NSB204 - MSE EXAM LATEST
UPDATE
Purpose 1 - Answer Obtain cross-sectional description of person's mental status, when
combined with biographical and historical information of psychiatric history, allows for a
more accurate diagnostic formulation
Purpose 2 - Answer Identify person's strengths, and areas needing support to promote
resilience in their recovery
Purpose 3 - Answer to develop clinical formulation
Purpose 4 - Answer Provide baseline information to compare further MSE's
Appearance - Answer Build, height, complexion, eye colour, hair colour, distinguishing
features (scars, tattoos etc)
Manner of dress and appropriateness
Age and Gender
Self-care - grooming, hygiene, nutrition, dental care
Posture
Stature and physical characteristics
Recent injury - self harm, trauma
Substance abuse - inc previous use
Physical disorder/disability
Behaviour - Answer Psychomotor activity
Abnormal movements - tremors, tics etc
Bizarre behaviours - rituals, grimacing
Medication and treatment side effects
Eye Contact
Ability to form rapport
Attitude and level of cooperation
Psychomotor retardation - Answer reduction in level of movement
, psychomotor agitation - Answer increases in the overall level of movement
bradykinesia - Answer slowed movement
hypokinesia - Answer decreased movement
akinesia - Answer absence of movement
cooperation - Answer facial expression - interested or bored
hostility, defensive not cooperating
friendly and cooperative
guarded, uncomfortable or relaxed
information trustworthy
subjective observations
speech - Answer quantity - amount of speech, aphasia, mutism, incessant, refusal to
speak
rate - rapid, slow, slurred, monotonous, normal
tempo and rhythm - melody of speech, inc dysarthria and dysphasia
volume - load, soft, quiet etc
irrelevance (pattern of speech and thought) - Answer looseness of association
flight of ideas (pattern of speech and thought) - Answer change of topic
magical thinking (pattern of speech and thought) - Answer attributing experience to
external forces
racing (pattern of speech and thought) - Answer rapid thought
tangential (pattern of speech and thought) - Answer departure from topic with no return
circumstantial (pattern of speech and thought) - Answer being vague
word salad (pattern of speech and thought) - Answer nonsensical responses
derailment (pattern of speech and thought) - Answer extreme irrelevance
neologism (pattern of speech and thought) - Answer creating new words
clanging (pattern of speech and thought) - Answer rhyming words
poverty of thought or speech - Answer limited content
pressure of speech - Answer extremely accelerated speech
UPDATE
Purpose 1 - Answer Obtain cross-sectional description of person's mental status, when
combined with biographical and historical information of psychiatric history, allows for a
more accurate diagnostic formulation
Purpose 2 - Answer Identify person's strengths, and areas needing support to promote
resilience in their recovery
Purpose 3 - Answer to develop clinical formulation
Purpose 4 - Answer Provide baseline information to compare further MSE's
Appearance - Answer Build, height, complexion, eye colour, hair colour, distinguishing
features (scars, tattoos etc)
Manner of dress and appropriateness
Age and Gender
Self-care - grooming, hygiene, nutrition, dental care
Posture
Stature and physical characteristics
Recent injury - self harm, trauma
Substance abuse - inc previous use
Physical disorder/disability
Behaviour - Answer Psychomotor activity
Abnormal movements - tremors, tics etc
Bizarre behaviours - rituals, grimacing
Medication and treatment side effects
Eye Contact
Ability to form rapport
Attitude and level of cooperation
Psychomotor retardation - Answer reduction in level of movement
, psychomotor agitation - Answer increases in the overall level of movement
bradykinesia - Answer slowed movement
hypokinesia - Answer decreased movement
akinesia - Answer absence of movement
cooperation - Answer facial expression - interested or bored
hostility, defensive not cooperating
friendly and cooperative
guarded, uncomfortable or relaxed
information trustworthy
subjective observations
speech - Answer quantity - amount of speech, aphasia, mutism, incessant, refusal to
speak
rate - rapid, slow, slurred, monotonous, normal
tempo and rhythm - melody of speech, inc dysarthria and dysphasia
volume - load, soft, quiet etc
irrelevance (pattern of speech and thought) - Answer looseness of association
flight of ideas (pattern of speech and thought) - Answer change of topic
magical thinking (pattern of speech and thought) - Answer attributing experience to
external forces
racing (pattern of speech and thought) - Answer rapid thought
tangential (pattern of speech and thought) - Answer departure from topic with no return
circumstantial (pattern of speech and thought) - Answer being vague
word salad (pattern of speech and thought) - Answer nonsensical responses
derailment (pattern of speech and thought) - Answer extreme irrelevance
neologism (pattern of speech and thought) - Answer creating new words
clanging (pattern of speech and thought) - Answer rhyming words
poverty of thought or speech - Answer limited content
pressure of speech - Answer extremely accelerated speech