Mental Status Examination

Question 1

components of mental status exam

Answer 1

arousal
orientation
memory
attention span
concentration span

Question 2

refers to pt’s level of consciousness

Answer 2

arousal

Question 3

no response to any kind of stimuli and no sleep wake cycle

Answer 3

coma or deep coma

Question 4

responds to constant painful stimuli

Answer 4

stupor or semi coma

Question 5

responds to constant stimulation of loud voices and painful stimuli

Answer 5

obtunded

Question 6

sleeps when not stimulated; pt is drowsy and inattentive

Answer 6

lethargic

Question 7

pt is aware of environment

Answer 7

alert

Question 8

rank levels of consciousness from least to most

Answer 8

coma - stupor - obtunded - lethargic - alert

Question 9

differentiate vegetative state from coma

Answer 9

veg - has sleep-wake cycle; able to move involuntary s stimulus during the day and no response at night

coma - no sleep-wake and no response all through out

Question 10

how is orientation defined

Answer 10

PPT

person - names

place - where are u/from

time - morning, afternoon, night

Question 11

define working/immediate memory

Answer 11

in the moment; w/in seconds

ask pt to repeat what you said (3-5 sets of words)

Question 12

define short term memory

Answer 12

seconds to 1 hr; w/in minutes

ask pt to repeat what you said after 5 mins or ano kinain nila kanina

Question 13

define long term memory

Answer 13

hours to days or yrs

ask them bday nila, pangalan ng anak

Question 14

testing for attention span

Answer 14

provide activity to pt and take note of time or trials

Question 15

testing for concentration span

Answer 15

serial subtraction

spelling 5 letter word backwards

state months, days backwards