Mental Status Examination Flashcards

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1
Q

it is psychiatric equivalent to physical examination and should be done fully in a day to explore areas of pt’s mental fxning

A

Mental Status Examination

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2
Q

how many components are there in MSE

A

12 + 1 (work behviors)

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3
Q

Identify if the component can be gathered through observation of interview

  1. Appearance and Behavior
  2. Motor Activity
  3. Speech
  4. Mood
  5. Affect
A
  1. Observation
  2. Observation
  3. Observation
  4. Interview
  5. Observation
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4
Q

Identify the mood

“Okay naman ako” + masaya

A

Euthymic

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5
Q

Identify the mood

“OKAY NA OKAY AKO!!”

A

Elevated/Euphoric

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6
Q

Identify the mood

“Okay naman ako” + malungkot

A

Depressed

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7
Q

Identify the mood

Very sad

A

Dysphoria

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8
Q

mood that is always changing

A

Labile

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9
Q

Identify if full, constricted, blunted, flat

smiling + Happy

A

Full

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10
Q

Identify if full, constricted, blunted, flat

force smile + happy

A

constricted

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11
Q

Identify if full, constricted, blunted, flat

no smile

A

flat

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12
Q

Identify if full, constricted, blunted, flat

smiles that is not too obvious + happy

A

Blunted

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13
Q

Identify if the component can be gathered through observation of interview

  1. Thought Content
  2. Thought Process
  3. Perceptual Disturbances
  4. Sensorium and Cognition
  5. Abstract Reasoning
  6. Insight
  7. Judgement
A
  1. interview and observation
  2. observation
  3. interview and observation
  4. Sensorium- observed; Cognition- interview
  5. interview
  6. interview
  7. interview
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14
Q

what is the 13th component of MSE

A

attitude to self, others and work behaviors

observed

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15
Q

Parts of the Thought Content Component

A

Delusions
Preoccupations
Obsessions
Ideations

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16
Q

parts of the perceptual disturbances component

A

Hallucinations
Illusions
Hallucinatory gestures

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17
Q

parts of cognition component

A

Orientation of Date, Time, Place, Person, Situation
Memory
Concentration

18
Q

type of memory where you ask patient to recall 3 objects

A

immediate recall

19
Q

type of memory where you ask birthday, address

A

immediate memory

20
Q

memory from yesterday

A

recent

21
Q

how to test the client’s concentration

A

serial 7s, WORLD in backwards spelling

22
Q

How to test the client’s abstract reasoning

A

ask pt to interpret a proverb

23
Q

what is gathered in the insight component

A

to identify if the client is aware of their condition

24
Q

Intellectual insight vs True emotional insight

A

intellectual insight- awareness of the disease

true emotional insight- aware and understands what can be done to alleviate condition

25
Q

how to gather the pt’s judgment

A

Situational - what they will do

Social - what they will do in a situation with others

26
Q

2 parts of the attitude towards self

A

self-confidence- trust in oneself (talk in front of everyone)
self-esteem appraisal of worth (3 things love/hate to self)

27
Q

identify the appropriate MSE component

(+) thought control

A

thought content

28
Q

identify the appropriate MSE component

(+) auditory hallucination

A

Perceptual disturbance

29
Q

identify the appropriate MSE component

patient was noted to have body odor

A

appearance and behavior

30
Q

identify the appropriate MSE component

fleeting eye contact all throughout the session

A

appearance and behavior

31
Q

identify the appropriate MSE component

“i dont know why i am here:

A

insight

32
Q

identify the appropriate MSE component

Pt. used neologisms from time to time.

A

speech

33
Q

identify the appropriate MSE component

“Masaya naman ako ngayon”

A

mood

34
Q

identify the appropriate MSE component

“Hindi ko alam kung nasaan ako ngayon”

A

cognition

35
Q

identify the appropriate MSE component

Patient was laughing while staring at an empty space.

A

perceptual disturbances

36
Q

identify the appropriate MSE component

Pt. was uncooperative and often turns off his camera.

A

attitude towards others

37
Q

identify the appropriate MSE component

Poor recent memory

A

sensorium and cognition

38
Q

identify the appropriate MSE component

Pt. frequently spoke about Quiboloy.

A

thought content

39
Q

identify the appropriate MSE component

Pt. expressed intent to hurt her mother-in-law.

A

thought content

40
Q

identify the appropriate MSE component

“Naamoy ko palagi ‘yung paboritong pabango ng nanay ko.”

A

perceptual disturbances

41
Q

identify the appropriate MSE component

Patient kept his right hand raised all throughout the session

A

motor activity