Mental Status Flashcards

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ml3923
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78356
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Mental Status Flashcards
Updated:
2011-04-08 18:26:16
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mental status assessment
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NURS 3320 Test 4
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  1. Mental Disorder
    Significant behavioral or psychological pattern that is associated with distress (painful symptom) or disability (impaired functioning), and has a significant risk of pain, disability, or death, or a loss of freedom
  2. Organic Disorders
    • Due to brain disease of known specific organic cause
    • Ex: Delirium, dementia, intoxication, and withdrawel
  3. Psychiatric Mental Illness
    • Organic etiology has not yet been established
    • Ex: Anxiety disorder or Schizophrenia
  4. Consciousness
    Being aware of one's own existence, feelings, and thoughts and aware of the environment
  5. Language
    Using the voice to communicate one's thoughts and feelings
  6. Mood and Affect
    • Affect: Temporary expression of feelings or state of mind
    • Mood: More durable, prolonged display of feelings that color the whole emotional life
  7. Orientation
    Awareness of the objective world in relation to the self
  8. Attention
    Power of concentration, the ability to focus on one specific thing without being distracted by many environmental stimuli
  9. Memory
    Ability to lay down and store experiences and perceptions for later recall.
  10. Abstract Reasoning
    Pondering a deeper meaning beyond the concrete and literal
  11. Thought Process
    The way a person thinks, the logical train of thought
  12. Thought Content
    What the person thinks -- specific ideas, beliefs, the use of words
  13. Perceptions
    An awareness of objects through the five senses
  14. ABCT
    • Appearance
    • Behavior
    • Cognition
    • Thought Processes
  15. When should you perform a full mental status examination?
    • Family members are concerned about a person's behavioral changes
    • Brain Lesions (trauma, tumor, brain attack)
    • Aphasia
    • Symptoms of psychiatric illness, especially with acute onset
  16. Aphasia
    Impairment of language ability secondary to brain damage
  17. Alert
    Awake or readily aroused, oriented, fully aware of external and internal stimuli and responds appropriately, conducts meaningful interpersonal interactions
  18. Lethargic (Somnolent)
    Not fully alert, drifts off to sleep when not stimulated, can be aroused to name when called in normal voice but looks drowsy, responds appropriately to questions or commands but thinking seems low and fuzzy, inattentive, loses train of thought, spontaneous movements are decreased
  19. Obtunded
    Sleeps most of the time, difficult to arouse--needs loud shout or vigorous shake, acts confused when aroused, converses in monosyllables, speech may be mumbled and incoherent, requires constant stimulation for even marginal cooperation
  20. Stupor or Semi-Coma
    Spontaneously unconscious, responds only to persistent and vigorous shake or pain; has appropriate motor response (ex. withdraws hand to avoid pain); otherwise can only groan, mumble, or move restlessly; reflex activity persists
  21. Coma
    Completely unconscious, no response to pain or to any external or internal stimuli, light coma has some reflex activity but no purposeful movement, deep coma has no motor response
  22. Dysphonia
    Difficulty or discomfort in talking, with abnormal pitch or volume, due to laryngeal disease. Voice sounds whispered, but articulation and language are intact
  23. Dysarthria
    Distorted speech sounds; speech may sound unintelligible; basic language (word choice, grammar, comprehension) intact
  24. Global Aphasia
    • Most common and severe
    • Comprehension is absent or reduced to only the person's own name and a few select words
    • Repetition, reading, and writing are severely impaired
    • Caused by a large lesion that damages most of combined anterior and posterior language areas
  25. Broca's Aphasia
    • Expressive aphasia
    • Person understands language, but can't express themselves using language
    • Auditory and reading comprehensions are intact
    • Lesion is in anterior language area called the motor speech cortex or Broca's area
  26. Wernicke's Aphasia
    • Receptive aphasia
    • Person can hear sounds and words but cannot relate them to previous experiences
    • Lesion is in posterior language area called the Association auditory cortex or Wernicke's Area
  27. Flat affect
    • Lack of emotional response
    • No expression of feelings
    • Voice monotonous and face immobile
  28. Depression
    • Sad, gloomy, dejected
    • Symptoms may occur with rainy weather, after a holiday, or with an illness
  29. Depresonalization (lack of ego boundaries)
    • Loss of identity
    • Feels estranged
    • Perplexed about oen identity and meaning of existence
  30. Elation
    • Joy and optimism
    • Overconfidence
    • Increased motor activity
    • Not necessarily pathologic
  31. Euphoria
    • Excessive well-being
    • Unusually cheerful or elated, which is inappropriate considering physical and mental condition
    • Implies a pathologic mood
  32. Anxiety
    Worried, uneasy, apprehensive from the anticipation of a danger whose source is unknown
  33. Fear
    • Worried, uneasy, apprehensive
    • External danger is known and identified
  34. Irritability
    • Annoyed
    • Easily provoked
    • Impatient
  35. Rage
    • Furious
    • Loss of Control
  36. Ambivalence
    Existence of opposing emotions toward an idea, object, person
  37. Liability
    Rapid shift of emotions
  38. Inappropriate affect
    Affect clearly discordant with the content of the person's speech
  39. Confabulation
    Fabricates events to fill in memory gaps
  40. Neologism
    • Coining a new word
    • Invented word has no real meaning except for the person
    • May condense several words
  41. Circumlocution
    Round-about expression, substituting a phrase when cannot think of name of object
  42. Circumstantiality
    • Talks with excessive and unnecessary detail, delays reaching a point
    • Sentences have a meaningful connection but are irrelevant
  43. Loosening associations
    • Shifting from one topic to an unrelated topic
    • Person seems unaware that topics are unconnected
  44. Flight of Ideas
    • Abrupt change, rapid skipping from topic to topic, practically continuous floe of accelerated speech
    • Topics usually have recognizable associations or are plays on words
  45. Word Salad
    • Incoherent mixture of words, phrases, and sentences
    • Illogical, disconnected, includes neologisms
  46. Perseveration
    Persistent repeating of verbal or motor response, even with varied stimuli
  47. Echolalia
    • Imitation
    • Repeats others' words or phrases, often with a mumbling, mocking, or mechanical tone
  48. Clanging
    • Word choice based on sound, not meaning
    • Includes nonsense rhymes and puns
  49. Characteristic Symptoms of Schizophrenia
    • Delusions
    • Hallucinations (auditory more common)
    • Disorganized Speech
    • Grossly disorganized or catatonic behavior
    • Negative Symptoms (affective flattening, alogia, or avolition)
  50. How many characteristic symptoms and how long must they be present for a diagnosis of schizophrenia?
    • Two or more characteristics
    • For a significant part of a 1 month period

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