Moses- Psychiatric evaluation and mental status exam Flashcards
What does a psychiatric evaluation include that is different than a regular evaluation?
includes psychiatric history,
includes more detail with psychiatric medication use (any psychiatric medications taken in the past and reactions to those medications)
Psychiatric ROS focus
Mental status exam
more thorough social history
With a psychiatric exam, the following should be included in what portion of the exam?
Socioeconomic Status: finances and employment
Interpersonal Relationships and Sexual History: initiate and maintain relationships and gender identity, sexual orientation, current and past sexual activity
Legal History: incarceration and previous experience with violence and crime
Developmental History: ACES, education level, and any previous physical, verbal or sexual abuse
social history (more thorough in psychiatric mental examination)
What is the pneumonic used for the screening tool in psychiatric ROS?
SEAMAPSS screening tool
What does SEAMAPPS stand for:
Review the Mental Status Exam
What is the only subjective portion of the mental status examination (MSE)?
mood
described in patient’s own words
What does a person’s affect look at on a mental status exam?
The patients facial expressions range and reactivity
Describe the possible affect of someone with schizophrenia or major depressive disorder?
constricted, blunted
(not a lot of movement of facial muscles, little or no expression)
How would describe someone’s affect with diminished muscle movement due to neurologic condition such as a stroke?
flat affect
What does it mean when someone has a labile affect?
changes expressions rapidly
What does it mean when someone has a broad expression/affect?
they are expressive in a way that fits the occassion
What does it mean when one has stable affect?
normal, well-being
On the MSE, how a patient is thinking is defined as:
thought process
On the MSE, what a patient is thinking is described as:
thought content
What are the 2 normal thought processes?
linear, logical
circumstantial
What are the 4 abnormal thought processes?
tangential
loosening of associations
flight of ideas
word salad
Which abnormal thought process is being described?
too many ideas and never gets to the point
tangential
Which abnormal thought process is being described?
several tangents with a disjointed (loose) connection of ideas
loosening of associations
Which abnormal thought process is being described?
many words and comments that don’t make sense
pressure speech
flight of ideas
Which abnormal thought process is being described?
bunch of words that make no sense
incoherent speech
word salad
In the MSE, what the person is thinking is described as:
thought content
What is some thought content that one might ask on the MSE?
delusions, obsessions, compulsions, suicidal, or homicidal thoughts
The MMSE or MOCHA which is a mini mental status examination can be used to determine cognition which evaluates these 3 things:
concentration
attention
memory
