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Block 8 Week 1 > Mental Status Exam- Gardner > Flashcards

Mental Status Exam- Gardner Flashcards

1
Q

The (blank) is the psychological equivalent of a physical exam

A

Mental Status Exam (MSE)

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2
Q

What does the mental status exam tell us?

A

describe the mental state and behaviors of the person being seen

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3
Q

What does the MSE include?

A

both objective observations of the clinician and subjective descriptions given bby the patient

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4
Q

What all does the MSE provide info about?

A

the diagnosis, the assessment, response to treatment

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5
Q

A mental status exam provides a snap shot at a (blank)

A

point in time

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6
Q

To properly assess the MSE information about the patients history is needed including (blank, blank and blank) because you need to ascertain what is normal for the patient

A

education, cultural, social factors

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7
Q

The mental status exam is broken into 8 parts, what are they?

A 
observation
Mood
Perceptions
Thought Content
THought Process
Behavior
Insight
Judgement
Cognition
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8
Q

How do you check speech?

A

rate, rhythm, volume

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9
Q

What are the ways to describe eye contact?

A

good, appropriate, intermittant, poor, intense

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10
Q

What is akathesia?

A

Cant stop moving feet

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11
Q

What does euthymic mean?

A

normal mood

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12
Q

Is mood reported by the clinican or patient?

A

patient

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13
Q

What are you looking for when asking about perceptions?

A

normal- no auditory or visual hallucinations

Abnormal-preoccupations, illusions, ideas of referenece, derealization, hallucinations

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14
Q

What are the abnormal thought contents? What do you ask about?

A

Suicidal ideation
Homicidal ideation
Delusions
-passive, present, future tense

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15
Q

What are you looking for in Thought process?

A

how they are thinking… NOrmal (tight, linear)
Abnormal (not clear, organized or coherent…circumstantial (circling), tangential (telling a story and you never get there))

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16
Q

What is the folstein mini-menta state exam?

A

it is part of the MSE exam that is specifically for cognition

17
Q

What is insight?

A

Awareness of one’s own ilness and/or situations

18
Q

What are all the components of observation?

A
  • appearance
  • speech
  • eye contact
  • motor activity
  • affect
19
Q

WHat are the rhythms of speech?

A

articulation, prosody, dysarthria, monotone, slurred

20
Q

What is affect?

A

the emotional state the CLINICIAN observes

21
Q

What are the different types of affect?

A

Euthymic (normal mood)
Dysphoric (depressed, irritable, angry)
Euphoric (elevated, elated)
Anxious

22
Q

What is the range of affect?

A

Full (normal) vs. Restricted
Blunted or flat
labile

23
Q

What does congruency tell us?

A

whether the affect matches the mood

24
Q

How do you describe someone who is unstable?

A

labile

25
Q

How does a mood get reported?

A

by the patient- dependent on his/her emotional state

26
Q

What are the ways you can classify ideations?

A

active, passive, plan, intent

27
Q

What are circumstantial thought processes?

What are tangential thought processes?

A

talk in circles

never get to the point

28
Q

(blank) is the ability to anticipate the consequences of one’s behavior and make decisions to safeguard his/her well being and that of others

A

Judgement

29
Q

How do you describe judgement and insight?

A

good-fair-poor

30
Q

How do you asses level of consicousness?

A
  • orientation
  • memory
  • attention
31
Q

How do you determine orientation?

A

time, place, person

descrip: alert and oriented X 3

32
Q

How do you assess attention and concentration?

A

ability to focus

sustain and approp. shift mental attention (serial ‘s. WORLD backward)

33
Q

How do you test memory?

A

Give three words, check back later

34
Q

How do you check abstraction?

A

have them explain a proverb

35
Q

What is the folstein mini-mental state exam?

A

30 item screening tool, useful for documenting serial cognitive changes and cognitive impairment

36
Q

What do you document with the MMSE?

A

you document the total score and the items missed on the MMSE

37
Q

What are all tested on the MMSE?

A
  • Orientation
  • Registration
  • Attention and Calculation
  • Recall
  • Language

Block 8 Week 1 (13 decks)

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