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Jarvis
Chapter 2 Mental Status
34
Nursing
Undergraduate 1
09/12/2009

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Term
Mental Status is?
Definition
A person's emotional and congnitive funciton
Term
A person's mental status is inferred through
Definition
assessment of individual behavior
Term
Awareness of one's own existence, feelings, and thoughts and awareness of the environment
Definition
consciousness
Term
Using the voice to communicate one's thoughts and feelings
Definition
Language
Term
Awareness of the objective world in relation to the self
Definition
Orientation
Term
Both of these elements deal with prevailing feelings.
Definition
Mood and affect
Term
The power of concentration, the ability to focus on one specific thing without being distracted
Definition
attention
Term
The ability to note and store experiences and perceptions for later recall
Definition
Memory
Term
Pondering of a deeper meaning beyond the concrete and literal
Definition
Abstract reasoning
Term
The way a person thinks, the logical train of thought
Definition
Thought process
Term
What a person thinks; specific ideas, beliefs, and use of words
Definition
Thought content
Term
Awareness of objects through any of the five senses
Definition
Perceptions
Term
Is a systematic check of emotional and cognitive functioning.
Definition
Full mntal status examination
Term
What are the four main heading of mental status assessment?
Definition

 

     A = Appearance

     B = Behavior

     C = Cognition

     T = Thought processes

Term

What do all the following have in common?

  • Any known illness or health problem
  • Current Medications
  • Educational and behavioral levels
  • Responses to personal history questions
Definition
Health Histories that could affect the interpretation of findings
Term
Appearance affects
Definition
  1. Posture and Position
  2. Body Movements
  3. Dress
  4. Grooming and Hygiene
Term

These are all:

  • Level of Consciousness
  • Facial Expression
  • Speech
  • Mood/Affect
Definition
Behavior
Term

These are all part of:

  • Orientation
  • attention Span
  • Recent Memory
  • Remote Memory
  • Judgment
Definition
Cognitive Functions
Term
Recent Memory
Definition

Within a 24 hour period

 

contents of evening meal

Term
Remote Memory
Definition

Past events

 

e.g., Birthdays, Anniversaries...

Term
 A client that was unable to concentrate and stay focused on a single topic could have a :
Definition
short attention span
Term
A client that knows where they are at and are familiar with the time of day are said to be:
Definition
Orientated
Term
What a client says should be consistent and ____
Definition
Logical
Term
A client that can not make sense of their words could have a problem with:
Definition
thought processes
Term
What should you do when your client expresses feelings of sadness, hopelessness, despair or grief
Definition
Screen for Suicical Thoughts
Term
This test includes a only 11 questions and yet it is useful for both initial and serial measurements
Definition
The MiniMental State Examination
Term
The MiniMental State Examination concentrates  only on:
Definition
Cognitive Functioning, not on mood or thought processes
Term

The normal score on a MiniMental State Examination is:

 

The Abnormal score that occur with dementia and delirium are:

Definition

27

18-23 mild impairment

0-17 severe impairment

Term
What are the levels of Consciousness
Definition

Alert

Lethargic

Obtunded

Stupor or Semi coma

Coma

Term

Awake or readily aroused, oriented, fully aware

 

This level of consciousness is best Know as:

Definition
Alert!
Term

Not fully alert, drifts off to sleep when not stimulated, can be aroused to name when called in normal voice but looks drowsy

 

This level of consciousness is best Know as:

Definition
Lethargic (somnolent)
Term

Sleeps most of the time, difficult to arouse, acts confused when aroused, speech may be mumbled and incoherent

 

This level of consciousness is best Know as:

Definition
Stupor or Semi-coma
Term

Completely unconscious, makes no response to pain or to any external or internal stimuli

 

This level of consciousness is best Know as:

Definition
Coma
Term
Has clouding of consciousness, inattentive, makes incoherent conversation, has impaired recent memory and is confabulatory (false memories) for rescent events
Definition
Acute Confusional State (Delirium)
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