NurseReview.Org - Mental Status Assessment

Mental Status Assessment Physical Examination and Health Assessment

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

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

Introduction
Defining mental status
Assessment of an individual’s behavior
Developmental considerations
Components of the mental status exam
Objective data

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

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

Mental Disorder
Definition of Mental Disorder
Organic disorders
Psychiatric mental illness
Text Text Text Text Text Text Text Text Text

Assessment of an Individual’s Behavior
Consciousness
Language
Mood and affect
Orientation
Attention
Memory

Assessment Cont.
Abstract reasoning
Thought process
Thought content
Perceptions

Developmental Considerations
Infants and children
Aging adult

Components of The Mental Status Exam
A ……appearance
B …….Behavior
C …….Cognition
T …….Thought processes

A……for Appearance
Posture
Body movements
Dress
Grooming and hygiene

B …….For Behavior
Level of consciousness
Facial expression
Speech
Mood and affect

C…….For Cognitive Function
Orientation
Attention span
Recent memory
Remote memory
New learning

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

T…… for Thought Processes and Perceptions
Thought processes
Thought content
Perceptions
Suicidal thoughts

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

Summary Checklist: Mental Status Assessment
Appearance
Behavior
Cognitive function
Thought processes
Mini -mental state examination

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

Utilize A, B, C, T plus assess developmental milestones in the following areas:
Psychosocial:
Erikson’s stages of Ego Development
Erikson’s Theory of Trust vs Mistrust
Cognitive Development
Behavioral Development

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

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

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

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

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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NurseReview.Org - Mental Status Assessment

by Nurse ReviewDotOrg on Apr 30, 2008

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