Term
| aspects of the mental status exam: |
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Definition
- appearance and attitude
- motor activity
- thought and speech
- mood and affect
- perception
- orientation
- memory
- fund of knowledge
- calculations
- reading and writing
- visuospatial ability
- attention
- abstraction
- judgment and insight |
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Term
| difference between mood and affect: |
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Definition
mood is overtime, self reported and observed
affect is what you observe at the present, only observed |
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Term
| visual, auditory, and olfactory hallucinations indicate: |
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Definition
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Term
| absense of olfactory senses may indicate: |
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Definition
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Term
| orientation needs to be to: |
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Definition
- time
- place
- person
- reason |
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Term
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Definition
disorder of calcuations seen with brain disorderes
can test calculations and attention at same time by doing the serial 7s test |
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Term
| difference between judgment and insight: |
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Definition
- judgment: knowing and applying social rules to life (kid on the pier)
- insight: knowing how my condition impairs me |
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Term
| meticulous appearance may indicate: |
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Definition
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Term
| unkempt appearance may indicate: |
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Definition
- depression
- personality disorder |
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Term
| unusual appearance may indicate: |
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Definition
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Term
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Definition
| limited responses to questions |
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Term
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Definition
| repeated motor activities, generally facial |
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Term
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Definition
| usually seen in arms, hands, trunk, head, legs all major parts of body, most frequent are hand and head- indicative of Parkinson’s Disease |
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Term
| abnormal motor movements: |
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Definition
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Term
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Definition
- usually due to antipsychotic medication
- tongue thrusting
- ramicular movements- moving tongue around mouth
- patients with this often have gait disturbances as well
- tends to be permanent, so stopping meds does not stop this |
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Term
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Definition
| maintains posture into which patient is placed |
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Term
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Definition
- abnormalities in thought content
- fixed false beliefs held overtime |
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Term
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Definition
- you read them a story and tell them to repeat it back, but they just make stuff up b/c they can't remember what you said
- making stuff up |
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Term
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Definition
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Term
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Definition
rapid changes in affect but not in response to the environment
- tends to be high amplitude
- person starts talking and gets really upset and then starts talking about something else |
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Term
| define mood congruent affect: |
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Definition
emotional presentation matches affect
sad situation person is sad |
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Term
Oriented X 3/4
Time
Date, Day, Month, Season, Year
Place
Where are we today? What floor of the building are we on?
Person
What is your full name? What is your birthday? What was your mother’s first name?
Situation
Why are you here today? |
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Definition
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Term
| ___ patients get disoriented to time early in the disease. |
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Definition
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Term
| how to test immediate memory? |
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Definition
| - say "apple,table,penny" and have them repeat that back to you |
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Term
| how to test short term memory? |
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Definition
| - after 3-5 minutes have them tell you the 3 objects you had them remember |
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Term
| how to test remote memory: |
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Definition
- what did you have for dinner last night?
- what is the name of the city you were born in? |
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Term
| delayed memory aka short term memory |
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Definition
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Term
| Working memory: info helf for a short amount of time, not encoded, if its becomes encoded then it is part of the memory system |
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Definition
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Term
| How to test fund of knowledge: |
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Definition
- name the current president
- name the past 5 presidents
- How far is New York from San Francisco? |
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Term
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Definition
- serial 7s
- If i gave a clerk a $10 bill to pay for 5 potatoes at 60cents each, how much change should I get back? |
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Term
| how to test capacity to read and write? |
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Definition
- have them a read a sentence that tells them to do something and see if they do it "close your eyes"
- write a complete sentence |
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Term
| With Parkinsonian's disease you will see ___ with their hand writing. What does this mean? |
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Definition
- trailing
- letters start big but get really small |
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Term
| How to test visuospatial ability: |
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Definition
- copy a circle, diamond, cube, etc.
- draw the face of clock, put all numbers on it, and set the hands at 10 after 11 |
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Term
| how to test attention and concentration; |
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Definition
- digit span
- serial 7s
- spell world fowards and backwards |
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Term
| clock drawing is sensitive for ___ __. |
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Definition
brain damage
any errror on clock is pathological |
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Term
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Definition
- interpret proverbs: "people who live in glass houses shouldn't throw stones"
- similarities: "how are a coat and hat alike?", "How are a watch and ruler alike?" |
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Term
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Definition
| Awareness of the nature , severity and consequences of actions and impairments |
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Term
| how to assess bizarre or disorganized behavior? |
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Definition
Clothing and Appearance- “Does anyone say anything to you about the way you dress?”
Social or Sexual Behavior- “Have you done anything that others may think is unusual?”
Aggressive and Agitated- “Have you been unusually angry or irritable lately?”
Ritualistic/Stereotyped Behavior- “Are there things you have to do over and over or in a certain way or order?” |
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Term
| types of disorganized speech: |
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Definition
- loose associations
- tangentiality
- schizophasia
- illogicality
- circumstantiality
- pressured speech
- clang speech |
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Term
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Definition
| disjointed speech that gets the speaker farther and farther off track as they speak |
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Term
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Definition
| Unrelated or minimally related response to a question |
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Term
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Definition
| Indirect and delayed process of getting to a point |
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