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Flashcards in Mental Status Exam Deck (38)
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1

What acronym can be used to remember the components of the mental status exam?

ABC STAMP LOCKER

2

What are the terms in the ABC portion of ABC STAMP LOCKER?

  • appearance
  • behavior
  • cooperation

3

What are the terms in the STAMP portion of ABC STAMP LOCKER?

  • speech
  • thought
  • affect
  • mood
  • perception

4

What are the terms in the LOCKER portion of ABC STAMP LOCKER?

  • level of consciousness
  • orientation
  • cognitive functioning
  • knowledge
  • endings
  • reliability

5
What features should one consider when describing

Appearance

  • grooming: well or poor
  • dress: neat, sloppy, disheveled
  • hygeine: clean, dirty, malodorous
  • posture: stiff, rigid, imposing
  • physical characteristics: scars, overweight/underweight, rashes
  • age appropriateness: appears stated age

6
What features should one consider when describing

Behavior

  • psychomotor activity: psychomotor retardation (slowed movements), agitation (fidgeting)
  • nonverbal behavior: gaits, tics, eye contact
  • physical behavior: catatonic (immobile), catalepsy (muscular rigidity), waxy flexibility (like gumby), echopraxia (involuntary physical imitation)

7
What features should one consider when describing

Cooperation

  • level of cooperation: open, cooperative, compliant/noncompliant, responsiveness to questions
  • attitude: friendly, upbeat, hostile, guarded, suspicious

8
What features should one consider when describing

Speech

  • rate: normal, pressured (consistant w/bipolar disorder), rapid, slow, latency
  • rhythm: normal, dysprosody (musical, sing-song), slurred
  • tone/volume: normal, monotone, accent, loud, soft
  • quantity: productive, impoverished
  • quality: grammar, syntax, non-interruptable (consistent w/manic state), neologisms, word salad, clanging, echolalia, perseveration

9

What are neologisms?

made up words, idiosyncrasies in word choice

ex: "I'm feeling very American today."

10

What is "word salad"?

nonsensical, random speech

11

What is "clanging"?

sound associations that dictate speech

ex: rhyming

12

What is echolalia?

repetition of someone else's words (copycat)

13

What is perseveration?

repetition of one's own words

14

What are the two components of thought considered in a mental status exam?

  1. form
  2. content

15
What features should one consider when describing:

Thought (form)

Thought process, discerned from speech:

  • linear/nonlinear
  • concrete
  • logical/illogical
  • latency
  • poverty of thought
  • redirectability
  • organization
  • circumstantial, tangential, flight of ideas, loose associations

16

From least to greatest, rank the severity of the following: tangential thought, loose associations, flight of ideas, circumstantial thought.

  1. circumstantial thought
  2. tangential thought
  3. flight of ideas
  4. loose associations

17

Describe circumstantial thought.

more detail than needed, goes off on tangents but ultimately returns to the topic being discussed

18

Describe tangential thought.

worse than circumstantial, doesn't return to the original issue at all

19

Describe "flight of ideas."

severe, irrational rapid topic jumping

20

Describe "loose associations."

thought stream is illogical

21
What features should one consider when describing:

Thought content

  • worries
  • paranoia
  • preoccupations
  • ruminations
  • obsessions
  • delusions (bizarre or non-bizarre)
  • ideas of reference
  • grandiosity
  • other psychotic content
  • anything noteworthy (like self-criticism)

22
What features should one consider when describing:

Affect

Affect is the emotional "weather"

  • expression of emotions during interview
  • range: full range, constricted
  • intensity: blunted, flat, expansive
  • change pattern: labile (rapid shift, like crying, then laughing, then crying again)
  • appropriateness: congruency with mood

23
What features should one consider when describing:

Mood

Mood is the emotional "climate"

  • Patient's predominant emotional state: self reported (sad/angry, etc)
  • clinical observation inferred from behavior: patient appeared angry, etc.
  • eurithmic: fine, ok
  • elevated or elated: high, over-inflated, manic
  • depressed or dysphoric: low, sad, down

24
What features should one consider when describing:

Perception

  • Perceptual disturbances: hallucinations, illusions (errors in perception)
  • depersonalization
  • derealization

25

What is depersonalization?

When a patient feels as if he is outside the self, watching, out of body, dream-like.

26

How does derealization differ from depersonalization?

Derealization occurs when the patient feels that the external world is not real. Depersonalization affects the perception of self.

27
What features should one consider when describing:

Levels of consciousness

levels of awareness of external stimuli:

  • comatose
  • dazed
  • in a stupor
  • drowsiness
  • alertness
  • hypervigilance

28
What features should one consider when describing:

Orientation

spheres of orientation: person, place, time

Do they know who they are, where they are, when it is?

29

What are the two parts of considering cognitive functioning?

  1. judgment
  2. insight

30
What features should one consider when describing:

Cognitive functioning (judgment)

decision-making ability

Are goals reasonable, appropriate, good, poor?