NB2 20+21+ DLA

Question 1

obstacles of psychiatric interviewing

Answer 1

poor insight 
positive impression management 
self-deception 
symptoms as adaptations 
malingering

Question 2

what are the goals of the psychiatric exam?

Answer 2

determine the pt’s current mental status

elicit info for diagnosis

determine if the pt is a threat to themselves or others

determine inpatient/outpatient status

access factors that impact the symptoms of the patient

Question 3

mental status evaluation

Answer 3

establishes the reliability of self report

establishes neurocognitive baseline

includes data relevant to encounter

ranges in depth depending on pt status and presenting issues

Question 4

ASEPTIC acronym

Answer 4

A way to remember how to go through the mental status examination

A: Appearance, attitude, accessibility, and behavior
S. Stream of Mental Activity (as inferred from speech)
E. Emotion; mood, affect, suicidality, homicidality
P. Psychotic symptoms? (hallucinations, delusions,)
T. Thought (and Language)
I. Insight and Judgment
C. Cognition, orientation, concentration, memory