Mental Status Examination Flashcards
it is psychiatric equivalent to physical examination and should be done fully in a day to explore areas of pt’s mental fxning
Mental Status Examination
how many components are there in MSE
12 + 1 (work behviors)
Identify if the component can be gathered through observation of interview
- Appearance and Behavior
- Motor Activity
- Speech
- Mood
- Affect
- Observation
- Observation
- Observation
- Interview
- Observation
Identify the mood
“Okay naman ako” + masaya
Euthymic
Identify the mood
“OKAY NA OKAY AKO!!”
Elevated/Euphoric
Identify the mood
“Okay naman ako” + malungkot
Depressed
Identify the mood
Very sad
Dysphoria
mood that is always changing
Labile
Identify if full, constricted, blunted, flat
smiling + Happy
Full
Identify if full, constricted, blunted, flat
force smile + happy
constricted
Identify if full, constricted, blunted, flat
no smile
flat
Identify if full, constricted, blunted, flat
smiles that is not too obvious + happy
Blunted
Identify if the component can be gathered through observation of interview
- Thought Content
- Thought Process
- Perceptual Disturbances
- Sensorium and Cognition
- Abstract Reasoning
- Insight
- Judgement
- interview and observation
- observation
- interview and observation
- Sensorium- observed; Cognition- interview
- interview
- interview
- interview
what is the 13th component of MSE
attitude to self, others and work behaviors
observed
Parts of the Thought Content Component
Delusions
Preoccupations
Obsessions
Ideations
parts of the perceptual disturbances component
Hallucinations
Illusions
Hallucinatory gestures
parts of cognition component
Orientation of Date, Time, Place, Person, Situation
Memory
Concentration
type of memory where you ask patient to recall 3 objects
immediate recall
type of memory where you ask birthday, address
immediate memory
memory from yesterday
recent
how to test the client’s concentration
serial 7s, WORLD in backwards spelling
How to test the client’s abstract reasoning
ask pt to interpret a proverb
what is gathered in the insight component
to identify if the client is aware of their condition
Intellectual insight vs True emotional insight
intellectual insight- awareness of the disease
true emotional insight- aware and understands what can be done to alleviate condition
how to gather the pt’s judgment
Situational - what they will do
Social - what they will do in a situation with others
2 parts of the attitude towards self
self-confidence- trust in oneself (talk in front of everyone)
self-esteem appraisal of worth (3 things love/hate to self)
identify the appropriate MSE component
(+) thought control
thought content
identify the appropriate MSE component
(+) auditory hallucination
Perceptual disturbance
identify the appropriate MSE component
patient was noted to have body odor
appearance and behavior
identify the appropriate MSE component
fleeting eye contact all throughout the session
appearance and behavior
identify the appropriate MSE component
“i dont know why i am here:
insight
identify the appropriate MSE component
Pt. used neologisms from time to time.
speech
identify the appropriate MSE component
“Masaya naman ako ngayon”
mood
identify the appropriate MSE component
“Hindi ko alam kung nasaan ako ngayon”
cognition
identify the appropriate MSE component
Patient was laughing while staring at an empty space.
perceptual disturbances
identify the appropriate MSE component
Pt. was uncooperative and often turns off his camera.
attitude towards others
identify the appropriate MSE component
Poor recent memory
sensorium and cognition
identify the appropriate MSE component
Pt. frequently spoke about Quiboloy.
thought content
identify the appropriate MSE component
Pt. expressed intent to hurt her mother-in-law.
thought content
identify the appropriate MSE component
“Naamoy ko palagi ‘yung paboritong pabango ng nanay ko.”
perceptual disturbances
identify the appropriate MSE component
Patient kept his right hand raised all throughout the session
motor activity
