PSYCHIATRIC EVALUATION Flashcards
Example of projective interviewing
technique when assessing a child? (5x)
“Who is your favorite movie character?" “Which character in this book are you most like?” "What kind of superpower would you most like to have?" "Who is your favorite super-hero?"
What part of the MSE in school age
children is best approached by direct
questioning vs. observation? (2x)
Mood
Most efficient manner of performing
MSE on 6 year old child? (2x)
Individual play interview to gather info
Best approach to establish an accurate
time frame for a school-age child’s
events or symptoms? (2x)
Anchor the chronology in relation to
major life events
In MSE in infants, observe specifically
for? (2x)
Feeding behaviors
A 14 yo girl says “I went to the dentist
today and my favorite TV show is Family
Feud.” Describe this thought process.
(2x)
Loose association
16 yo and parent show for initial intake,
parent excessively answers questions
for patient. Course of action? (2x)
Ask parent to leave, interview patient
alone
Mother brings her kids for you to give
second opinion on treatment by their
current psychiatrist. Children feel fine
about treatment. Appropriate next step?
Clarify why mother wants second opinion
What should a psychiatrist do when a
father is insistent that he meets with the
psychiatrist before meeting his 15 yo son?
Encourage family to come in as a group and
reassure that everyone can share their
views.
Way to describe patient’s affect who
initially smiles then becomes tearful when
talking about bullying and smiles at end of
the session?
full range
Technique to improve engagement during
the interview of a child or adolescent?
Praising Adaptive Skills
13 yo pt is superficial, dismissive, and responds with short answers, such "I don't know" or "whatever." This strategy would most engage pt to discuss thoughts and feelings?
Talk about patients likes and dislikes
Best approach to eliciting accurate areas of
improvement in psychiatrists wanting to
improve skills in interviewing
uncooperative teens?
A colleague observing the physician
interview and giving feedback
Counting backwards from 20 to 1 on a
mental status exam can help to assess?
Concentration
Compared to older children and adults,
what is a possible indication of cognitive
delay found on an MSE for a school-age
child?
Difficulty differentiating fantasy from
reality
What is the perpetuating factor in an
adolescent with anxiety and depression,
worsening since starting high school, poor
grades due to learning disorder, active in
varsity sport team, elected to student
government, and multiple family members
with mood disorders?
Learning issues
Perpetuating factor for 16 yo in foster care,
past abuse, mother died of drug overdose,
hospitalized several times for cutting and
suicide attempts, currently being
hospitalized for benzo detox prior to going
to rehab?
Poor response to treatment
5 yo old with symptoms of ADHD raised by
grandparents. Child has behavior just like
the father who is incarcerated and has
psych and substance use disorder. What is a
social factor in the Biopsychosocial model?
Grandparent’s view of the child
er AACAP Practice Parameters, second
opinion needed before starting ECT in
underaged patient to?
Review history of treatments and whether
they were adequate
Aspect of MSE in young child that reflect
parent rather than child?
Grooming and hygiene
