Vital Signs Pt. II (tables/pics) Flashcards
BMI Classification: <18.5
Under weight
BMI Classification: 18.5-24.9
Normal
BMI Classification: 25-29.9
Over weight
BMI Classification: 30-34.9
Obesity (Class I)
BMI Classification: >40
Extreme Obesity
BMI Classification: 35-39.9
Obesity (Class II)
Components of Mental Status Examination
First impressions
Feelings
Thinking
Safety
Grooming, dress, hygiene, and apparent age (ex. disheveled, eccentric clothing, appears stated age)
Appearance
First impressions is composed of ____.
Appearance, behavior, speech
Psychomotor activity, eye contact, movement, and response to non-verbal stimuli (as in psychosis)
Ex. agitated, avoiding eye contact, responding to internal voices.
Behavior
Characteristics of speech such as rate, rhythm, and volume (ex. pressured speech (rate), stuttering (rhythm))
Speech
Feelings are composed of ____.
Mood and affect
Patient’s subjective impression of how they feel (often a paraphrase of what the patient says, and may be different than affect).
Ex. depressed, worried, happy
Mood
Observer’s objective impression of how the patient appears to feel (Type, Range, Appropriateness, Intensity, and Lability (TRAIL)).
Ex. restricted range, inappropriate mood, highly labile
Affect
Thinking is composed of _____.
Thought form
Perceptions
Thought content
Cognition
How thoughts are expressed, including flow and connection between thoughts (ex. goal-oriented (normal), flight of ideas (mania), disorganized (schizophrenia), circumstantial)
Thought Form
Hallucinations and illusions (ex. anxiety about work, delusions of persecution, auditory hallucinations)
Perceptions
Types of thoughts expressed, including specific themes, delusions, obsessions, and suicidal or homicidal ideation
Thought content
Overall intelligence based on vocabulary, grammar, memory, executive function, and inferred level of education.
Ex. formally assessed (MOCA, MMSE), not formally assessed but within normal limits, impaired
Cognition
Awareness of illness, the symptoms caused by it, and the ability to be introspective about change.
Insight
Demographics
Any distinctive features?
Clothing type
Posture
Gait
Grooming
Self-care and hygiene
physical health
Any evidence of self-harm/neglect?
Alcohol/substances
Appearance
Ability to act in ways that are safe, prudent, and in the interest of self and others.
Judgement
Represents a sustained emotion present over a prolonged period of time that can alter an individual’s perception of the world.
Mood
Rate of speech
Quantity of speech
Tone of speech
Voice volume
Fluency of speech
Speech
Gestures
mannerisms
Psychomotor activity
Eye contact
Facial expressions
Body language
Level of arousal (calm or agitation)
Engagement
Any movement disorders
Rapport
Disinhibited behavior
Behavior
An observable emotion expressed immediately
Affect
Labile: can be easily altered between states
Fluctuation
Flat/blunted
Intensity
Sad/agitated/euphoric
Quality
Restricted/expansive
Range
4 components of affect
Intensity
Quality
Fluctuation
Range
4 components of thoughts
Stream of thought
Form of thought
Content of thought
Possession of thought
The amount and speed of the thoughts
Stream of thought
The way in which the thoughts are linked together.
Form of thought
Becoming aware of what is presented to the body through the sense organs
Perception
The belief that others can manipulate thoughts
Possession of thoughts
What ideas contain
Content of thought
An awareness of self and environment, assessing higher cortical functioning
Cognition
Components of cognition
Orientation
Clouding of consciousness
Stupor
Memory
Visuospatial functioning
Time, person, and place
Orientation
A state of drowsiness/memory impairment/thinking concentration
Clouding of consciousness
Assess immediate, recent, and long-term memory
Memory
State where the individual is mute, immobile, or unresponsive.
Stupor
Ability to identify visual and spatial relationship among objects
Visuospatial functioning
