Patient Assessment Mental Status

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Patient Assessment Mental Status
2013-11-28 13:54:47
Patient Assessment Mental Status
Patient Assessment Mental Status
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  1. What is mental status?
    A person’s emotional and cognitive function
  2. Mental status is _________ through assessment.
  3. What factors affect mental status?
    Age, physical changes to health, drugs, stress, level of education, mental disorders
  4. What aspects of appearance is assessed when performing a mental status exam?
    Posture, body movements, dress and grooming/hygiene
  5. What areas are assessed when evaluating mental status of a patient?
    Appearance, Behavior, Speech, Cognitive functions and Thought processes and perceptions
  6. What are the two categories of Behavior that are assessed during a mental status exam?
    Level of consciousness and Facial expression
  7. What are the five levels of consciousness that can be assigned to a patient?
    Alert, Lethargic, Obtunded, Stupor and Coma
  8. Define “Alert”:
    Awake and fully aware of external and internal stimuli
  9. Define “Lethargic”:
    Not fully alert, drifts off to sleep when not stimulated
  10. Define “Obtunded”: Sleeps most of the time, difficult to arouse
  11. Define “Stupor”:
    Spontaneously unconscious, responds only to vigorous and persistent shakes
  12. Define “Coma”:
    Completely unconscious, no response to pain or stimuli
  13. What is the main way facial expression is judged?
    By eye contact
  14. By what categories is speech evaluated in a mental status exam?
    Pace, articulation and mood and affect
  15. Define Dysarthria:
    Disorder of articulation, distorted speech sounds, language intact
  16. Define Aphasia:
    Language comprehension and production disturbance due to brain damage
  17. What are common causes of Aphasia?
  18. What is the term for a short term emotional status/temporary expression of feeling?
  19. What is the term for a long term emotional status/prolonged expression of feeling that reflects the whole emotional state of a person?
  20. Flat, inappropriate, labile, sad, gloomy, joyful are descriptors of affect or mood?
  21. Depression, euphoria, dysthymia, euthymia are descriptors of affect or mood?
  22. What areas are assessed when evaluating cognitive functions?
    Orientation, Attention Span, Recent memory, remote/long-term memory, new learning, Abstract reasoning, insight and judgment, ability to perform complex acts, level of ambivalence
  23. What are the different categories that can be assigned to an individual after a thought process evaluation?
    Blocking, confabulation, loosening of associations, flight of ideas
  24. Define Confabulation:
    Production of fabricated, distorted or misinterpreted memories about oneself or the world, without the conscious intention to deceive
  25. Define “Blocking” in terms of a descriptor for thought processes:
    Person's speech is suddenly interrupted by silences that may last a few seconds to a minute or longer
  26. Define Loosening of Associations:
    Discourse consisting of a sequence of unrelated or only remotely related ideas
  27. Define Flight of ideas:
    Excessive speech at a rapid rate that involves fragmented or unrelated ideas
  28. During what part of a mental status assessment would you screen for suicidal thoughts?
    During the evaluation of Thought processes and perceptions
  29. What do you evaluate during the Thought processes and perceptions portion of a mental status exam?
    Thought processes, content and perceptions and screen for suicidal thoughts
  30. What issues do you assess for in the though content portion of a mental status exam?
    Delusion, Phobia, Hypochondriasis, Obsession, Compulsion
  31. Define Hypochondriasis:
    Excessive preoccupancy or worry about having a serious illness
  32. During what part of a mental status exam would you evaluate for Hallucination or Illusions?
    Thought processes and perceptions: Perception
  33. When should concern for Suicide be taken very seriously?
    When a person expresses feeling of sadness, hopelessness, despair, grief, self-harm, suicidal ideation or plans
  34. What are the warning signs of suicide?
    Prior attempts; depression, hopelessness; social withdrawal, running away; self-mutilation; insomnia; slowed psychomotor activity; anorexia; verbal suicide messages; death themes in art, jokes, writings; saying goodbye, giving away personal belongings
  35. If a patient exhibits a medical condition or drug induced memory impairment what would you suggest to them?
    Patient education and/or referral to an MD
  36. If a patient does not exhibit a medical condition or drug induced mental issue, but does show memory impairment, what would you suggest to them?
    Refer to an MD
  37. What are common mood disorders?
    Major depression, manic episode, dysthymic disorder an bipolar disorder
  38. What is depression?
    A period of 2 weeks or more with a depressed mood
  39. What are the five general anxiety disorders presented in class?
    Generalized anxiety disorder, Obsessive-Compulsive disorder, Posttraumatic stress disorder, specific phobias, social phobias
  40. In a mini-mental state exam what parts of a full mental exam are evaluated wand which are not?
    • Evaluated: Cognitive functioning
    • Not-evaluated:
    • Mood or Thought processes
  41. How long should a mini-mental exam take?
    5-10 minutes
  42. How many questions are usually asked in a mini-mental state exam?
  43. Describe the Brief Interview for Mental Status (BIMS):
    A mini-mental exam that is fairly short and not copywright protected
  44. Describe the Montreal Cognitive Assessment (MOCA):
    A longer test that can be used repeatedly