Mental Status Examination Interview Essay

2917 words - 12 pages

General Appearance
My client is a 25-year-old South Asian woman. She appears thin with long black hair and brown eyes. She is wearing dark pants, a long sleeved blue shirt with a multicoloured scarf. Her clothing is neat and appropriate to her environment. She is wearing makeup, appears clean and is well put together. The client answers direct questions but does not provide a lot of information. Patient is willing to provide more information when asked directly or prompted by the writer. The client’s rate of speech was slow at first but as the interview continued, became a normal rate. Her speech was clear; however spoke in a soft volume with a monotone voice. Her rhythm was smooth and her speech was not pressured. The client’s energy level appeared low, and sat with rigid posture and was very still during the interview. The client maintained focused eye contact with the writer throughout the interview. Her body language showed no sign of emotion and her facial expression appeared sorrowful and times and bored at others.
Emotional State
The client described her mood as “very sad and unhappy.” She rated her mood on a scale of one to ten, one as being described as the worst you have ever felt and 10 being the best, as a three. When asked to rate her was mood when she entered the hospital on the same scale she rated her previous mood to be a one to a two. She acknowledged she has started to feel a little bit better but her mood was still low. She felt that her mood has improved due to the medication she has been on as well as being around more people. The client also had a flat affect. When the client told the writer about her break up with her ex-boyfriend, there was very little indication of feelings or emotions. The client’s responses were blunted as she showed a significant decrease in facial animation and no appropriate emotional responses. The client seemed down and had low energy, which is affecting all aspects of her life including her eating habits.
Sensory Experience
The client expressed she has been hearing the voice of her ex-boyfriend, which is unusual for her. She felt the voice was coming inside of her head. She expressed that she hears the fights they used to have and that he speaks to her in a self-depreciating way, for example “you’re not good enough for me.” The patient denies any auditory command hallucinations. The patient stated that she has not told to anyone else that she hears him because she does not want to be labeled as weird, but acknowledged she understands that she is the only person that is able to hear him. She expressed that the voice she hears “won’t go away,” and hears him approximately three to four times a week. The patient also states she has not felt like herself lately, but wants to feel like her old self again.
Thinking
The client’s thought formation is appropriate, however her thought content is solely focused around her ex-boyfriend. She worries that she is unable to...

Find Another Essay On Mental Status Examination Interview

Anxiety Disorders and clinical concepts. Essay

3152 words - 13 pages behaviour (Nay,1979).What are methods should you use to gather information during your assessment? Identify each method and outline the contribution it would make to the assessment.Clinical assessment consists of a number of strategies and procedures that help clinicians acquire the information they need to understand their patients and assist them. These procedures include a clinical interview, mental status exam, physical examination, behavioural

Selection Process for Entry-Level Firefighters Essay

878 words - 4 pages that meet the requirements of the department complete a polygraph examination. The polygraph is used to verify the information provided by the applicant during the interview process and background investigation is factual. Candidates then are interviewed by the Fire Chief. During this interview the candidate is given the opportunity to explain any blemishes discovered during the background investigation. It is also during

News-Seeking Habits

1893 words - 8 pages become comfortable, and a fluid conversation developed. Recording the interview was an issue. The interviewer assumed Skype offered a recording feature. Closer examination revealed this was not the case. The interview had to be postponed, and a separate program downloaded to record the interview. An interview guide was developed for a semi-structured interview based on the recommendations offered in Wildemuth’s and Patton’s works. The

Counseling

2345 words - 10 pages reject the “Medical Model” due to the passive attitude it creates. Instead, therapists refer to those they treat as “clients” and not “patients”. The emphasis is placed on working “with” the client (Lundy 64). Demonstrated by the “Medical Model”, new therapies techniques either become a passing fad or prove to be advancements. Mental Status examination is a strategy used when the therapist believes that the client’s thinking is disturbed. This

Interview Assessment

1544 words - 6 pages degree of power each party in the interview has to influence the nature and/or outcome of that interview. The supervisor, from my point of view, had more control due to job position/status, as well as having the information that staff was seeking. Control was exercised by the supervisor by limiting the amount of information shared. This had a negative effect on staff and the interview as a whole.The power struggle between staff and supervisor

Mental Health of the Asian-American Elderly

1929 words - 8 pages the US population, their elderly population has been proportionately increasing. In the manifestation of the dementia and Alzheimer`s disease, Ferraro and Trottier have performed a MMSE (Mini Mental Status Examination) on 162 native American elderly found that they have been performing on the same level as their non-community counterparts in cognition and mental function. Important Factors in the Explanation of the Disparity Mental

Employment of People with Disabilities

1978 words - 8 pages perform (1) the essential functions of the job with (2) a reasonable accommodation and without causing (3) undue hardship to the employer. The ADA defines terms as follows (Latham and Latham 1997): Disability: physical or mental impairment that substantially limits one or more major life activities of the individual Qualified individual with a disability: person who meets legitimate skill, experience, education, or other requirements of an

Effects of Intrusive Worrying in Primary insomnia

998 words - 4 pages Effects of intrusive worrying in Primary insomnia An examination of primary insomnia and normal sleepers was conducted to inquire if intrusive worrying serves as consequences of sleep disturbance. According to Medscape, Primary insomnia is sleeplessness that is not attributable to a medical, psychiatric, or environmental cause. The Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition, Text Revision (DSM-IV-TR) set forth

Occupational Therapy

1578 words - 6 pages .      The Occupational therapist takes a history from the patient by conducting a thorough interview. Questions are asked about hygiene, eating, dressing, getting in and out of bed, driving, cleaning, working and the patients sex life. A physical examination is conducted extensively concentrating on range of motion. Observations of deformities are noted because they may hinder the performance of the patient. The

Effects of Employment on Perceived Health

1286 words - 6 pages computed by taking the product of the screener and the extended interview response rates. The overall response rate is an estimator of the percentage of the overall population in which a completed interview would be obtained, if all households were canvassed. Variables My independent variable is labeled as, “what is your current occupational status?”, and is a nominal variable. I have chosen to look at two of the potential values, they are labeled and

Mental Health Nursing

1234 words - 5 pages social data and meet holistic needs of a client. In a biophyscholical assessment, the understanding nature of a chronic illness is meeting the patient biological needs. Any holistic approach in caring must acknowledges that a human body is embodied with genetic inheritance that shapes influence their responses to the environment ( source ) The psychiatric nurse collects data such as the health status, takes a psychical examination

Similar Essays

Correlation Between Mental Illness And Violence And Crime

2265 words - 9 pages Criminological Perspective.” Law and Human Behavior 30(6):685-706. Silver, Eric and Brent Teasdale. 2005. “Mental Disorder and Violence: An Examination of Stressful Life Events and Impaired Social Support.” Social Problems 52(1):62-78. Walsh, Zach and David S. Kosson. 2007. “Psychopathy and Violent Crime: A Prospective Study of the Influence of Socioeconomic Status and Ethnicity.” Law and Human Behavior 31(2):209-229.

Care Plan Essay

2210 words - 9 pages including mental status examination (MSE) which incorporates general observations of appearance, behaviour, attitude, mood, affect, orientation and emotions are also carried out. Whilst interviewing Sarah the nurse should be observing her speech. This will help to provide clues regarding her thoughts, emotional patterns and cognitive organisation. The way Sarah varies her emotional expression is vital to help identify what makes her happy, sad

Kansas V. Cheever Supreme Court Case

898 words - 4 pages compelled because under state law, Kansas cannot use compelled psychiatric examination when the defendant asserts a voluntary intoxication defense. Cheever used the defense voluntary intoxication, unfortunately when his expert witness implied a neurological deficit which was beyond temporary intoxication, it implied mental status defense. Because it was a mental status defense and not a voluntary intoxication defense the Fifth Amendment privilege

Delirium And Its Effects In Patients

1704 words - 7 pages patients who were at least 65 years old and had been admitted to a hospital for surgical repair of a hip fracture. Interviews to detect any sign of delirium were conducted and a follow up phone call was given one month after surgery. Patients unable to use a phone or have a face to face interview would not be able to participate in the study. In the telephone interview a series of tests were given such as a Mini-Mental State Examination (MMSE), a