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Mental Status Assessment
Ch. 5
26
Nursing
Undergraduate 3
11/08/2012

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Term
mental status
Definition
person's emotional (feelings) and cognitive (knowing) function
Term
mental disorder
Definition
-person's response is much greater than the expected reaction to a traumatic life event
-significant behavioral or psychological pattern associated with distress (painful symptom) or distress (impaired functioning)
Term
organic disorders
Definition
due to brain disease of known specific organic cause (e.g. delirium, dementia, alcohol & drug intoxication & withdrawal)
Term
psychiatric mental illness
Definition
organic etiology not yet established (e.g. anxiety disorder or schizophrenia)
Term
A B C T
Definition
appearance, behavior, cognition, though processes
Term
AGING ADULTS
Definition
-older adulthood contains more potential for losses
-grief & despair surrounding these losses can result in disability, disorientation, or depression
-chronic diseases such as heart failure, cancer, diabetes, & osteoporosis include fear of loss of life
Term
AGING ADULTS
Definition
check sensory status, vision, & hearing before any aspect of mental status
Term
Mini-Cog
Definition
-screens for cognitive impairment in otherwise healthy adults
-consists of a 3-item recall test & a clock-drawing test
Term
LOC: Alert
Definition
awake or readily aroused, oriented, fully aware of external & internal stimuli & responds appropriately, conducts meaningful interpersonal interactions
Term
LOC: Lethargic (or Somnolent)
Definition
not fully alert, drifts off to sleep when not stimulated, can be aroused to name when called in normal voice but looks drowsy, responds appropriately to questions or commands but thinking seems slow and fuzzy, inattentive, loses train of thought, spontaneous movements are decreased
Term
LOC: Obtunded
Definition
sleeps most of the time, difficult to arouse--needs loud shout or vigorous shake, acts confused when is aroused, converses in monosyllables, speech may be mumbled and incoherent, requires constant stimulation for even marginal cooperation
Term
LOC: Stupor or Semi-Coma
Definition
spontaneously unconscious, responds only to persistent and vigorous shake or pain; has appropriate motor response (i.e. withdraws hand to avoid pain); otherwise can only groan, mumble, or move restlessly; reflex activity persists
Term
LOC: Coma
Definition
clouding of consciousness (dulled cognition, impaired alertness); inattentive; incoherent conversation; impaired recent memory; disoriented
Term
dysphonia
Definition
disorder of voice-difficulty or discomfort in talking, with abnormal pitch or volume due to laryngeal disease. Voice sounds hoarse or whispered, but articulation & language are intact
Term
dysarthria
Definition
articulation-distorted speech sounds; speech may sound unintelligible; basic language (word choice, grammar, comprehension) intact
Term
aphasia
Definition
language comprehension & production secondary to brain damage--true language disturbance, defect in word choice & grammar or defect in comprehension; defect is in higher integrative language processing
Term
flat (blunted) affect
Definition
lack of emotional response; no expression of feelings; voice monotonous & face immobile
Term
depression
Definition
sad, gloomy, dejected
Term
depersonalization (lack of ego boundaries)
Definition
loss of identity, feels estranged, perplexed about own identity & meaning of existence
Term
elation
Definition
joy & optimism, overconfidence, increased motor activity
Term
euphoria
Definition
excessive well-being, unusually cheerful or elated, which is inappropriate considering physical & mental condition
Term
anxiety
Definition
worried, uneasy, apprehensive from the anticipation of a danger whose source is unknown
Term
fear
Definition
worried, uneasy, apprehensive; external danger is known & identified
Term
Four Unrelated Words Test
Definition
tests the person's ability to lay down new memories-highly sensitive & valid-requires more effort than does the recall of personal & historical events-tell patient 4 unrelated words & ask them to repeat them back to you in 5, 10, & 30 mins.
Term
Risks for Homicide/Suicide
Definition
screen for sadness, hopelessness, despair, or grief.
Have you ever felt so blue you thought of hurting yourself?
Do you feel like hurting yourself now?
Do you have a plan to hurt yourself?
How would you do it?
What would happen if you were dead?
How would other people react if you were dead?
Term
assessing cognitive function
Definition
Orientation-
Attention Span
Recent Memory
Remote Memory
New Learning
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