Mental Status Exam Flashcards
1
Q
What to look at in mental status exam
A
Appearance Attitude toward examiner Mood Affect Speech Thought process Thought content Insight Judgment Impulsivity Reliability
2
Q
Appearance
A
Posture and if changed, motor activity Dress Grooming Nervousness Eye contact
3
Q
Attitude
A
Facial expressions Interested or bored Hostile Defensive Friendly Cooperative Guarded Relaxed Uncomfortable
4
Q
Mood
A
Sustained emotion Reactive Not reactive Depressed Anxious Good Tired Stable vs unstable
5
Q
Affect
A
Expansive Euthymic- normal Constricted Blunted Flat - no variation Also congruent or not with content being expressed
6
Q
Speech
A
Quality Quantity Speed Raised voice Short va long answers
7
Q
Thought process
A
Looseness of association/irrelevance Flight of ideas- change topics, racing, tangential, circumstantial- vagueness Word salad- nonsensical Clanging-rhyming Punning-talk in riddles Thought blocking Poverty- limited content
8
Q
Thought content
A
Hallucinations Obsession compulsion Phobia Suicidal ideation Homicidal Sensorium Language Comprehension Consciousness Orientation Concentration/ attention Memory Abstract thought General fund of knowledge Intelligence
9
Q
Insight
A
Insight into illness
Do you need help?
Do you believe feelings are normal?
10
Q
Judgement
A
What would you do if?
11
Q
Impulsivity
A
Doing things without thinking
12
Q
Reliability
A
Needs collateral info
Pay reliable or unreliable
