Mental Status Assessment - PowerPoint PPT Presentation

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Mental Status Assessment

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Describe relevant developmental considerations of the mental status exam. ... Persons with aphasia. Word comprehension. Reading. Writing. Higher intellectual function ... – PowerPoint PPT presentation

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Title: Mental Status Assessment


1
Mental Status Assessment
  • Physical Examination and
  • Health Assessment

2
Learning Objectives for Mental Health Assessment
  1. Define the behaviors that are considered in an
    assessment of a persons mental status
  2. Describe relevant developmental considerations of
    the mental status exam.
  3. State the purpose of a mental status exam.
  4. List the 4 components of mental status assessment.

3
Objectives cont.
  1. Complete a MiniMental State Examination.
  2. Discuss developmental considerations for infants,
    children and the aging adult

4
Introduction
  • Defining mental status
  • Assessment of an individuals behavior
  • Developmental considerations
  • Components of the mental status exam
  • Objective data

5
Introduction
  • Mini-mental state examination
  • Application and critical thinking
  • Abnormal findings

6
What Does Mental Status Mean to You?
  • Emotional and cognitive functioning

7
Mental Disorder
  • Definition of Mental Disorder
  • Organic disorders
  • Psychiatric mental illness

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8
Assessment of an Individuals Behavior
  • Consciousness
  • Language
  • Mood and affect
  • Orientation
  • Attention
  • Memory

9
Assessment Cont.
  • Abstract reasoning
  • Thought process
  • Thought content
  • Perceptions

10
Developmental Considerations
  • Infants and children
  • Aging adult

11
Components of The Mental Status Exam
  • Aappearance
  • B.Behavior
  • C.Cognition
  • T.Thought processes

12
Afor Appearance
  • Posture
  • Body movements
  • Dress
  • Grooming and hygiene

13
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14
B.For Behavior
  • Level of consciousness
  • Facial expression
  • Speech
  • Mood and affect

15
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16
C.For Cognitive Function
  • Orientation
  • Attention span
  • Recent memory
  • Remote memory
  • New learning

17
Cognitive Function Cont.
  • Persons with aphasia
  • Word comprehension
  • Reading
  • Writing
  • Higher intellectual function
  • Judgment

18
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19
Tfor Thought Processes and Perceptions
  • Thought processes
  • Thought content
  • Perceptions
  • Suicidal thoughts

20
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21
Mini Mental State Examination
  • Standard set of 11 questions
  • 5 to 10 min. To administer
  • Cognitive functioning only

22
Summary Checklist Mental Status Assessment
  1. Appearance
  2. Behavior
  3. Cognitive function
  4. Thought processes
  5. Mini -mental state examination

23
Developmental Considerations
  • Assessment includes
  • Behavioral
  • Cognitive
  • Psychosocial development
  • Examines environmental coping mechanisms of child

24
  • Utilize A, B, C, T plus assess developmental
    milestones in the following areas
  • Psychosocial
  • Eriksons stages of Ego Development
  • Eriksons Theory of Trust vs Mistrust
  • Cognitive Development
  • Behavioral Development

25
  • Fine Motor Skills
  • Language Skills
  • Personal Social Skills
  • Imitation
  • Abnormalities are usually problems of omission.

26
Application and Critical Thinking
  • Subjective and objective data collection
  • Developmental
  • Age
  • Socioeconomic
  • Transcultural considerations
  • A,B,C, T

27
Example of Documentation
  • Mental Status Alert, relaxed, and cooperative.
    Thought process coherent. Orientated x 3.

28
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

29
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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