What Is Included In A Mental Status Exam?

Why is the mental status examination useful?

The mental status examination is a useful tool to assist physicians in differentiating between a variety of systemic conditions, as well as neurologic and psychiatric disorders ranging from delirium and dementia to bipolar disorder and schizophrenia..

What is a normal thought process?

The efficient performance of intellectual activity, that is, thinking and reasoning, assumes an awake, alert state and encompasses the interplay of fundamental mental operations such as attention, memory, spatial orientation, language, and higher order functions of insight, calculation, and abstract reasoning.

How can I check my mental status?

Examination of Mental Status. The mental status examination is an assessment of current mental capacity through evaluation of general appearance, behavior, any unusual or bizarre beliefs and perceptions (eg, delusions, hallucinations), mood, and all aspects of cognition (eg, attention, orientation, memory).

What is mood and affect?

AFFECT AND MOOD Affect is the visible reaction a person displays toward events. Mood is the underlying feeling state. Affect is described by such terms as constricted, normal range, appropriate to context, flat, and shallow.

How do you describe the thought process?

Thought process describes the manner of organization and formulation of thought. Coherent thought is clear, easy to follow, and logical. A disorder of thinking tends to impair this coherence, and any disorder of thinking that affects language, communication or the content of thought is termed a formal thought disorder.

What is the 30 question cognitive test?

The Mini-Mental State Examination (MMSE) or Folstein test is a 30-point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. It is commonly used in medicine and allied health to screen for dementia.

What is tangential thought process?

TANGENTIAL THINKING: talking past or around the point; thoughts diverge from the topic.. The patient seems to understand most questions, but does not answer directly, bringing up another topic or something context-wise entirely different.

How do you get a mental status exam?

Mental Status ExaminationAppearance. Record the patient’s sex, age (apparent or stated), race, and ethnic background. … Attitude toward the examiner. Next, record the patient’s facial expressions and attitude toward the examiner. … Mood. … Affect. … Speech. … Thought process. … Thought content. … Insight.More items…•

What is a normal MMSE score?

Mini-Mental State Exam (MMSE) and the Mini-Cog test The maximum MMSE score is 30 points. A score of 20 to 24 suggests mild dementia, 13 to 20 suggests moderate dementia, and less than 12 indicates severe dementia. On average, the MMSE score of a person with Alzheimer’s declines about two to four points each year.

What does a mental status exam assess?

The mental status examination is an assessment of current mental capacity through evaluation of general appearance, behavior, any unusual or bizarre beliefs and perceptions (eg, delusions, hallucinations), mood, and all aspects of cognition (eg, attention, orientation, memory).

What are the 4 main components of a mental status exam?

The Mental Status Examination.Level of Consciousness. … Appearance and General Behavior. … Speech and Motor Activity. … Affect and Mood. … Thought and Perception. … Attitude and Insight. … Examiner’s Reaction to the Patient. … Structured Examination of Cognitive Abilities.

What are the six types of thinking?

He lists six types of thinking skills, ranked in order of complexity: knowledge, comprehension, application, analysis, synthesis, and evaluation. Figure 3.2 “Types of Thinking Skills” outlines each skill and what is involved in that type of thinking, as updated by Lorin Anderson and David Krothwohl.

What is a flat affect?

A flat affect can be a negative symptom of schizophrenia, meaning that your emotional expressions don’t show. You may speak in a dull, flat voice and your face may not change. You also may have trouble understanding emotions in other people.

What is thought content mental status?

A description of thought content would be the largest section of the MSE report. It would describe a patient’s suicidal thoughts, depressed cognition, delusions, overvalued ideas, obsessions, phobias and preoccupations. One should separate the thought content into pathological thought, versus non-pathological thought.

What are the 7 types of mental disorders?

What are some types of mental disorders?Anxiety disorders, including panic disorder, obsessive-compulsive disorder, and phobias.Depression, bipolar disorder, and other mood disorders.Eating disorders.Personality disorders.Post-traumatic stress disorder.Psychotic disorders, including schizophrenia.