Mental Health assessment - Answer-- Discuss how both mental health and mental
disorders affect your mental status
- Describe risk factors for mental disorders and substance abuse across various
cultures
- Differentiate between skills needed for general routine screening and skills for focused
speciality assessment of mental status and risk of substance abuse
/.Use Saint Louis University Status (SLUMS) Exam tool to assess what? - Answer-
Cognitive function
/.Use Glasgow Coma Scale to asses what? - Answer-One's level of consciousness
(response to stimuli) when at high risk for deterioration of the nervous system
/.Cultural considerations - Answer-Mental illness may be possession of evil spirits or
cursed.
- Some cultures feel that mental illness is a punishment
- Can't talk about mental illness, seen as a weakness
/.Mental status refers to - Answer-A client's level of cognitive functioning (thinking,
knowledge, problem solving) and emotional functioning (feelings, mood, behaviors,
stability)
/.Blocking - Answer-sudden interruption in train of thought
/.Confabulation - Answer-Fabricates events to fill memory gaps
/.Neologism - Answer-Coining new word has no meaning to anyone but the person who
coined it
/.Circumstantiality - Answer-Talks with excessive details that are not needed
/.Loosening - Answer-Shifting from one topic to another unrelated topic
/.Word Salad - Answer-Incoherent mixture of words, phrases, and sentences
, /.Echolalia - Answer-Imitation, repeats others words or phrases often mumbling/mocking
/.Clanging - Answer-Word choice based on sound, not meaning- includes nonsense
rhymes
/.Preseveration - Answer-Persistent repeating of verbal or motor response
/.Delirium onset - Answer-Acute (hours to days)
/.Delirium course - Answer-fluctuating
/.Delirium duration - Answer-Hours to weeks
/.Delirium consciousness - Answer-Altered
/.Delirium attention - Answer-impaired
/.Delirium psychomotor changes - Answer-increased or decreased
/.Delirium reversibility - Answer-usually
/.Geriatric Depression Scale - Answer-a tool to assess for risk of depression in older
adults
Common treatment options= Psychotherapy, anti depressive medication, and
electroconvulsive therapy
/.Geriatric depression - Answer-- >5 needs further follow up
- Depression can be recurring
- Prompt intervention required
- Prevention and treatment most important
/.Mini-Cog Test - Answer-- Quick and easy to use instrument to screen for cognitive
impairment
* 3 item recall and clock drawing test
* Only repeating 1-2 words indicates possible dementia
* None of the words indicates dementia
* Inability to draw a full clock indicates cognitive impairment
/.Glasgow Coma Scale - Answer-Clients who have experienced a traumatic brain injury
- GCS score of 15 indicates an optimal level of consciousness. Less than 15 = brain
injury
/.Use the CAGE Self Assessment - Answer-to detect alcohol dependence in trauma
center populations
disorders affect your mental status
- Describe risk factors for mental disorders and substance abuse across various
cultures
- Differentiate between skills needed for general routine screening and skills for focused
speciality assessment of mental status and risk of substance abuse
/.Use Saint Louis University Status (SLUMS) Exam tool to assess what? - Answer-
Cognitive function
/.Use Glasgow Coma Scale to asses what? - Answer-One's level of consciousness
(response to stimuli) when at high risk for deterioration of the nervous system
/.Cultural considerations - Answer-Mental illness may be possession of evil spirits or
cursed.
- Some cultures feel that mental illness is a punishment
- Can't talk about mental illness, seen as a weakness
/.Mental status refers to - Answer-A client's level of cognitive functioning (thinking,
knowledge, problem solving) and emotional functioning (feelings, mood, behaviors,
stability)
/.Blocking - Answer-sudden interruption in train of thought
/.Confabulation - Answer-Fabricates events to fill memory gaps
/.Neologism - Answer-Coining new word has no meaning to anyone but the person who
coined it
/.Circumstantiality - Answer-Talks with excessive details that are not needed
/.Loosening - Answer-Shifting from one topic to another unrelated topic
/.Word Salad - Answer-Incoherent mixture of words, phrases, and sentences
, /.Echolalia - Answer-Imitation, repeats others words or phrases often mumbling/mocking
/.Clanging - Answer-Word choice based on sound, not meaning- includes nonsense
rhymes
/.Preseveration - Answer-Persistent repeating of verbal or motor response
/.Delirium onset - Answer-Acute (hours to days)
/.Delirium course - Answer-fluctuating
/.Delirium duration - Answer-Hours to weeks
/.Delirium consciousness - Answer-Altered
/.Delirium attention - Answer-impaired
/.Delirium psychomotor changes - Answer-increased or decreased
/.Delirium reversibility - Answer-usually
/.Geriatric Depression Scale - Answer-a tool to assess for risk of depression in older
adults
Common treatment options= Psychotherapy, anti depressive medication, and
electroconvulsive therapy
/.Geriatric depression - Answer-- >5 needs further follow up
- Depression can be recurring
- Prompt intervention required
- Prevention and treatment most important
/.Mini-Cog Test - Answer-- Quick and easy to use instrument to screen for cognitive
impairment
* 3 item recall and clock drawing test
* Only repeating 1-2 words indicates possible dementia
* None of the words indicates dementia
* Inability to draw a full clock indicates cognitive impairment
/.Glasgow Coma Scale - Answer-Clients who have experienced a traumatic brain injury
- GCS score of 15 indicates an optimal level of consciousness. Less than 15 = brain
injury
/.Use the CAGE Self Assessment - Answer-to detect alcohol dependence in trauma
center populations
