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  • Mental Satus Exam Form

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    Rej Garbosa
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    This document outlines the sections and categories covered in a mental status examination for a psychiatric nursing course at Central Philippine University College of Nursing. The mental status exam categorizes observations of a patient's appearance, behavior, speech, mood, thought process, thought content, perceptual disturbances, cognition, insight and judgment. The examination is used to evaluate factors such as grooming, eye contact, psychomotor activity, speech patterns, affect, presence of delusions, orientation, and judgment.

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    This document outlines the sections and categories covered in a mental status examination for a psychiatric nursing course at Central Philippine University College of Nursing. The mental status exam categorizes observations of a patient's appearance, behavior, speech, mood, thought process, thought content, perceptual disturbances, cognition, insight and judgment. The examination is used to evaluate factors such as grooming, eye contact, psychomotor activity, speech patterns, affect, presence of delusions, orientation, and judgment.

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    © All Rights Reserved
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    11 views3 pages

    Mental Satus Exam Form

    Uploaded by

    Rej Garbosa
    This document outlines the sections and categories covered in a mental status examination for a psychiatric nursing course at Central Philippine University College of Nursing. The mental status exam categorizes observations of a patient's appearance, behavior, speech, mood, thought process, thought content, perceptual disturbances, cognition, insight and judgment. The examination is used to evaluate factors such as grooming, eye contact, psychomotor activity, speech patterns, affect, presence of delusions, orientation, and judgment.

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    © All Rights Reserved
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    of 3

    Central Philippine University

    College of Nursing
    The First Nursing School in the Philippines, 1906
    Academic Year 2020-2021

    NCM3218b (Related Learning Experiences III)


    PSYCHIATRIC NURSING
    Online Mode of Delivery

    MENTAL STATUS EXAMINATION

    PERSONAL DATA
    Name Age
    Sex Race/Ethnicity
    Significant Other Educational level
    Religion Occupation
    Presenting problem:

    CATEGORY
    APPEARANCE
    Grooming/ Dress
    Hygiene
    Eye contact
    Posture
    Identifying features (marks/scar/tattoos)
    Appearance versus stated age
    Overall appearance
    BEHAVIOR/ACTIVITY (check if present)
    Hyperactive
    Agitated
    Psychomotor retardation
    Calm
    Tremors
    Tics
    Unusual movements/gestures
    Catatonia
    Akathisia
    Rigidity
    Facial movements
    Other
    SPEECH
    Slow/rapid
    Pressured
    Tone
    Volume (loud and soft)
    Fluency(mute/hesitation/ latency of response
    ATTITUDE (Is client)
    Cooperative Uncooperative
    Warm/friendly Distant
    Suspicious Combative
    Guarded Aggressive
    Hostile Aloof
    Apathetic Others
    MOOD/ AFFECT(Is client)
    Elated Sad Depressed
    Irritable Anxious
    Fearful Guilty
    Worried Angry
    Hopeless Labile
    Mixed (anxious and depressed)
    Is Client’ Affect:
    Flat
    Blunted or diminished
    Appropriate
    Inappropriate/incongruent(sad and
    smiling/laughing)
    Others
    THOUGHT PROCESS
    Concrete thinking Flight of ideas
    Circumstantiality Perseveration
    Tangentiality Clang association
    Loose association Blocking
    Echolalia Word salad
    Derailment Others
    THOUGHT CONTENT (Does client have)
    Delusions
    (grandiose/persecution/reference/somatic
    Suicidal/ homicidal thoughts (If homicidal, to whom)
    Obsessions
    Paranoia
    Phobias
    Magical thinking
    PERCEPTUAL DISTURBANCES (Is client experiencing)
    Visual hallucinations
    Commenting
    Loud
    Soft
    Other Hallucination (olfactory/tactile)
    Illusions
    Depersonalization
    COGNITION/ MEMORY
    Orientation (time/place person)
    Memory (recent/remote/confabulation)
    Level of Alertness
    INSIGHT/JUDGEMENT
    Insight (awareness of the nature of the illness)

    Judgment
    “What would you do if you saw a fire in a
    movie theater?” “How will you manage
    financially once you leave the hospital?”
    Impulse Control
    Others

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