Mental status examination

Mental Status Examinations (MSE) are semi-structured assessment interviews designed to evaluate the client’s current cognitive process, while focusing primarily on psychiatric diagnoses versus neurological functioning (Sommers-Flanagan & Sommers-Flanagan, 2014). As an examiner, ideally, you should be able to “balance emotional sensitivity with appropriate objective detachment” (Sommers-Flanagan & Sommers-Flanagan, 2014, p. 250). Additionally, as with any interview or assessment, it is crucial to remain mindful about cultural differences, as well as becoming knowledgeable in multiculturalism. Individuals working, as physicians, psychotherapists, and counselors should expect to receive training on MSE skills in order to be educated about assessing…

patients mental processes. They show signs of memory loss, impaired reasoning and changes in their personality. Correctly assessing the patient for signs of the condition is extremely important. The chances of developing dementia increase with age and 14.7% of people over 70 are diagnosed with dementia (Jarvis, 2016). The diagnosis of dementia is not only stressful for the patient but also the family members and caregivers. Tests such as the Mini-Cog are tools that are used along with a…

open-ended questions are helpful in finding out more information about the client and their situations. These types of questions require the client to give a response that are more in depth and has a lengthier response, whereas, close-ended questions can be answered in one word . These are not the type of question the interviewer should be asking during a clinical interview these questions have a potential to end the conversation. Open-end questions are the ones that usually spark the…

and not to others since her diagnosis was familiar Alzheimer’s and not dementia. Also I believe that she has major depressive disorder and not bipolar disorder because she does not show signs of mania which is common in bipolar disorder. Treatment Since Alice has Alzheimer’s disease there is not cure for her, and there are no real medications that completely help with the symptoms. The current therapies that are available contain anti-inflammatories, stains, hormonal therapies and chelators…

Cognitive impairment and chronic mental illness are conditions that need special attention when noted. These changes can impact the older adult’s ability in performing their activities of daily living (ADLs) and instrumental activities of daily living (IADLs). According to Touhy and Jett (2012), cognitive changes are often overlooked and undiagnosed by healthcare providers that may lead to greater impairment and functional decline, because of missed early intervention and treatment (p.376).…

Assessment Report: MAST and the Mental Status Examination A counselor that is meeting with a client should consider the use of assessments. Assessments can be an extremely useful tool. However, the counselor should consider the client’s cultural background and how if the assessment is appropriate to use. During an aspiring counselor’s journey in fieldwork, one may have to use assessments that could benefit the client. An aspiring counselor may use an assessment to assist him or her with…

Practicum and Internship students learn about the Counselor Preparation Comprehensive Exam (CPCE) and the National Counseling Exam (NCE). The presenter, Dr. Ki Chae gave an overview of the material on both exams. Dr. Chae explained that all Clinical Mental Health Counseling students and all Professional School Counseling students are required to take the CPCE when enrolled in practicum. We must pass the exam before beginning Internship 6120 or 6130 beginning calendar year 2016. The CPCE is used…

The comprehensive history and physical examination (H&P) is made up of the following nine major components: history of present illness (HPI), past medical history (PMH), family history, psychosocial, review of systems (ROS), physical examination, laboratory data, problem list, and treatment plan. The HPI section addresses the current problem for which the patient is seeking care for and its chronological development up to the present time. The elements need to be documented are location,…

students. According to the article “Examination Hell” there have been “repeated complaints in the Japanese press that examination hell has prevented Japanese students from having a healthy childhood, has blunted intellectual curiosity, has discouraged females from applying to universities, has overlooked less academic leadership skills, and has encouraged those students who finally do get admitted to do almost no academic work while in college.” (Beauchamp, 1991) Criticism likes these are not…

1. Develop at least 2 complete nursing diagnoses related to client’s history. Rape-Trauma Syndrome related to forced sexual penetration as evidenced by shame, fear, and helplessness. (610) Risk for Post Trauma Syndrome related to inadequate social support. (594) Stress Overload related to chronic illness as evidenced by reports of difficulty in functioning. (768) Risk for ineffective activity planning related to insufficient support systems. (49) 2. Identify the components included in a client’s…