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Psychiatric Assessment >> Mental Status Exam (MSE) (continued 3)

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Perception

  • hallucination - sensory perception in the absence of external stimuli that is similar in quality to a true perception; auditory (most common), visual, gustatory, olfactory, tactile
  • illusion - misperception of a real external stimulus
  • depersonalization - change in self-awareness such that the person feels unreal, detached from his or her body, and/or unable to feel emotion
  • derealization -– feeling that the world/outer environment is unreal


Cognition
  • level of consciousness
  • orientation: time, place, person
  • memory: immediate, recent, remote
  • global evaluation of intellect (below average, average, above average)
  • intellectual functions: attention, concentration, calculation, abstraction (proverb interpretation, similarities test), language, communication


Insight
  • patient’s ability to realize that he or she has a physical or mental illness and to understand its implications


Judgment
  • ability to understand relationships between facts and draw conclusions that determine one’s action

Clinical Pearl

Cognitive Assessment : Use Folstein Mini Mental State Exam (MMSE) to assess:

  1. -    Orientation (time and place)
  2. -    Memory (immediate and delayed recall)
  3. -    Attention and Concentration
  4. -    Language (comprehension, reading, writing, repetition, naming)
  5. -    Spacial ability (intersecting pentagons)

Gross screen for cognitive dysfunction: Total score is out of 30; <24 abnormal 20-24 mild, 10-19 moderate, <10 severe

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Psychiatric Assessment >> Mental Status Exam (MSE)

Psychiatric Assessment >> Mental Status Exam (MSE) (continued 2)
Psychiatric Assessment >> Mental Status Exam (MSE) (continued 3)
Psychiatric Assessment >> Mental Status Exam (MSE) (continued 3) Psychiatric Assessment >> Mental Status Exam (MSE) (continued 3) Reviewed by Radiology Madeeasy on April 09, 2011 Rating: 5
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