Psychiatry

Question 1

history: questions to ask about suicide ideation/self harm/homicidal ideation

Answer 1

1. are you feeling safe?
2. any thoughts of hurting yourself?
3. any suicidal thoughts?
4. any feelings that you may want to hurt others?
5. have you ever felt like you need to defend yourself?

Question 2

questions for general symptoms to ask about on psych visit?

Answer 2

1. mood: how has your mood been?
2. sleep: how has your sleep been? is that normal for you?
3. energy: how has your energy been?
4. concentration: how has your concentration been? are you able to focus? are you easily distractible? is that normal for you?
5. appetite: how has your appetite been?
6. perception: sometimes people can see or hear things that others cannot, are you experiencing any of that? ask them to describe
7. risk: are you feeling safe? any thoughts of SI/SH/HI?

Question 3

general symptoms to ask for psych screening

Answer 3

mood, sleep, energy, concentration, appetite, perceptions, and risk

Question 4

what does a form 1/42 get you?

Answer 4

form 1: 72 h hold for a psychiatric eval

form 42: notice to the patient of form 1 status

Question 5

what does a form 3/30 get you?

Answer 5

form 3: 14d involuntary admit into hospital (including the day of filing)

form 30: notification of form 3 to the patient

Question 6

what does a form 4/30 get you?

Answer 6

form 4: renewal of involuntary admit
- first form 4: an additional 1M
- second form 4: an additional 2M
- third form 4: an additional 3M

form 30: notification of involuntary admit

Question 7

what does a form 33 get you?

Answer 7

it is used to certify incapable - can be certified incapable for 3 different things
- consenting to medical treatment
- taking care of their property and finances
- ability to share PHI

Question 8

what does a form 50 get you?

Answer 8

to confirm that the patient has received rights advice; usually after a form 33 so that they may content at a consent and capacity board

Question 9

ASEPTIC for MSE

Answer 9

A - appearance and behaviour
S - speech - rate, rhythm, and volume
E - emotion and affect
P - perceptions
T - thought content and process
I - insight into illness and treatment
C - cognition - assess via MMSE, MoCA etc.

Question 10

Apriprazole/Abilify, Paliperidone/Invega, Brexpiprazole/Rexulti, and Olanzapine/Zydis are ________ type of medication

Answer 10

2nd generation atypical antipsychotics

Question 11

Clozapine/Clozaril is mainly used for ________

Answer 11

treatment-resistant disease

Question 12

what kind of vital sign and lab monitoring do we need to consider when putting someone on an antipsychotic longterm?

Question 13

Zuclopenthixol/Clopixol and Haloperidol/Haldol are common ______ type of medication

Answer 13

first generation (typical) antipsychotic

Question 14

tell me about the side effect profile of first generation typical antipsychotics

Question 15

tell me about the side effect profile of second generation atypical antipsychotics

Question 16

what questions should you ask a patient in regard to their antipsychotics and side effects? give me 3