PMHNP SCALES QUESTION AND
ANSWER RATED A+
AIMS
abnormal involuntary movement scale; 12 item tool used to monitor signs of tardive dyskinesia
For 8yo and up
Rating 0-4, >2 to diagnose TD and reduce dose
BARS
Barns Akathisia Rating Scale; assess objective and subjective symptoms of akathisia with antipsychotics
or SSRI's. Ages 8yo and older.
2=mild, 3=moderate, 4=marked, 5=severe
CRS-R
Connors Rating Scales - Revised for ages 3-17
ADHD parent, Teacher
<60 no ADHD, >70 severe ADHD
Vanderbilt(NICHQ)
ADHD parent, Teacher items. Ages 6-12. Initial assessment. Rates symptoms and impairment in
academic and behavior.
ASRS-1
Adult ADHD Self-Report Scale, 16 and older
Two-part Screening
Part A: 6 questions, 4 symptoms suggest ADHD
Part B: 12 questions to clarify and quantify
AUDIT-C
Shorter version of AUDIT for acute and critical care units
max score 12, for ages 13 & up
>3 +for females, >4+for males, >8 hazardous drinking
AUDIT
unit guide on top for self administering
0-7 low risk, 8-15 increased risk, 16-19 higher risk, >20 possible dependency
CAGE-AID
ANSWER RATED A+
AIMS
abnormal involuntary movement scale; 12 item tool used to monitor signs of tardive dyskinesia
For 8yo and up
Rating 0-4, >2 to diagnose TD and reduce dose
BARS
Barns Akathisia Rating Scale; assess objective and subjective symptoms of akathisia with antipsychotics
or SSRI's. Ages 8yo and older.
2=mild, 3=moderate, 4=marked, 5=severe
CRS-R
Connors Rating Scales - Revised for ages 3-17
ADHD parent, Teacher
<60 no ADHD, >70 severe ADHD
Vanderbilt(NICHQ)
ADHD parent, Teacher items. Ages 6-12. Initial assessment. Rates symptoms and impairment in
academic and behavior.
ASRS-1
Adult ADHD Self-Report Scale, 16 and older
Two-part Screening
Part A: 6 questions, 4 symptoms suggest ADHD
Part B: 12 questions to clarify and quantify
AUDIT-C
Shorter version of AUDIT for acute and critical care units
max score 12, for ages 13 & up
>3 +for females, >4+for males, >8 hazardous drinking
AUDIT
unit guide on top for self administering
0-7 low risk, 8-15 increased risk, 16-19 higher risk, >20 possible dependency
CAGE-AID
