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Psychiatry / Addiction Medicine > Psychiatric Interview / Assessments, Tools & Forms > Flashcards

Psychiatric Interview / Assessments, Tools & Forms Flashcards

1
Q

specifically designed tasks used to measure a psychological function known to be linked to a particular brain structure or pathway.

A

Neuropsychological testing

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2
Q

Neuropsychological testing examples ?

A

Intelligence

Memory

Language

Exec Function

Visuospacial

Dementia specific

Battery tests

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3
Q

Where to Get the Information?

A

PCP ….. and others

Family

Past therapists

Patient

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4
Q

Psychiatric Interview outcome depends on ?

A

outcome depends on the situation ( ER versus office ( more appropriate))

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5
Q

Psychiatric Interview: In psychiatry often the lack of definition forces the exercise of _______ _______.

A

practical wisdom

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6
Q

Psychiatric Interview: Every encounter is ?

A

therapeutic

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7
Q

Psychiatric Interview: “…therapy is a kind of rhetoric in which you stimulate emotional arousal to ?”

A

transform the meaning of an event…

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8
Q

Psychiatric Interview: That transformation can occur only if you can offer the patient a conceptual framework for ___________ of his [or her] maladaptive assumptions…

A

making sense

**asking questions to provoke thought **

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9
Q

Psychiatric Interview: If accurately applying the DSM-5 diagnostic criteria in all their specify is the _______ of psychiatric interviewing, then the ___ if forming a therapeutic alliance…”

A

science

art

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10
Q

Psychiatric Interview: in an effective diagnostic interview, you conduct a form of rudimentary psychotherapy in which ____________ and provide appropriate support to a demoralized patient…

A

you instill hope

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11
Q

Psychiatric Interview: your ability to form an _______ however will be shaped by a person’s past experiences”

A

alliance

  • Emergency department (new) vs established pt
  • Prior psych history
  • Current mental state
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12
Q

Model _____ and _____ to your patients

A

empathy and warmth

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13
Q

Psychiatric Interview: remember ?

A

You have no idea of the challenges they experienced and chances are you have never even come close to experiencing the pain they have experienced

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14
Q

Act like an __________ uncovering the complex history of a patient

A

anthropologist

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15
Q

Setting the tone – the environment ?

A

Lighting

Arrangement of office setting i.e. facing the patient or facing a computer

Talk from waiting room to the office

Note: Your seating position -> closest to the door for rapid egress if needed

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16
Q

Starting the dialog, example ?

A

Hi, I’m Steven and a Physician Assistant here at the clinic. I read your chart but I would like to know more about you…

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17
Q

The 30-Minute Interview adapted from ?

A

The Pocket Guide to the DSM-5 Diagnostic Exam

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18
Q

Minute 1: Introduction ?

A

“Hi my name is…”

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19
Q

Minute 2-4: Listen ?

A

Don’t talk unless you need to guide

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20
Q

Minute 5-12: Ask ?

A

HPI (History of Present Illness)

PPH (Past Psych History)

Safety (Suicidal or Homicidal Ideation

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21
Q

Minute 13-17: ROS ?

A 
Mood
Psychosis
Anxiety
Obsessions and Compulsions
Trauma
Dissociation
Somatic Concerns
Eating 
Sleeping
Substance and other Addictions
Personality
Elimination
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22
Q

Minute 18-23: PMH ?

A

Allergies

FH, SH

Developmental Hx

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23
Q

Minute 24-28: Mental status examinations ?

A

MMSE

PHQ

GAD-7

etc…

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24
Q

Minute 29-30: Follow-up and closure ?

A

close up

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25
Q

Minute 1 ?

A

Introduction

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26
Q

Minute 2-4 ?

A

Listen

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27
Q

Minute 5-12 ?

A

Ask

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28
Q

Minute 13-17 ?

A

ROS

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29
Q

Minute 18-23 ?

A

PMH

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30
Q

Minute 24-28 ?

A

Mental Status Examinations

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31
Q

Minute 29-30 ?

A

Follow-up and Closure

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32
Q

Presenting the Patient: Psychiatry is _____ _________ and creating a story that includes evidence of the patients condition

A

pattern recognition

33
Q

Presenting the Patient: Tell it as a story, just as you do for other medical presentations ?

A

Name

Age

Gender

Chief complaint with patient quote if appropriate

34
Q

Presenting the Patient: Tell it as a story, just as you do for other medical presentations ?

A

HPI (using DSM criteria)

ROS

Past Psych Hx

Past Medical Hx

Family Hx

Developmental Hx

Social Hx

35
Q

Presenting the Patient: Tell it as a story, just as you do for other medical presentations ?

A

Testing results (i.e. MMSE)

Differential Diagnosis

Assessment

Plan:

  • Additional Tests/Treatment
  • Medication
  • Education
  • Safety
  • Nutritional
  • Prognosis
36
Q

Diagnostic Rating Scales identify what ?

A

Identify specific psychiatric disorders in epidemiological studies and large scale clinical trials

37
Q

Diagnostic Rating Scales examples ?

A
  • The Present State Examination
  • The Composite International Diagnostic Interview
  • The Diagnostic Interview Schedule
38
Q

Symptom-Based Scales measure ?

A

change in a particular symptom or a syndrome-based group of symptoms

39
Q

Symptom-Based Scales are completed by who ?

A

patient

40
Q

Symptom-Based Scales examples ?

A

The Brief Psychiatric Rating Scale

The Hamilton Rating Scale for Depression

The Beck Depression Inventory

Zung Depression Scale

41
Q

The Brief Psychiatric Rating Scale ?

A

psychotic and no psychotic issues - evaluation of baseline measures

42
Q

The Hamilton Rating Scale for Depression ?

A

most widely used more so assess sxs. of depression nd if it progressivee over time

43
Q

The Beck Depression Inventory ?

A

self rating and used to evaluate depression - feedback from patient how the tx. is going

44
Q

Zung Depression Scale ?

A

self rating and used to evaluate depression - feedback from patient how the tx. is going

45
Q

Neuropsychological assessment completed by ?

A

Neuropsychologist

46
Q

Neuropsychological assessment: Acquire data about a subject’s ?

A

Cognitive

Motor

Behavioral

Linguistic

Executive functioning

47
Q

Neuropsychological assessment topics / examples ?

A 
CAGE
SMAST
DAST-10
GAD-7
PHQ-9
AUDIT (self and clinician versions)
MMSE
48
Q

What is CAGE ?

A

is a brief, 4-item questionnaire used for the routine and rapid screening of alcohol problems

49
Q

CAGE acronym ?

A

Feeling the need to Cut down,

Becoming Annoyed at criticism

Feeling Guilty about drinking

Needing a drink first thing in the morning to get going, Eye-Opener

50
Q

CAGE specificity and sensitivity ?

A

Specificity of 76%

Sensitivity of 93%

51
Q

SMAST aka ?

A

Short Michigan Alcohol Screening Test

  • *(note FYI - there are 3 different versions)
  • *
52
Q

SMAST: Each of these are __ item measures about problems experienced by the indicated person as a result of __________.

A

13

drinking alcohol

53
Q

SMAST sensitivity and specificity ?

A

Sensitivity of 48%

Specificity of 100%

(several caveats to these results)

54
Q

DAST-10 aka ?

A

Drug Abuse Screening Test

55
Q

DAST-10 sensitivity and specificity ?

A

Sensitivity: 80-85%

Specificity:78-88%

56
Q

DAST-10: _______, yes/no self-report Drug Abuse Screening instrument that has been condensed from the ______ DAST and should take less than _ minutes to complete.

A

10-item

28-item

8

57
Q

DAST-10: Designed to provide a brief instrument for clinical screening and treatment evaluation and can be used with ?

A

adults and older youth

58
Q

GAD-7 aka ?

A

Generalized Anxiety Disorder 7

59
Q

Generalized Anxiety Disorder 7 is a ____-_______ questionnaire for screening and severity measuring of __________ ________

A

self-reported

generalized anxiety

60
Q

GAD-7 has _____ items, which measure severity of various signs of ________________ according to reported response categories

A

seven

generalized anxiety disorder

61
Q

GAD-7: Assessment is indicated by the total score, which made up by adding ?

A

together the scores for the scale all seven items.

62
Q

GAD-7 is a sensitive self-administrated test to assess generalized anxiety disorder, however it cannot be used as replacement for ?

A

clinical assessment

63
Q

GAD-7 sensitivity and specificity ?

A

Sensitivity (89%)

Specificity (82%)

64
Q

GAD-7: Increasing scores on the scale were strongly associated with multiple domains of ?

A

functional impairment

65
Q

PHQ-9 aka ?

A

Patient Health Questionnaire 9

66
Q

The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the ?

A

severity of depression

67
Q

___________ on the PHQ-9 screens for the presence and duration of suicide ideation

A

Question 9

68
Q

PHQ-9 was established in studies involving __ primary care and __ obstetrical clinics

A

8

7

69
Q

PHQ-9 sensitivity and specificity ?

A

Sensitivity of 88%

Specificity of 88% for major depression

70
Q

AUDIT aka ?

A

The Alcohol Use Disorders Identification Test

71
Q

AUDIT: This ___________________ can help determine whether a patient might have problems with _____________.

A

10-question screening test

drinking alcohol

72
Q

AUDIT sensitivity and specificity ?

A

Sensitivity 70.1%

Specificity 95.2%

(some caveats to this depending on the population being tested)

73
Q

MMSE aka ?

A

Mini Mental State Examination

74
Q

The Mini Mental State Examination (MMSE) is the most commonly used test for complaints of________ ______

A

memory problems

75
Q

MMSE: It can be used by clinicians to help diagnose ________ and to help assess its?

A

dementia

progressionand severity

76
Q

The _____ is a series of questions and tests, each of which scores points if answered correctly.

A

MMSE

77
Q

MMSE: If every answer is correct, a maximum score of __ points is possible.

A

30

78
Q

The MMSE tests a number of different mental abilities, including a person’s ?

A

memory

attention

language.

79
Q

Whats the cause ? it can be ?

A

Organic(“Do a Psych Eval”)

Psychiatric (“Medically Clear The Patient”)

Chronic

Transient

Environmental

Social

Financial

Long list

**has it just began of few days or have they had these between months and years **

Psychiatry / Addiction Medicine (11 decks)

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