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ASHISH DADHEECH
MSC NURSING FINAL YEAR
(M.H.N.)PSYCHIATRIC NURSING
BHILWARA ,RAJASTHAN
a. Consciousness
b. General apperance
c. Personal hygine
d. Posture
e. Rapport
f. Gait
g. Facial expression
h. Gesture
i. Activity
 We should try to observe the patient that over
talkative and less active (under active)
 How to speak slow or fast
 Tone of word like clag assiciation and identify
them
 Use the basic of observation to know about the
client
 A. Qualtiy of the mood
 B. Consisting of mood
 C. Stablity of mood
mood are mostly consist two types
1st
subjective mood – asked question to the
patient
2nd
objective mood – pt. look explain about the
mood.
we should try to cheak mood seinging elation
to depression ( depression to elation)
 A. Formation level
 B . Progression level
 C . The content level
It s mostly deine about what are the view of
patient towards environment and how to
observe.
 Delusions
 Hallucinations
Its observe and make assesment in patient about
what kind of perception appear in particular
condition and how to classify this . That
become very common in mental ill client so we
shold try to cheak with effective way.
Nurse shold try to cheak insight of the patient
this work is done by asking question which is
explain below.
Like where are you admitted and what was
happened.
Then patient is reply “I have no problem
leaving headache”
Its clearly indicated that patient does not have
insight .
 A. Remote – very old / date of marrige
 B. Recent – the month or year/ D.O.A. in
hospital
 C . Immediate – that day/ repeat any matter
 Time
 Place
 Person
We should try to assess patient have any idea
regarding three which explained above that
will become very helpful to know about
orientation of client.
 Knowledge
 Intellegency
 Alertness
 Educational level
this can be asses by certain kind of question like
“suppose you in a room and this is closed
suddenly there is fire then what is your first
action to protect yourself.
 Mental Status Examination is very helpful to
know about behaviour of all dimensions of a
person.
 Physical intellectual and social.
 Present emotional state and mental functiong
assesment with using following kind of points.
 General behaviour and apperance,mood or
affect,thought,perception,memory,orientation,
judgement,insight,attention and concentration.
THANK YOU

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Ashish Dadheech define about mental status examination

  • 1. ASHISH DADHEECH MSC NURSING FINAL YEAR (M.H.N.)PSYCHIATRIC NURSING BHILWARA ,RAJASTHAN
  • 2. a. Consciousness b. General apperance c. Personal hygine d. Posture e. Rapport f. Gait g. Facial expression h. Gesture i. Activity
  • 3.  We should try to observe the patient that over talkative and less active (under active)  How to speak slow or fast  Tone of word like clag assiciation and identify them  Use the basic of observation to know about the client
  • 4.  A. Qualtiy of the mood  B. Consisting of mood  C. Stablity of mood mood are mostly consist two types 1st subjective mood – asked question to the patient 2nd objective mood – pt. look explain about the mood. we should try to cheak mood seinging elation to depression ( depression to elation)
  • 5.  A. Formation level  B . Progression level  C . The content level It s mostly deine about what are the view of patient towards environment and how to observe.
  • 6.  Delusions  Hallucinations Its observe and make assesment in patient about what kind of perception appear in particular condition and how to classify this . That become very common in mental ill client so we shold try to cheak with effective way.
  • 7. Nurse shold try to cheak insight of the patient this work is done by asking question which is explain below. Like where are you admitted and what was happened. Then patient is reply “I have no problem leaving headache” Its clearly indicated that patient does not have insight .
  • 8.  A. Remote – very old / date of marrige  B. Recent – the month or year/ D.O.A. in hospital  C . Immediate – that day/ repeat any matter
  • 9.  Time  Place  Person We should try to assess patient have any idea regarding three which explained above that will become very helpful to know about orientation of client.
  • 10.  Knowledge  Intellegency  Alertness  Educational level this can be asses by certain kind of question like “suppose you in a room and this is closed suddenly there is fire then what is your first action to protect yourself.
  • 11.  Mental Status Examination is very helpful to know about behaviour of all dimensions of a person.  Physical intellectual and social.  Present emotional state and mental functiong assesment with using following kind of points.  General behaviour and apperance,mood or affect,thought,perception,memory,orientation, judgement,insight,attention and concentration.

Editor's Notes

  1. Denial: failure to acknowledge an unbearable condition; failure to admit the reality of a situation displacement: ventilation of intense feelings towards persons less threatening than the one who aroused those feelings fixation; immobilization of a portion of the personality resulting from unsuccessful completion of tasks in a developmental stage projection: unconscious blaming of unacceptable inclinations or thoughts on an external object rationalization: excusing one’s own behavior to avoid guilt, responsibility, conflict, anxiety, or loss of self respect reaction formation: acting the opposite of what one thinks or feels