Assessment Tools

Question 1

Mini-Mental Status Exam

Answer 1

Requires Grade 8 education and fluency in English

Question 2

Beck Depression Inventory (BDI)

Answer 2

—Objective test —Structured/no free expression

Question 3

Minnesota Multiphasic Personality Inventory

Answer 3

—Objective test —Structured/no free expression

Question 4

Tennessee Self-Concept Scale

Answer 4

—Objective test —Structured/no free expression

Question 5

Sentence completion test

Answer 5

—Projective test —Unstructured

Question 6

Thematic Apperception Test (TAT)

Answer 6

—Projective test; unstructured

Question 7

Geriatric Depression Scale, Short Form (GDS-SF)

Answer 7

—15 questions — >5 may indicate depression; >10 almost always indicates depression — Yes/no questions about satisfaction with life, feelings, memory, situation — Yes indicates depression

Question 8

Suicide Assessment Five-step Evaluation and Triage (SAFE-T) tool

Answer 8

—Suicide risk assessment tool 1. Risk factors 2. Protective factors 3. Ideation, intent, plan 4. Risk level assignment (low/mod/high) and intervention 5. Documentation and plans

Question 9

Nursing Boundary Index

Answer 9

—12 questions — Often/sometimes/rarely/never — Should be never for all questions to indicate good boundaries; “rarely” for isolated incidences

Question 10

Hamilton Rating Scale for Depression (HAM-D)

Answer 10

— Determines severity of diagnosed depression — Items scored 0-2 or 0-4 — 17 items: mood, guilt, suicide, insomnia, work, interest, agitation/retardation, anxiety, weight loss, insight, paranoia, obsessions, depersonalization

Question 11

HEEADDSS assessment scale

Answer 11

Assesses issues of concern with adolescent populations Home and environment Education and employment Eating Activities Drugs Suicide Sexuality

Question 12

Hamilton Anxiety Rating Scale

Answer 12

Assess for present and degree of subjective anxiety

Question 13

Global Assessment of Functioning Scale

Answer 13