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NurseReview.Org - Mental Status Assessment

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NurseReview.Org - Mental Status Assessment

  1. 1. Mental Status Assessment Physical Examination and Health Assessment
  2. 2. Learning Objectives for Mental Health Assessment <ul><li>Define the behaviors that are considered in an assessment of a person’s mental status </li></ul><ul><li>Describe relevant developmental considerations of the mental status exam. </li></ul><ul><li>State the purpose of a mental status exam. </li></ul><ul><li>List the 4 components of mental status assessment. </li></ul>
  3. 3. Objectives cont. <ul><li>Complete a MiniMental State Examination. </li></ul><ul><li>Discuss developmental considerations for infants, children and the aging adult </li></ul>
  4. 4. Introduction <ul><li>Defining mental status </li></ul><ul><li>Assessment of an individual’s behavior </li></ul><ul><li>Developmental considerations </li></ul><ul><li>Components of the mental status exam </li></ul><ul><li>Objective data </li></ul>
  5. 5. Introduction <ul><li>Mini-mental state examination </li></ul><ul><li>Application and critical thinking </li></ul><ul><li>Abnormal findings </li></ul>
  6. 6. What Does Mental Status Mean to You? <ul><li>Emotional and cognitive functioning </li></ul>
  7. 7. Mental Disorder <ul><li>Definition of Mental Disorder </li></ul><ul><li>Organic disorders </li></ul><ul><li>Psychiatric mental illness </li></ul>Text Text Text Text Text Text Text Text Text
  8. 8. Assessment of an Individual’s Behavior <ul><li>Consciousness </li></ul><ul><li>Language </li></ul><ul><li>Mood and affect </li></ul><ul><li>Orientation </li></ul><ul><li>Attention </li></ul><ul><li>Memory </li></ul>
  9. 9. Assessment Cont. <ul><li>Abstract reasoning </li></ul><ul><li>Thought process </li></ul><ul><li>Thought content </li></ul><ul><li>Perceptions </li></ul>
  10. 10. Developmental Considerations <ul><li>Infants and children </li></ul><ul><li>Aging adult </li></ul>
  11. 11. Components of The Mental Status Exam <ul><li>A ……appearance </li></ul><ul><li>B …….Behavior </li></ul><ul><li>C …….Cognition </li></ul><ul><li>T …….Thought processes </li></ul>
  12. 12. A……for Appearance <ul><li>Posture </li></ul><ul><li>Body movements </li></ul><ul><li>Dress </li></ul><ul><li>Grooming and hygiene </li></ul>
  13. 14. B …….For Behavior <ul><li>Level of consciousness </li></ul><ul><li>Facial expression </li></ul><ul><li>Speech </li></ul><ul><li>Mood and affect </li></ul>
  14. 16. C…….For Cognitive Function <ul><li>Orientation </li></ul><ul><li>Attention span </li></ul><ul><li>Recent memory </li></ul><ul><li>Remote memory </li></ul><ul><li>New learning </li></ul>
  15. 17. Cognitive Function Cont. <ul><li>Persons with aphasia </li></ul><ul><ul><ul><ul><ul><li>Word comprehension </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Reading </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Writing </li></ul></ul></ul></ul></ul><ul><li>Higher intellectual function </li></ul><ul><li>Judgment </li></ul>
  16. 19. T…… for Thought Processes and Perceptions <ul><li>Thought processes </li></ul><ul><li>Thought content </li></ul><ul><li>Perceptions </li></ul><ul><li>Suicidal thoughts </li></ul>
  17. 21. Mini Mental State Examination <ul><li>Standard set of 11 questions </li></ul><ul><li>5 to 10 min. To administer </li></ul><ul><li>Cognitive functioning only </li></ul>
  18. 22. Summary Checklist: Mental Status Assessment <ul><li>Appearance </li></ul><ul><li>Behavior </li></ul><ul><li>Cognitive function </li></ul><ul><li>Thought processes </li></ul><ul><li>Mini -mental state examination </li></ul>
  19. 23. Developmental Considerations <ul><li>Assessment includes </li></ul><ul><ul><li>Behavioral </li></ul></ul><ul><ul><li>Cognitive </li></ul></ul><ul><ul><li>Psychosocial development </li></ul></ul><ul><ul><li>Examines environmental coping mechanisms of child </li></ul></ul>
  20. 24. <ul><li>Utilize A, B, C, T plus assess developmental milestones in the following areas: </li></ul><ul><ul><li>Psychosocial: </li></ul></ul><ul><ul><ul><li>Erikson’s stages of Ego Development </li></ul></ul></ul><ul><ul><ul><li>Erikson’s Theory of Trust vs Mistrust </li></ul></ul></ul><ul><li>Cognitive Development </li></ul><ul><li>Behavioral Development </li></ul>
  21. 25. <ul><li>Fine Motor Skills </li></ul><ul><li>Language Skills </li></ul><ul><li>Personal Social Skills </li></ul><ul><li>Imitation </li></ul><ul><li>Abnormalities are usually problems of omission. </li></ul>
  22. 26. Application and Critical Thinking <ul><li>Subjective and objective data collection </li></ul><ul><ul><li>Developmental </li></ul></ul><ul><ul><li>Age </li></ul></ul><ul><ul><li>Socioeconomic </li></ul></ul><ul><ul><li>Transcultural considerations </li></ul></ul><ul><ul><li>A,B,C, & T </li></ul></ul>
  23. 27. Example of Documentation <ul><li>Mental Status : Alert, relaxed, and cooperative. Thought process coherent. Orientated x 3. </li></ul>
  24. 28. Critical Thinking Exercises <ul><li>During lab each team will take a situation and will role play the scenario chosen </li></ul><ul><li>Interviewer, interviewee, third student will be the spotter </li></ul><ul><li>Complete the mini mental exam as part of the assessment </li></ul><ul><li>Movies for viewing </li></ul><ul><ul><li>.Rain Man, I Am Sam, Forest Gump, Beautiful Mind </li></ul></ul>
  25. 29. Web Sites of Interest <ul><li>American Federation for Aging Research </li></ul><ul><ul><li>www.afar.org </li></ul></ul><ul><li>American Psychological Association </li></ul><ul><ul><li>www.apa.org </li></ul></ul><ul><li>Association of Child and Adolescent Psychiatric Nursing </li></ul><ul><ul><li>www.acapn.org </li></ul></ul>

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