Inquire through: | Professional | Confidential Support
PMH Exam 2 Verified and Updated
Questions and Answers (100% Correct
Answers)
Mental Status Examination (MSE)
Answer: • Mental status examination is KEY to our assessment whether it's the
admission or we're checking in with someone during the course of a shift
• Observation is an important part of that.
Psychiatric Mental Health Nursing Assessment
Answer: • Gathering data
o Review of systems
o Laboratory data
o MSE [box 7.4]
o Psychosocial assessment [Box 7.5]
o Spiritual/religious assessment
o Cultural and social assessment
o Validating the assessment
o Using rating scales
• Primary source-patient self-report
• Secondary sources-other people (family, partner, teacher, EMS, police,
records/other healthcare personnel
Components of MSE regularly collected by nursing (RN level)
Answer: • Appearance
o Grooming/dress
, Inquire through: | Professional | Confidential Support
o Hygiene
o Facial expression
• Behavior [all]
• Speech
o Rate
o Volume
• Mood (Always come from pt report)
o Affect^ (shouldn't use "flat" b/c this is diagnostic, beyond our scope)
o Mood
o Congruence
• Thought Form
o Content
• Perceptual Disturbance
o Hallucinations (report of and evidence of)
• Cognition
o Orientation
o LOC
o Insight (when relevant)
• Thoughts of Harm to Self/Others
o Suicidal or homicidal ideation
PMH Exam 2 Verified and Updated
Questions and Answers (100% Correct
Answers)
Mental Status Examination (MSE)
Answer: • Mental status examination is KEY to our assessment whether it's the
admission or we're checking in with someone during the course of a shift
• Observation is an important part of that.
Psychiatric Mental Health Nursing Assessment
Answer: • Gathering data
o Review of systems
o Laboratory data
o MSE [box 7.4]
o Psychosocial assessment [Box 7.5]
o Spiritual/religious assessment
o Cultural and social assessment
o Validating the assessment
o Using rating scales
• Primary source-patient self-report
• Secondary sources-other people (family, partner, teacher, EMS, police,
records/other healthcare personnel
Components of MSE regularly collected by nursing (RN level)
Answer: • Appearance
o Grooming/dress
, Inquire through: | Professional | Confidential Support
o Hygiene
o Facial expression
• Behavior [all]
• Speech
o Rate
o Volume
• Mood (Always come from pt report)
o Affect^ (shouldn't use "flat" b/c this is diagnostic, beyond our scope)
o Mood
o Congruence
• Thought Form
o Content
• Perceptual Disturbance
o Hallucinations (report of and evidence of)
• Cognition
o Orientation
o LOC
o Insight (when relevant)
• Thoughts of Harm to Self/Others
o Suicidal or homicidal ideation
