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Health Assessment SAS Session 8.pdf - Health Assessment...

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1 of 7MAIN LESSON(60 minutes)You will study and read this module about this lesson:MENTAL STATUS EXAMINATION (MSE)Tool for assessing psychological dysfunction and identifying.Examines patient’s LOC, general appearance, behavior, speech, mood and affect, intellectual performance,judgment, insight, perception, and thought content.AppearanceRecord the patient's sex, age (apparent or stated), race, and ethnic background. Document the patient'snutritional status by observing the patient's current body weight and appearance. Remember recording the exacttime and date of this interview is important, especially since the mental status can change over time such as indelirium.Recall how the patient first appeared upon entering the office for the interview. Note whether this posture haschanged. Note whether the patient appears more relaxed. Record the patient's posture and motor activity.Record the patient's dress and grooming. If nervousness was evident earlier, note whether the patient still seemsnervous. Record notes on grooming and hygiene. Most of these documentations on appearance should be amere transfer from mind to paper because mental notes of the actual observations were made when the patientwas first encountered. Record whether the patient has maintained eye contact throughout the interview or if he orshe has avoided eye contact as much as possible, scanning the room or staring at the floor or the ceiling.Attitude toward the examinerNext, record the patient's facial expressions and attitude toward the examiner. Note whether the patient appearedinterested during the interview or, perhaps, if the patient appeared bored.Record whether the patient is hostile and defensive or friendly and cooperative. Note whether the patient seemsguarded and whether the patient seems relaxed with the interview process or seems uncomfortable.MoodThe mood of the patient is defined as "sustained emotion that the patient is experiencing." Ask questions such as"How do you feel most days?" to trigger a response.Helpful answers include those that specifically describe the patient's mood, such as "depressed," "anxious,""good," and "tired." Elicited responses that are less helpful in determining a patient's mood adequately include"OK," "rough," and "don't know." These responses require further questioning for clarification.STUDENT ANSWER SHEETHealth Assessment (Lecture)BS NURSING / FIRST YEARSession # 8LESSON TITLE:Mental Status ExaminationLEARNING OUTCOMES:Upon completion of this lesson, the nursing student can:1.Describe the multiple areas assessed in the mental statusexamination;2.Determine the symptoms and behaviors for mental healthscreening;3.Obtain an accurate mental status history for a patient;4.Perform a mini-mental status examination and;5.Identify the screening and health promotion and counselingtools for depression, suicide, and dementia.

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Term
Fall
Professor
NoProfessor
Tags
Schizophrenia, Suicidal ideation, Thought insertion

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