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8 Cards in this Set
- Front
- Back
What is the role of collateral reports in the MSE?
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No role - MSE only involves here and now observations, no inferences, opinions, etc.
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What are the 6 domains of the MSE?
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1. Appearance and behavior
2. Sensorium 3. Mood and Affect 4. Thought process 5. Thought content 6. Insight and Judgment |
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Things to look for in terms of appearance and behavior:
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* age, race, gender
* bizarre, inappropriate behavior * cooperativeness * hygiene, grooming, dress |
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Things to look for in terms of assessing sensorium:
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* LOC (loss of consciousness)
* Orientation (x3) * Attention and concentration * Memory - Immediate, STM, LTM |
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Things to look for in pt's mood and affect:
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Mood - client's own words, subjective experience
Affect - observable emotions, may be flat, inappropriate, labile, etc. |
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Things to look for in the client's thought process:
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* tangential or distracted?
* rate of speech * loose associations or disorganized thoughts? * circumstantial or obsessive? |
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Things to look for in the client's thought content:
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* delusions, hallucinations, suicidal ideation, preoccupations, etc.
* can be difficult to ask about directly, so look for evidence in other areas of the interview |
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Things to look for in assessing insight and judgment
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* insight into own mental illness and need for tx
* social judgment, ability to make decisions * judgment also includes the ability to abstract |