Moses- Psychiatric evaluation and mental status exam

Question 1

What does a psychiatric evaluation include that is different than a regular evaluation?

Answer 1

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

Question 2

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

Answer 2

social history (more thorough in psychiatric mental examination)

Question 3

What is the pneumonic used for the screening tool in psychiatric ROS?

Answer 3

SEAMAPSS screening tool

Question 4

What does SEAMAPPS stand for:

Answer 4

Question 5

Review the Mental Status Exam

Answer 5

Question 6

What is the only subjective portion of the mental status examination (MSE)?

Answer 6

mood

described in patient’s own words

Question 7

What does a person’s affect look at on a mental status exam?

Answer 7

The patients facial expressions range and reactivity

Question 8

Describe the possible affect of someone with schizophrenia or major depressive disorder?

Answer 8

constricted, blunted

(not a lot of movement of facial muscles, little or no expression)

Question 9

How would describe someone’s affect with diminished muscle movement due to neurologic condition such as a stroke?

Answer 9

flat affect

Question 10

What does it mean when someone has a labile affect?

Answer 10

changes expressions rapidly

Question 11

What does it mean when someone has a broad expression/affect?

Answer 11

they are expressive in a way that fits the occassion

Question 12

What does it mean when one has stable affect?

Answer 12

normal, well-being

Question 13

On the MSE, how a patient is thinking is defined as:

Answer 13

thought process

Question 14

On the MSE, what a patient is thinking is described as:

Answer 14

thought content

Question 15

What are the 2 normal thought processes?

Answer 15

linear, logical

circumstantial

Question 16

What are the 4 abnormal thought processes?

Answer 16

tangential

loosening of associations

flight of ideas

word salad

Question 17

Which abnormal thought process is being described?

too many ideas and never gets to the point

Answer 17

tangential

Question 18

Which abnormal thought process is being described?

several tangents with a disjointed (loose) connection of ideas

Answer 18

loosening of associations

Question 19

Which abnormal thought process is being described?

many words and comments that don’t make sense

pressure speech

Answer 19

flight of ideas

Question 20

Which abnormal thought process is being described?

bunch of words that make no sense

incoherent speech

Answer 20

word salad

Question 21

In the MSE, what the person is thinking is described as:

Answer 21

thought content

Question 22

What is some thought content that one might ask on the MSE?

Answer 22

delusions, obsessions, compulsions, suicidal, or homicidal thoughts

Question 23

The MMSE or MOCHA which is a mini mental status examination can be used to determine cognition which evaluates these 3 things:

Answer 23

concentration

attention

memory