W7 L2: Mental State Examination Flashcards
1
Q
When is a MSE done?
A
- Often in retrospect
2
Q
MSE headings
A
ABS Make A Pretty Tough Tummy Just In Case
- Appearance
- Behaviour
- Speech
- Mood
- Affect
- Perceptions
- Thought form
- Though content
- Judgement
- Insight
- Cognition
3
Q
Appearance details
A
- Grooming/clothing
- Weight
- Physical features
- Gender
- Age
- Ethnicity
- Hair/beard
4
Q
Behaviour details
A
- Restless or slow?
- Eye contact
- Gestures
- Posture
- Gait
- Attitude to examiner
- Pacing
5
Q
Speech details
A
- Not what is said, but how it was said
- Rate
- Volume
- Tone
6
Q
Mood details
A
- Reported by individual
- How they say they are feeling
- Consider:
> intensity of mood
> duration
> changing of mood over time
7
Q
Affect details
A
- Can they express emotion?
- Does their intensity of emotional expression match what they are saying?
- Do they change expression due to changes in topic?
8
Q
Mood vs affect
A
Mood = WHAT THEY REPORT Affect = WHAT YOU SEE
9
Q
Perception details
A
- Hallucinations (something that occurs in the absence of actual stimuli)
>auditory, visual, tactile, etc. - Illusions (exaggerations or misinterpretation of actual stimulus
10
Q
Thought form details
A
- Logical process and pattern of thought - how thoughts are occuring
11
Q
Though content details
A
- What you are thinking about
- The actual thoughts
12
Q
Judgement details
A
- Being able to assess a situation and organise an appropriate response
- Use “what if” scenarios
13
Q
Insight details
A
- Someone’s awareness of their current situation
>can they tell if they are well or unwell?
14
Q
Cognition details
A
- Alertness
- Orientation
- Memory
- Concentration
