Mental Health Assessment

Question 1

COLDSPA

Answer 1

Characteristics; Onset; Lingering (how long); Duration (How long do symptoms last); Stressors; Precipitating factors; Alleviating factors

Question 2

How is sleep initiated ?

Answer 2

Ventrolateral preoptic nucleus (VLPN) in hypothalmus inhibits the brainstem arousal nuclei which leads to the inhibition of the wake center

Question 3

Mental Health Assessment: All Bad Subjects Are Tough Troubled Characters

Answer 3

Appearance, Behavior, Speech, Affect, Thought process, Thought content, Cognition

Question 4

Three components of the mini-mental exam.

Answer 4

Memory/recall; Interpret proverbs; Demonstrate simple repetitive motor tasks

Question 5

Mini-Mental State Exam: ORAL 23 RWD

Answer 5

Orientation to place and time; recognition (repeat three objects); Attention (serial 7s); Recall (recall three objects 5 minutes later); Identify 2 objects; Follow a 3 step command; reading (comprehension); Drawing (copy a design)

Question 6

Mini-mental score

Answer 6

Maximum: 30
No cognitive impairment: 24-30
Mild impairment: 18-23
Severe impairment: 0-7

Question 7

SLUMS (St. Louis University Mental Status Exam

Answer 7

Orientation; short-term memory; calculations; naming of animals; clock drawing; recognition of geometric figures

Normal: 27-30
Mild Neurocognitive disorder: 21-26
Dementia: less than 20

Question 8

Suicide Risk: SLAPS

Answer 8

Social Support
is the plan Lethal
Does the patient haver ACCESS to the means to end his life
Plan & Previous attempts
family history of suicide

Question 9

Suicide Risk: Is Path Warm

Answer 9

Ideation
Substance abuse
Purpose for living seems lost
Anxiety
Trapped feelings
Hopelessness 
Withdrawing 
Ange with rage
Reckless behaviors 
Dramatic mood changes

Question 10

Two main criteria for depression diagnosis

Answer 10

1) Depressed mood most of the day every day for at least two weeks
2) Marked diminished interest/pleasure in almost all activities

Question 11

Depression symptoms: SIGECAPS

Answer 11

Sleep
Interest
Guilt
Energy
Concentration 
Appetite 
Psychomotor retardation
Suicidality

Question 12

Hamilton Depression Rating Scale (HDRS or HAM-D)

Answer 12

Very severe: More than 23
Severe: 19-22
Moderate: 14-18
Mild: 8-13
No depression: 0-7

Question 13

Beck Depression Inventory (BDI)

Answer 13

0-9: Not depressed
10-18: Mild to moderate depression
19-29: Moderate to severe depression
30-63: Severe Depression

Question 14

Patient Health Questionnaire (PHQ-9)

Answer 14

not at all to nearly every day

Minimal Depression: 1-4
Mild Depression: 5-9
Moderate Depression: 10-14
Moderately Severe Depression: 15-19
Severe Depression: 20-27

Question 15

Hamilton Anxiety Rating Scale

Answer 15

Mild: less than 17
Mild ot moderate: 18-24
Moderate to severe: 25-30

Question 16

Generalized Anxiety Disorder Screening (GAD-7)

Answer 16

Not at all to nearly every day
Mild: 5-9
Moderate: 10-14
Severe: 15-21

Question 17

Bipolar Dx

Answer 17

Persistence of 3 or more symptoms (4 if the mood is only irritable)

Question 18

DIGFAST

Answer 18

Distractibility
Indiscretion
Grandiosity
Flight of ideas 
Activities increase 
Sleep deficit
Talkativeness

Question 19

Mood Disorder Questionnaire

Answer 19

Positive screen 7/13 yes responses

Question 20

ADHD screening tools

Answer 20

Connors parent/teacher

Vanderbilt

Question 21

Schizophrenia/Psychotic screeners

Answer 21

Brief Psychiatric Rating Scale (BPRS); Assesses psychosis

Positive and Negative Syndrome Scale (PANSS): schizophrenia

Question 22

Abnormal Involuntary Movement Scale (AIMS): Dyskinesia

Answer 22

Score of 2 or more indicates positive AIMS
1-4: oral facial movements
5 & 6: extremity movements
7: trunk movements
8-10: global judgement related to symptoms
11-12: dental/denture status

Question 23

Global Assessment of Functioning (GAF)

Answer 23

Overall psychological Health
No longer used by DSM 5 as multiaxial evaluation

0-40: hospitalization
Below 50: some difficulty with ADLS
71-80: minimal psychopathology

Question 24

World Health Disability Assessment Schedule 2.0 (WHODAS 2.0)

Answer 24

Disability over the past 30 days

Understanding and communicating 
Getting around
Self-care
Getting along with people
Life activities
Participation with Society

0-100

Question 25

Metabolic syndrome

Answer 25

Waist circumference > 40 in men > 35 in women
BP > 130/85
Triglycerides > 150
Fasting Blood Sugar> 100
HDL <40 in men; < 50 in women

Question 26

Uses of MRI

Answer 26

Structural imaging
Detecting Function in areas of brain
Detecting areas of demyelination

Question 27

Uses of CT

Answer 27

Evaluating:
Migraines
Trauma
Vertigo/Dizziness

Question 28

On Old Olympus Towering Tops A Fin and German Viewed Some Hops

Answer 28

I. Olfactory (smell)
II. Optic (sight)
III. Oculomotor (EOMS, eyelids, pupillary constriction)
IV. Trochear (Down and in eye movements)
V. Trigeminal (Mastication, facial sensation)
VI. Abducens (Lateral eye movement)
VII. Facial (Facial movement)
VIII. Acousitc (Hearing & Equilibrium)
IX. Glossopharyngeal (Swallowing, phonation)
X. Vagus (Talking, swallowing)
XI. Spinal Accessory (Shoulder shrug)
XII. Hypoglossal (tongue)

Question 29

Cranial Nerve Sensory Motor Function

Answer 29

Some Say Marry Money But My Big Brother Says Big Brains Matter More

Question 30

Post-traumatic Stress Disorder Self-report Checklist (PCL-5)

Question 31

Self-rated Level 1 Cross-cutting symptom measure

Answer 31

DSM-5 recommended depression screen

Question 32

SRI and SSRI Side Effects

Answer 32

• Nervousness
• Insomnia
• Sedation (Paroxetine)
• Headache
• Sweating
• Dry mouth
• Teeth clenching
• Sexual dysfunction
• Initially: Nausea, weight loss
• Prolonged use: weight gain