diagnosis quiz 1

Level of Consciousness

alertness and responsiveness to questions

Orientation

aware of date/time

current location

reason for appointment

name

gross/fine motor movement

gait

posture

manual dexterity

dress/grooming and hygine

neat

disheveled

grooming

cleanliness

sensory function

ability to hear and understand questions and see to complete forms

speech

flow

rate

volume

intonation (normal/flat)

unusual tonality (accent)

affect

range of emotional expression (speech, facial expressions)

mood

client report of internal mod state

how he/she feels most of the time

attention/working memory

ability to focus on tasks (attention) and use information (working memory, serial sevens)

memory

ability to recall information (recall of three items)

thought process

flow and coherence of thoughts (speech is rambling and disorganized, inference is that his/her thinking is also disorganized)thou

thought content

what one thinks

it is unremarkable, or does it have a hallucinaroty content?

thought broadcasting

client thinks people can read his/her thoughts

ideas of reference

insignificant or unrelated events have a special meaning to the client (license plates in an area have same letters)

delusions of control

something/someone is in control of what I do, or think

obsessions

inability to free his/her mind from an idea

compulsions

inability to free his/her mind from an action

suicidal/homicidal ideation

judgment

poor/impairedi

insight

full, partial, or no insight

neologism

newly created words by the client to express an idea (not real words)

magical thinking

a belief that thinking something will cause it to occur

illusions

a misperception of a real external stimulus

different from a hallucination which is the perception of a non-existent, external stimulus

hallucination

a sensory perception in the absence of an actual external stimulus

they can occur in any sensory system of the body

auditory

hearing

olfactory

smelling

tactile

touching

visual

seeing

gustatory

involving the sense of taste

kinesthetic

sense of perception of movement, weight, resistance, and position

flight of ideas

skipping from one topic to another in a fragmented, often rapid fashion, often triggered by a word in the previous sentence

derealization

the world appears unreal or strange, objects are larger (macrophasia) or smaller (microphasia, and people are unfamiliar, the client has full insight)

depersonalization

after experiencing severe stress, client reports feeling out of his/her body

he/she has full insight

delusions

they are not disorder specific'; evaluate them per type, age of onset, course, social deterioration, and association with other mood or cognitive symptoms

clang association

not dictated by logic or meaning, but rather by similarity of sounds

circumstantial speech

thinking is sidetracked over a long circuitous route lined with irrelevant details that eventually reach their goal

thought process

word salad

tangentiality

rambling

perseveration

over-valued ideas

word salad

senseless word fluency, no logical or meaningful connection between words

tangeniality

response is close to the point, but never gets there

rambling

use of sentences closely connected, but never to the point

perseveration

repeat of the same phrases or words, even if the subject is changed

over-valued ideas

similar, but less intense then delusions

importance is exaggerated

client seeks to justify exaggeration

ideas center around discrimination

betrayal, jealousy, grandiosity, injustice