Review QuestionsActivity Time: 22 min
If you had asked Tina to tell you the meaning of the proverb “Don’t cry over spilled milk,” what would you have been assessing?
- Impaired judgment
- Abstract reasoning (Correct Response)
Suppose that Tina had been unable to identify the pen you were holding. What is the name of this symptom?
- Discrimination loss
- Memory loss
- Agnosia (Correct Response)
Which of the following is a component of assessing cognition?
- Memory (Correct Response)
- Emotional response
Distinguish between inappropriate affect and appropriate affect, and provide an example of each.
Model Note: Affect is the temporary behavioral expression of feelings or state of mind. Appropriate affect is emotional expression that is congruent with a situation. For example, a high school student who cheers upon learning that she was accepted to a prestigious college would be a display of appropriate affect. Inappropriate affect is the display of feelings that are incongruent with the circumstances. For example, a family member laughing at a funeral would be a display of inappropriate affect.
Identify the components (domains) of a comprehensive mental status exam.
Model Note: Comprehensive mental status exams should assess a patient’s orientation, attention, abstract thinking, comprehension, judgment, memory, vocabulary, and speech. Mental status assessment is usually performed informally and continuously throughout the physical exam. When a problem is suspected, the clinician may choose to perform a complete formal mental status exam.
Imagine that Tina’s family member reported to you that she had been acting confused on and off for the last two days. Identify at least two key features of delirium. Describe why you would assess for delirium.
Model Note: Features of delirium include altered consciousness, and changes in cognition and attention. Fluctuating and acute onset of cognitive changes are typical for delirium and call for a comprehensive mental status exam and history. Possible causes of delirium include illness, medication toxicity, abuse of or withdrawal from alcohol or illicit substances, and dementia.