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1.9 Mental Status Exam
Dr. Conrad
21
Psychology
Professional
01/09/2012

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Cards

Term
What part of the history is described in the patient's own words?
Definition
chief complaint
Term
What are the major diagnostic criteria for mental illness?
Definition
DSMIV
Term
What two general medical disorders are important to recognize in psych patients because of potential medication interactions?
Definition
neurologic d/os and diabetes
Term
What item in the past medical history can lead to psychiatric d/os and seizures?
Definition
traumatic brain injury
Term
What do you call medications that are given via injection at a dr's appointment and last the patient for weeks?
Definition
depot medications
Term
what do you call a patient with a normal mood?
Definition
euthymic
Term
What should you ask about in a past psychiatric history?
Definition
previous diagnosis, hospitalizations, previous medications and reasons for failure/noncompliance, previous clinic followup
Term
What are the main components of the mental status exam?
Definition
apperance, psychomotor activity, attitude, mood, affect, speech, thought process, thought content, cognition,
Term
What are words used to describe psychomotor activity?
Definition
retarded, agitated
Term
What are words used to describe attitude?
Definition
hostile, cooperative, uncooperative
Term
What words are used to describe mood?
Definition
depressed, euthymic, euphoric, irritable
Term
What words are used to describe affect?
Definition
depressed, full, labile, constricted>blunted>flat
Term
How do you characterize speech?
Definition
rate, tone, and volume (increased, decreased, pressured)
Term
How do you describe thought process?
Definition
linear/goal-directed, circumstantial, tangential, LOA (looseness of association), flight of ideas (FOI), thought blocking, world salad
Term
What do you call a worse form of tangential thought process?
Definition
flight of ideas
Term
Patients with what disease can have thought blocking?
Definition
schizophrenia
Term
How do you characterize a patients thought content?
Definition
SI, HI, AH, VH, TH, OH, delusions (grandiose, bizarre, persecutory, somatic erotomaniac)
Term
What are the typical types of bizarre delusions?
Definition
thought broadcasting, thought insertions, ideas of referrance
Term
How do you characterize a patient's cognition?
Definition
level of consciousness, orientation, memory, concentration/attention, abstractin, intelligence, insight/judgment
Term
A/O x 4 means the patient is alert and oriented to...
Definition
person, place, time, situation
Term
What are the four diagnostic axes?
Definition
I= primary diagnosis
II= MR, personality d/os
III= general medical d/os
IV= psychosocial, environmental problem
V= global assessment of functioning (0-100)
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