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1、MENTALSTATUSEXAMINATIONOutline•Operationaldefinition•Purposes•Components–Behavior–Cognition–Emotion•Cognitiveexamination•MiniMentalStatusMENTALSTATUSEXAMINATION:Whatisit?ASSESSMENTofthe:•Behavior(seeitall)•Emotion(seesomeofit)•Cognition(seenoneofit)Exhibitedbythepatientduringtheen
2、tiremedicalencounterPURPOSES•Detect•Describe•Neuroanatomicallocalization•AssessfunctionalimplicationsofAbnormalities/deficitsin:•Behavior•Emotion•CognitionABNORMALITIES&DEFICITSRequirediagnosticexplanationMaycompromisecapacity•tocoherentlyandreliablydescribemedicalstate•togiveinfo
3、rmedconsent•toadheretoatherapeuticplanMEDICALENCOUNTERComprehensiveglobalassessmentBEHAVIORAppearanceAttitudeActivitySpeechDressGroomingHygieneBEHAVIORCOGNITIONAppearanceThoughtcontentAttitudeThoughtprogressionActivityInsight/judgmentSpeechDressGroomingHygieneBEHAVIORCOGNITIONAppe
4、aranceThoughtcontentAttitudeCoherenceActivityGoaldirectednessSpeechInsight/judgmentDressOperationsGroomingArousalHygieneAttentionMemoryEmotionLanguageReasoningBEHAVIORCOGNITIONEMOTIONAppearanceThoughtcontentAffectAttitudeCoherenceMoodActivityGoaldirectednessSuicideSpeechInsight/ju
5、dgmentHomicideDressOperationsGroomingArousalAttentionHygieneMemoryEmotionLanguageReasoningBEHAVIORAppearanceappearsstatedage,usesacanetowalkAttitudecooperative,hostile,detachedActivitynormal,increased,agitated,subduedSpeechnormalrate/rhythm,dysarthricDresscasual,provocative,dirtyG
6、roomingdisheveled,meticulousHygieneclean,malodorousCOGNITIVEEXAM(“Mentalstatus”)REASONINGLANGUAGEMEMORYATTENTIONAROUSALCOGNITIVEEXAM(“Mentalstatus”)MustREASONINGknowLANGUAGEeducationCantheMEMORYpatientATTENTIONhear?AROUSALMEMORYImmediatememory=attentionRecentmemory(episodic)Recall
7、ofthreewordsat5minutesEnsurethatpthasregisteredtheitems“Repeatthesewordsafterme,Iwantyoutorememberthem.”Remotememory(semantic&episodic)Tendstooverlapwithknowledge,mostofwhatweaskisoverlearnedPresidents,dateofW.W.II,etc..REASONING(Highercognitivefx)Testsproblemsolving,abstractthink
8、ingFundofknowledge-overlapswithre
