Orientation Flashcards
While we are not required to see all of the core conditions, we are required to _______________.
screen for each of the eleven conditions at least twice
Things that are on the shelf exam but not in the Essentials of Psychiatry lessons: ________________.
- Drug withdrawal states
- Anxiety/stress-related disorders
- Neurocognitive disorders
Our grades are heavily weighted to the _______________.
attending’s evaluation
You have to score at least ________ on the shelf to pass and _________ to honor.
65; 80
Although you need to get above 80 to honor, the __________________ are the main determining factor.
clinical assessments from attendings and residents
It can be helpful to break down the components of the mental status exam (MSE) into groups. Give the list of items in like categories.
•General:
- General appearance
- Behavior
- Motor movements (agitation)
•Mood:
- Mood
- Affect
•Thoughts:
- Thought content
- Thought process
- Associations (how are thoughts linked)
•Language:
- Speech
- Vocabulary
•Cognitive:
- Cognition
- Memory (short-term and long-term)
- Orientation
- Concentration
•Abstract:
- Insight
- Judgment
Behavior is sometimes documented as ________________.
cooperativeness (as in does the patient answer your questions)
How is “motor” usually documented?
Increased or decreased
Note: sometimes you might see PMA and PMR (psychomotor agitation and psychomotor retardation)
Agitation (in an MSE note) only means _______________.
movement
If you want to use the term “aggressive” in a chart, please be sure to _______________.
specify what you mean; if, for instance, you don’t specify that it is verbal aggression, then that patient might have limited treatment options because clinicians assume violent aggression
What is mood?
Mood is the internal environment, so it boils down to what the patient says.
It can be helpful to ask the patient to elaborate: “What does that mean to you?”
Affect is ______________.
what you get from the patient –your interpretations
Differentiate the phrases “mood inappropriate to context” and “incongruent mood and affect.”
- Mood inappropriate to context means that the mood they are feeling is not usual for the situation. For instance, if a patient was really happy that they’d gotten into a fight in the prison yard, that would be inappropriate.
- Incongruent mood and affect implies any affect that does not match what they are saying (like if someone is smiling while telling you about how angry they are).
Some people refer to a healthy baseline state as euthymic, but Dr. Butterfield prefers the term ___________.
“full range”
“Restricted range” –having less variation in mood – is often a symptom of _______________.
depression or fatigue
