Assessing Patient's Mental Status - ADLs

Masklike facial expressions = Progressive disease Overly dramatic facial expressions = Cognitive impairment Stooped and fearful stance = Elder abuse Paranoid thought process = Personality alteration

Manage medications = Purchase, understand, and follow directions Use problem-solving skills = Critical thinking for daily tasks Prepare nutritious meals = Cooking and ensuring balanced diet Manage personal finances = Handling financial matters

Caregiver presence in the home = Enhanced safety and support Daily check-ins by someone = Regular monitoring of well-being Food delivery to the home = Nutrition support Provided or monitored medication dosages = Health management assistance

<p>Ability to speak, write, and understand language = Communication for daily tasks Ability to remember appointments and tasks = Organizational skills Interpersonal skills maintenance = Social interactions maintenance Problem-solving skills utilization = Handling challenges effectively</p> Signup and view all the answers

<p>Geriatric Depression Scale identification = Assessment tool for mental health Contributing factor to cognitive impairment = Common condition in older adults Personality changes prevention = Maintenance of interpersonal skills Incidence of elder abuse consideration = Paranoid thought evaluation</p> Signup and view all the answers

<p>Montreal Cognitive Assessment (MoCA) = Detect mild cognitive impairment MoCA-Basic = Designed for low literacy adults Standardized tool = Assess cognition based on family member's concern Test a child's memory recall = Use familiar objects</p> Signup and view all the answers

<p>39% = Patients with depression during pregnancy 13% = Patients with postpartum depression 3% = Patients with postpartum psychosis 100% = Total percentage of postpartum patients experiencing depression or psychosis</p> Signup and view all the answers

<p>Recent memory for important events and conversations is usually not impaired. = Memory unaffected by aging Episodic memory loss complaints are predictive of cognitive decline. = Indication of potential cognitive issues Patient report of memory loss interfering with daily activities. = Use standardized tool for assessment Family member concern about patient's memory loss. = Sign to assess cognition using a tool</p> Signup and view all the answers

<p>39% = Patients with depression during pregnancy 13% = Patients with postpartum depression 3% = Patients with postpartum psychosis 45% = Estimated total percentage of patients experiencing depression during or after pregnancy</p> Signup and view all the answers

<p>Montreal Cognitive Assessment (MoCA) = Detect transition between normal aging and dementia Test a child's memory recall = Not appropriate for assessing cognitive changes in older adults Standardized tool based on family member concern = Assess cognition based on patient's report only MoCA-Basic = Identify patients needing more comprehensive cognitive assessment</p> Signup and view all the answers

<p>Memory loss = Significant memory loss Confusion = Impaired cognitive function with disorientation, attention and memory deficits Impaired communication = Difficulty answering questions or following multiple-step directions Inappropriate affect = Personal care difficulties</p> Signup and view all the answers

<p>Hazardous behavior = Agitation Suspiciousness = Impaired communication Personal care difficulties = Inappropriate affect Agitation = Suspiciousness</p> Signup and view all the answers

<p>Remembering appointments or important events = Paying bills Shopping independently for food or clothing = Preparing meals Taking medication = Getting lost while walking or driving Making decisions about daily life = Asking the same thing again and again</p> Signup and view all the answers

<p>Peaches and lemons = Simple analogies Trumpet and flute = More complex analogies Ocean and lake = Simple analogies An engine is to an airplane as an oar is to a ____. = More complex analogies</p> Signup and view all the answers

<p>Physical abuse = Intentional use of force that results in injury or pain Financial abuse = Unauthorized use of an older adult's funds or property Emotional abuse = Infliction of mental pain, distress, or anguish through verbal or nonverbal acts Neglect = Failure to provide necessary care or assistance to an older adult</p> Signup and view all the answers

<p>Magazine and cookbook = Different objects Bush and tree = Different objects A magazine and a cookbook = Objects with different attributes A bush and a tree = Objects with different attributes</p> Signup and view all the answers

<p>Bathing = The task of washing oneself Dressing = Putting on and taking off clothes Eating = The act of consuming food Toileting = Managing personal hygiene and using the bathroom</p> Signup and view all the answers

<p>Fall risk assessment = Evaluating the likelihood of a patient falling and implementing preventive strategies Medication reconciliation = Ensuring accurate and up-to-date medication lists for each patient Hand hygiene compliance = Adherence to proper handwashing protocols to prevent infections Wandering prevention strategies = Implementing interventions to keep patients with cognitive impairment from wandering off</p> Signup and view all the answers

<p>Meal preparation = Cooking and providing meals for the older adult Medication management = Ensuring the correct medications are taken at the right times Transportation assistance = Helping the older adult get to appointments or run errands Emotional support = Providing comfort, reassurance, and companionship to the older adult</p> Signup and view all the answers

<p>Mini-Cog assessment = Combines recall test with clock-drawing test for quick cognitive evaluation Montreal Cognitive Assessment (MoCA) = Assesses various cognitive domains and is sensitive to mild cognitive impairment Mini-Mental State Examination (MMSE) = Tests orientation, memory, and attention in a brief questionnaire format Clock-Drawing Test (CDT) = Evaluates visuospatial abilities by having patients draw a clock face</p> Signup and view all the answers

<p>Mini-Cog = Brief screening tool for measuring cognitive function CDT = Assessment of clock drawing abilities MoCA = Tool to reveal mild cognitive impairment SAGE = Screening tool for early signs of cognitive decline</p> Signup and view all the answers

<p>Physical abuse = Involves inflicting physical harm or injury Psychological abuse = Includes emotional abuse or mental anguish Financial abuse = Involves unauthorized use of an elderly person's funds or assets Neglect = Failure to provide necessary care or assistance to an elderly individual</p> Signup and view all the answers

<p>Medication management = Ensures correct administration and adherence to prescribed medications Fall prevention = Reduces the risk of accidental falls and related injuries Assistance with ADLs = Helps maintain independence in activities of daily living Emotional support = Provides comfort and reassurance to the elderly individual</p> Signup and view all the answers

<p>Inability to dress independently = Loss of privacy and dignity Difficulty with bathing = Increased risk of skin infections and hygiene-related issues Impaired mobility = Higher chance of falls and injuries Trouble preparing meals = Nutritional deficiencies and inadequate food intake</p> Signup and view all the answers

<p>Medication errors = Risk of adverse drug reactions or treatment failures Inadequate home safety measures = Higher likelihood of accidents and injuries at home Poor communication with healthcare providers = Misunderstandings leading to incorrect treatments or decisions Lack of regular medical check-ups = Delayed detection of health issues or worsening conditions</p> Signup and view all the answers

<p>Grooming = Assessment of hygiene and appropriateness of dress Emotional Stability = Evaluation of mood, feelings, and thought processes Cognitive Abilities = Assessment of consciousness, memory, attention span, and judgment Speech and Language = Evaluation of voice quality, articulation, comprehension, and coherence</p> Signup and view all the answers

<p>Body language = Observation for emotional stability and cognitive abilities Ability to make eye contact = Assessment of grooming and emotional status Reliance on an accompanying adult to answer questions = Evaluation of cognitive abilities and speech/language Variations in response to questions of differing complexity = Observation for mood, feelings, and thought processes</p> Signup and view all the answers

<p>Asking the patient to provide responses = Ensuring patient's active participation in communication Answering questions appropriately with logical expression = Ensuring clarity in speech and articulation Relating current and past events logically = Promoting coherence in speech Expressing ideas logically = Encouraging appropriate responses to questions</p> Signup and view all the answers

<p>Observation during initial greeting = Assessment of behavior, emotional status, grooming, and body language Noting body posture and eye contact ability = Evaluation of orientation, cognitive abilities, and mood Physical appearance assessment = Checking for hygiene, grooming, and dress appropriateness Questions answered clearly articulated = Indication of appropriate response to questions</p> Signup and view all the answers

<p>Observation for behavior and responses = Information acquisition during history taking Noting reliance on an accompanying adult = Potential need for further evaluation of cognitive abilities Point of asking patient to provide responses = Encouraging patient participation in communication Variations in response complexity = Indication of cognitive processing abilities</p> Signup and view all the answers

<p>Physical abuse = Intentional use of force against an elderly person that results in injury, pain, or impairment Financial abuse = Unauthorized or improper use of an elderly person's funds, property, or assets Psychological abuse = Infliction of mental anguish, emotional pain, or distress on an elderly person through verbal or nonverbal acts Neglect = Failure to fulfill caregiving obligations for an elderly person's basic needs</p> Signup and view all the answers

<p>Bathing = The ability to clean oneself and perform grooming activities like shaving and brushing teeth Dressing = The ability to select appropriate clothing and dress independently Transferring = Moving from one position to another, such as from a bed to a chair Toileting = The ability to use the toilet, including transferring on and off</p> Signup and view all the answers

<p>Medication errors = Increased risk of adverse drug reactions or treatment failure Falls = Risk of physical injury, fractures, or hospital readmissions Infections = Complications, prolonged hospital stays, or antibiotic resistance Misdiagnosis = Delayed treatment, worsening condition, or incorrect management</p> Signup and view all the answers

<p>Medication management = Ensuring proper dosage and timing of medications to maintain health and well-being Meal preparation = Providing nutritious meals to support overall health and prevent malnutrition Mobility assistance = Helping with moving around safely to prevent falls and maintain independence Emotional support = Offering companionship, empathy, and reassurance to improve mental well-being</p> Signup and view all the answers