NR548 Week 5
Factors that affect the interpretation of the MSE - CORRECT ANSWER-culture
native language
educational level
literacy
social factors
MSE: Appearance - CORRECT ANSWER--posture
-dress
-grooming
-physical appearance
• distinguishable markings; scars or tattoos
-facial expressions
level of alertness
-attitudes
-Self-esteem
-Personal statement
MSE: Behavior - CORRECT ANSWER-how the client presents themselves during the
examination
-eye contact
-psychomotor activity
• increased or decreased
-movements
-mannerisms
-stereotypies
-posturing
-how the client responds to the exam
• responses appropriate to topics?
• sit still through exam?
-gait
-movements
• coordinated, slowed, excessive
MSE: Speech - CORRECT ANSWER-Assess general speech qualities:
-rate
• fast, rapidly, slowly
-rhythm
• monotone or slurred
-latency
-volume
• soft, normal, or loud
-content
, -increased or decreased pauses between questions and answers?
-General quality
individual who presents with an extremely rapid and pressured speech with constant
interruptions may be experiencing __________ or __________ - CORRECT ANSWER-
hypomania or mania
An absence of speech is seen with some diagnoses such as ___________ - CORRECT
ANSWER-dementia
non-sensical speech is often associated with _______________ - CORRECT
ANSWER-psychotic disorders
MSE: Mood and Affect - CORRECT ANSWER-Mood
-client's state of mind or prevalent emotional state
-subjective
-typically self-reported
-Stable: mood is appropriate to their current situation
-other: bright, happy, angry, agitated, irritable, labile, anxious, depressed, or euphoric
Affect
-physical manifestation of the client's emotional state as observed by the provider
-normal, blunted, flat, bizarre, dysphoric, or euphoric
-Qualities of affect
• stability (stable or labile)
• appropriateness
• range (does it change with diff. situations)
• intensity
MSE: Thought Process - CORRECT ANSWER--rate of thoughts and how they flow and
are connected
-coherent vs. incoherent
-Normal: linear & goal-directed
-Other: loose, circumstantial, or tangential
-Clients may experience flight of ideas with little connection between thoughts or words
-Assessment: questioning client, listening to responses
MSE: Suicidal and Homicidal Ideation - CORRECT ANSWER--Direct terms should be
used to assess suicide preoccupation and planning
-assess for homicidal ideation, intent, attempts, and plans
-critical to determine whether a plan exists
• access to the resources needed to execute the plan
• more detailed and thorough the plan, the higher the risk
• assess if plan is composed of fleeting thoughts rather than action steps
• assess whether the client is angry and lashing out or intending to bring actual harm
Factors that affect the interpretation of the MSE - CORRECT ANSWER-culture
native language
educational level
literacy
social factors
MSE: Appearance - CORRECT ANSWER--posture
-dress
-grooming
-physical appearance
• distinguishable markings; scars or tattoos
-facial expressions
level of alertness
-attitudes
-Self-esteem
-Personal statement
MSE: Behavior - CORRECT ANSWER-how the client presents themselves during the
examination
-eye contact
-psychomotor activity
• increased or decreased
-movements
-mannerisms
-stereotypies
-posturing
-how the client responds to the exam
• responses appropriate to topics?
• sit still through exam?
-gait
-movements
• coordinated, slowed, excessive
MSE: Speech - CORRECT ANSWER-Assess general speech qualities:
-rate
• fast, rapidly, slowly
-rhythm
• monotone or slurred
-latency
-volume
• soft, normal, or loud
-content
, -increased or decreased pauses between questions and answers?
-General quality
individual who presents with an extremely rapid and pressured speech with constant
interruptions may be experiencing __________ or __________ - CORRECT ANSWER-
hypomania or mania
An absence of speech is seen with some diagnoses such as ___________ - CORRECT
ANSWER-dementia
non-sensical speech is often associated with _______________ - CORRECT
ANSWER-psychotic disorders
MSE: Mood and Affect - CORRECT ANSWER-Mood
-client's state of mind or prevalent emotional state
-subjective
-typically self-reported
-Stable: mood is appropriate to their current situation
-other: bright, happy, angry, agitated, irritable, labile, anxious, depressed, or euphoric
Affect
-physical manifestation of the client's emotional state as observed by the provider
-normal, blunted, flat, bizarre, dysphoric, or euphoric
-Qualities of affect
• stability (stable or labile)
• appropriateness
• range (does it change with diff. situations)
• intensity
MSE: Thought Process - CORRECT ANSWER--rate of thoughts and how they flow and
are connected
-coherent vs. incoherent
-Normal: linear & goal-directed
-Other: loose, circumstantial, or tangential
-Clients may experience flight of ideas with little connection between thoughts or words
-Assessment: questioning client, listening to responses
MSE: Suicidal and Homicidal Ideation - CORRECT ANSWER--Direct terms should be
used to assess suicide preoccupation and planning
-assess for homicidal ideation, intent, attempts, and plans
-critical to determine whether a plan exists
• access to the resources needed to execute the plan
• more detailed and thorough the plan, the higher the risk
• assess if plan is composed of fleeting thoughts rather than action steps
• assess whether the client is angry and lashing out or intending to bring actual harm
