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    Mental Status Examination New Ranchi

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    Alpana Rani Das
    The mental status examination assessed a 16-year-old male patient who was brought in for aggressive behavior and not sleeping or attending school. On examination, he appeared well-groomed and fully conscious with normal psychomotor activity and speech. His mood and affect seemed defensive with difficulty establishing rapport. His cognitive functions were intact with normal orientation, attention, memory, intelligence, and judgment. He showed some awareness of illness but attributed problems to external factors. An impression was made but not stated in the summary.

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    Mental Status Examination New Ranchi

    Uploaded by

    Alpana Rani Das
    280 views6 pages
    The mental status examination assessed a 16-year-old male patient who was brought in for aggressive behavior and not sleeping or attending school. On examination, he appeared well-groomed and fully conscious with normal psychomotor activity and speech. His mood and affect seemed defensive with difficulty establishing rapport. His cognitive functions were intact with normal orientation, attention, memory, intelligence, and judgment. He showed some awareness of illness but attributed problems to external factors. An impression was made but not stated in the summary.

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    The mental status examination assessed a 16-year-old male patient who was brought in for aggressive behavior and not sleeping or attending school. On examination, he appeared well-groomed and fully conscious with normal psychomotor activity and speech. His mood and affect seemed defensive with difficulty establishing rapport. His cognitive functions were intact with normal orientation, attention, memory, intelligence, and judgment. He showed some awareness of illness but attributed problems to external factors. An impression was made but not stated in the summary.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    280 views6 pages

    Mental Status Examination New Ranchi

    Uploaded by

    Alpana Rani Das
    The mental status examination assessed a 16-year-old male patient who was brought in for aggressive behavior and not sleeping or attending school. On examination, he appeared well-groomed and fully conscious with normal psychomotor activity and speech. His mood and affect seemed defensive with difficulty establishing rapport. His cognitive functions were intact with normal orientation, attention, memory, intelligence, and judgment. He showed some awareness of illness but attributed problems to external factors. An impression was made but not stated in the summary.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    Mental

    status
    examination
    MENTAL HEALTH AND PSYCHIATRIC nURSING

    WARD: CENTRE FOR CHILD AND ADOLESCENT PSYCHIATRY


    SUBMITTED TO:

    MADAM m. mandal

    Senior lecturer

    CON, NRSMC&H

    SUBMITTED BY:

    REETU TAMANG

    1ST YR. M.Sc. NURSING

    CON, NRSMC&h
    MENTAL STATUS EXAMINATION

    a. Name : Rupesh Kr. chowdhuary


    b. Age : 16yr.
    c. Sex : Male
    d. Religion : Hinduism
    e. Reg. No. : IDN/6992
    f. Education : IX
    g. Occupation : Student
    h. Marital Status : Unmarried
    i. Address : Aurahia Ward No-4
    Dhanbag, jharkhand

    j. Date of doing M.S.E. : 03. 02 .2016

    .k. Place & time of doing

    M.S.E. : CCAP of Ranchi at 10 am

    2. CHIEF COMPLAINS :

    (a) Stated by patient : He has no complain. He is well. He slept


    well at last night.

    (b) Stated by Mother : Does not sleep at night. He has been


    slowing aggressive behavior. He had
    not attending school. He assaulted his
    family member with sticks, disobedient
    and aggressiveness towards parent.
    A.GENERAL APPEARANCE AND BEHAVIOR

    Appearance : Normal
    Facial expression : Pleasant
    Level of grooming : Well dressed
    Level of cleanliness : Adequate
    Level of consciousness : Fully Conscious
    Gait and posture : Normal
    Mode of entry : persuaded
    Behavior : Normal
    Psychomotor Activity : Normal
    Gesturing : Normal

    Height and weight


    Attitude towards Examiner
    Cooperativeness : Co-operative
    Attentiveness : Defensive
    Eye to eye contact : not maintained
    Rapport : Established with difficulty

    Comprehension
    Nurse : what is your name ?
    Patient : My name is Rupesh kr.chodhuary
    Inference : Understanding

    Motor Activity
    Increased/decreased : Normal
    Excitement/stupor : No
    Psychomotor activity : Normal
    Other catatonic signs : No
    Conversion and dissociative signs : No
    Hallucinatory behavior : No

    B. SPEECH
    Initiation : Slow
    Reaction time : Slow
    Rate : Normal
    Productivity :
    Volume :
    Tone :
    Ease of speech :
    Relevance :
    Coherence :
    Goal direction :
    Inference :

    C. MOOD AND AFFECT


    Subjective :
    Objective :
    Intensity :
    Reactivity :
    Communicability :
    Predominant mood state :
    Affect :
    Inference :

    D. THOUGHT
    Stream :
    Form :
    Content :
    Delusions :
    Ideas :
    Thought alienation phenomena :
    Obsessional/compulsive phenomena :
    Phobias :
    Any preoccupations :
    Inference :

    D. PERCEPTION
    Illusions :
    Hallucinations :
    Somatic passivity :
    Déjà vu/ jamais vu :
    Depersonalization/derealization :
    Inference :

    E. COGNITIVE FUNCTION
    Consciousness:

    Orientation:
    Time
    Nurse :
    Patient :
    Place
    Nurse :
    Patient :
    Person
    Nurse :
    Patient :

    Attention
    Digit forward :
    Digit backward :

    Concentration
    Test
    Nurse :
    patient :
    name of months (backwards) :
    name of weekdays (backwards) :
    inference :

    memory
    immediate retention and recall (ir and r):

    recent:

    remote:
    personal events :
    impersonal events :
    illness related events :
    inference :

    intelligence
    nurse :
    patient :
    inference:

    abstract thinking
    proverb testing
    nurse :
    patient :
    similarities and difference between familiar objects:
    inference:

    judgment
    the personal judgment
    nurse :
    patient :
    intact/not:
    social judgment
    nurse :
    patient :

    test judgment:
    nurse :
    patient :
    inference:

    f. insight
    grade 1 : complete denial of illness.
    grade 2 : slight awareness of being sick and needing help, but denying it at the same time.
    grade 3 : awareness of being sick, but it is attributed to external or physical factors.
    grade 4 : awareness of being sick, due to something unknown in self.
    grade 5 : awareness of being ill and that the symptoms/failures in social adjustment are due to
    own particular irrational feelings/thoughts; yet does not apply this knowledge to the
    current or future experiences.
    grade 6 : awareness leads to significant basic changes in the future behavior.
    nurse :
    patient :
    inference:

    diagnostic formulation:

    impression:

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