1. General Appearance

2. Behavior

3. Speech

4. Mood

5. Affect

6. Thought Process

7. Thought Content

8. Sensorium Cognition

9. Insight

10. Judgement

-orientation (person, place, time)

-conciousness (alert, drowsy, lethargic, stuporous)

-calculation (ability to add/subtract)

-memory

-fund of knowledge (who's the president)

-attention/concentration (serial 7s)

-reading/writing

-abstract thinking (explain similarity btwn objects)

-loose associations

-flight of ideas (LA + rapid speech)

-neologisms (made up words)

-word salad

-thought blocking

-tangentiality

-circumstantiality

-perseveration

-clang association

Define the following terms:

-circumstantiality

-tangentiality

-loose associations

-flight of ideas

-circumstantiality: pt provides unnecessarily detailed answers that deviate from topic of conversation but remain vaguely related to original subject. Eventually, pt returns to original subject

-tangentiality: thought process in which there's an abrupt, perminent deviation from the subject. This new thought is vaguely relevant to the original subject and never returns to original subject

-loose assoications: lack of longical connection btwn thoughts or ideas. It tends to be more severe form of tangentiality in which one statement follows another w/o clear association btwn sentences

-flight of ideas: loose associations that rapidly move from topic to topic

-amount of thought (poverty or overabundance)

-hallucinations (AH or VH)

-suicidal or homicidal ideation

-delusions (fixed false beliefs not shared others)

-obsessions (repetitive intrusing thoughts)

-Quality: flat (none), blunted (shallow), contricted (limited), full (average), intense (more than nml)

-Congruity

-Motility: describes how quickly it shifts (sluggish, supple, or labile)

Describe the following types of delusions:

-grandeur

-paranoid

-reference

-thought broadcasting

-grandeur: belief that one has special powers or is someone important

-paranoid: belief one is being prosecuted

-reference: beleif some event is uniquely related to pt (TV is sending messages)

-thought broadcasting: belief one's thoughts can be heared by others

-rate (pressured, slowed, regular)

-rhythm (i.e. prosody)

-articulation (stuttering)

-modulation (loud, soft, nml)

Pt's ability to understand the outcome of his/her actions and use this awareness in making decisions. In add'n to info from HPI, you can ask hypothetical questions to gauge their judegement:

  -"What would you do if you smelled smoke in a crouded movie theatre?"

  -"Where do you plan to go after discharge?"

-gender

-age (as well as age appearance)

-type of clothing

-hygiene

-posture

-grooming

-cosmetic use

-tattoos

-cooperation

-demeanor: polite, pleasant, aggressive, hostile, demeaning, demanding

-eye contact

-psychomotor retardation/agitation (PMA includes pacing, hand wringing, pulling off clothing and putting it back on)

-EPS

-tremors

-tics

Aside from the 9 terms used for thought process, what 3 categories do you want to comment on with thought process?

-linearity

-logical

-goal directedness

9 terms:

-loose associations

-flight of ideas (LA + rapid speech)

-neologisms (made up words)

-word salad

-thought blocking

-tangentiality

-circumstantiality

-perseveration

-clang association