Term
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Definition
First impressions:
awake? clothing? appear stated age? cooperation? movements? verbal responses? |
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Term
| 2. Levels of Consciousness and Orienation |
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Definition
Consciousness: Alert, Lethargic, Stuporous, Obtunded, Comatose
Orientation: name, date, and place |
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Term
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Definition
| Open eyes, looks at you, responds fully and appropriately |
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Term
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Definition
| drowsy, can open eyes, looks at you, responds, but falls back asleep easily |
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Term
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Definition
| opens eyes, looks at you, has confused responses, and lacks interested |
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Term
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Definition
| wakens with painful stimuli, slow or absent verbal responses, and falls into an unresponsive state with stimuli ceases |
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Term
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Definition
| unarousable to any stimuli |
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Term
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Definition
| Quantity, rate, articulation, fluency |
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Term
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Definition
Word comprehension: follow 1 step command
Repetition: repeat "no ifs, ands, or butts"
Naming: ask pt to name parts of a watch
Reading: ask pt to read paragraph out loud
Writing: ask pt to write a sentence |
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Term
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Definition
Affect: external expression of emotion visible to the clinician
Mood: ask the pt how they are feeling |
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Term
| 5. Thought Processes, Content, Perceptions |
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Definition
Assessment of logic, relevance, organization, and coherence of pts thoughts
Thought Process: Derailment/loose association, tangentiality, pressured speech, incoherence, circumstantiality,distractable speech, perserveration, clanging, confabulation
Thought Content: obsessions, compulsions, delusions, phobias, unreality, depersonalization, anxiety
Perceptions: illusions and hallucinations |
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Term
| Derailment/Loose Associations |
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Definition
| pt jumps from one topic to another without a clear correlation |
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Term
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Definition
| responses are only partially relevant or irrelevant |
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Term
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Definition
| quick speaking, long answers, will not finish one thought before starting another |
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Term
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Definition
| pt responses make no sense |
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Term
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Definition
| pt will avoid answering questions, is delayed in reaching the goal because he or she goes into unecessary detail. Would eventually reach the point if given enough time. |
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Term
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Definition
| pt changes the subject due to a stimulus in the environment |
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Term
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Definition
| pt is persistent on speaking of a certain topic, word, or idea |
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Term
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Definition
| saying the words because of how they sounds, not what they mean |
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Term
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Definition
| fabrication of facts to fill in gaps of memory |
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Term
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Definition
| recurrent, uncontrollable thoughts or images that are unwanted and unpleasant |
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Term
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Definition
| repetitive behaviors or mental acts the pt is driven to perform for relief or to prevent future consequences |
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Term
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Definition
fixed false beliefs not shared by others in the community
may be persecution, grandiosity, delusion of being controlled externally, somatic delusions, and jealousy |
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Term
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Definition
| persistent irrational fear accompanied by desire to avoid stimulus |
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Term
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Definition
| sense things in the environement are unreal, strange, or remote |
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Term
| feelings of depersonalization |
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Definition
| a sense that the inner self has become detached from the mind or body |
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Term
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Definition
| fears, tensions, or uneasiness that may be focused or free-floating |
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Term
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Definition
| misperception of real external stimulus |
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Term
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Definition
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Term
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Definition
Memory: registration, recent, remote memory
Cognition: attention, information and vocab, abstract thinking, calculations, reading/writing, visuospacial |
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Term
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Definition
| say three words and ask that the pt repeat them back immediately |
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Term
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Definition
| correctly remember things that happened that day |
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Term
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Definition
| memory of things that happened long ago (often historical events) |
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Term
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Definition
| can the pt focus enough to be able to perform tasks like serial sevens or spelling "world" backwards |
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Term
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Definition
| assess intelligence, the degree to which they are informed, and vocab |
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Term
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Definition
| Can they interpret proverbs or recognize similarities in things |
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Term
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Definition
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Term
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Definition
| Ask patient to read or write a paragraph |
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Term
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Definition
| can they describe the face of a clock |
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Term
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Definition
Judgement: the ability to evaulate a situation and form an appropriate response (ex: propose a solution to real or hypothetical situations)
Insight: ability to understand and acknowledge the illness or situation |
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