NR548 Exam 3 Questions and Correct
Answers the Latest Update and
Recommended Version
Mental Status Exam (MSE)
→ -best tool for establishing a psychiatric diagnosis
→ -combination of observations, impressions, & interpretation of client responses
→ -Eval of patients:
→ • appearance
→ • behavior
→ • speech
→ • affect
→ • thought process
→ • thought content
→ • cognition
mental health
→ "a state of well-being in which every individual realizes his or her own potential, can
cope with normal stresses of life, can work productively and fruitfully, and is able to
make a contribution to her or his community"
→ -refers to emotional (feeling) and cognitive (knowing) function
→ -functioning is inferred through assessment of an individual's behaviors:
→ • consciousness
→ • language
→ • mood and affect
→ • orientation
→ • attention
→ • memory
→ • abstract reasoning
→ • thought process
→ • thought content
→ • perceptions
Factors that affect the interpretation of the MSE
→ culture
→ native language
→ educational level
→ literacy
→ social factors
→ how the client presents themselves during the examination
→ -eye contact
→ -psychomotor activity
→ • increased or decreased
→ -movements
→ -mannerisms
→ -stereotypies
→ -posturing
→ -how the client responds to the exam
→ • responses appropriate to topics?
→ • sit still through exam?
→ -gait
→ -movements
→ • coordinated, slowed, excessive
MSE: Speech
→ Assess general speech qualities:
→ -rate
→ • fast, rapidly, slowly
→ -rhythm
→ • monotone or slurred
→ -latency
→ -volume
→ • soft, normal, or loud
→ -content
→ -increased or decreased pauses between questions and answers?
→ -General quality
individual who presents with an extremely rapid and pressured speech with constant
interruptions may be experiencing __________ or __________
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