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Cards In This Set
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9 components to the mental status exam
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1. Appearance, attitude, behavior
2. Speech
3. Mood / affect
4. Thought process
5. Thought content
6. Intellectual and cognititve functioning
7. Judgement
8. Insight
9. Summary
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Most important element to appearance, attitude, behavior?
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Interpersonal behavior: how the pt relates to the interviewer
Do they ask, "So why do you wanna know?"
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If a pt is in a normal, positive, non-depressed mood, you could describe it as...
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Euthymic
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Affect is
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What you SEE their emotions as being.
May be inappropriate (laugh when talking about
something sad)
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What are the 4 ranges in affect?
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1. Full range: can tell emotional state by just
looking at them
2. Blunted
3. Constricted: no emotional response
4: Flat: Parkinson's
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6 Abnormal thought processes
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1. circumstantial (too many details)
2. circumferential (talk around the point)
3. tangential (rabbit trails)
4. loose associations (nobody but the speaker
knows what the hell the assoc was)
5. flight of ideas: leave things out b/c thoughts
flying around so fast
6. irrelevant: won't answer the question
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Making up words
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Neologism
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What question must every interviewer always ask?
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Have you had thoughts about suicide?
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How do you know if a patient has "flight of ideas" as opposed to "tangential"?
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Flight of ideas can refocus
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If a pt is fidgeting, moving around, this would be commented on in...
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#1 appearance, attitude, behavior
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Thoughts of suicide belong in which group?
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#5 Thought content
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This patient is talking, but just repeating back what you say
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ECHOlalia
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This pt keeps repeating sentences over and over
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Perseveration
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How do you know if perseveration is a neurologic or psychiatric problem?
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Sounds -- neuro
thoughts -- psychiatric
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Delusion
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Fixed false belief
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