Card Set Information
Mental Status FT
What is the first question you would ask if a pt. complains of depression?
"Are you thinking about killing yourself?"
"What is your plan?"
Important to assess feasability and seriousness of plan.
T/F Mental status is an objective assessment?
F. It's both subjective and objective because it is inferred through an individual's behavior.
When would you want to obtain a mental status assessment?
To obtain a baseline (family may need to help fill in gaps).
When there is a Behavior change
Brain lesions (trauma, tumor, brain attack)
Aphasia (secondary to brain damage)
Symptoms of psychiatric mental illness
Objective Data for the Mental Health Assessment
Body movements, are they smooth, easy, natural?
Dress, is it appropriate for their peer group?
Grooming and hygiene
Facial expression, is it appropriate to setting/questions?
Speech, any dysphasia?
Mood and affect. Mood=general feelings about life, affect=feelings right now.
What are the components of the minimental exam?
: What would you do if you saw someone collapse in the street?
: Name, location, date, time
: 3 unrelated words at 1 & 5 minutes, recent & past events
: Posture, body movements, dress, grooming/hygiene
: Subtract serial sevens from 100
: Quality, Rate, Articulation, Word choice
What are some various levels of consciousness?
Alert and oriented
: Drowsy, but responds to name, slow response, ↓spontaneous movements
: Difficult to arouse, confused, needs constant stimulation
Stupor or semi-coma
: Unconscious but able to arouse with pain, language impaired, +reflex activity
: Unconscious, no response to pain
Acute confused state (delirium)
: clouded consciousness, incoherent, agitated, disoriented
Delerium vs. Dimentia...
Young or old
: infection, intoxication, withdrawal, hypoxia, F&E imbalance, post head trauma, postop
More common in elderly
: Alzheimer’s, Parkinson’s, CVA, HIV, head trauma
Developemental considerations for Mental Status in Aging Adults
No decrease knowledge or vocabulary
Slowed response time
Decrease in recent memory
No change in remote memory
Multiple losses can affect mental status and cause disorientation, depression and disability.
Who is most at risk for suicide?
Men over 65 yrs.