PMHNP SCALES
Study online at https://quizlet.com/_8sc8sk
1. 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
2. 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
3. CRS-R: Connors Rating Scales - Revised for ages 3-17
ADHD parent, Teacher
<60 no ADHD, >70 severe ADHD
4. Vanderbilt(NICHQ): ADHD parent, Teacher items. Ages 6-12. Initial assessment. Rates symptoms and
impairment in academic and behavior.
5. 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
6. 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
7. AUDIT: unit guide on top for self administering
0-7 low risk, 8-15 increased risk, 16-19 higher risk, >20 possible dependency
8. CAGE-AID: Adults and adolescents screening
C= cut down, A=annoy, G=guilt, E=eye opener
"yes" to one = possible SUD
"AID"= altered to include drugs
9. CRAFFT: Drugs or ETOH ages 12-21
Car, Relax, Along, Forget, Family or friends, Trouble
10. BAI(Beck): Beck Anxiety Inventory, >17years
0-7 minimal, 8-15 mild, 16-25 moderate, 26-63 severe
11. HAM-A: Hamilton Anxiety Scale, most commonly used
<17 mild,, >30 severe
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Study online at https://quizlet.com/_8sc8sk
1. 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
2. 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
3. CRS-R: Connors Rating Scales - Revised for ages 3-17
ADHD parent, Teacher
<60 no ADHD, >70 severe ADHD
4. Vanderbilt(NICHQ): ADHD parent, Teacher items. Ages 6-12. Initial assessment. Rates symptoms and
impairment in academic and behavior.
5. 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
6. 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
7. AUDIT: unit guide on top for self administering
0-7 low risk, 8-15 increased risk, 16-19 higher risk, >20 possible dependency
8. CAGE-AID: Adults and adolescents screening
C= cut down, A=annoy, G=guilt, E=eye opener
"yes" to one = possible SUD
"AID"= altered to include drugs
9. CRAFFT: Drugs or ETOH ages 12-21
Car, Relax, Along, Forget, Family or friends, Trouble
10. BAI(Beck): Beck Anxiety Inventory, >17years
0-7 minimal, 8-15 mild, 16-25 moderate, 26-63 severe
11. HAM-A: Hamilton Anxiety Scale, most commonly used
<17 mild,, >30 severe
1/3
