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43 Cards in this Set
- Front
- Back
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What does the mental status exam describe?
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The patient's present state
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What are the 8 points of the mental status exam?
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1. Appearance/attitude/behavior
2. Speech 3. Mood/affect 4. Thought form/process/content 5. Perception 6. Sensiorium 7. Insight 8. Judgement |
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What is the acronym for the MSE?
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a snake moves toward prey silently in jungles
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What should the speech description include?
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Rate, tone, rythm, and volume
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What is mood?
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The patient's subjective, internal state of feeling
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What is affect?
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The patient's objective, external appearance of feeling.
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How are mood and affect normally related?
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Congruently
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When might mood and affect be incongruent?
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In schizophrenia
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What is it called when the patient's mood is fitting with their situation/feelings?
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Appropriate
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What is Thought Form?
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How the patient is thinking
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What is normal thought form?
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Logical, linear, and goal-oriented.
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What is thought blocking?
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Mind going blank frequently
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What is poverty of thought?
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Very little thought occuring
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What is circumstantiality?
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Taking a long time to get to the point
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What is tangentiality?
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Logical, but never getting to the point
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What is Loose associations sometimes also called?
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Derailment
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What are Loose associations?
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Breakdown of logical connections between thoughts.
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What are Clang associations?
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The expression of thoughts through sounds rather than meaning.
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What are neologisms?
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new words or phrases invented by the patient
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What is perseveration?
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Being stuck on a single thought
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What is flight of ideas?
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Rapid jumping from thought to thought as in mania
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What are all the previous definitions examples of?
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Abnormal Thought process (form)
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What is Thought CONTENT?
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WHAT the patient is thinking about
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What are some abnormal thought content examples?
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Delusions
Ideas of reference Ideas of influence Obsessions, compulsions, phobias Hypochondriacal symptoms Thoughts of suicide/violence |
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What are obsessions?
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Upsetting, unstoppable thoughts
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What are compulsions?
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Irresistable urges to act on obsessional thoughts
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What is hypochondriacal thinking?
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The consuming bodily concern without medical cause.
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What is the most common type of Perceptual disturbance?
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Hallucination
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What disease are hallucinations mostly seen in?
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Schizophrenia
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What are hallucinations?
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Sensory perceptions in any modality, internally generated.
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What are illusions?
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Mis-interpreted externally generated perceptions.
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What is Sensorium?
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The patient's state of awareness and cognitive abilities.
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What is included in sensorium?
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-Alertness
-Orientation -Concentration -Memory -Calculation -Fund of knowledge |
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What is Insight?
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The patient's self-reflection, awareness of illness, and understanding of present situation.
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What is judgment?
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The patient's capacity to make reasonable decisions.
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When is judgment temporarily impaired usually?
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In alcoholic intoxication
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What would be a case where judgment is chronically impaired?
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Dementia
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What are the 3 VERY IMPORTANT pertinent negatives to always assess on the MSE?
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-Psychotic symptoms
-Suicidal thoughts -Violent thoughts |
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What is the DSM IV axis I?
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Clinical disorders with symptoms
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What is the DSM IV axis II?
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personality disorders and mental retardation
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What is the DSM IV axis III?
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General medical conditions
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What is the DSM IV axis IV?
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Psychosocial and environmental problems
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What is the DSM IV axis V?
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Global assessment of functioning
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