SHREYAS COLLEGE OF NURSING
G.E. ROAD SUPELA BHILAI (C.G.)
MENTAL STATUS EXAMINATION
TOPIC- BULIMIA NERVOSA
SUBJECT- MENTAL HEALTH NURSING
SUBMITTED TO SUBMITTED BY
PROF- DR. ABHISHEK JACOB MR. MANISH KUMAR
PRINCIPAL (HOD MHN) [Link] NURSING 1STYEAR
SHREYAS COLLEGE OF NURSING MENTAL HEALTH NURSING
MENTAL STATUS EXAMINATION
INTRODUCTION: - Client was brought in psychiatric OPD with the complaint of over
talking,unnecessary laugh and increase in motor activity.
GENERAL APPEARANCE:
i. Appearance: - Looking appropriate of his age.
ii. Body built:- Normal
[Link] of Grooming: - Normal
[Link] of cleanliness:-
Adequate
[Link] expression: - unnecessary laugh sometimes, other times has normal facial
[Link] of consciousness:- Fully conscious
vii. Gait:- normal
viii. Mode of entry:- came
willingly [Link]:- Less than
normal [Link] to eye contact:- Maintained
[Link] activity:- Increased
[Link]:- spontaneous
xiii. Gesturing - Normal
xiv. Posturing – Normal
SPEECH:
Initiation:- Spontaneous, More Talkative
Reaction Time:- Shortened
Rate :- Rapid
Productivity:- Unnecessary Replies
Volume:- Normal
Tone:- Normal Variation
Relevance – Irrelevant
Stream :- Circumstantialities
Coherence:- Loosening Of Association
MOOD AND AFFECT:-
Mood:- elated mood swings, irritable
THOUGHT
a. Stream of thought:- flight of ideas are present
b. Form of tho ught :- circumstantialities
c. Content:- Hypochondria ideation are present
d. Content of thought
e. Delusion – Present i.e., delusion of grandiosity, irrelevant and preoccupied thought.
PERCEPTION
Illusion – absent
Hallucination – Absent
COGINITIVE FUNCTION
ORIENTATION
oriented to time, place and person.
ATTENTION
Normally aroused
Q .tell me the 1 to 10 and 10to 1
Ans. Patient able to answer of my question
CONCENTRATION
Arouse without difficulty, alert and awake.
Sample:-Q: tell me the days of week in descending order
A: Sunday, Saturday, Friday, Thursday, Wednesday, Tuesday, Monday.
MEMORY
Immediate memory:- intact
Q: Repeat “ pen, chair, flag, book”.
A: “pen, chair, flag, book”.
Recent memory:- intact
Q: “What you had in your breakfast.”
A: Poha
Remote memory:- impaired
Q – tell me your date of birth
Ans – pta ni
ABSTRACT THINKING: Adequate
Similarity between paired objects( orange – apple)
Client tells the similarity between both fruits,
Dissimilarities between orange apple saying just he saying that orange is covered & apple is not covered.
INTELLIGENCE
a) Arithmetic ability: client . Can add, subtract and multiply simple equations.
b) General knowledge: inadequate general knowledge (client having no interest in general
knowledge)
Q Tell the name of chief minister of CG?
A I don’t know
JUDGEMENT
Social judgment: impaired
Sample:- When client asked to “ what would you do if you found letter in road”.
He replied “I will not touch the letter ”
Personal judgment: intact
Sample: When client asked to “what is your future plan”
He replied “After going he will do some work”. He knows that he is next to his father to run the family.
Test judgment:-
INSIGHT
Grade: III awareness of being sick attributed it to it to external or physical factors
CONCLUSION
After getting the history, investigation & physical assessment of patient. I conclude
that patient is bipolar disorder. I have given the proper nursing management related to
his problem. Patient was satisfied & honestly solve his double related his problems.
