NU-664C-02-23PCS3 FamilyPsychiatric Ment.Hlth I
- My courses
- 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.
Please view and select one of the patients depicted in the following videos. Both patients have different diagnoses and presentationsâ€”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 patientâ€™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)
Reply to at least two of your classmates. In your reply posts, identify what is missing in your peerâ€™s post and explain why using scholarly references.
Pick out an idea from your peersâ€™ 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 â€œfeels anything.â€ He states that he feels â€œjust numb.â€ 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 â€œshould have been watching herâ€ and that this â€œtore his family apart.â€ 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 doesnâ€™t â€œsee how this could ever be fixedâ€ and he feels like he is â€œmaking everyoneâ€™s life harder by being here.â€ 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
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
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
Affect: Flat, Blunted, congruent with mood
Orientation: To time, place, person, situation
Abstract reasoning: Intact
Thought Process: Logical, coherent, slightly preoccupied; tight associations
Thought Content: Normal; No paranoia or delusions
Perceptions: No ATVH
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:
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/