Exam (elaborations)
NR548 EXAM 3 LATEST UPDATE (ACTUAL QUESTIONS AND CORRECT ANSWERS)
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QUESTIONS AND ANSWERS
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NR548 EXAM 3 LATEST UPDATE(ACTUAL QUESTIONS AND
CORRECT ANSWERS)
Mental Status Exam (MSE)
-best tool for establishing a psychiatric diagnosis
-combina<on of observa<ons, impressions, & interpreta<on of client responses
-Eval of pa<ents:
• appearance
• behavior
• speech
• affect
• thought process
• thought content
• cogni<on
Mental health
"a state of well-being in which every individual realizes his or her own
poten<al, can cope with normal stresses of life, can work produc<vely and
fruiGully, and is able to make a contribu<on to her or his community"
Mental status
-refers to emo<onal (feeling) and cogni<ve (knowing) func<on
-func<oning is inferred through assessment of an individual's behaviors:
• consciousness
• language
• mood and affect
• orienta<on
,• aIen<on
• memory
• abstract reasoning
• thought process
• thought content
• percep<ons
Factors that affect the interpreta<on of the MSE
Culture
na<ve language
educa<onal level
literacy
social factors
MSE: Appearance
-posture
-dress
-grooming
-physical appearance
• dis<nguishable markings; scars or taIoos
-facial expressions
level of alertness
-aNtudes
-Self-esteem
-Personal statement
MSE: Behavior
How the client presents themselves during the examina<on
-eye contact
-psychomotor ac<vity
, • increased or decreased
-movements
-mannerisms
-stereotypies
-posturing
-how the client responds to the exam
• responses appropriate to topics?
• sit s<ll through exam?
-gait
-movements
• coordinated, slowed, excessive
MSE: Speech
Assess general speech quali<es:
-rate
• fast, rapidly, slowly
-rhythm
• monotone or slurred
-latency
-volume
• soT, normal, or loud
-content
-increased or decreased pauses between ques<ons and answers?
-General quality
Individual who presents with an extremely rapid and pressured speech with
constant interrup<ons may be experiencing __________ or __________
Hypomania or mania
An absence of speech is seen with some diagnoses such as ___________
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