Assignment Task:
Activity 1
You are required to carry out a Mental Status Examination (MSE) of the client interviewed in the video trigger, using the following headings:
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- Behaviour
- Mood
- Affect
- Speech
- Thoughtform
- Thought content
- Perception
- Cognition: memory (short-term and long-term), concentration and orientation to time, place & person.
- Insight
- Judgement
QUESTION 1 Tips
APPEARANCE –
- attire – appropriate for age, wether, etc
- Cleanliness/grooming
- Chronological age and apparent age
- Physical characteristics (tattoos, scars..)
- Wearing glasses or not
- Exaggerated jewellery
- Body built (small, medium..)
- Hair length and colour
BEHAVIOUR
- BEHAVIOUR/MANNERISMS
- Eye contact
- Restlessness/ agitation
- Co-operation?
- Seated? Crossed
- Fidgeting with hair, tissue, fingers…
MOOD (Accurately documents the client statement)
- How the client describes his/emotional state e.g. feeling anxious, happy, depressed
AFFECT (Reflects accurately the effect and identifies congruence)
- Feeling or emotional state inferred by the nurses e.g. blunted, flat, labile etc
- Any variation throughout the interview?
- Congruency with stated mood
SPEECH
- Rate, volume, tone, good flaw of speech? Any variation in speech throughout the interview?
THOUGHT FORM
- Amount/ type of thoughts and rate of production
- E.g. logical, illogical, coherent, a flight of ideas, tangential thinking, Thought block, irrational thinking
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