Psychology: Mental Status Examination and Psychiatric Nursing Interview
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Psychology: Mental Status Examination and Psychiatric Nursing Interview

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Questions and Answers

What can be a feature of catatonia in schizophrenia?

  • Automatic Obedience
  • Echopraxia
  • Waxy flexibility
  • All of the above (correct)
  • What is the term for the involuntary imitation of another person's movements?

  • Ambitendency
  • Stereotypes
  • Mannerisms
  • Echopraxia (correct)
  • What is the term for a sign of catatonia in which the patient's head is a few centimeters above the bed or pillow?

  • Psychological Pillow (correct)
  • Ambitendency
  • Negativism
  • Waxy flexibility
  • What is the term for a mental condition in which a person has blindness, paralysis, or other nervous system symptoms that cannot be explained by medical evaluation?

    <p>Conversion disorder</p> Signup and view all the answers

    What is the term for the phenomenon where a person's symptoms relieve their anxiety associated with conflict?

    <p>Primary Gain</p> Signup and view all the answers

    What is the term for the increased or decreased rate and quantity of speech?

    <p>Productivity</p> Signup and view all the answers

    What is mental status examination?

    <p>The total expression of a person's emotional responses, mood, cognitive function, and personality</p> Signup and view all the answers

    Which of the following is a component of general appearance and behavior in mental status examination?

    <p>Grooming and hygiene</p> Signup and view all the answers

    What is transvestism?

    <p>Recurrent, intense sexual arousal from cross-dressing</p> Signup and view all the answers

    What is judged during the assessment of attitude towards the examiner in mental status examination?

    <p>Cooperation and hostility</p> Signup and view all the answers

    Which of the following is not a component of mental status examination?

    <p>Intelligence quotient</p> Signup and view all the answers

    What is observed during the assessment of gait and posture in mental status examination?

    <p>Normal and abnormal gait and posture</p> Signup and view all the answers

    Study Notes

    Mental Status Examination (MSE)

    • Mental Status is the total expression of a person's emotional responses, mood, cognitive function, and personality.
    • General components of MSE include:

    General Appearance and Behavior

    • General appearance: body build, physical appearance, comfort level, physical health, grooming, hygiene, self-care, and dressing.
    • Facies (non-verbal expression of mood).
    • Attitude towards the examiner: cooperation, guardedness, evasiveness, or hostility.
    • Comprehension: intact or impaired (partially or fully).
    • Gait and posture: normal or abnormal.
    • Motor activity: increased, decreased, excitement, stupor, or abnormal involuntary movements (AIMs) like tics, tremors.
    • Restlessness, akathisia, catatonic signs, conversion, and dissociative signs.

    Catatonic Signs

    • Mannerisms: odd, circumstantial caricatures of normal actions.
    • Posturing: spontaneous and active maintenance of a posture against gravity.
    • Waxy flexibility: decreased response to stimuli and tendency to remain in an immobile posture.
    • Negativism: opposition or no response to instructions or external stimuli.
    • Ambitendency: pattern of incomplete motor responses in anticipation of a voluntary action.
    • Automatic obedience: exaggerated attempt to cooperate with a request or command.
    • Echopraxia: involuntary imitation of the movements of another person.
    • Psychological pillow: sign of catatonia in which the patient's head is a few centimeters above the bed or pillow.

    Speech

    • Rate and quantity of speech: whether present or absent (mutism), rapid or slow, pressured or poverty of speech.
    • Productivity: increased or decreased.
    • Volume and tone of speech: increased or decreased.
    • Flow and rhythm of speech: smooth or hesitant.
    • Dysprosody: abnormal speech rhythm or melody.
    • Blocking: sudden interruption in speech.
    • Circumstantiality: indirect or vague speech.
    • Tangentiality: speech that is not relevant to the conversation.

    Hallucinatory Behavior

    • Smiling or crying without reason.
    • Muttering, mumbling, or talking to self (non-social speech).
    • Odd gesturing in response to auditory or visual hallucinations.

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    Description

    Assess your understanding of mental status examination and principles of psychiatric nursing interview, including components of mental status, general appearance, behavior, speech, mood, and cognitive functions.

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