test 2 NUR 207 Mental Status Exam Flashcards
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Speech Articulation
Mute, Audible, Monotone, Inarticulate, Monotone, Volume Too Loud, Without Expression, Slurred, Stutters, Articulate, Fluid, Inflections Present, Appropriate Volume
Expressive Speech
Logical, Not Logical, Congruent c Affect, Incongruent c Affect, Looseness of Association, Mute, Alogia, pressured, Word Salad, Echolalia, Clang, Perserveration, Neologism, Circumstantiality, Tangentiality
Receptive Speech
Able to comprehend questions and conversation? Yes Or No
Perceptual/Sensory Function Assessment Questions
- Do you ever feel that a dream is so intense that you cannot tell whether you are awake or asleep? Yes/No Describe
- Do you ever think your mind or senses are playing tricks on you? Yes/No Describe
- Do you ever hear voices that you do not recognize talking to you in your head? Yes/No Describe
- Do you ever hear,see,feel,etc things that others do not? Yes/No Describe
hallucinations: Present or Absent If present Describe Hallucinations
Illusions Present or Absent If Present Describe illusions
Mental Status Exam
Is the basis for understanding the patient’s presentation and the extent of the person’s mental impairement
Mental Status Exam: Delusions
Assessment Questions: Delusions
- Have you ever felt that someone was reading your mind?
- have you ever felt that your mind was playing tricks on you?
- Do you think someone is out to harm you or is plotting against you?
- have you ever done something unusual and thought someone might have drugged you?
- have you ever thought someone or something was controlling your thoughts or sending you private messages?
Mental Status Exam: Higher Brain Function
Higher Brain function Assessment Questions:
- Orientation: Person,Place,Time,& Situation (Circle if intact)
- Insight: What is your understanding of the reason you are here today? Present or Absent
- Memory: Remote* Recent** Recall***n(Circle if intact)
* Share with me a favorite childhood memory.
* * What did you eat for breakfast this morning?
* **Interviewer names three objects, asks the patient to repeat, 5 minutes later in the interview, the 5 objects named by interviewer. - Concentration and Attention: Intact/Not Intact
- have patient count backwards from 100 by 7’s for 5 intervals or spell “WORLD” backward or ask patient to name 5 things beginning with the letter “m”
- LOC: Unconscious, Alert, Drowsy, Sleeping, Difficult to Arouse, Unresponsive
- Reading and Writing: Can Read: Yes or No Can Write: Yes or No
have patient write a sentence and read it out loud to you