Mental Health - Mental Status Examination - Nursing Assignment Help

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:

• Appearance

• 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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