1. Mental Status Assessment Physical Examination and Health Assessment N426

2. Learning Objectives for Mental Health Assessment • Define the behaviors that are considered in an assessment of a person’s mental status • Describe relevant developmental considerations of the mental status exam. • State the purpose of a mental status exam. • List the 4 components of mental status assessment. N426

3. Objectives cont. • Complete a MiniMental State Examination. • Discuss developmental considerations for infants, children and the aging adult N426

4. Introduction • Defining mental status • Assessment of an individual’s behavior • Developmental considerations • Components of the mental status exam • Objective data N426

5. Introduction • Mini-mental state examination • Application and critical thinking • Abnormal findings N426

6. What Does Mental Status Mean to You? • Emotional and cognitive functioning N426

7. Mental Disorder • Definition of Mental Disorder • Organic disorders • Psychiatric mental illness Text Text Text Text Text Text Text Text Text N426

8. Assessment of an Individual’s Behavior • Consciousness • Language • Mood and affect • Orientation • Attention • Memory N426

9. Assessment Cont. • Abstract reasoning • Thought process • Thought content • Perceptions N426

10. Developmental Considerations • Infants and children • Aging adult N426

11. Components of The Mental Status Exam • A……appearance • B…….Behavior • C…….Cognition • T…….Thought processes N426

12. A……for Appearance • Posture • Body movements • Dress • Grooming and hygiene N426

13. N426

14. B…….For Behavior • Level of consciousness • Facial expression • Speech • Mood and affect N426

15. N426

16. C…….For Cognitive Function • Orientation • Attention span • Recent memory • Remote memory • New learning N426

17. Cognitive Function Cont. • Persons with aphasia • Word comprehension • Reading • Writing • Higher intellectual function • Judgment N426

18. N426

19. T……for Thought Processes and Perceptions • Thought processes • Thought content • Perceptions • Suicidal thoughts N426

20. N426

21. Mini Mental State Examination • Standard set of 11 questions • 5 to 10 min. To administer • Cognitive functioning only N426

22. Summary Checklist: Mental Status Assessment • Appearance • Behavior • Cognitive function • Thought processes • Mini -mental state examination N426

23. Developmental Considerations • Assessment includes • Behavioral • Cognitive • Psychosocial development • Examines environmental coping mechanisms of child N426

24. Utilize A, B, C, T plus assess developmental milestones in the following areas: • Psychosocial: • Erikson’s stages of Ego Development • Erikson’s Theory of Trust vs Mistrust • Cognitive Development • Behavioral Development N426

25. Fine Motor Skills • Language Skills • Personal Social Skills • Imitation Abnormalities are usually problems of omission. N426

26. Application and Critical Thinking • Subjective and objective data collection • Developmental • Age • Socioeconomic • Transcultural considerations • A,B,C, & T N426

27. Example of Documentation • Mental Status: Alert, relaxed, and cooperative. Thought process coherent. Orientated x 3. N426

28. Critical Thinking Exercises • During lab each team will take a situation and will role play the scenario chosen • Interviewer, interviewee, third student will be the spotter • Complete the mini mental exam as part of the assessment • Movies for viewing • .Rain Man, I Am Sam, Forest Gump, Beautiful Mind N426

29. Web Sites of Interest • American Federation for Aging Research • www.afar.org • American Psychological Association • www.apa.org • Association of Child and Adolescent Psychiatric Nursing • www.acapn.org N426