Cognitive Abilities: Give the pt 3 words, ask the pt to draw a clock with the time, then ask the pt to repeat the 3 words previously given. Signs of impairment would be memory loss, confusion, or disorientation. Analogies: Ask the pt to describe simple analogies, then more complex IE. What is similar about peaches and lemons? Abstract Reasoning: Ask the pt to tell you the meaning of a fable or metaphor IE A stitch in time saves nine. Arithmetic Calculation: Ask them to do simple math problems without paper and pencil. Writing Ability: Ask pt to write their name and address. Execution of motor skills: Ask pt to unbutton shirt or comb hair. Memory: ask pt to listen, then repeat a sentence. Attention span: Ask pt to follow simple set of commands Judgement: Determine their judgement and reasoning skills by asking things such as What are your plans for the future?
Speech and Language: Voice quality, articulation, comprehension, coherence. Emotional stabitlity: Mood and feelings, thought process and content, any hallucinations. Questions: What is the Mini-Mental State Examination? Answer: Screening tool for dementia: The Mini-Mental State Examination is a screening tool used to determine if the patient has problems consistent with dementia. It is not a tool to screen for autism or suicide risk or a tool to evaluate aphasia. How does the nurse test for recent memory in an adult? Answer: Ask the pt to repeat a series of numbers just told to them: Recent memory is tested by giving the patient objects to remember and then testing recall 10 minutes later. Asking about past facts is testing remote memory. Asking the patient to recall facts just presented is immediate recall or new learning. What is the initial step in performing a mental status examination: Answer: Observe the ability to maintain eye contact: The nurse first observes the patient’s appearance and behavior as a baseline. Comparison continues throughout the evaluation. Examination findings associated with Attention Deficit Hyperactivity Disorder (ADHD) 1. Examination findings associated with Attention Deficit Hyperactivity Disorder (ADHD) Subjective Data: * Short attention span, easily distracted, fails to complete school assignments of follow instructions * Fidgets and squirms, often moving, running, climbing * Disruptive behavior, talks excessively, temper outbursts, labile moods, poor impulse control
Objective Data: * Onset before 7 years of age * Increased motor activity * Difficulty organizing tasks * Difficulty sustaining attention * Poor school performance * Low self-esteem * Has problems in more than one setting Behavior patterns of a patient with Schizophrena, Depression, Anxiety, and Mania 2. Behavior patterns of a patient with: Schizophrenia: a severe, persistent, psychotic syndrome with impaired reality that relapses throughout life. A genetic disorder that involves many genes on different chromosomes in patients who are vulnerable due to factors such as intrauterine infection, maternal nutritional deficiencies, perinatal complications, and neonatal hypoxia. Structural brain abnormalities exist such as enlarged lateral and third
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- Summer '15
- pulse, Physical examination, intercostal space