I am repling to my peer’s post on conducting a mental status exam
NU-664C-02-23PCS3 FamilyPsychiatric Ment.Hlth I
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- Week 5: Biopsychosocial Assessment and Mental Status Exam
- Week 5 Discussion 1: Conducting a Mental Status Exam
Week 5 Discussion 1: Conducting a Mental Status Exam
Done: Make forum posts: 1
Value: 100 points
Due: In an effort to facilitate scholarly discourse, create your initial post by Day 4, and reply to at least two of your classmates, on two separate days, by Day 7.
Grading Category: Discussions
Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the question below.
Initial Post
Please view and select one of the patients depicted in the following videos. Both patients have different diagnoses and presentations—the diagnosis is apparent from the titles and not the focus of the assignment.
The purpose of this assignment is to evaluate the patient and write up a mental status exam on what you observe in the video that you choose.
Your initial post should identify which video you have chosen and should include a detailed mental status exam write-up of that patient. The intent of this exercise is to help you to develop your skills in the assessment of a patient’s mental status and documentation of the mental status exam. Make sure you know the components of a thorough mental status exam prior to completing this assignment. Your texts have many good examples.
Videos to Watch
Please watch the following video clips and write up a mental status of the patients:
- Nathan, Major Depressive Disorder, Recurrent Episode, Severe, Depression Assessment (17:27 minutes)
- Mania (4:20 minutes)
Replies
Reply to at least two of your classmates. In your reply posts, identify what is missing in your peer’s post and explain why using scholarly references.
Pick out an idea from your peers’ initial post that you find most interesting and tell how you will use this information in practice.
Your response should include evidence-based research to support your statements using proper citations and APA format.
Please refer to the Grading Rubric for details on how this activity will be graded. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.
This is my peer’s post
Re: Week 5 Discussion 1: Conducting a Mental Status Exam
by Abbey Johnson – Wednesday, 31 May 2023, 11:06 PM
Week 5 Discussion 1: Conducting a Mental Status ExamMental Status Examination (MSE) on: Nathan, major depressive disorderPresenting Problem: Patient is a young male presents with concerns of recurrent depression symptoms. Patient have been experiencing depression symptoms over the past five years. Patient symptoms occurs mostly during the summer’s months and last for few months. Nathan issues with depression started after the loss of his younger sister five years ago. According to Nathan, his sister drowned at the family’s house in the backyard pool. He blames themselves for the death of his sister and feels quilt. According to Nathan, every summer he is reminded of his younger sister death, which occur around his mother’s birthday. He is not motivated and has been having decrease productivity at work due to his poor concentration. He lacks interact in activates and hobbies. He is currently not on medication.Chief Complaints: “worried, I just don’t feel anything, anymoreâ€, “just numb†for the past couple months.Appearance and Behavior:Facial expression: Nathan facial expression sad and depress.Gestures/posture: Nathan appears as though he is slouching in the chair. He has poor eye contact but may occasionally look at the interview. No major expression or unusual behavior noted, but a few times I notices him rubbing his hand.Dress: Neat, clean and appropriate. He is hygienic. His clothes are clean and coordinated, his clothes colors are appropriate. However, his clothes are not appropriate for the weather, its summer months and he is wearing hoody and sweatpants. Hair is appropriate groomed. Hair combed.Physical Characteristics: He appears fatigue and tired. I observed at one point he is rubbing his hand. He made a fist when he states that the situation, he experienced five years ago was traumatic.Motor Activity: No major motor activity. Unable to fully assess gait but to patient sitting during the interview. No tics, tremors or EPS present. However, his occasionally appears slight restless. He was observed to have few spontaneous, he has poor eye contact.Speech and Communication:Nathan appears to be talking slow with monotonous speech patterned and soft voices. He does not ask any questions.Affect and Mood: Nathan’s affect is flat, appears depressed and states he feels numb. He appears guarded at times. States expressed feelings of helplessness, worthlessness and hopeless. His mood is persistently low.Thought Process/Thought content:He admits to suicidal ideations and denies homicidal ideations. Nathan appears to have negative views of himself. He feels quilt about is young sister’s death Nathan expresses he have thoughts of suicidal ideation and has a plan to jump in front a moving bus. No delusions and hallucination observed. No psychotic features. Cognition was not assessed. Low to no energy or interest.Perception: Patient does not appear to be responding to internal stimuli.Memory: Nathan memory is intactJudgment: His judgment is adequate. He does recognize that he has a problem and he’s help.Insight: Patient’s insight is fair, partial intact. Patient states “I don’t feel that I can be here, and I’m just make everyone life harder. He blames himself for his sister’s death.Psychiatric & Psychological Film Subscription: Symptom media. Symptom Media. (2023, May 18). https://symptommedia.com/nathan-major-depressive-disorder-recurrent-episode-depression-assessment-v1/Voss RM, M Das J. Mental Status Examination. [Updated 2022 Sep 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546682/
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