220 mental status assessment

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  1. Labial
    emotions go from good to bad in a moment
  2. Consciousnes
    being aware of one's own existence, feelings, thoughts and aware of the environment. This is the most elementary of mental status functions.
  3. Language =
    using the voice to communicate one's thoughts and feelings
  4. Mood and affect =
    prevailing feelings
  5. affect =
    is temporary expression of feelings or state of mind
  6. mood =
    is more durable - prolonged display of feelings that color the whole emotional life
  7. Somulent =
    • lethargic
    • drifts of to sleep when not stimulated. Responds appropriately when awake, but slow and fuzzy
  8. Obtunded=
    sleeps most of time difficult to arouse
  9. Stupor or semi-coma =
    responds only to shake or pain
  10. Coma =
    no response to pain
  11. Orientation =
    the awareness of the objective world in relation to the self
  12. Attention =
    the power of concentration, the ability to focus on one specific thing without being distracted by many environmental stimuli
  13. Memory =
    the ability to lay down and store experiences and perceptions for later recall
  14. recent memory =
    evokes day-to-day events
  15. remote memory =
    brings up years' worth of experiences
  16. Abstract reasoning =
    pondering a deeper meaning beyond the concrete and literal
  17. Thought Processes =
    the way a person thinks, the logical train of thought
  18. Thought Content =
    what the person thinks, the logical train of thought
  19. perceptions =
    an awareness of objects through the five senses
  20. does general knowledge decrease with age
  21. does vocabulary change with age
    very little or no loss
  22. response time change with aging =
    slower than in youth; takes longer to respond; can affect in some circumstances
  23. Recent memory change with aging =
    somewhat decreased
  24. remote memory changes with age =
    not affected
  25. vision changes with aging can result in
    may result in apathy, social isolation and depression
  26. hearing changes that can happen with age can result
    produces frustration, suspicion and social isolation - may give appearance of confusion to observer
  27. losses in old age can result in
    disorientation, disability and depression due to experienced grief and despair surrounding these losses
  28. Components of the mental status examination =
    • ABCT
    • appearance
    • behavior
    • cognition
    • thought
  29. when should you perform a full mental status change
    • when yo discover a change in behavior
    • family members express concern
    • brain lesions-trauma, tumor, brain attack
    • aphasia
    • symptoms of a mental illness
  30. what are some things in the medical history that you should take note of and that can change the pt mentation
    • alcoholism
    • chronic renal disease
    • low potassium
    • meds and their side effects
  31. mini mental status exam can indicate
    • worsening or improvement of cognition
    • only evaluates cognitive functioning not mood or thought process
    • 24 or above shows no cognitive impairment
  32. glascow coma scale 7 or less means
  33. set test =
    • screen for dementia 
    • ask a person to name 10 items in each of four categories (fruits, animals, colors and towns)
    • one point per answer
    • no one with a score over 25 has been found to have dementia
  34. people must have what in order to test mental status
    consciousness and language
  35. appearance includes
    • posture
    • body movements
    • dress
    • grooming and hygiene
  36. behavior includes
    • level of consciousness
    • facial expressions
    • speech 
    • mood and affect
  37. what do you assess about a persons speech
    pace and articulation
  38. additional testing for persons with aphasia
    • word comprhension
    • reading
    • higher intellectual functioning
    • judgement
  39. Dysphonia =
    impairment in the volume of speaking (speaking very loud or softly)
  40. Dyarthria
    impairment in articulations
  41. global aphasia =
    • most common & severe form; spontaneous  speech & comprehension is absent or
    • reduced; poor prognosis
  42. Broca's Aphasia =
    • úExpressive
    • aphasia; motor speech cortex affected; speech is nonfluent, dysarthric, & effortful; auditory & reading
    • comprehension are intact
  43. Wernicke's Aphasia
    • úReceptive
    • aphasia; association auditory cortex affected; speech is fluent, effortless
    • & well-articulated but nonsensical and incomprehensible
  44. Flat affect
    no emotion in face
  45. Depersonalization =
    lost their identity
  46. Elation
    euphoria at an inappropriate moment
  47. Ambivalence =
    simultaneous conflicting thought's about a person or thing
  48. Confabulation
    filling in the blanks when a person doesn't actucally no something
  49. Neologism =
    making up new words
  50. circumlocution =
    talking all around something but you can't get the word out
  51. blocking =
    walking into a room and forgeting what you were going in for
  52. word salad
    words that are unrelate
  53. preservation =
    repeating verbal responses
  54. echolalia =
    repeating the exact words that someone says over and over
  55. delusions =
    firm, fixed, false, irrational beliefs despite evidences to contrary
  56. obsession =
    unwanted persistent thougth or impulses
  57. compulsion=
    unwanted repetitive, purposeful acts; driven to do it
  58. illusion =
    • úMisperception of an actual existing
    • stimulus, by any sense
  59. Hallucination =
    • úSensory perceptions for which there are
    • not external stimuli; may strike any sense: visual, auditory, tactile,
    • olfactory, gustatory
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220 mental status assessment

220 mental status assessment
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