Chap. 4 - assessment Flashcards
Epidemiology
The study of the distribution, incidence, prevalence, and duration of disease
Incidence rate
The number of new cases occurring over a specified time
Prevalence rate
The number of existing cases of a disorder at a specified time
One in ____ adults will be dx with a psych do in their lifetime
Four
About __%, or __ million, Americans 18 and older are diagnosable at any given time.
26%, or 58 million
The leading cause of disability in the US is _____ _____.
Mental illness.
Four of the top-ten causes of disability are psych. Name them:
MDD
BIP
SZO
OCD
The primary tool in psych assessment:
The interview
Four components of a psych assessment:
Patient history
Physical exam
MSE
Dx and lab tests/screens
Paraphrasing
Repeating the client’s thoughts or feelings with similar words
Confrontation
Pointing out to a client something that she is not acknowledging, is missing, or is denying
Silence - is it a good thing?
It can be, yes.
The milieu should be _____ enough to promote trust and calm yet _____ enough to allow for supplies and assistance, if necessary.
Quiet
Public
Focal areas for cultural assessment (7)
Family roles Family customs Religious beliefs Beliefs about death and dying Dietary preferences Meaning of nonverbal gestures Physical space
Culture-bound syndromes
Behaviors related to a person’s culture and not linked to a psychiatric disorder
Acculturation
The process by which the person acquires the culture of the society the he or she inhabits
Cultural assessment mnemonic LEARN
Listen with empathy
Explain your perceptions of the client’s problem
Acknowledge similarities and differences in perception between the two cultures
Recommend treatment
Negotiate treatment
Age consideration common to children and elderly
Allow more time for the assessment
Psych symptoms are usually specific or nonspecific?
Nonspecific
Demographic info includes (5)
Age Gender Marital status Race Referral source
Chief complaint is always recorded _____ and placed in _____ _____.
Verbatim
Quotation marks
HPI mnemonic OPPQRST (think OLDCARTS)
Onset
Palliative (what makes it better?)
Provocative (what makes it worse?)
Quality (how does it affect quality of life?)
Radiation (does the problem extend to work, school, etc?)
Severity (scale of 1-10 how much does this affect life?)
Timing (new complaint? how long? certain times of the day?)
Clues to problems in children (6)
Enuresis Night terrors Thumb sucking Setting fires Cruelty to animals Frequent truancy
ADLs vs IADLs
Activities of daily living vs Instrumental ADLs
ADLs are…
Basic self-care skills (eating, bathing, dressing, toileting)
IADLs are…
Activities needed for independent functioning (shopping, cooking, driving, taking meds, housekeeping)
