Describe four principal aspects of a good clinical diagnostic interview. What is the purpose of a mental status examination (MSE)? Describe five categories of a MSE.

Good Clinical Interview: 1) observation- how do they act? agitated? can’t sit still? Appearance- clothing behavior- verbal/ non-verval 2) conversation- discussing with person what is going on (patient needs insight) orientation consciousness memory 3) exploration- knowing which area the disorder will be in 4) testing- symptom reviews, IQ testing, comparison and confirmation main purpose of testing is because it provides confirmatory evidence Mental Status Exam (MSE): most common clinical exam More test answers on https://studyhippo.com/psych-170-essay-questions/

When administering a mental status examination to a patient with delirium, the nurse should

d. choose a place without distracting environmental stimuli. More test answers on https://studyhippo.com/chapter-60/

The mental status examination aids in the collection of what type of data? Objective

Objective Correct The mental status exam mostly aids in the collection of objective data. More test answers on https://studyhippo.com/mental-health-chapter-7-and-ati-chapter-1/

Which area of mental function does the nurse evaluate during the brief mental status examination? 1. Thought content 2. Judgment 3. Mood 4. Naming objects

4. Naming objects More test answers on https://studyhippo.com/test-1-practice-questions-nursing-process-in-psychiatric-mental-health-nursing/

When administering a mental status examination to a patient, the nurse suspects depression when the patient responds with

a. “I don’t know.” More test answers on https://studyhippo.com/chapter-60/

1. The nurse administers a mental status examination to assess Mary’s cognitive function. This exam includes which component?

Judgment More test answers on https://studyhippo.com/hesi-case-studies-psychiatricmental-health-neurocognitive-disorderalzheimers-disease-mary-stanfield/

One month after undergoing liver transplantation, a 47yearold woman is admitted to the hospital for treatment of organ rejection. Twentyfour hours after intravenous methylprednisolone therapy is begun, she begins to have visual hallucinations that her organ donor has entered her hospital room naked and is drawing symbols on her skin with an eyebrow pencil. Current medications include tacrolimus, mycophenolate mofetil, omeprazole, trimethoprimsulfamethoxazole, acyclovir, and nystatin. The patient has no history of psychiatric illness. She is awake and alert. Physical examination shows a wellhealing surgical incision over the abdomen. On mental status examination, she says she is worried about her visual hallucinations. She is oriented to person, place, and time. Which of the following is the most likely explanation for this patient’s psychiatric symptoms? A) Adjustment disorder with anxious mood B) Corticosteroidinduced psychotic disorder C) Delirium D) Malingering E) Schizophrenia

B! 24 hours after getting IV methylprednisolone More test answers on https://studyhippo.com/psychiatry-nbmes/

A 32-year-old woman with schizoaffective disorder is brought to the emergency department because of a 7day history of progressive lethargy, loss of appetite, nausea, and leg swelling; she has had jaundice since this morning. Five weeks ago, she was hospitalized for treatment of her psychiatric symptoms. Treatment with three medications was started during hospitalization, but she does not remember their names. She has no history of liver disease or other serious illness. She appears drowsy. Her pulse is 72/min, and blood pressure is 105/70 mm Hg. There is scleral icterus. Abdominal examination shows tenderness in the right upper quadrant. Neurologic examination shows a fine bilateral hand tremor. Mental status examination shows no evidence of hallucinations or delusions. She is oriented to person, place, and year but not to the day of the week or month. Serum studies show: Bilirubin, total 5 mg/dL Alkaline phosphatase 160 U/L AST 240 U/L ALT 210 U/L Which of the following medications is most likely responsible for these findings? A) Clozapine B) Haloperidol C) Lithium carbonate D) Trazodone E) Valproic acid

E! Valproate – recall that it can cause fatal hepatotoxicity More test answers on https://studyhippo.com/psychiatry-nbmes/

8. A psychiatric resident is called to consult on the case of a 75-year-old woman who had undergone a hip replacement 2 days before. On examination, the resident notes that the patient states the date as 1956, and she thinks she is at her son’s house. These impairments best illustrate which aspect of the mental status examination?

d. Orientation More test answers on https://studyhippo.com/pretest-psychiatry/

14. An 18-year-old man is brought to the emergency room by his college roommate, after the roommate discovered that the patient had not left his room for the past 3 days, neither to eat nor to go to the bathroom. The roommate noted that the patient was kind of “weird.” Mental status examination reveals that the patient has auditory hallucinations of two voices commenting upon his behavior. The patient’s parents note that their son has always been somewhat of a loner and unpopular, but otherwise did fairly well in school.

h. Schizophreniform disorder More test answers on https://studyhippo.com/pretest-psychiatry/

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Mental Status Examination Flashcards, test questions and answers

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What is Mental Status Examination?

Mental Status Examination (MSE) is an important tool used by clinicians and mental health professionals to assess the psychological functioning of a patient. It is a structured way of observing and recording information about the patient’s reported subjective experiences as well as his or her current behavior. The MSE allows the clinician to assess the patient’s overall level of functioning and identify areas that may need further evaluation or treatment.The MSE consists of several components, including an assessment of the patient’s appearance and behavior; an inquiry into their current circumstances, mood, thought process, and concentration; assessment of insight and judgement; evaluation of memory; language testing; psychomotor activity; assessment of perceptual disturbance; self-reporting on psychiatric symptoms; review of past medical history relevant to mental health, including family history; review of social history relevant to mental health concerns such as substance use or trauma exposure. Clinicians typically record observations in brief descriptive statements that are based on diagnostic criteria from the Diagnostic Statistical Manual (DSM). The MSE provides data for both diagnosis and treatment planning. By providing insight into how a person is currently functioning cognitively, emotionally, socially, vocationally and spiritually it helps guide decisions about what type(s) of treatment may be most effective for an individual at various stages in their illness. It also helps clinicians differentiate between physical disorders that present with similar symptoms but require different treatments like schizophrenia versus depression versus bipolar disorder. Furthermore, the MSE can help identify areas where additional support services or environmental changes may be helpful in improving functioning in all areas life such as social skills training or increasing participation in leisure activities. Overall, it is important for clinicians to understand when a Mental Status Examination is appropriate for their patients so they can provide accurate diagnosis’ and evidence-based treatments options tailored to each individual’s needs.