Mental Status Examination & Mood Disorders

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Questions and Answers

Match the following substance use disorders with their associated symptoms:

Alcohol = Acknowledgment of consequences and need for abstinence Cocaine = Withdrawal symptoms include depression and drowsiness Impaired Professionals = Increased use of the bathroom Bulimia = Binge and purge behaviors

Match the following eating disorders with their physical symptoms:

Anorexia = Low body weight and dehydration Bulimia = Normal or overweight with weight fluctuations Cocaine = Cravings and urges during withdrawal Alcohol = Nutritional deficiencies and muscle weakness

Match the following eating disorders with their emotional symptoms:

Anorexia = Depression and anxiety Bulimia = Low self-esteem and anxiety Alcohol = Fear of gaining weight Cocaine = Obsessiveness and perfectionism

Match the following eating disorders with their intervention outcomes:

Anorexia = Patient will gain weight Bulimia = Will be binge and purge free Cocaine = Patient recognizes need for abstinence Alcohol = Increased social interactions Signup and view all the answers

Match the following signs of impaired professionals with their descriptions:

Increased use of the bathroom = Frequent medication administration Calling out frequently = Often appears in pain Adding extra shifts = Engages in narcotic count discrepancies Working nights = Volunteers as medication nurse Signup and view all the answers

Match the section of the Mental Status Examination (MSE) with the correct component:

General Observations = Grooming Sensorium = Memory Affect/Mood = Mood Thought Processes = Thought Content Signup and view all the answers

Match the mood disorder with its characteristic:

Depression = Persistent sadness Bipolar Disorder = Extreme mood swings Mania = Increased activity and energy Hypomania = Less severe mania Signup and view all the answers

Match the component of the nursing process (ADPIE) with its description:

Assessment = Collecting information Diagnosis = Identifying issues Planning = Setting goals Implementation = Executing the plan Signup and view all the answers

Match the characteristic of mania with the correct description:

Abnormally upbeat = Exaggerated sense of well-being Distractibility = Difficulty focusing Racing thoughts = Fast shifting of ideas Decreased need for sleep = Feeling rested after little sleep Signup and view all the answers

Match the suicide assessment question with its focus:

Does the client have thoughts of suicide? = Identifying ideation Does the client have a plan? = Assessing specificity Are there means to act upon the plan? = Evaluating access How lethal is the plan? = Determining seriousness Signup and view all the answers

Match the mood stabilizer with its class:

Lithium = Mood stabilizer Valproate = Anticonvulsant Carbamazepine = Anticonvulsant Lamotrigine = Mood stabilizer Signup and view all the answers

Match the intervention for mania with its appropriate description:

Prevent physical harm = Safety priority Redirect patient = Guiding attention Support patient to maintain self-control = Encouragement and support Use manic symptoms for care = Leverage to manage behavior Signup and view all the answers

Match the aspect of thought processes with its corresponding type:

Thought Content = What is being thought about Thought Form = How thoughts are organized Insight = Understanding of one's condition Judgment = Decision-making ability Signup and view all the answers

Match the antianxiety medications with their characteristics:

Benzodiazepines = Can cause sedation and drowsiness Non-Benzodiazepines = Buspirone Patient teaching = Do not drive or operate heavy machinery Antidepressants = Used for mood disorders Signup and view all the answers

Match the antidepressant classes with their medications:

TCAs = Amitriptyline, Imipramine, Nortriptyline SSRIs = Fluoxetine, Paroxetine, Citalopram, Sertraline SNRIs = Venlafaxine, Duloxetine MAOIs = Tranylcypromine, Phenelzine Signup and view all the answers

Match the antimanic medications with their categories:

Mood Stabilizers = Lithium Anticonvulsants = Valproic Acid, Carbamazepine Depakote = Valproic Acids' trade name Gabapentin = Anticonvulsant medication Signup and view all the answers

Match the typical antipsychotics with their characteristics:

Chlorpromazine = Typical antipsychotic Haloperidol = Can cause dystonia Fluphenazine = Used to treat severe psychiatric conditions Thioridazine = Can cause involuntary muscle contractions Signup and view all the answers

Match the atypical antipsychotics with their advantages:

Risperidone = Used for newly diagnosed patients Olanzapine = Less EPS side effects Clozapine = Effective for treatment-resistant schizophrenia Quetiapine = Used in both schizophrenia and bipolar disorder Signup and view all the answers

Match the antiparkinson medications with their types:

Dopaminergic Agent = Carbidopa/Levodopa Dopamine Agonist = Pramipexole Anticholinergic = Benztropine Antihistamine = Diphenhydramine Signup and view all the answers

Match the antidepressant side effects with their respective classes:

MAOIs = Avoid tyramine-containing foods SSRIs = Can cause sexual dysfunction SNRIs = May increase blood pressure Atypical Antidepressants = Can cause sedation Signup and view all the answers

Match the side effects with the antipsychotic medication types:

Typical Antipsychotics = Dystonia, EPS Atypical Antipsychotics = Less EPS side effects Depot Form = Longer acting than oral medications Both types = Can cause weight gain Signup and view all the answers

Study Notes

Mental Status Examination (MSE)

Review MSE form to understand each section and related terms.
General Observations: Appearance, grooming, dress.
Motor Behavior/Activity: Physical condition, rapport and reaction.
Sensorium: Memory, orientation, concentration, abstraction, calculation, and semantic/intellectual functioning.
Affect/Mood: Affect, mood, and mood congruency.
Thought Processes: Thought content, thought form, insight and judgement.
Nursing Process (ADPIE): Assessment, diagnosis, planning, implementation, evaluation.

Mood Disorders

Depression: Characterized by sadness, loss of interest, and other symptoms.
Bipolar Disorder: Characterized by periods of mania (abnormally upbeat, jumpy or wired) and depression. Mania symptoms include increased energy, self-confidence, racing thoughts, and decreased need for sleep.
Mania interventions: Preventing physical harm using least restrictive measures (e.g., redirecting patient).
Suicide assessment: Questions to ask clients about thoughts, plans, means, and intent to act upon the plan. Safety is paramount.

Substance Use Disorders

Alcohol Use Disorder: Patients need to acknowledge the consequences and need abstinence.
Cocaine Use Disorder: Withdrawal symptoms consist of depression, drowsiness/sedation, and cravings.
Impaired Professionals: Increased use of bathroom, pain, working nights, adding extra shifts, or volunteering to be a medical nurse.

Eating Disorders

Anorexia: Physical symptoms include low body weight, amenorrhea, muscle weakness, and yellow skin. Emotional/cognitive symptoms include depression, anxiety, perfectionism, obsession, and fear of gaining weight.
Bulimia: Physical symptoms include fluctuating weight, irregular bowel function. Emotional/cognitive symptoms include depression, anxiety, and low self-esteem.
Interventions for both disorders: Educating patients on unattainability of perfection and weight gain assistance.

Pharmacology

Antianxiety Medications: Benzodiazepines (e.g., diazepam, alprazolam, lorazepam), non-benzodiazepines (e.g. buspirone)
Antidepressant Medications: TCAs (e.g., amitriptyline, imipramine, nortriptyline), SSRIs (e.g., fluoxetine, paroxetine, citalopram, escitalopram, sertraline), SNRIs (e.g., venlafaxine, duloxetine), MAOIs (e.g., tranylcypromine, phenelzine), atypical antidepressants
Antimanic Medications/Mood Stabilizers: lithium, anticonvulsants (e.g., valproic acid, carbamazepine, gabapentin, lamotrigine
Antipsychotic Medications: Typical antipsychotics (e.g., chlorpromazine, haloperidol, fluphenazine, thioridazine, thiothixene), atypical antipsychotics (e.g., risperidone, olanzapine, clozapine, quetiapine). Be mindful of depot medications for slower release.
Antiparkinson Medications: Dopaminergic agents (e.g., carbidopa/levodopa), dopamine agonists (e.g., pramipexole), anticholinergics (e.g., benztropine), antihistamines (e.g., diphenhydramine).

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Description

This quiz covers the Mental Status Examination (MSE), focusing on various components such as general observations, motor behavior, sensorium, and affect. It also explores mood disorders, including depression and bipolar disorder, along with interventions and assessment techniques. Test your understanding of these crucial mental health concepts.