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By: Mrs. Ekjot Kaur
Assistant Professor,SNS&R
Sharda University
 Nurse’s capacity to observe and describe the
behavior accurately can provide valuable
information about a patient and a patient’s
mental state.
 The mental status exam (MSE) is the
psychological equivalent of a physical exam
that describes the mental state and behavior
of the person being seen. It includes both
objective observation & subjective
description given by the patient.
 MSE provides information for diagnosis and
assessment of disorder and response to
treatment.
 It is important to ascertain what is normal for
the patient. For example:- some people
always speak fast!
 Appearance
 Facial expression
 Level of grooming
 Level of cleanliness
 Mode of entry
 Behaviour
 Co-operativeness
 Eye- to- eye contact
 Psychomotor activity
 Gesturing
 Other movements
 Compulsive acts
 Hallucinatory behavior
 INITIATION: Spontaneous/ speaks when
spoken to/ mute.
 REACTION TIME: normal/ delayed/ difficult to
assess.
 RATE: normal/ slow
 VOLUME: normal/ increased/ decreased.
 TONE: normal/ high pitch/ low pitch.
 RELEVENCE: fully relevant/ irrelevant.
 Subjective
 Objective
 Predominant mood state : irritate/ blunted/
anxious/ fearful/ panic/ aggressive.
 Appropriate : relevance to situation and
thought.
Thought is divided into:
Form of Content of
thought thought
 also known as stream of thought.
 a way person thinks.
 Form of thought can be logical or completely
illogical.
 Flight of ideas: thinking process is so rapid
that no idea is completed.
 Circumstantiality: many unnecessary details
are added to flow of thought before the final
goal is reached.
 Word salad: group of words that put together
randomly without logical connection.
 Incoherence: no sense can be extracted from
his speech.
 Tangential thinking: thinking process follows
a series of related topics but goal is not
reached.
 Blocking: sudden interruption in thought
process.
 Clang Association: Associative disturbance
person follow one word with another.
 Retardation: the initation and progress of
thought is very slow.
 Preservation: is involuntary and morbid
repetition of specific word or ideas.
 Neologism: person invents new words.
 Disorder of content of thought include
delusions, pre- occupation, obsessions and
compulsions, phobias.
 false beliefs which are irrational and not
shared by person.
 Delusion of grandeur
 Delusion of self accusation
 Delusion of persecution
 Delusion of reference
 Delusion of sin & guilt
 Delusion of poverty
 Delusion of nihilism
 Delusion of control
 Hypochondrical delusion
 Obsessions
 Phobias
 A process of awareness resulting from the act
of stimulus upon sense organs.
 ILLUSION : is subjective perversion of an
objective content. i.e. the subject himself
puts wrong meaning to the subject.
 HALLUCINATION: defined as a sensory
experience in the absence of a stimulus or an
object.
 Auditory hallucinations
 Visual hallucinations
 Olfactory hallucination
 Gustatory hallucinations
 Tactile hallucinations
 DEJA VU: a subjective feeling that an
experience, which is occurring for the first
time, has been experienced before.
 JAMAIS VU: failure to recognize events that
have been encountered before.
 Consciousness: conscious/ cloudy/
unconscious.
 Orientation: time, place and person.
 Attention: normally aroused/ aroused with
difficulty. Checked by: digit forward, digit
backward
 Concentration: normal or distract.
Concentration is checked by different
methods. Like – calling names of month
(backwards)
Names of weekdays(backwards)
 Memory: immediate, recent and remote
memory.
 Intelligence: is includes general fund of
information.
 Abstraction: is multidimensional thinking
with ability to use metaphors appropriately.
 -similarities between paired objects
 - dissimilarities b/w paired objects
 Judgment: ability to camparing and
evaluating alternatives for the purpose of
deciding on a course of action.
 Is awareness of one’s own mental condition.
Person who are aware of their illness and
seek treatment are said to have insight.
Mental status examination

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Mental status examination

  • 1. By: Mrs. Ekjot Kaur Assistant Professor,SNS&R Sharda University
  • 2.  Nurse’s capacity to observe and describe the behavior accurately can provide valuable information about a patient and a patient’s mental state.
  • 3.  The mental status exam (MSE) is the psychological equivalent of a physical exam that describes the mental state and behavior of the person being seen. It includes both objective observation & subjective description given by the patient.
  • 4.  MSE provides information for diagnosis and assessment of disorder and response to treatment.  It is important to ascertain what is normal for the patient. For example:- some people always speak fast!
  • 5.
  • 6.  Appearance  Facial expression  Level of grooming  Level of cleanliness  Mode of entry  Behaviour  Co-operativeness
  • 7.  Eye- to- eye contact  Psychomotor activity  Gesturing  Other movements  Compulsive acts  Hallucinatory behavior
  • 8.  INITIATION: Spontaneous/ speaks when spoken to/ mute.  REACTION TIME: normal/ delayed/ difficult to assess.  RATE: normal/ slow  VOLUME: normal/ increased/ decreased.  TONE: normal/ high pitch/ low pitch.  RELEVENCE: fully relevant/ irrelevant.
  • 9.  Subjective  Objective  Predominant mood state : irritate/ blunted/ anxious/ fearful/ panic/ aggressive.  Appropriate : relevance to situation and thought.
  • 10. Thought is divided into: Form of Content of thought thought
  • 11.  also known as stream of thought.  a way person thinks.  Form of thought can be logical or completely illogical.
  • 12.  Flight of ideas: thinking process is so rapid that no idea is completed.  Circumstantiality: many unnecessary details are added to flow of thought before the final goal is reached.
  • 13.  Word salad: group of words that put together randomly without logical connection.  Incoherence: no sense can be extracted from his speech.
  • 14.  Tangential thinking: thinking process follows a series of related topics but goal is not reached.  Blocking: sudden interruption in thought process.  Clang Association: Associative disturbance person follow one word with another.
  • 15.  Retardation: the initation and progress of thought is very slow.  Preservation: is involuntary and morbid repetition of specific word or ideas.  Neologism: person invents new words.
  • 16.  Disorder of content of thought include delusions, pre- occupation, obsessions and compulsions, phobias.
  • 17.  false beliefs which are irrational and not shared by person.
  • 18.  Delusion of grandeur  Delusion of self accusation  Delusion of persecution  Delusion of reference  Delusion of sin & guilt  Delusion of poverty  Delusion of nihilism  Delusion of control  Hypochondrical delusion
  • 20.  A process of awareness resulting from the act of stimulus upon sense organs.
  • 21.  ILLUSION : is subjective perversion of an objective content. i.e. the subject himself puts wrong meaning to the subject.  HALLUCINATION: defined as a sensory experience in the absence of a stimulus or an object.
  • 22.  Auditory hallucinations  Visual hallucinations  Olfactory hallucination  Gustatory hallucinations  Tactile hallucinations
  • 23.  DEJA VU: a subjective feeling that an experience, which is occurring for the first time, has been experienced before.  JAMAIS VU: failure to recognize events that have been encountered before.
  • 24.  Consciousness: conscious/ cloudy/ unconscious.  Orientation: time, place and person.  Attention: normally aroused/ aroused with difficulty. Checked by: digit forward, digit backward
  • 25.  Concentration: normal or distract. Concentration is checked by different methods. Like – calling names of month (backwards) Names of weekdays(backwards)  Memory: immediate, recent and remote memory.  Intelligence: is includes general fund of information.
  • 26.  Abstraction: is multidimensional thinking with ability to use metaphors appropriately.  -similarities between paired objects  - dissimilarities b/w paired objects  Judgment: ability to camparing and evaluating alternatives for the purpose of deciding on a course of action.
  • 27.  Is awareness of one’s own mental condition. Person who are aware of their illness and seek treatment are said to have insight.