I am replying to my peer’s post on conducting a mental status Exam

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NU-664C-02-23PCS3 FamilyPsychiatric Ment.Hlth I

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  5. 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:

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 Whitney Poppell – Wednesday, 31 May 2023, 11:27 AM

 

For my initial discussion, I have completed a write-up of Nathan.

HPI: Nathan states that he is worried that he no longer “feels anything.” He states that he feels “just numb.” He states that he feels this way mainly over the summer months, for 3-4 months at a time. Nathan states that this has happened for 4-5 years. He states that this feeling began after his little sister drowned in a pool 5 years ago. Nathan states that he “should have been watching her” and that this “tore his family apart.” He states that he feels better around the holiday season and when he is around close family. Nathan states that his work is affected negatively by these feelings of numbness. He states that he has difficulty focusing and his productively is not good. Nathan states that his appetite decreases and that he loses weight during the months of feeling numb. He states that he doesn’t “see how this could ever be fixed” and he feels like he is “making everyone’s life harder by being here.” Nathan states that he thinks it would be better to die that to live. He has active suicidal thoughts, including jumping in front of a bus.

Psychiatric Hx: Unknown

Medical Hx: Unknown

Medications: Unknown

Allergies: Unknown

Family Psychiatric Hx: Unknown

Social Hx: Nathan has a desk job, which involves organizational work. He has a girlfriend who is not a strong support system during his depressive episodes. She is resentful towards Nathan, and they argue a lot.

Trauma Hx: Little sister, 6 y/o, drowned in pool 5 years ago.

Developmental Hx: Unknown

MSE

Appearance: well-appearing, well-groomed, good hygiene, appears stated age, well-nourished, well-developed

Gait: sitting in chair

Motor Coordination: relaxed, normal; no psychomotor agitation; normal posture

Behavior: calm and cooperative; poor eye contact

Speech: regular rate and rhythm; sometimes slow; answers questions when asked

Language: Fluent

Affect: Flat, Blunted, congruent with mood

Mood: Depressed/dysphoric

Orientation: To time, place, person, situation

Concentration/Attention: Average

Abstract reasoning: Intact

Thought Process: Logical, coherent, slightly preoccupied; tight associations

Thought Content: Normal; No paranoia or delusions

Perceptions: No ATVH

Judgement/Insight: Fair

Memory: Intact short- and long-term memory

Suicidal Ideation: Yes; Suicidal thoughts present

Homicidal Ideation: None

I used the following resources to complete this assignment:

References

Mendez, M. (2019). The mental status examination in adults. UpToDate. Retrieved from https://www-uptodate-com.regiscollege.idm.oclc.org/contents/the-mental-status-examination-in-adults?search=mental%20status%20exam&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

UC San Diego School of Medicine. (n.d.). The mental status exam (MSE). Retrieved from https://meded.ucsd.edu/clinicalmed/mental.html

Voss, R., & Das, J. (2022). Mental status examination. National Library of Medicine. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK546682/

 

419 words

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