Assessment Tools Flashcards
CAGE used for? 4 questions
Quick tool to assess problem drinking
- Have you felt the need to CUT down on your drinking?
- Do you feel ANNOYED by people complaining about your drinking?
- Do you ever feel GUILTY about your drinking?
- Do you ever feel the need to drink an EYE-opener?
= CAGE
Audit C used for? Questions asked?
Audit C used for active alcohol use disorders - short version of full audit assessment
- How often do you have a drink containing alcohol?
a) Never b) monthly or less c) 2-4x/mo d) 4/more/wk - How many standard drinks containing alcohol do you have on a typical day?
a) 1/2 b) 3/4 c) 5/6 d) 7/9 or more - How often do you have six or more drinks on one occasion?
a) never b) less than monthly c) monthly d) weekly e) daily or almost daily
a = 0 points, b = 1 point, c = 2 points d = 3 points, e = 4 points
Men 4+ = drinking problem
Women 3 + = drinking problem
What is PHQ-2? What is it used for?
PHQ-2 = patient health questionnaire-2 - short version of PHQ-9
Used to assess depression - answer each question with: 0 - not at all 1 - several days 2 - more than half the days 3 - nearly every day
Question 1: Little interest or pleasure in doing things
Question 2: Feeling down, depressed or hopeless
Score of 3 is the cutoff. Score >3, do the full PHQ-9
What is the GAD-7?
Brief measure of assessing generalized anxiety disorder.
Answer each question:
0 - not at all, 1 - several days, 2 - more than half days, 3 - nearly every day
Questions:
- Nervous, anxious
- Can’t control worrying
- Worry too much about different things
- Trouble relaxing
- Restless
- Easily annoyed/irritated
- Feeling afraid as if something awful might happen
What is the PHQ-9 used for ? What are the 9 questions asking? Scoring system?
Assesses for depression
Questions:
- Anhedonia?
- Depressed/hopeless?
- Sleep issues
- Low energy
- Feel bad about self?
- Trouble concentrating?
- Moving slowly or restless
- Think you’d be better off dead
- Poor appetite, overeating
Scoring: 1-4 minimal, 5-9 mild, 10-14 moderate, 15-19 moderate-severe, 20-27 severe
What is the MoCA? What is it used for?
Montreal cognitive assessment
Picks up early cognitive issues - especially in the elderly. Get baseline, reassess in 1 year etc.
Top score = 30. <26 is concerning. 8th grade edu or earlier can complete.
Tasks: Copy cube, draw clock, name animals drawn on paper, remember 3 words, subtraction, delayed recall
Extra psych-specific questions to ask during evaluation from each section
Psych history - Been hospitalized before? Current or past history suicidal, homicidal, or assaultive thoughts or actions
Social - alcohol/drug use? type of last use? prior urine tox/BAL results? Family structure? Education? Support network?
Current treatment providers?
Mental status exam - orientation (a&ox3), appearance, mood, affect, speech, thought process, thought content, cognitive function, impulse control
Mental status exam parts
Orientation Appearance Build Body movements Behavior Mood Affect Speech
Mental Status Exam: Orientation
Alert and oriented x3 means to place, time and date
Mental Status Exam: Appearance
Well groomed vs... Neat Disheveled Unkempt Malodorous Appropriate
Mental Status Exam: Build
Thin, overweight, short, average, tall
Mental Status Exam: Posture
Slumped, rigid, tense, atypical
Mental Status Exam: Body movments
Restless, vs slow, vs peculiar
Mental Status Exam: Behavior
Cooperative vs agitated, catatonic, compulsive, withdrawn, friendly, guarded, hostile, hyper-sexual, disinhibited
Mental Status Exam: Mood
Angry, anhedonia, anxious, depressed, empty, euphoric, guilty, irritable, lablie, sad, manic, hypomanic
