Care Across the Lifespan I

Required Media

To Prepare

· Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.

YMH Boston. (2013, May 22). Vignette 5 - Assessing for depression in a mental health appointment [Video]. YouTube. https://www.youtube.com/watch?v=Gm3FLGxb2ZU

To Prepare

· Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.

Transcript of Video

00:00:00TRANSCRIPT OF VIDEO FILE: 

00:00:00______________________________________________________________________________ 

00:00:00BEGIN TRANSCRIPT: 

00:00:00[sil.] 

00:00:15SymptomMedia Mental Status Exam B-6 

00:00:30OFF CAMERA What is your full name? 

00:00:30DR. MASON Dr. Franklin Mason. 

00:00:35OFF CAMERA What is the name of this building you're in right now? 

00:00:40DR. MASON Fairview Hospital. 

00:00:40OFF CAMERA What is the date? 

00:00:40DR. MASON March 21st. 

00:00:45OFF CAMERA Why are we here and what are we doing? 

00:00:50DR. MASON We're here because they think I'm depressed, basically. (hmh) 

00:00:55OFF CAMERA This is a concentration exercise. I'm going to ask you to subtract seven from 100 and then seven from that answer, and keep going as long as you can. 

00:01:10DR. MASON Okay, so, 93, 85, 67, 60, 52, 45, 38, and... I lost track I think. 

00:01:35OFF CAMERA Okay. It's all right. Can you subtract three from 100 and then three from that answer and keep going? 

00:01:45DR. MASON 97, 94, 91, 88. 

00:01:55OFF CAMERA That's good, thank you. Can you spell "world" forward? 

00:02:05DR. MASON W-O-R-L-D. 

00:02:05OFF CAMERA Now, can you spell "world" backwards? 

00:02:10DR. MASON D-L-O. Oh, actually I messed that up, didn't I? 

00:02:20OFF CAMERA That's alright, you can try again if you want. 

00:02:20DR. MASON World, D-L-O-R-D-W? or W-D? 

00:02:30OFF CAMERA That's alright. 

00:02:30DR. MASON (laughing) 

00:02:30OFF CAMERA Can you repeat and reverse these three digits: seven, two, five? 

00:02:40DR. MASON Seven, two, five; five, two, seven. 

00:02:50OFF CAMERA Can you repeat and reverse these four digits: eight, four, three, six? 

00:03:00DR. MASON Eight, four, three, six; six, eight, three, four. 

00:03:10OFF CAMERA Can you repeat and reverse these six digits: eight, four, five, two, nine, one? 

00:03:25DR. MASON Eight, four, five, nine, two, one; one, two, eight, four, nine, five, four, one. 

00:03:40OFF CAMERA Alright. I'm going to ask you to remember three things. 

00:03:50DR. MASON Okay. 

00:03:50OFF CAMERA You're going to repeat them now, and later on, I will ask you again if you can recall these three things. 

00:03:55DR. MASON Okay. 

00:03:55OFF CAMERA The three things are: apple, blue, and 408 Park Avenue. So, if you can repeat them now? 

00:04:10DR. MASON Apple, blue, 408 Park Avenue. 

00:04:10OFF CAMERA (mmhmm) And if you can recall them for later. 

00:04:15DR. MASON Okay. 

00:04:20OFF CAMERA What are some things you did in the past several days? 

00:04:25DR. MASON I've just been working, basically, trying to rest when I can at the hospital. 

00:04:40OFF CAMERA What are some things you did in the past few months? 

00:04:45DR. MASON Drinking (hmh), working...That's really all that I do now. 

00:04:55OFF CAMERA Who is the current President of the United States? 

00:05:05DR. MASON Barack Obama. 

00:05:05OFF CAMERA What are some recent news events? 

00:05:10DR. MASON Well, we've had a plane go down mysteriously. We've had some issues in North Korea, and, I don't know, you know. I don't really keep up with the outside world. 

00:05:40OFF CAMERA Can you name some recent past United States Presidents? 

00:05:45DR. MASON Dwight D. Eisenhower, Bush, Regan, Clinton, Jefferson... 

00:06:05OFF CAMERA That's good, that's good. Can you name some famous historical events? 

00:06:10DR. MASON Yeah, we have World War I and II... We have Vietnam, just different stuff like that. 

00:06:25OFF CAMERA Mmhmm. What is the capital of the United States? 

00:06:35DR. MASON The capital of the United States is Washington. 

00:06:40OFF CAMERA What are the bodies of water bordering the United States? 

00:06:50DR. MASON Pacific and Atlantic Ocean. 

00:06:50OFF CAMERA What states border this current state that you're in right now; this state's border? 

00:07:00DR. MASON Oregon, Nevada... and... that's all I know, I think. 

00:07:20OFF CAMERA What causes rust? 

00:07:20DR. MASON Rust? 

00:07:20OFF CAMERA Mmhmm. 

00:07:25DR. MASON I'd say time... time. Time equals rust basically. If you let something linger or hang out too long. 

00:07:40OFF CAMERA What is the purpose of lungs? 

00:07:45DR. MASON The purpose of lungs is to breathe life inside of you. 

00:07:50OFF CAMERA We're going to make some comparisons. How are these objects similar? Orange and apple. 

00:08:00DR. MASON They're both fruits. 

00:08:05OFF CAMERA Desk and chair. 

00:08:10DR. MASON They both are things you work on. 

00:08:10OFF CAMERA Plane and truck. 

00:08:15DR. MASON They both are things you ride in. 

00:08:20OFF CAMERA Newspaper and radio. 

00:08:20DR. MASON They're both things that display information. 

00:08:30OFF CAMERA What do these old sayings mean to you in your own words? "The grass is greener on the other side of the fence." 

00:08:45DR. MASON That there's always something better down the line if you're patient. 

00:08:50OFF CAMERA "Don't cry over spilled milk." 

00:09:00DR. MASON Basically, not whining or pining over what has happened already, just moving forward. 

00:09:10OFF CAMERA "A rolling stone gathers no moss." 

00:09:15DR. MASON I haven't even heard that one before...hmmm. 

00:09:15(laughing) 

00:09:20OFF CAMERA How about, "People who live in glass houses shouldn't "throw rocks"? 

00:09:30DR. MASON I guess people who talk about somebody else, you look themselves first before they criticize. 

00:09:40OFF CAMERA What is your mood today? 

00:09:45DR. MASON It's normal, I feel okay. 

00:09:50OFF CAMERA What is your mood usually over the past weeks or months? 

00:09:55DR. MASON Pretty much the same, just not too up or not too down. 

00:10:10OFF CAMERA Earlier, I asked you if you could recall three things. Can you remember what those three things were? 

00:10:20DR. MASON Apple, blue, and Park Avenue. 

00:10:20OFF CAMERA Now I'm going to ask you a few questions on judgement. Hypothetically, what would you do if you smelled smoke in a movie theater? 

00:10:35DR. MASON I would report it... to the manager or whoever I see, I would report it. 

00:10:45OFF CAMERA What would you do if you found an addressed, stamped envelope? 

00:10:50DR. MASON Nothing, I would just leave it where it is. I don't like to touch other people's stuff. 

00:11:00OFF CAMERA What would you do if you were lost in the woods? 

00:11:05DR. MASON Try to find my way out. 

00:11:10OFF CAMERA What would you do if you found a gun? 

00:11:15DR. MASON I might keep it. 

00:11:20OFF CAMERA Why are you here? 

00:11:25DR. MASON Cuz' they think I'm depressed. 

00:11:25OFF CAMERA What are three wishes you would make if they would come true? 

00:11:35[sil.] 

00:11:40DR. MASON Maybe... if I can be back with my wife. Maybe if I could take away the urge to drink so much. And, just... all the bad memories, I guess; take those away. 

00:12:00END TRANSCRIPT