Mental Status Assessment

1
Mental Status Assessment

• Physical Examination and
• Health Assessment

2
Learning Objectives for Mental Health Assessment

1. Define the behaviors that are considered in an
   assessment of a persons mental status
2. Describe relevant developmental considerations of
   the mental status exam.
3. State the purpose of a mental status exam.
4. List the 4 components of mental status assessment.

3
Objectives cont.

1. Complete a MiniMental State Examination.
2. Discuss developmental considerations for infants,
   children and the aging adult

4
Introduction

• Defining mental status
• Assessment of an individuals behavior
• Developmental considerations
• Components of the mental status exam
• Objective data

5
Introduction

• Mini-mental state examination
• Application and critical thinking
• Abnormal findings

6
What Does Mental Status Mean to You?

• Emotional and cognitive functioning

7
Mental Disorder

• Definition of Mental Disorder
• Organic disorders
• Psychiatric mental illness

Text
Text
Text
Text
Text
Text
Text
Text
Text
8
Assessment of an Individuals Behavior

• Consciousness
• Language
• Mood and affect
• Orientation
• Attention
• Memory

9
Assessment Cont.

• Abstract reasoning
• Thought process
• Thought content
• Perceptions

10
Developmental Considerations

• Infants and children
• Aging adult

11
Components of The Mental Status Exam

• Aappearance
• B.Behavior
• C.Cognition
• T.Thought processes

12
Afor Appearance

• Posture
• Body movements
• Dress
• Grooming and hygiene

13
(No Transcript)
14
B.For Behavior

• Level of consciousness
• Facial expression
• Speech
• Mood and affect

15
(No Transcript)
16
C.For Cognitive Function

• Orientation
• Attention span
• Recent memory
• Remote memory
• New learning

17
Cognitive Function Cont.

• Persons with aphasia
• Word comprehension
• Reading
• Writing
• Higher intellectual function
• Judgment

18
(No Transcript)
19
Tfor Thought Processes and Perceptions

• Thought processes
• Thought content
• Perceptions
• Suicidal thoughts

20
(No Transcript)
21
Mini Mental State Examination

• Standard set of 11 questions
• 5 to 10 min. To administer
• Cognitive functioning only

22
Summary Checklist Mental Status Assessment

1. Appearance
2. Behavior
3. Cognitive function
4. Thought processes
5. Mini -mental state examination

23
Developmental Considerations

• Assessment includes
• Behavioral
• Cognitive
• Psychosocial development
• Examines environmental coping mechanisms of child

24

• Utilize A, B, C, T plus assess developmental
  milestones in the following areas
• Psychosocial
• Eriksons stages of Ego Development
• Eriksons Theory of Trust vs Mistrust
• Cognitive Development
• Behavioral Development

25

• Fine Motor Skills
• Language Skills
• Personal Social Skills
• Imitation
• Abnormalities are usually problems of omission.

26
Application and Critical Thinking

• Subjective and objective data collection
• Developmental
• Age
• Socioeconomic
• Transcultural considerations
• A,B,C, T

27
Example of Documentation

• Mental Status Alert, relaxed, and cooperative.
  Thought process coherent. Orientated x 3.

28
Critical Thinking Exercises

• During lab each team will take a situation and
  will role play the scenario chosen
• Interviewer, interviewee, third student will be
  the spotter
• Complete the mini mental exam as part of the
  assessment
• Movies for viewing
• .Rain Man, I Am Sam, Forest Gump, Beautiful Mind

29
Web Sites of Interest

• American Federation for Aging Research
• www.afar.org
• American Psychological Association
• www.apa.org
• Association of Child and Adolescent Psychiatric
  Nursing
• www.acapn.org