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CMN548 UNIT 1 PSYCHIATIC HISTORY AND PSYCHIATIC ASSESSMENT TEST QUESTIONS WITH CORRECT ANSWERS

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CMN548 UNIT 1 PSYCHIATIC HISTORY AND PSYCHIATIC ASSESSMENT TEST QUESTIONS WITH CORRECT ANSWERS carlat mnemonic for the mental status exam: All borderline subjects are tough, troubled characters - Answer-*Appearance *Behavior *Speech *Affect *Thought process *Thought content *Cognitive ...

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  • September 18, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cmn548 unit 1 psychiatic history
  • cmn548 unit 1 psychiatic history and psychiatic

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CMN548 UNIT 1 PSYCHIATIC HISTORY AND
PSYCHIATIC ASSESSMENT TEST
QUESTIONS WITH CORRECT ANSWERS
carlat mnemonic for the mental status exam: All borderline subjects are tough, troubled
characters - Answer-*Appearance
*Behavior
*Speech
*Affect
*Thought process
*Thought content
*Cognitive

carlat: what is the purpose of the social and developmental history? - Answer-The social
history is useful:
1)allows the clinician to get to know the patient as a person, not a diagnosis
2) can determine info about a possible personality disorder through the social history

carlat: misconceptions about the mental status exam - Answer-1) misconception: that it
takes place at one particular point in the interview when you test orientation and recall-
it takes place through the entire interview

2) misconception- the MSE is identical to the Foltstein MMSE.- The Fostein MME is
specific screen for dementia.

What is the mental status exam assessing for? - Answer-*the patient's current cognitive
and emotional functioning
*denotes evidence of signs and symptoms of mental illness

how is doing the mental status exam helpful? - Answer-*gives snapshot of the patient's
mental status at the time of the interview so it can be compared to monitor for changes
over time

*Helps making a diagnosis when historical data is lacking and helps better describe the
patient to track progress over time.

Mental Status exam - Answer-1) Appearance and behavior

2) Motor activity - agitated slow, gait, freedom of movement, postures, pacing, tics,
jittery, lip smacking, tongue protrusion

3) Speech: fluency, amount, rate, tone, and volume.

,4) Mood- is subjective- patients internal and sustained emotional experience.

5) Affect: what mood appears to be as a clinician. Quality, quanitity, range,
appropriateness, and congruence.

6) Thought content: what the patient is thinking -
obsessions/compulsions/delusions/suicidality/homicidality/paranoia

7)Thought process- how thoughts are formulated/organized and expressed- described
as linear, organized and goal-directed. Flight of ideas, circumstantiality, tangential,
loose associations, poverty of thought.

8) Perceptual disturbances. Hallucinations/type/ content/depersonalization.

9) Cognition: alertness, orientation, concentration, memory/recent remote, immediate.

10) Abstract reasoning: ability to shift back and forth from general concepts and specific
examples. Like objects- fruit apple and pear, bus/airplane. Proverbs- cry over spilled
milk.

11) Insight why they are hear,do they think need help. Partial, full none.

12) Judgment- capacity to make good decisions. Participation in dangerous activities,

MSE/ evaluation of motor activity - Answer-agitated slow, gait, freedom of movement,
postures, pacing, tics, jittery, lip smacking, tongue protrusion

MSE evaluation of speech - Answer-fluency, amount, rate, tone, and volume.

MSE evaluation of mood - Answer-is subjective- patients internal and sustained
emotional experience.

MSE evaluation of affect - Answer-Affect: what mood appears to be as a clinician.
Quality, quanitity, range, appropriateness, and congruence.

carlat: qualities of affect- stability 0f affect

what can it detect - Answer-refers to a continuum from stable /normal to labile

*labile affect- mania, psychosis, dementia, other neuropsychiatric syndromes

carlat: appropriateness of affect - Answer-inappropriate behavior may not reflect
pathology

carlat: range of effect
What may it signify? - Answer-constricted affect- depressed

, flat affect-schizophrenia

carlat: intensity of affect- what mayit signify? - Answer-flat and blunted-severely
depressed or negative symptoms of schizophrenia
intense affect- manic or histrionic

MSE evaluation of thought content - Answer-what the patient is thinking -

obsessions/compulsions/delusions/suicidality/homicidality/paranoia

MSE evaluation of thought process - Answer-The flow of thought (coherent vs.
incoherent)

how thoughts are formulated/organized and expressed- described as linear, organized
and goal-directed.

Flight of ideas, circumstantiality, tangential, loose associations, poverty of thought.

MSE evaluation of perceptual disturbances - Answer-Hallucinations/type/
content/depersonalization.

MSE evaluation of cognition - Answer-alertness, orientation, concentration,
memory/recent remote, immediate.

MSE evaluation of abstract reasoning - Answer-ability to shift back and forth from
general concepts and specific examples. Like objects- fruit apple and pear,
bus/airplane. Proverbs- cry over spilled milk.

MSE evaluation of insight - Answer-why they are hear,do they think need help. Partial,
full none.

MSE evaluation of judgement - Answer-capacity to make good decisions. Participation
in dangerous activities,

what does the mental status exam also include - Answer-a cognitive screen, most often
the mini-mental status exam

It is especially important in neurologic and psychiatric evaluations. The purpose is to
evaluate, quantitatively and qualitatively, a range of mental functions and behaviors at a
specific point in time.

The MSE provides important information for diagnosis and for assessment of the
disorder's course and response to treatment.

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