NURS
Chapter Five Mental Status Assessment Notes

Chapter Five Mental Status Assessment Notes - Chapter Five...

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Chapter Five Mental Status Assessment Defining Mental Status emotional (feeling) and cognitive functioning (knowing) Optimal functioning: good balance Mental Disorder Mental disorder: behavioral or psychological pattern associated with distress or disability Abnormal feelings, actions, thoughts, perceptions Organic disorders vs. Psychiatric mental illness Defining Mental Status No direct way to measure Responses to questions Assess behaviors Aging Adult Slower response time Recent memory changes Remote memory Feelings of isolation Loss Chronic diseases Components of the Mental Status Examination emotional and cognitive functioning Health history 4 main headings: A-B-C-T Appearance Behavior Cognition Thought processes When a Full Mental Status Examination is Necessary anxiety disorder or depression?
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Unformatted text preview: • Concerned family member? • Brain lesions or disorder? • Aphasia • New signs or symptoms of psychiatric mental illness Factors affecting mental status exam – Health problems – Medications – Education – Stress level, sleep, drugs? Cognitive functions – Orientation • Time • Place • Person – Attention span • focus • Follow directions – Recent memory • Diet recall – Remote memory – dates – New learning: 4 Unrelated Words Test – Highly sensitive test – Pick 4 words with semantic and phonetic diversity; ask person to remember the 4 words – Ask for the recall of 4 words at 5, 10, and 30 minutes – Normal response for persons under 60 is an accurate recall of 3- or 4-word after 5, 10, and 30 minutes...
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  • Fall '13
  • Cannon
  • Psychology, 30 Minutes, Mental status examination, mental status, psychiatric mental illness

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