02 Psychosocial Assessment

Question 1

What’s are the purposes of a psychosocial assessment?

Answer 1

• To engage
• To develop a trust relationship
• To obtain valid data and establish trust for this
• to develop a tentative diagnosis
• to plan a treatment

Question 2

what are some things invovled in the violence assessment?

Answer 2

• —Current presentation and relevant behaviors that precipitated them
• —Prior history of violent behavior
• —Legal history
• —Observable behavior/verbalizations
• —Thoughts to harm others
  —Is there a plan?
  Is there intent?
  Who is it directed at?

Question 3

What is the Mental Status Examination (MSE) used for?

Answer 3

To evaluate the patient’s current state

Question 4

What type of questions may be asked to test for Orientation in MSE?

Answer 4

• Person
• Place
• Time
• Situation (Why they’re here)

Question 5

Euthymic

Answer 5

Normal

Question 6

Euphoric

Answer 6

Elated

Question 7

Dysphoric

Answer 7

Depressed, restless

Question 8

Labile

Answer 8

easily changeable

Question 9

Illusions:

Answer 9

misperceptions/misinterpretations of real external stimuli

Question 10

Hallucinations:

Answer 10

false sensory perception not associated with real external stimuli. Hallucinations may invovle any of the 5 senses.

Question 11

Thought broadcasting:

Answer 11

Thoughts can be heard by others

Question 12

Thought insertion:

Answer 12

thoughts are being implanted by external forces.

Question 13

Ideas of reference:

Answer 13

Incorrect assumptions that real events or incidents have direct reference to one’s self

i.e thinking you caused the paris attacks.

Question 14

Magical Thinking:

Answer 14

Believes actions/words have power

Question 15

Obsessions:

Answer 15

Persistent thought/feeling that they are unable to remove from their consciousness

i.e can’t stop thinking about drinking, washing hands, having sex, pursuing heroin.

Question 16

Phobias:

Answer 16

Irrational fears

Question 17

Delusions:

Answer 17

Unrealistic ideas/beliefs

Question 18

Persecutory:

Answer 18

Belief that someone is out to get them in some way

Question 19

Grandiose

Answer 19

An idea that they are all powerful or of great importance

Question 20

Reference:

Answer 20

An idea that what is happening in the environment is about them

Question 21

Somatic:

Answer 21

A belief that they have a dysfunctional body part

ex bug beaneath the teeth and the teeth needs to be taken out in order for the bugs to be released.

Question 22

Nihilistic:

Answer 22

A belief that they or a part of them does not exist or has been destroyed.

Question 23

Religious:

Answer 23

Obsession with religious ideas.

Question 24

Paranoid:

Answer 24

Singled out for unfair treatment, suspicious

Question 25

Hallucations is false sensory impressions/experiences. It invovles all 5 senses. Explain each sense.

Answer 25

Auditory: Hearing voices/other sounds. Command vs persecutory Visual: seeing images that do not exist, common with delirium Tactile: Feel unrealistic sensation on the skin. i.e bugs on skins Gustatory: false perception of an unpleasant taste Olfactory: smell odors that do not exist

Question 26

Pt's self expression through speech Circumstantial:

Answer 26

Verbalization are lengthy and tedious and because of numerous details, are delayed in reaching the intended point

Question 27

Pt's self expression through speech Flight of ideas:

Answer 27

Verbalizations are continuous and rapid and flow from one to another

Question 28

Pt's self expression through speech Loose associations:

Answer 28

Verbalizations shift from one unrelated topic to another

Question 29

Pt's self expression through speech Neologism:

Answer 29

Making up nonsensical sounding words, which have meaning only to them

Question 30

Pt's self expression through speech Tangential

Answer 30

Verbalizations that are lengthy and tedious and never reach an intended point

Question 31

Pt's self expression through speech Thought blocking

Answer 31

speech is suddenly interrupted by silence. Once started, it's an unrelated to the topic.

Question 32

Pt's self expression through speech Word Salad

Answer 32

Using a mixture of words that have no meaning together, sounds incoherent

Question 33

Pt's self expression through speech Perseveration

Answer 33

Persistently repeating the last word of a sentence spoken. Seen at times with dementia

Question 34

Axis I:

Answer 34

Clinical Syndrome Can typically be treated with pill

Question 35

Axis II

Answer 35

Personality Disorders, Pervasive Disorders, MR Typically a core personality disorder that can't be cured with a pill but can be helped with therapy

Question 36

Axis III

Answer 36

General Medical Diagnosis COPD, hyperthyroidism

Question 37

Axis IV:

Answer 37

Psychosocial and Environmental Problems: legal, financial, access to health care, occupational problems, educational problems, problems with primary support group

Question 38

Axis V

Answer 38

Gloval Assessment of Functioning (GAF), Scale from 1~100 in the sheet she gave you