Module 2 (lec1)

Question 1

What are the 2 similarities of Medical & Psychiatric interviews

Answer 1

they are both SYSTEMATIC surveys of subjective and objective aspects of illness AND

They both gather concrete and factual data chronology of symptom formation

Question 2

What are the 2 most important diagnostic tools to obtain information and make an accurate diagnosis?

Answer 2

History & Mental Status Exam

Question 3

What is the major purpose of the physical interview?

Answer 3

establish a criteria-based diagnosis

Question 4

A well-conducted interview is geared to achieve this kind of treatment plan

Answer 4

person-centered treatment plan

Question 5

This is s based on the subjective report of the px & in some cases the report of collaterals including other health care providers, family & caregivers.

Answer 5

Patient History

Question 6

This is the interviewers objective tool similar to the physical examination in other areas of medicine

Answer 6

Mental status

Question 7

This is included because of its potential relevance in the psychiatric diagnosis & also because it usually is included as part of the psychiatric evaluation especially in the inpatient setting

Answer 7

Physical Examination

Question 8

This part of the psychiatric database includes the brief px name, age, sex, marital status (or significant relationship),
race or ethnicity and occupation and the referral source is also included.

Answer 8

Identifying data

Question 9

This part of the psychiatric database includes where tha information came from, especially if others have provided information or records reviewed, and the interviewer’s assessment of how reliable the data are

Answer 9

Source & Reliability

Question 10

This is the px’s presenting complaint, ideally in his or her own words.
 Examples include “I am depressed” or “I have lot of anxiety

Answer 10

Chief Complaint

Question 11

this refers to the chronological description of the evolution of the symptoms of the
current episode

Answer 11

History of present illness

Question 12

this includes an account of major medical illnesses and conditions as well as treatment, both past and present.

Answer 12

Past medical history

Question 13

The past medical history is divided into 2. What are these 2 divisions?

Answer 13

Past Psychiatric History &

Substance Use, Abuse, & Addictions

Question 14

This includes description of past symptoms, when they occurred,how long they lasted, and the frequency and severity of the episodes

Answer 14

Past Psychiatric history

Question 15

This reviews the stages of the patient’s life and is an important tool in determining the context of psychiatric symptoms and illnesses and may, in fact, identify some of the major factors in the evolution of the disorder

Answer 15

Developmental & Social History

Question 16

Because many psychiatric illnesses are familial and a significant number of those have a genetic predisposition, if not cause, a careful review of __________ is an essential part of the psychiatric assessment.

Answer 16

Family History

Question 17

This attempts to capture any current physical or psychological signs and symptoms not already identified is the present illness

Answer 17

Review of Systems

Question 18

It is the Psychiatric equivalent of the physical examination in the rest of medicine

Answer 18

Mental Status exam

Question 19

What are the components of the mental status exam?

Answer 19

Appearance and Behavior,Motor Activity, Speech, Mood, Affect, Thought Content, Thought Process, Perceptual Disturbances, Cognition, Abstract Reasoning, Insight and Judgment

Question 20

culmination of the data-gathering aspect of the psychiatric interview

Answer 20

Formulation & Diagnosis

Question 21

This type of patient may have impaired motivation and may not spontaneously report their symptoms

Answer 21

Depressed Patients

Question 22

This refers to patients who have thoughts of suicide

but do not have the intend to act on the thoughts or wish to be dead

Answer 22

Passive Suicidal Ideation

Question 23

A 70-year old is brought for evaluation by his children. Since his wife’s death 8 months ago, he has lost 30 lbs. The children report that he has isolated himself, refusing to talk to anyone, to eat and to get out of his room.

How will you handle this patient?

Answer 23

Acknowledge what the patient is feeling

Be Patient

Question 24

A 24-year old male with a history of alcohol dependence came in after a gimmick on “ice”. The ER MD was called after he assaulted the security guard. He was being restrained when the MD arrived. He started shouting, “They are coming to kill me. I have to get out.” He was trying to bite the hands of those retraining him.

How will you handle this patient?

Answer 24

Safe environment
 Explain to the patient
 Valid assessment