Lsu Pa Mental Status Exam Csm

Front 1

List the free parts of the mental status exam.

Back 1

 level of consciousness
 appearance
 behavior
 cooperation
 reliability
 affect
 thought form

Front 2

List the parts to ask of the mental status exam.

Back 2

 orientation
 cognitive functioning
 suicidal or homicidal
 knowledge base
 perception
 mood
 thought content

Front 3

List descriptions of appearance in the MSE.

Back 3

Hygiene
Posture: catatonic,vigilant
Eye contact
Response to questions
The patient’s apparent health: well developed, bedridden
Mannerisms: tics, hand-wringing
Nutritional state : well nourished, emaciated
Actions: compulsions , apparent response to hallucinations

Front 4

List descriptions of behavior in the MSE.

Back 4

Guarded and suspicious
Friendly
Cooperative
Hostile
Threatening
Seductive
Challenging

Front 5

Define poverty of thought.

Back 5

decrease in the apparent ability or interest in interacting with the environment and other people

Front 6

Define flight of ideas.

Back 6

one’s thoughts race ahead of one’s ability to communicate them (but connected)

Front 7

Define thought blocking

Back 7

an abrupt cessation of communication before the topic of discussion can be completed

Front 8

Define circumstantiality

Back 8

marked by tedious and unnecessary details but eventually reaches the point

Front 9

Define tangetiality

Back 9

marked by skirting the question rather than directly answering it. Connections between subsequent thoughts are apparent, but a goal is never reached

Front 10

Define loosening of associations

Back 10

a jumping from subject to subject without apparent logical or sequential connections (word salad would be extreme)

Front 11

Define verbigeration

Back 11

conveys little information despite adequate volume of speech due to
empty repetitions of obscure phrases or words

Front 12

Define word salad

Back 12

an incoherent collection of words and phrases

Front 13

Define neologisms

Back 13

made-up words that have meaning only for the patient

Front 14

Define clang associations

Back 14

words or phrases connected due to characteristics of the words themselves (rhythm,punning) rather than the meaning they convey

Front 15

Define echolalia

Back 15

repetitive, often playful repetition of the words of others

Front 16

Define a phobia

Back 16

an irrational, pathologic dread of a specific type of stimulus or situation that results in marked anxiety and avoidance of the situation

Front 17

Define obsession

Back 17

a disturbing, persistent, and usually intrusive thought, feeling, or impulse that cannot be eliminated from consciousness

Front 18

Define compulsions

Back 18

– irresistible urges to perform meaningless, often ritualistic motor acts, such as handwashing

Front 19

Define dysphoric

Back 19

An unpleasant mood, such as sadness, anxiety or irritability.

Front 20

Define elevated

Back 20

- An exaggerated feeling of well-being, or euphoria or elation. A person with elevated mood may describe feeling "high," "ecstatic," "on top of the world," or "up in the clouds."

Front 21

Define euthymic

Back 21

Mood in the "normal" range, which implies the absence of depressed or elevated mood.

Front 22

Define expansive

Back 22

Lack of restraint in expressing one's feelings, frequently with an overevaluation of one's significance or importance.

Front 23

Define irritable

Back 23

Easily annoyed and provoked to anger

Front 24

Define blunted

Back 24

Significant reduction in the intensity of emotional expression

Front 25

Define flat

Back 25

Absence or near absence of any signs of affective expression

Front 26

Define inappropriate

Back 26

Discordance between affective expression and the content of speech or ideation.

Front 27

Describe a labile presentation

Back 27

- Abnormal variability in affect with repeated, rapid, and abrupt shifts in affective expression.

Front 28

Restricted or constricted

Back 28

Mild reduction in the range and intensity of emotional expression

Front 29

Describe the difference between delusions, hallucinations, and illusions.

Back 29

Delusion (fixed false belief) - a false belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary

Hallucination (perception of something without a stimulus present) - a sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ.

Illusions - misperception of a stimulus, such as thinking a stick is a snake.

Front 30

List and describe different types of delusions.

Back 30

i. Bizarre - A delusion that involves a phenomenon that the person's culture would regard as totally implausible.
ii. Delusional jealousy - The delusion that one's sexual partner is unfaithful.
iii. Erotomanic - A delusion that another person, usually of higher status is in love with the individual.
iv. Grandiose - A delusion of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person.
v. *Of being controlled - A delusion in which feelings, impulses, thoughts, or actions are experienced as being under the control of some external force rather than being under one's own control.
vi. Of reference - A delusion whose theme is that events, objects, or other persons in one's immediate environment have a particular and unusual significance.
vii. Persecutory - A delusion in which the central theme is that one (or someone to whom one is close) is being attacked, harassed, cheated, persecuted, or conspired against.
viii. Somatic - A delusion whose main content pertains to the appearance or functioning of one's body.
ix. *Thought broadcasting - The delusion that one's thoughts are being broadcast out loud so that they can be perceived by others.
x. *Thought insertion - The delusion that certain of one's thoughts are not one's own, but rather are inserted into their mind

Front 31

List and describe different types of hallucinations.

Back 31

Auditory - A hallucination involving the perception of sound, most commonly of voices.
Gustatory - A hallucination involving the perception of taste (usually unpleasant).
Olfactory - A hallucination involving the perception of odor, such as of burning rubber or decaying fish.
Somatic - A hallucination involving the perception of a physical experience localized within the body (such as a feeling of electricity).
Tactile - A hallucination involving the perception of being touched or of something being under one's skin.
Visual - A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light.

Front 32

Describe insight and judgement

Back 32

Insight – aware of factors influencing one’s self
– The appreciation that an illness or psychiatric difficulty is occurring.
– Recognition of the impact on the ability to function.
– Awareness of the need to take steps to correct illness.
Judgment – an ability to handle finances; manage day-to-day activities; and avoid danger, including exposure to heat, cold, malnutrition, and crime