MSE
The expression of mood as it appears to the clinician
- Quality or tone (dysphoric, happy, euthymic, irritable, agiatted, sobbing, flat)
- Quality as measure of intensity (mild or severe)
- Range as in restricted, normal, liable
- appropriateness to situation and also congruent or incongurent with patient's mood
affect
insight
The patient's understanding of how they are feeling, presenting and functioning as well to the potential causes of their distress
- reflect as no insight, partial insight, or full insight
list 2 psychotic mech
denial of external reality
Disotrtion of external reality
PCV 13
2 mon
4 mon
6 mon
12-15 mon
Influenza
6 months and older
younger than 9 year need 2 doses
The thoughts that occur to the patient through their spontaneous expressions as well as specific questions
example- ruminative, obesssional, delusions
thought CONTENT
Judgement
a person's capacity to make decisions and act on them
is the patient doing dangerous thing?
can a patient effectively participate in their own care
Hep B
at birth 24 hr
2 mon
4 mon
6-18 mons
RV
2 mon
4 mon
6 mon
Thought PROCESS
How thoughts are formulated, organized, expressed. Normal throught process is LINEAR, ORGANIZED, GOAL ORIENTED
- flights of ideas
-Circumstantial
- Tangential
- loose thoughts or associations
- perseveration
- thought-blocking
- neologisims
- word salad
List 4 mature defense mech
supression
altruism
sublimation
humor
DTap/Tdap
2 mon
4 mon
6 mon
15-18 mons
MMR
12-15 mons
Preceptual disturbance
hallucinations
illusions
depersonalization ( a feeling that one is not oneself)
Derealization (a feeling that one's environment has changed in a strange way that is difficult to describe)
List 5 neurotic defense
denial
repression
reaction formation
displacement
Rationalization
HIB
2 MON
4 MON
6 MON
12-15 MON
varicella
12-15 mons
Cognition
Alertness
Concentration (serial sevens)
Memory
Calculation
Fund of knowledge
Abstract reasoning (concrete vs abastract)
list 5 immature defense
passive agression
acting out
dissociation
projection
splitting
ipv POLIO
2 MON
4 MON
6-18 MON
Hep A
2 doses given 6 months apart at age 12-23 months