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.

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

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

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

Mini-mental state examination

Application and critical thinking

Abnormal findings

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

Emotional and cognitive functioning

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

Definition of Mental Disorder

Organic disorders

Psychiatric mental illness

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

Consciousness

Language

Mood and affect

Orientation

Attention

Memory

Assessment Cont. Abstract reasoning Thought process Thought content Perceptions

Abstract reasoning

Thought process

Thought content

Perceptions

Developmental Considerations Infants and children Aging adult

Infants and children

Aging adult

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

A ……appearance

B …….Behavior

C …….Cognition

T …….Thought processes

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

Posture

Body movements

Dress

Grooming and hygiene

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

Level of consciousness

Facial expression

Speech

Mood and affect

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

Orientation

Attention span

Recent memory

Remote memory

New learning

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

Persons with aphasia

Word comprehension

Reading

Writing

Higher intellectual function

Judgment

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

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

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

Appearance

Behavior

Cognitive function

Thought processes

Mini -mental state examination

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

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

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.

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

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.

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

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

American Federation for Aging Research

www.afar.org

American Psychological Association

www.apa.org

Association of Child and Adolescent Psychiatric Nursing

www.acapn.org