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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

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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b for behavior
B…….For Behavior
  • Level of consciousness
  • Facial expression
  • Speech
  • Mood and affect

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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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t for thought processes and perceptions
T……for Thought Processes and Perceptions
  • Thought processes
  • Thought content
  • Perceptions
  • Suicidal thoughts

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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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slide24
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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slide25
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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