MSE Questions Flashcards

1
Q

Mood (emotional state): Euthymic

A

Normal or typical mood. Upbeat, “happy.”

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2
Q

Mood (emotional state): Depressed/dysphoric

A

Down, “blue” mood. Often with decreased energy. Irritability or anxiety occurs in some people. Common to depression, anxiety, and depressed states of bipolar disorder.

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3
Q

Mood (emotional state): Elated/euphoric

A

“Up,” “on top of the world.” Often with increased energy.

Common to manic states of bipolar disorder.

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4
Q

Mood (emotional state): Labile

A

“An experiment using coke and mentos in the lab”

Capricious, unstable, quickly changing mood.

Common to rapid cycling forms of bipolar disorder in adults.

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5
Q

Mood (emotional state): Anhedonia

A

Lack of interest and withdrawal from regular and pleasurable activities that one used to enjoy. An associated symptom of depression.

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6
Q

Mood (emotional state): Vegetative symptoms

A

Almost catatonic, barely responsive

Sleep and appetite changes are most pronounced

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7
Q

Three types of Thought Processes

A

Form
Attention
Speed

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8
Q

Thought Processes - Form: Logical, coherent

A

Clear, direct connections between content. One idea flows directly into another.

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9
Q

Thought Processes - Form: Circumstantial

A

Digressions to unnecessary details in thought and speech before communicating the central idea.

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10
Q

Thought Processes - Form: Tangential

A

Oblique, digressive, irrelevant speech. The central idea is not communicated.

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11
Q

Thought Processes - Form: Loose associations

A

Little or vague connection is made between concepts; continuous tangential “rabbit-holing.” Can be a symptom of schizophrenia.

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12
Q

Thought Processes - Form: Flight of ideas

A

Each bird flies a different direction

Multiple thoughts and ideas are generated spontaneously, without obvious connection.

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13
Q

Thought Processes - Attention and Speed: Distractible

A

Squirrel!

Focus can shift quickly onto the external environment. This awareness interrupts the present dialogue. Associated symptom of anxiety, attention-deficit (ADHD).

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14
Q

Thought Processes - Attention and Speed: Preoccupied

A

Inattentive to the external environment, internally focused, seems to be thinking deeply.

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15
Q

Thought Processes - Attention and Speed: Rumination

A

Preoccupation with a single idea or theme.

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16
Q

Thought Processes - Attention and Speed: Latent

A

‘Late Response’

A prolonged period of time between a thought and its verbal expression.

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17
Q

Thought Processes - Attention and Speed: Racing thoughts

A

“Go to a Nascar race, then buy a new car, then get a new outfit, then take lessons …”

Multiple thoughts occurring in a seamless fashion. Often in list form. These thoughts have a pressured quality.

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18
Q

Memory: Intact memory

A

Normal or typical.

Appropriate short- and long-term recall.

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19
Q

Memory: Anterograde amnesia

A

Memory loss for events after the onset of amnesia

Assess confabulation (attempts to justify false response)

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20
Q

Memory: Retrograde amnesia

A

Memory loss for events before the onset of amnesia

Assess confabulation (attempts to justify false response)

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21
Q

Motor: Relaxed, normal

A

Within typical range of motor movement.

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22
Q

Motor: Psychomotor retardation, hypoactive

A

Decreased activity, slow response to environment, sluggish. For some individuals, this is typical for their personality.

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23
Q

Motor: Catatonic

A

Severe immobility

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24
Q

Motor: Apathetic

A

Indifference. Laissez-faire attitude accompanied by lack of motor impetus and dulled emotional tone.

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25
Q

Motor: Restless, hyperactive

A

A compelling need to be in constant movement.

Difficult to sit still.

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26
Q

Motor: Agitated

A

Severe anxiety and/or irritation, adrenaline response, preparation for action.

Can precipitate anger outbursts or panic attacks. Pacing or hyperventilating can occur.

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27
Q

Motor: Stereotypy

A

Continuous mechanical repetition of speech or physical activity, such as flapping hands and rocking. Associated with autism spectrum disorders.

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28
Q

Speech: Regular rate and rhythm

A

Controlled, even paced, cadenced verbal communication. Can interweave with another person’s dialogue.

29
Q

Speech: Pressured speech

A

Uncontrollable, accelerated, excessive talking. Rapid rate and rhythm, difficult to interrupt. The person feels they cannot talk fast enough to get their words out.

30
Q

Speech: Laconic speech

A

“Lacking details”

Terse, brief responses provided without elaboration. No unprompted information is given. “Poverty of speech.”

31
Q

Speech: Disorganized speech

A

Disconnected, unintelligible speech.

32
Q

Speech: Coprolalia

A

Involuntary use of vulgar or obscene language, found in Tourette’s syndrome.

Also consists of grunts and paralanguage (“hmmm,” “huh,” “ah”, “grrr,” “shhh” etc.)

33
Q

Speech: Echolalia

A

Repeating or mirroring the speech of another person. For example, repeating back a question instead of answering the question.

Associated with autism spectrum disorders.

34
Q

Interpersonal (relationally-driven behavior): Aloof

A

Disengagement and lack of connection with others, usually due to ego centrism.

35
Q

Interpersonal (relationally-driven behavior): Avoidant

A

Disengagement due to anxiety and desire to escape contact.

36
Q

Interpersonal (relationally-driven behavior): Contempt

A

A passive-aggressive style of relating to others. Rolling eyes, imitating vocal tone in a mocking manner.

The greatest predictor of divorce

37
Q

Interpersonal (relationally-driven behavior): Defensive

A

Reacting to the input of others in a hostile manner. The person usually feels threatened and under attack.

38
Q

Interpersonal (relationally-driven behavior): Dismissive

A

Reacting to the input of others by disregarding, rejecting, and thinking no more about it. The person doesn’t necessarily feel threatened, but thinks they know better.

39
Q

Interpersonal (relationally-driven behavior): Oppositional/defiant

A

Intentional attempts to elicit a power struggle or argument with another person (particularly in authority).

Can involve baiting others (direct) or ignoring them (indirect).

40
Q

Interpersonal (relationally-driven behavior): Guarded

A

Overly careful about sharing information with others, usually from lack of trust.

Closed, secretive. Infrequent self-disclosure.

41
Q

Interpersonal (relationally-driven behavior): Hypervigilant

A

Excessive attention to external environment, stemming from heightened anxiety and fear.

42
Q

Interpersonal (relationally-driven behavior): Suggestible

A

Uncritical acceptance and compliance with another person’s proposal or recommendation; easily influenced.

43
Q

Intrapersonal (internally-driven attitudes and behavior): Ego dystonic

A

The individual does not consider their behavior to be consistent with their core personality.

44
Q

Intrapersonal (internally-driven attitudes and behavior): Ego syntonic

A

The individual considers their behavior to be consistent with their core personality.

Can result in externalizing blame to others for problematic behavior.

45
Q

Intrapersonal (internally-driven attitudes and behavior): Conceited

A

Egocentric, self-important, arrogant, proud.

Often hides deeper seated anxieties and feelings of inadequacy.

46
Q

Intrapersonal (internally-driven attitudes and behavior): Grandiose, expansive

A

Ego inflation. Belief that a person can accomplish anything, even outrageous tasks.

Associated with manic states in bipolar disorder.

47
Q

Intrapersonal (internally-driven attitudes and behavior): Intropunitive

A

Self-derision, punishing self for unwanted events (even if they are not responsible).

Turning anger inward.

48
Q

Intrapersonal (internally-driven attitudes and behavior): Splitting

A

“All or nothing,” “black or white,” “good or bad.” thinking.

Perceiving events in absolute terms,

49
Q

Intrapersonal (internally-driven attitudes and behavior): Catastrophizing

A

Dramatically predicting that the worst event is most likely to occur.

50
Q

Psychosis: Delusions

A

A fixed belief that is experienced as odd, strange, or eccentric by others and outside the realm of realistic possibility.

Associated most commonly with schizophrenia.

51
Q

Psychosis: Bizarre delusion

A

“My cat is my math tutor”

A fixed belief outside the realm of realistic possibility. This belief is strange, odd, eccentric to others.

52
Q

Psychosis: Control delusion

A

“My cat tutor is forcing me to do math”

An individual’s fixed belief that their will / thoughts / feelings are being controlled by someone or something else.

53
Q

Psychosis: Grandeur delusion

A

An individual’s fixed belief in their elevated importance, power, “specialness”

54
Q

Psychosis: Infidelity delusion

A

An individual’s fixed belief that their partner or lover is being unfaithful to their relationship.

55
Q

Psychosis: Persecution delusion

A

An individual’s fixed belief that they are being harassed or persecuted by others.

56
Q

Psychosis: Reference delusion

A

An individual’s fixed belief that unrelated events in the external environment are special messages that have a direct, personal significance and relevance to them.

57
Q

Psychosis: Erotomanic delusion

A

An individual’s fixed belief that someone else is in love with them or wants to have sexual intercourse with them. To be classified a “delusion,” this has to be unrequited.

58
Q

What is meant by “Hallucination” in MSE?

A

A perceptual experience that is not experienced by others.

Associated with schizophrenia, bipolar disorder, depression, delirium, and substance abuse.

59
Q

Psychosis / Hallucinations: Hypnogogic

A

When falling asleep (considered normal).

60
Q

Psychosis / Hallucinations: Hypnopompic

A

When awakening from sleep (considered normal).

61
Q

Psychosis / Hallucinations: Responding to internal stimuli

A

The individual seems to be attentively listening and responding to sights and sounds in their external environment that others do not see or hear.

62
Q

What is meant by “Appearance” in MSE?

A

How a person is groomed and dressed.

63
Q

Appearance: Well groomed

A

Appropriate grooming

For example, brushed hair, clean teeth, recent bath or shower (in past 24 hours.

64
Q

Appearance: Immaculate grooming

A

Excessive detail is given to one’s grooming and/or make-up.

65
Q

Appearance: Disheveled / unkempt grooming

A

Inattention to daily hygiene

The person has not brushed their hair, cleaned their teeth, or taken a recent bath/shower. If the person has unpleasant body odor, or smells of urine/feces, then unkempt grooming might be indicated.

Can be a marker of psychosis.

66
Q

Appearance: Appropriate dress

A

The person is wearing appropriate clothing for the time of year and season.

67
Q

Appearance: Underdressed

A

The person is wearing too little clothing for the context (e.g., time of year and season, formal nature of meeting). In some cases, the clothing worn is always inappropriate, regardless of season (e.g., wearing revealing clothing to a counseling session).

68
Q

Appearance: Overdressed

A

The person is wearing too much clothing for the context (e.g., time of year and season, formal nature of meeting). In some cases, the clothing worn might indicate other issues (e.g., wearing long-sleeves in summer to hide cutting scars or needle marks).

69
Q

Appearance: Truly bizzare

A

In some cases, the type of dress worn is simply bizarre. This is another potential warning sign of psychosis.