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44 Cards in this Set

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What is mental status?

A person’s emotional and cognitive function

A state of well being in which every individual realizes his or her own potential, can cope with normal stresses of life, can work productively, and can make a contribution to the community

Mental health

Mental disorders can be either

Organic (caused by brain disease) or psychiatric

Consciousness gradually develops along with language so by _______ months the Child learns that he or she is separate from the objects in the environment

18 to24

Addition gradually increases throughout preschool so that by school age most children are able to

Sit and concentrate on their work for a period of time

Around age 7 thinking becomes more logical and systematic and the child is able to

Reason and understand

Ages ____able to consider a hypothetical situation

12 to 15

Age ____ experience illicit drug use, alcohol and cigarette dependence

12 to 17

What is the second leading cause of death?

Suicide

Suicide is more common in

Rural areas versus urban

Only how many percent of children receive mental health care

15 to 25%

The aging adult, response time is

Slower

In the aging adult, it takes the brain longer to

Process information and react to it

In the aging adult, slow response time affects

New learning

The aging adult, recent memory is

Some what decreased

What kind of memory remains the same in the aging adult?

Remote memory

Aging adult has decreased what

Vision and hearing

What has aging adult experience

Loss

What are the components of the mental status exam?

Appearance


Behavior


Cognition


Thought process


ABCT

ABCT

Keep in mind factors that might affect interpretations of a mental status exam

No illness or health problems, medications, educational levels, response to personal history questions

Appearance

Posture


Body movements


Dress


Rooming


Hygiene


Pupils

Behavior

level of consciousness


Facial expressions


Speech


Mood and affect

Cognitive function

Orientation


Attention span


Recent memory


Remote memory


New learning

New learning test

For unrelated word test at five, 10, 30, and 60 minutes

Additional testing for persons with a Aphasia

Word comprehension


Reading


Writing

Thought process and perceptions

Thought processes


Thought content


Perceptions


Screen for anxiety


Screen for depression


Screen for suicidal thoughts

How do you assess judgment?

Note what a person says about job plans, social, or family and plans for the future


Mini mental exam

Developmental competence

Essentially you follow the same ABCT Guidelines as you do for adults, but have special considerations for milestones

Abnormalities arise when the

Child does not reach milestones

What makes the most up of the mental status data?

The parents health history, developmental history, and personal history

Denver II screening

Designed to detect developmental delays and infants and preschoolers with four functions

What are the four functions in the Denver II Screening?

Gross motor


Language


Fine motor adaptive


The personal social skills

What does the Denver II do?

Helps identify young children who may be slow and development in behavioral, Language, cognitive, and psychosocial areas

Adolescence follow the same ABCT Guidelines as adults. In the beginning ask what?

Open ended questions

The aging adult, what should you assess before assessing any aspect of mental status?

Check sensory status

When older people cannot hear your questions, what can they not do?

They cannot accurately complete cognitive screening exams

What is used to measure consciousness in a hospital setting?

Glasgow coma scale

What do you ask for cognitive function?

Oriented to person place and time


Time of year and month


Location

And people of normal cognitive function, and age related change decline occurs in performance in the what?

For unrelated word test

What’s the average for people in their 70s in the four unrelated word test?

In their 70s average two words recalled in five minutes and typically do better at 10 and 30 minutes after being reminded of the words

People with blank do not improve

People with Alzheimer’s scores do not improve

How long does the mini cog take to administer?

3 to5 minutes

Mini cog test the persons what?

Executive function, including the ability to plan, manage time, organize activities, and managing working memory

What is a mini cog test?

Complete Ron close circle clock with all numbers present, we got all three words and draw the time requested