Assessment

Question 1

Schizo Presentation

Answer 1

Young men age 18

Women in 30s

Question 2

CAGE Questionnaire

Answer 2

Cut down
Annoyed by criticism
Guilty
Eye opener in AM

1 “yes” is + CAGE

Not diagnostic, just a screening.

Question 3

SLAP Assessment

Answer 3

Assesses suicidal risk:
Social Support
Lethal
Access to means
Plan and previous attempt

Neglects family history of suicide. An important assessment aspect

Question 4

IS PATH WARM

Answer 4

Suicide risk assessment:

Ideation
Substance: usually increased (disinhibition)
Purpose for living seems lost
Anxiety with agitation and inability to sleep, or sleeping excessively
Trapped feeling; no way out
Hopelessness
Withdrawing from friends and loved ones
Anger with rage
Reckless in behaviors, almost without thought
Mood changes, usually dramatic shifts

Question 5

SIGEMCAPS

Answer 5

Sleep
Interest deficit (anhedonia)
Guilt
Energy deficit
Concentration deficit
Appetite Disorder, weight change
Psychomotor retardation
Suicidality

Question 6

DIGFAST

Answer 6

Bipolar Screen:

Distractibility
Indiscretion (excessive involvement in pleasurable activities)
Grandiosity
Flight of ideas
Activities increase
Sleep deficit
Talkativeness

Question 7

All Borderline Subjects Are Tough Troubled Characters

Answer 7

Components of mental status exam:
Appearance
Behavior
Speech
Affect
Thought processes
Thought Content
Cognitive Examination

Question 8

What is in the cognitive examination of the MSE?

Answer 8

Memory questions: Recall short sentences, name last 3 presidents, name 10 animals in 10 seconds.

Interpret 2 to 3 proverbs; assess abstract vs. concrete interpretations

Demonstrate and ask for return demonstration of simple repetitive motor tasks (flipping hands).

Question 9

SLUMS

Answer 9

St. Louis University Mental Status:

• 11 items
• 27-30 considered normal in a person with a high school education.
• 21-26: Mild neurocognitive disorder
• ≤ 20: Indicative of dementia

Question 10

Connor’s Parent and Teacher Questionnaire

Answer 10

-Assesses both parents and teachers observations of the child with ADHD

Question 11

Vanderbilt

Answer 11

ADHD assessment tool, no cost and easily available

Question 12

Hamilton Depression Rating Scale

Answer 12

> 23: Very severe depression
19-22: Severe
14-18: Moderate
8-13: Mild
≤ 7: No depression

Question 13

Hamilton Anxiety Rating Scale

Answer 13

14 items scored 0 to 4:

Mild:

Question 14

PHQ-9

Answer 14

Developed for a primary care population.
9-items scored 0-4 points each:
≤ 4: Minimal depression
5-9: mild depression
10-14: Moderate (consider pharmacotherapy)
15-19: Moderate to Severe
20-27: Severe

Question 15

Sheenan Disability Scale

Answer 15

Measure of quality of life

QOL should be a part of the assessment

Question 16

Beck Depression Inventory

Answer 16

Copyrighted:
≤ 9: Not depressed
10-18: Mild-moderate depression
19-29: Moderate-severe depression
≥ 30: Severe depression

Question 17

Gottesman, Laursen, Bertelsen, and Morten, 2010

Answer 17

Demonstrates heritability of schizophrenia and bipolar disorder. Rates of children with disorder increase with each affected parent: 0 parents

Question 18

Folstein MMSE scoring scale

Answer 18

18-24 mild to moderate dementia

17 if education > 9th grade