Lesson 6 Flashcards
Record the patient’s sex, age, race, and ethnic group
Appearance
Note whether the patient appeared interested during the interview, if the patient appeared bored.
Attitude toward the examiner
Sustained emotion that the patient is experiencing
Mood
It is determined by the observations made by the interviewer during the course of the interview
Affect
A patient’s affect is defined in the ff. terms:
Expansive
Euthymic
Constricted
Blunted
Flat
Whether the patients raise their voice when responding
Speech
Throughout the interview, very specific questions will be asked regarding the patient’s history. Note whether the patient responds directly to the questions
Though process
To determine whether the patient is experiencing hallucinations
Though content
What are the type of hallucinations?
Auditory
Visual
Gustatory
Tactile
Olfactory
Hearing things
Auditory
Seeing things
Visual
Tasting things
Gustatory
Feeling sensations
Tactile
Smelling things
Olfactory
Patients perception is important part of this evaluation
Thought contents
Determine if the patients have any fears that cause them to avoid situation
Phobias
The interviewer should inquire about past acts of self-harm or violence
Suicidal ideation or intent
Questions : do you have any thoughts of hurting anyone?
Homicidal ideation or intent
Used to measure sensorium and cognition
Folstein Mini-Mental State Examination
Characterized by unresponsiveness
Consciousness
Evaluate the patient’s ability to sequence
Reading and writing
Assess the patient’s ability to determine similarities
Abstract thought
Assess the patient’s understanding of their condition
Insight
question: what would you do if you smelled smoke in a crowded theatre?
Judgement
Ask the patient about doing things without thinking or planning
Impulsivility
Determine if the patient seems reliable, unrealiable, or is it diffucult to determine
Reliability
Change topics
Flight of ideas
Creating new words
Neologism
Gaylingo
Neologism
Rhyming words
Clanging
Speech is halted
Thought blocking
Thought: objective data
Thought process