Health Assessment Final Care Viii 2009 - Mental

Front 1

a person's emotional and cognitive function

Back 1

mental status

Front 2

stress surrounding a traumatic life event causes __________________ , which is an expected response to trauma

Back 2

transient dysfunction

Front 3

a behavioral or psychological pattern associated with distress, disability, and significant risk of pain, disability, or death

Back 3

mental disorder

Front 4

mental disorders include...

Back 4

1. organic disorders
2. psychiatric mental illness

Front 5

due to brain disease of known specific cause (ex. delirium, dementia, intoxication, and withdrawl)

Back 5

organic disorders

Front 6

disorder in which organic etiology has not been established (ex. anxiety disorder or schizophrenia)

Back 6

psychiatric mental illness

Front 7

being aware of one's own existence, feelings, and thought and aware of the environment... the most elementary of mental status functions

Back 7

consciousness

Front 8

using the voice to communicate one's thoughts and feelings... a basic tool of humans...its loss has a heavy social impact on the individual

Back 8

language

Front 9

both of these elements deal with prevailing feelings

Back 9

1. mood
2. affect

Front 10

a temporary expression of feelings or state of mind

Back 10

affect

Front 11

a more durable, prolonged display of feelings that color the whole emotional life

Back 11

mood

Front 12

the awareness of the objective world in relation to self

Back 12

orientation

Front 13

the power of concentration, the ability to focus on one specific thing without being distracted by many environmental stimuli

Back 13

attention

Front 14

the ability to lay down and store experiences and perceptions for later recall

Back 14

memory

Front 15

this type of memory evokes day-to-day events

Back 15

recent memory

Front 16

this type of memory brings up years' worth of experiences

Back 16

remote memory

Front 17

pondering a deeper meaning beyond the concrete and literal

Back 17

abstract reasoning

Front 18

the way a person thinks, the logical train of thought

Back 18

thought process

Front 19

what the person thinks - specific ideas, beliefs, the use of words

Back 19

thought content

Front 20

an awareness of objects through the five senses

Back 20

perception

Front 21

true or false
infants and children:
consciousness gradually develops (along with language)

Back 21

true

Front 22

18-24 months, a child learns that he/she is separate from ______________ , and has words to express this

Back 22

objects in the environment

Front 23

______________ gradually increases by age 7

Back 23

attention

Front 24

______________________ develops between 12 and 15

Back 24

abstract thinking

Front 25

in the elderly, what type of assessment should be done first?

Back 25

sensory perceptive assessment

Front 26

true or false:
in the elderly, there is no decrease in general knowledge, and litle or no loss in vocabulary

Back 26

true

Front 27

true or false:
in the elderly, there is a slower response time, and it takes the brain longer to process things

Back 27

true

Front 28

true or false:
in the elderly, recent memory is somewhat decreased

Back 28

true

Front 29

true or false:
in the elderly,remote memory is not affected

Back 29

true

Front 30

true or false:
in the elderly,grief and despair can alter mental status

Back 30

true

Front 31

true or false:
the mental status exam is usually assessed during the health history interview

Back 31

true

Front 32

what are the four main headings of mental status assessment?

Back 32

1. appearance
2. behavior
3. cognitition
4. thought processes

Front 33

What are the 4 main reasons to integrate a full mental status exam into the health history interview?

Back 33

1. abnormality in affect or behavior
2. family concerns
3. brain lesions
4. aphasia
(also, with symptoms of psychiatric mental illness, especially with acute onset)

Front 34

what should be assessed first in a mental status exam?

Back 34

the most basic functions (ex consciousness and language)

Front 35

what could affect findings?

Back 35

1. known illnesses
2. current medications
3. educational and behavioral level
4. responses to personal history questions

Front 36

what are you looking for when testing LOC?

Back 36

level of consciousness...
awake, alert, and aware
aware = oriented X 3 (4)
to 1. person
2. place
3. time
(4. situation)

Front 37

What is "normal" posture and position?

Back 37

posture is erect and position is relaxed

Front 38

What are "normal" body movements?

Back 38

body movements are voluntary, deliberate, coordinated, and smooth and even

Front 39

restless, fidgety body movements occur with ________

Back 39

anxiety

Front 40

bizarre gestures could mean _________

Back 40

possible schizophrenia

Front 41

What are you checking for when looking at dress?

Back 41

dress is approproate for setting, season, age, gender, and social group. also, clothing fits and is put on properly

Front 42

unilateral neglect in grooming and hygiene could indicate _____

Back 42

CVA

Front 43

when assessing facial expression a flat, masklike expression is considered _______ (normal/abnormal)

Back 43

abnormal

Front 44

When assessing new learning with the 4 unrelated words test, what is considered "normal"?

Back 44

normal < 60 y/o is 3-4 words correct over 5, 10, and 30 minutes

Front 45

(Always screen for suicide)when assessing suicidal thoughts/behaviors, which situation is the most serious

Back 45

one with a plan to commit suicide

Front 46

true or false:
the mini mental status exam evaluates cognitive function only, not mood or thought processes

Back 46

true

Front 47

true or false:
the mini mental status exam is a valid detector of organic disease

Back 47

true

Front 48

true or false:
the mini mental status exam detects dementia and delirium

Back 48

true

Front 49

on the mini mental status exam, scores between ____ and ____ indicate no cognitive impairment

Back 49

24-30

Front 50

What are the 5 levels of consciousness?

Back 50

1. alert
2. lethargic
3. obtunded
4. stupor
5. coma
(see pg 108)

Front 51

difficulty or discomfort in talking, with abnormal pitch or volume

Back 51

dysphonia

Front 52

distorted speech sounds

Back 52

dysarthria

Front 53

true language disturbance, defect in word choice and grammar or defect in comprehension

Back 53

aphasia

Front 54

disturbance of consciousness with a reduced ability to focus, change in cognition, develops over a short period of time and tends to fluctuate during the course of the day, usually lasts hours to days

Back 54

delirium

Front 55

name 5 instances where general medical conditions may cause delirium

Back 55

1. systemic infections
2. metabolic disorders
3. fluid/electrolyte disturbances
4. kidney disease
5. substance abuse

Front 56

memory impairment, cannot learn new info, cannot recall previously learned info, aphasia, apraxia, agnosia, disturbance in executive functioning, impairment in occupational or social functioning

Back 56

dementia

Front 57

impaired ability to carry out motor activities despite intact sensory function

Back 57

apraxia

Front 58

failure to recognize or identify objects despite intact sensory function

Back 58

agnosia