Mental status assessment
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Mental Status Assessment. Physical Examination and Health Assessment. Learning Objectives for Mental Health Assessment. Define the behaviors that are considered in an assessment of a person’s mental status Describe relevant developmental considerations of the mental status exam.

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Mental Status Assessment

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Mental status assessment

Mental Status Assessment

Physical Examination and

Health Assessment

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Learning objectives for mental health assessment

Learning Objectives for Mental Health Assessment

  • Define the behaviors that are considered in an assessment of a person’s mental status

  • Describe relevant developmental considerations of the mental status exam.

  • State the purpose of a mental status exam.

  • List the 4 components of mental status assessment.

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Objectives cont

Objectives cont.

  • Complete a MiniMental State Examination.

  • Discuss developmental considerations for infants, children and the aging adult

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Introduction

Introduction

  • Defining mental status

  • Assessment of an individual’s behavior

  • Developmental considerations

  • Components of the mental status exam

  • Objective data

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Introduction1

Introduction

  • Mini-mental state examination

  • Application and critical thinking

  • Abnormal findings

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What does mental status mean to you

What Does Mental Status Mean to You?

  • Emotional and cognitive functioning

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Mental disorder

Mental Disorder

  • Definition of Mental Disorder

  • Organic disorders

  • Psychiatric mental illness

Text

Text

Text

Text

Text

Text

Text

Text

Text

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Assessment of an individual s behavior

Assessment of an Individual’s Behavior

  • Consciousness

  • Language

  • Mood and affect

  • Orientation

  • Attention

  • Memory

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Assessment cont

Assessment Cont.

  • Abstract reasoning

  • Thought process

  • Thought content

  • Perceptions

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Developmental considerations

Developmental Considerations

  • Infants and children

  • Aging adult

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Components of the mental status exam

Components of The Mental Status Exam

  • A……appearance

  • B…….Behavior

  • C…….Cognition

  • T…….Thought processes

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A for appearance

A……for Appearance

  • Posture

  • Body movements

  • Dress

  • Grooming and hygiene

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Mental status assessment

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B for behavior

B…….For Behavior

  • Level of consciousness

  • Facial expression

  • Speech

  • Mood and affect

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Mental status assessment

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C for cognitive function

C…….For Cognitive Function

  • Orientation

  • Attention span

  • Recent memory

  • Remote memory

  • New learning

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Cognitive function cont

Cognitive Function Cont.

  • Persons with aphasia

    • Word comprehension

    • Reading

    • Writing

  • Higher intellectual function

  • Judgment

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    Mental status assessment

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    T for thought processes and perceptions

    T……for Thought Processes and Perceptions

    • Thought processes

    • Thought content

    • Perceptions

    • Suicidal thoughts

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    Mental status assessment

    N426


    Mini mental state examination

    Mini Mental State Examination

    • Standard set of 11 questions

    • 5 to 10 min. To administer

    • Cognitive functioning only

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    Summary checklist mental status assessment

    Summary Checklist: Mental Status Assessment

    • Appearance

    • Behavior

    • Cognitive function

    • Thought processes

    • Mini -mental state examination

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    Developmental considerations1

    Developmental Considerations

    • Assessment includes

      • Behavioral

      • Cognitive

      • Psychosocial development

      • Examines environmental coping mechanisms of child

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    Mental status assessment

    • Utilize A, B, C, T plus assess developmental milestones in the following areas:

      • Psychosocial:

        • Erikson’s stages of Ego Development

        • Erikson’s Theory of Trust vs Mistrust

    • Cognitive Development

    • Behavioral Development

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    Mental status assessment

    • Fine Motor Skills

    • Language Skills

    • Personal Social Skills

    • Imitation

      Abnormalities are usually problems of omission.

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    Application and critical thinking

    Application and Critical Thinking

    • Subjective and objective data collection

      • Developmental

      • Age

      • Socioeconomic

      • Transcultural considerations

      • A,B,C, & T

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    Example of documentation

    Example of Documentation

    • Mental Status: Alert, relaxed, and cooperative. Thought process coherent. Orientated x 3.

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    Critical thinking exercises

    Critical Thinking Exercises

    • During lab each team will take a situation and will role play the scenario chosen

    • Interviewer, interviewee, third student will be the spotter

    • Complete the mini mental exam as part of the assessment

    • Movies for viewing

      • .Rain Man, I Am Sam, Forest Gump, Beautiful Mind

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    Web sites of interest

    Web Sites of Interest

    • American Federation for Aging Research

      • www.afar.org

    • American Psychological Association

      • www.apa.org

    • Association of Child and Adolescent Psychiatric Nursing

      • www.acapn.org

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