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NURS 3036 - Mental Health Theory > Mental Status Examination > Flashcards

Mental Status Examination Flashcards

1
Q

Define Mental Status Examination

A

A systemic assessment of an individual’s appearance, affect, behaviour, and cognitive processes

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2
Q

True or False:

A Mental Status Examination reflects an ongoing timeline of the observations and impressions of a patient by an examiner

A

False

- it is a “snapshot” of the patient at a particular period of time

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3
Q

What are the three things contained within the General Observations Category of the MSE?

A
  1. Appearance
  2. Psychomotor behaviour/activity
  3. Attitude toward interviewer
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4
Q

What should an examiner be describing when addressing the Psychomotor behaviour/activity?

A

Observe and note the individual’s behaviour during the interview
- posture, gait, motor coordination, facial expression

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5
Q

Define Emotion in the context of the MSE

A

Individual’s experience of a feeling state

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6
Q

Define Mood in the context of the MSE

A

A pervasive and sustained emotion that colours the person’s perception of the world
- what the person reports about their prevailing emotional state

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7
Q

After receiving an answer in regards to an individual’s mood, what should the examiner do next?

A

Interviewer should probe to find whether this is typical or is a response to some recent life event
- is it a change?

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8
Q

What is an EUTHYMIC mood?

A

A normal mood

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9
Q

What is an EUPHORIC mood?

A

An elevated mood

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10
Q

What is a DYSPHORIC mood?

A

A depressed/disquieted mood

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11
Q

Define affect in the context of the MSE

A

The individual’s emotional responsiveness during the interview
- IS INFERRED BY THE EXAMINER from facial expressions, vocalizations, and behaviour

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12
Q

In what terms is affect described?

A

Described in terms of its range, intensity, appropriateness, and stability

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13
Q

True or False:

Affective range can be full or constricted

A

True

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14
Q

What phrase describes limited emotional expression?

A

Blunted affect

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15
Q

What phrase describes a near absence of emotional expression?

A

Flat affect

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16
Q

True or False:

Stability of affect can be described as mobile or labile

A

True

- can be described as mobile (normal) or labile (wide range of strong emotions in a short period of time)

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17
Q

What does fluency refer to in the context of the MSE?

A

Fluency refers to the apparent ease with which speech is produced

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18
Q

Define pressured speech

A

Speech that is rapid and increased in amount and difficult to understand
- often associated with mania

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19
Q

Define hallucinations

A

False sensory perceptions not associated with external stimuli
- not shared by others

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20
Q

What is the most common type of hallucination?

A

Auditory

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21
Q

What type of hallucination is a cause for concern?

A

Command hallucinations

- the false perception of commands or orders that an individual feels obligated to obey

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22
Q

Define illusions

A

The misperception or misrepresentation of real sensory stimuli

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23
Q

Define thought content

A

The subject matter occupying a person’s thoughts

24
Q

Define thought process

A

The manner in which thoughts are formed and expressed

25
Q

Define delusion

A

A false, fixed belief, based on an incorrect inference about reality

  • not shared by others
  • inconsistent with the individual’s intelligence or cultural background
  • cannot be corrected by reasoning
26
Q

Define paranoid delusion

A

An irrational distrust of others and/or the belief that others are harassing, cheating, threatening, or intend one harm

27
Q

What are the 4 spheres that memory is divided into?

A
  1. Immediate retention and recall
  2. Recent memory
  3. Short-term memory
  4. Remote (long-term) memory
28
Q

Define insight

A

Understanding the reality of a set of circumstances

29
Q

Define judgement

A

Ability to reach a logical decision about a situation and to choose a course of action after examining and analyzing various possibilities

30
Q

What are the 5 main categories of the Mental Status Examination?

A
  1. General Appearance
  2. Emotional State
  3. Sensory Experience
  4. Thinking
  5. Sensorium and Cognitive Processes
31
Q

What are the 5 types of hallucinations?

A
  1. Auditory (Hear)
  2. Olfactory (Smell)
  3. Tactile (Touch)
  4. Taste
  5. Visual (See)
32
Q

What is the term used for “a rapid, verbal skipping from one idea to the next”?
(includes fragmented ideas, maybe punning and rhyming)
(there may be a shred of connection to the ideas)

A

Flight of Ideas

33
Q

What is the term used for “thinking that is over-generalized, diffuse, and vague with little connection between one thought and the next”

A

Loose Associations

- seems illogical, nonsensical, or bizarre

34
Q

Explain the term “Circumstantiality” in terms of the MSE

A

When a person’s thought and speech are associated with excessive and irrelevant detail
- before they eventually answer a question or return to the point they began to make

35
Q

Explain the term “Tangentiality” in terms of the MSE

A

Similar to “Circumstantiality”

  • but the person NEVER returns to the central point or answers the original question
  • thought and speech are associated with excessive and irrelevant detail
36
Q

What is the term that is used to describe “when thoughts and verbal communication conveys little information b/c of vagueness, empty repititions, and 1 or 2 word answers”

A

Poverty of Thought

- as though thte person has very few thoughts to express

37
Q

What is “Thought Blocking”?

A

A sudden obstruction or interruption in the train of thought or speech, which the person is unable to complete
- NOT a refusal to speak

38
Q

What is “Confabulation”?

A

Fabrication of stories in response to questions about situations or events that are not recalled

39
Q

What is “Perseveration”?

A

Repetition of sounds, words, or phrases despite attempts to create a new response
- NOT the same as stuttering

40
Q

What is Paranoia?

A

Sense of extreme suspiciousness, guardedness, and mistrust of others

41
Q

What is a religious delusion?

A

Belief that one is singled out by a higher being or is an agent of that being

42
Q

What is a somatic delusion?

A

Belief that one’s body is changing or responding in a bizarre or unusual way

43
Q

What is a grandiose delusion?

A

Belief that one possesses great importance or special powers

44
Q

What is a persecutory delusion?

A

Characterized by elaborate belief system that others are “conspiring against them”, “out to get them”, spying on them or poisoning them

45
Q

What is thought broadcasting?

A

Belief about one’s thoughts being aired to the outside world

46
Q

What is thought insertion?

A

Belief that thoughts are being placed into one’s mind by outside people or influences

47
Q

What is thought withdrawal?

A

Belief that one’s thoughts are being removed or taken away by someone else

48
Q

What is the term used when describing “actions or statements of other people, as having direct reference to him/her when, in fact, they do not”?

A

Ideas of Reference

- it is the client’s interpretation of external events

49
Q

What is the term used when describing “conviction that one’s behaviour, including one’s thoughts, are being influenced in some way by an external agency, such as the BCTV, RCMP, etc. when, in fact, they do not”?

A

Ideas of Influence

50
Q

Explain the term “Obsession” in terms of the MSE

A

An idea, emotion, or impulse that repetitively and insistently forces itself into a person’s consciousness
- it is unwelcome

51
Q

Explain the term “Compulsion” in terms of the MSE

A

The enactment or performance of the obsessional thought

- associated with obsessions

52
Q

True or False:

Obsessions are associated with Compulsions

A

True

53
Q

Define “Phobia” in terms of the MSE

A

Morbid fear associated with extreme anxiety

54
Q

What is passive suicidal ideation?

A

A wish for one’s own death

- not accompanied by a plan for killing oneself

55
Q

What is active suicidal ideation?

A

Thoughts of suicide that include a plan for killing oneself

56
Q

What is homicidal ideation?

A

Thoughts of violence or harming others

57
Q

What does a person’s orientation refer to?

A

Client’s awareness of time, place, and person

NURS 3036 - Mental Health Theory (5 decks)

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