Professional Documents
Culture Documents
MSE
MSE
MSE
Nursing Lecturer
By the end of the session learners will be able to
Emotional State
Experiences
Thinking
Alogia: impaired thinking that manifests with reduced speech output (e.g.,
always replying to questions with one-word answers)
Hostile
Irritable
Guarded
Apathetic
Defensive
Suspicious
Mood
The patient’s self report of prevailing emotional state and reflects the
patient’s life situation.
Refers to the patient's subjective assessment of their emotions when
asked how they feel.
Appropriate
Flat
Blunted
Smiling
Calm
Anxious
Irritable
Perceptions
Visual (Sight)
Auditory (Sound)
Tactile (Touch)
Olfactory (smell)
Gustatory (Taste)
Illusions:
False perception or false responses to a sensory stimulus.
Misperception of a real external stimulus.
Depersonalization:
The patient feels that they are no longer their ‘true’ self and are
someone different or strange.
Derealization:
A sense that the world around them is not a true reality.
Thought Content
Thought content refers explicitly to what an individual is thinking
about (i.e., main themes and beliefs) and is usually evaluated
based on the presence of:
Delusion
Obsession compulsions
Phobia
Suicidal and homicidal ideation
Delusions
Types of delusion
Religious delusion (false belief that the person has a special link with
God)
Phobias
A specific phobia is a persistent (≥ 6 months) and intense fear of one
or more specific situations or objects (phobic stimuli).
Some common examples of phobias includes:
Agoraphobia (fear of unknown places and situations)
Claustrophobia (fear of enclosed places)
Arachnophobia (fear of spiders)
Hematophobia (fear of blood)
Circumstantial thought process Nonlinear thought expressed as long- When a patient is asked where they are
winded explanations and with multiple from, they describe their favorite
deviations from the central topic before a hometown diners before answering your
central idea is finally expressed question.
Tangential thought process Nonlinear thought expressed as a gradual When asked about their medical history,
deviation from a focused idea or question. the patient describes the hospitals they
have stayed in without mentioning their
The patient provides multiple, unnecessary medical conditions.
details related to the question without
actually answering the question.
Loose associations/derailments Incoherent thinking expressed as illogical, When asked about their job, the patient
sudden, and frequent changes of topic remembers some funny stories from their
childhood and then starts talking about the
weather.
Thought process
Thought Process Description Example
Flight of ideas The quick succession of thoughts When asked how they are feeling, the
usually expressed as a continuous flow patient delivers a 10-minute monologue
of rapid speech and abrupt changes in on different topics using rapid,
topic intangible speech.
Clang associations The use of words based on rhyme When asked “Have you ever smoked?”
patterns rather than meaning the patient responds with “Never have I
ever, never never ever.”
Thought blocking The abrupt ending of a thought The patient stops in the middle of
process expressed as a sudden describing their condition.
interruption in speech
Sensorium: The evaluation of sensorium assesses a
patient's level of consciousness and their orientation to person,
place, and time.
Level of Consciousness
Awake
Confusion
Drowsiness
Unconsciousness
Orientation
Person
Place
time
Memory
Immediate
Recent
Remote