NR548 / NR 548 Exam 3 (Latest ): Psychiatric
Assessment for Psychiatric-Mental Health Nurse
Practitioner
Mental Status Exam (MSE) - ANSWER--best tool for establishing a psychiatric diagnosis
-combination of observations, impressions, & interpretation of client responses
-Eval of patients:
• appearance
• behavior
• speech
• affect
• thought process
• thought content
• cognition
mental health - ANSWER-"a state of well-being in which every individual realizes his or her
own potential, can cope with normal stresses of life, can work productively and fruitfully,
and is able to make a contribution to her or his community"
mental status - ANSWER--refers to emotional (feeling) and cognitive (knowing) function
-functioning is inferred through assessment of an individual's behaviors:
• consciousness
• language
• mood and affect
• orientation
• attention
• memory
,• abstract reasoning
• thought process
• thought content
• perceptions
Factors that affect the interpretation of the MSE - ANSWER-culture
native language
educational level
literacy
social factors
MSE: Appearance - ANSWER--posture
-dress
-grooming
-physical appearance
• distinguishable markings; scars or tattoos
-facial expressions
level of alertness
-attitudes
-Self-esteem
-Personal statement
MSE: Behavior - ANSWER-how the client presents themselves during the examination
-eye contact
-psychomotor activity
• increased or decreased
, -movements
-mannerisms
-stereotypies
-posturing
-how the client responds to the exam
• responses appropriate to topics?
• sit still through exam?
-gait
-movements
• coordinated, slowed, excessive
MSE: Speech - ANSWER-Assess general speech qualities:
-rate
• fast, rapidly, slowly
-rhythm
• monotone or slurred
-latency
-volume
• soft, normal, or loud
-content
-increased or decreased pauses between questions and answers?
-General quality
individual who presents with an extremely rapid and pressured speech with constant
interruptions may be experiencing __________ or __________ - ANSWER-hypomania or
mania
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