • Age and appearance congruent
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5
Q

Motor Activity

A
  • Tremors
  • Tics
  • Mannerisms and gestures
  • Hyperactivity/psychomotor retardation
  • Restless/agitation
  • Gait
  • Echopraxia
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6
Q

Speech

A
  • Tone
  • Rate: slow or pressured
  • Volume
  • Aphasia
  • fluency
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7
Q

Mood

A
  • Patient’s internal and sustained emotional state
  • Subjective
  • Record in patient’s words
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8
Q

Affect

A
  • emotional reaction associated with an experience
  • Expression of mood or what the patient’s mood appears to be to clinician
  • congruent/incongruent
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9
Q

Thought Content

A
  • Delusions
  • Suicidality
  • Homicidality
  • Obsessions
  • Paranoia
  • Magical thinking
  • Phobia
  • Religiosity
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10
Q

Thought Process

A
  • Flight of Ideas
  • Echolalia
  • perservation
  • word salad
  • neologisms
  • Tangentiality/circumstantiality
  • concrete thinking
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11
Q

Perceptual Disturbances

A
  • Hallucinations: auditory, tactile, gustatory, visual, olfactory
  • De-realization
  • Depersonalization
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12
Q

Cognition

A
  • Alertness
  • Orientation
  • Concentration
  • Memory
  • Calculation
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13
Q

Abstract Reasoning

A
  • ability to shift back and forth between general concepts and specific examples
  • cultural and educational limitations should be kept in mind
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14
Q

Insight and Judgment

A
  • Ability to solve problems and make decisions
  • knowledge about self
  • adaptive/maladaptive use of coping mechanisms
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15
Q

Mini Mental Status Exam

A
  • Focus on cognitive aspect of mental functioning
  • used to track changes in cognitive state
  • usually administered during initial evaluation
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16
Q

MSE Scoring

A

10-0: Severe Cognitive Impairment
11-20: Mild Cognitive Impairment
21-30: Normal

17
Q

Psychosocial assessment

A
  • Identifications
  • Recent Stressors
  • Medications
  • History of Psychiatric Treatment
  • Strengths
  • Substance use/dependence
  • Quality of support systems
  • Presence and history of suicidal/homicidal ideation
  • present and past coping skills
  • spiritual and cultural needs
  • legal and occupational history

Psych (8 decks)

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