CMN548 Exam questions with 100% correct
Answers. | 100% Pass | Grades A+
Mental Status Exam (MSE) - Answer✔ -best tool for establishing a
psychiatric diagnosis
-combination of observations, impressions, & interpretation of client
responses
-Eval of patients:
• appearance
• behavior
• speech
• affect
• thought process
• thought content
• cognition
Mental health - Answer✔ "a state of well-being in which every
individual realizes his or her own potential, can cope with normal
stresses of life, can work productively and fruitfully, and is able to make
a contribution to her or his community"
mental status - Answer✔ -refers to emotional (feeling) and cognitive
(knowing) function
-functioning is inferred through assessment of an individual's behaviors:
• consciousness
• language
• mood and affect
• orientation
• attention
• memory
• abstract reasoning
• thought process
,• thought content
• perceptions
Factors that affect the interpretation of the MSE - Answer✔ culture
native language
educational level
literacy
social factors
MSE: Appearance - Answer✔ -posture
-dress
-grooming
-physical appearance
• distinguishable markings; scars or tattoos
-facial expressions
level of alertness
-attitudes
-Self-esteem
-Personal statement
Mini-Cog exam - Answer✔ -streamlined dementia screen
-score range is from 0-5
-obtained from adding the 3-item recall and clock drawing scores
together.
-A total score of 0, 1, or 2 indicates higher likelihood of clinically
important cognitive impairment
-A total score of 3, 4, or 5 indicates lower likelihood of dementia
• does not rule out some degree of cognitive impairment.
three object recall - Answer✔ Recall of three objects after at least 2
minutes has been shown to be a useful test in diagnosing cognitive
impairments
-Repeat the following three words: ball, chair, purple.
,-Once you are satisfied that your patient has registered all three words,
say: Now I want you to remember those three words, because I'm going
to ask you to repeat them in a couple of minutes.
-In the meantime, ask your patient general knowledge questions bout
general cultural and personal information.
-Then ask him to repeat the three words.
-If trouble, use the following hints:
• One of them is something you can play with
• One is a piece of furniture.
• One is a color.
General Cultural Knowledge - Answer✔ Inability to recall at least half
of these items is presumptive evidence of long-term memory
impairment.
-Last three presidents
-famous figures
• George Washington, first president
• Abraham Lincoln, freed the slaves
• Martin Luther King, Jr., civil rights leader
• Princess Diana, British princess killed in car accident
• William Shakespeare, writer
• Christopher Columbus, discovered America
-Famous dates
• When did World War II happen? (Any time in the 1930s or 1940s is
adequate.)
• When was John F. Kennedy assassinated? (Sometime in the 1960s.)
-Lists of information
• screening for dementia is the set test: patient to name as many items
(up to ten) as he can recall in each of four categories: colors, animals,
fruits, and towns; max of 40, score of 25 or above excludes dx of
dementia
Personal Knowledge - Answer✔ memory of remote personal events
-Cognitively intact patients should be able to tell you:
, • Current address and phone number
• Names and ages of spouse, siblings, and children
• Spouse's birthday, wedding anniversary, and date and place of
marriage (if married)
• Parents' names and birthdays (primarily for younger patients who are
not married)
MSE: Behavior - 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 - 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
Answers. | 100% Pass | Grades A+
Mental Status Exam (MSE) - Answer✔ -best tool for establishing a
psychiatric diagnosis
-combination of observations, impressions, & interpretation of client
responses
-Eval of patients:
• appearance
• behavior
• speech
• affect
• thought process
• thought content
• cognition
Mental health - Answer✔ "a state of well-being in which every
individual realizes his or her own potential, can cope with normal
stresses of life, can work productively and fruitfully, and is able to make
a contribution to her or his community"
mental status - Answer✔ -refers to emotional (feeling) and cognitive
(knowing) function
-functioning is inferred through assessment of an individual's behaviors:
• consciousness
• language
• mood and affect
• orientation
• attention
• memory
• abstract reasoning
• thought process
,• thought content
• perceptions
Factors that affect the interpretation of the MSE - Answer✔ culture
native language
educational level
literacy
social factors
MSE: Appearance - Answer✔ -posture
-dress
-grooming
-physical appearance
• distinguishable markings; scars or tattoos
-facial expressions
level of alertness
-attitudes
-Self-esteem
-Personal statement
Mini-Cog exam - Answer✔ -streamlined dementia screen
-score range is from 0-5
-obtained from adding the 3-item recall and clock drawing scores
together.
-A total score of 0, 1, or 2 indicates higher likelihood of clinically
important cognitive impairment
-A total score of 3, 4, or 5 indicates lower likelihood of dementia
• does not rule out some degree of cognitive impairment.
three object recall - Answer✔ Recall of three objects after at least 2
minutes has been shown to be a useful test in diagnosing cognitive
impairments
-Repeat the following three words: ball, chair, purple.
,-Once you are satisfied that your patient has registered all three words,
say: Now I want you to remember those three words, because I'm going
to ask you to repeat them in a couple of minutes.
-In the meantime, ask your patient general knowledge questions bout
general cultural and personal information.
-Then ask him to repeat the three words.
-If trouble, use the following hints:
• One of them is something you can play with
• One is a piece of furniture.
• One is a color.
General Cultural Knowledge - Answer✔ Inability to recall at least half
of these items is presumptive evidence of long-term memory
impairment.
-Last three presidents
-famous figures
• George Washington, first president
• Abraham Lincoln, freed the slaves
• Martin Luther King, Jr., civil rights leader
• Princess Diana, British princess killed in car accident
• William Shakespeare, writer
• Christopher Columbus, discovered America
-Famous dates
• When did World War II happen? (Any time in the 1930s or 1940s is
adequate.)
• When was John F. Kennedy assassinated? (Sometime in the 1960s.)
-Lists of information
• screening for dementia is the set test: patient to name as many items
(up to ten) as he can recall in each of four categories: colors, animals,
fruits, and towns; max of 40, score of 25 or above excludes dx of
dementia
Personal Knowledge - Answer✔ memory of remote personal events
-Cognitively intact patients should be able to tell you:
, • Current address and phone number
• Names and ages of spouse, siblings, and children
• Spouse's birthday, wedding anniversary, and date and place of
marriage (if married)
• Parents' names and birthdays (primarily for younger patients who are
not married)
MSE: Behavior - 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 - 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
