NR548/ NR 548 EXAM 2 NEW LATEST
UPDATE 2024/ 2025 PSYCHIATRIC
ASSESSMENT FOR THE
PSYCHIATRIC MENTAL HEALTH A+ GRADED
attention and concentration
best way to assess _______________ is to simply talk to your patient and observe how they
think
memory
component of cognitive exam
- should assess short term (__________ of things learned a few minutes to a few days ago)
and long term (_______________ of things learned longer than a few days ago)
- most valid tests are orientation, 3 object recall, recall of remote personal events, and recall
of general cultural info
orientation
memory test
- stating person, place, and time
specific components
if patient is taking a while and is struggling to remember, a time-saving tip is to ask about
___________________________, going from easiest to hardest.
3 object recall
memory test
- recall of 3 objects after at least 2 minutes
- useful in diagnosing cognitive impairments
general cultural knowledge
,memory test
- last 3 presidents
- famous figures/people
- famous dates
- lists of info
personal knowledge
aspects of current life as well as memory of rote personal events
- memory test
- current address and phone number; names and ages of spouse, siblings, and children;
spouse's birthday, wedding anniversary, date and place of marriage; parents' names and
birthdays
intelligence
component of cognitive exam
- ability to manipulate info
- correlates with high job and education attainment
insight
component of cognitive exam
- most interested in whether patient knows they have an illness and has realistic conception
of its causes and possible treatments
judgement
component of cognitive exam
- should assess ____________ based on the material gathered throughout the interview
MMSE
mini mental status exam
- good for newbie clinicians to use but dumb if you're skilled and experienced
- hecka sensitive, lots of limitations
Mini-Cog
,is another screening tool that can be administered in 5 minutes or less
- 3 item recall, clock drawing test (CDT)
- better than MMSE cuz same validity/reliability but way quicker
goals for evaluating suicidality in initial interview
1) assess if there's an immediate risk of a suicide attempt
2) determine current/past suicidality to help formulate accurate DSM diagnosis
SAD PERSONS
Mneumonic for suicide risk factors
10 risk factors for suicide
1. Sex
2. Age
3. Depression
4. Previous attempt
5. Ethanol abuse
6. Rational thinking loss
7. Social supports are lacking
8. Organized plan
9. No spouse
10. Sickness
sex
risk factor for suicide
- women are more likely to attempt suicide; men are more likely to succeed
age
risk factor for suicide
- falls into bimodal distribution, with teenagers and elderly at highest risk
depression
, risk factor for suicide
- 15% of depressive patients die by suicide
previous attempt
risk factor for suicide
- 10% of those who have previously attempted suicide die by suicide
ethanol abuse
risk factor for suicide
- 15% of alcoholics commit suicide
rational thinking loss
risk factor for suicide
- psychosis is a risk factor, and 10% of patients with chronic schizophrenia die by suicide
social supports are lacking
risk factor for suicide
organized plan
risk factor for suicide
- a well-formulated suicide plan is a red flag
no spouse
risk factor for suicide
- being divorced, separated, or widowed is a risk factor; having responsibility for children is
an important statistical protector against suicide
sickness
chronic illness is a risk factor for suicide
short term warning signs of suicidal behavior
-rage
- recklessness
- feeling trapped
UPDATE 2024/ 2025 PSYCHIATRIC
ASSESSMENT FOR THE
PSYCHIATRIC MENTAL HEALTH A+ GRADED
attention and concentration
best way to assess _______________ is to simply talk to your patient and observe how they
think
memory
component of cognitive exam
- should assess short term (__________ of things learned a few minutes to a few days ago)
and long term (_______________ of things learned longer than a few days ago)
- most valid tests are orientation, 3 object recall, recall of remote personal events, and recall
of general cultural info
orientation
memory test
- stating person, place, and time
specific components
if patient is taking a while and is struggling to remember, a time-saving tip is to ask about
___________________________, going from easiest to hardest.
3 object recall
memory test
- recall of 3 objects after at least 2 minutes
- useful in diagnosing cognitive impairments
general cultural knowledge
,memory test
- last 3 presidents
- famous figures/people
- famous dates
- lists of info
personal knowledge
aspects of current life as well as memory of rote personal events
- memory test
- current address and phone number; names and ages of spouse, siblings, and children;
spouse's birthday, wedding anniversary, date and place of marriage; parents' names and
birthdays
intelligence
component of cognitive exam
- ability to manipulate info
- correlates with high job and education attainment
insight
component of cognitive exam
- most interested in whether patient knows they have an illness and has realistic conception
of its causes and possible treatments
judgement
component of cognitive exam
- should assess ____________ based on the material gathered throughout the interview
MMSE
mini mental status exam
- good for newbie clinicians to use but dumb if you're skilled and experienced
- hecka sensitive, lots of limitations
Mini-Cog
,is another screening tool that can be administered in 5 minutes or less
- 3 item recall, clock drawing test (CDT)
- better than MMSE cuz same validity/reliability but way quicker
goals for evaluating suicidality in initial interview
1) assess if there's an immediate risk of a suicide attempt
2) determine current/past suicidality to help formulate accurate DSM diagnosis
SAD PERSONS
Mneumonic for suicide risk factors
10 risk factors for suicide
1. Sex
2. Age
3. Depression
4. Previous attempt
5. Ethanol abuse
6. Rational thinking loss
7. Social supports are lacking
8. Organized plan
9. No spouse
10. Sickness
sex
risk factor for suicide
- women are more likely to attempt suicide; men are more likely to succeed
age
risk factor for suicide
- falls into bimodal distribution, with teenagers and elderly at highest risk
depression
, risk factor for suicide
- 15% of depressive patients die by suicide
previous attempt
risk factor for suicide
- 10% of those who have previously attempted suicide die by suicide
ethanol abuse
risk factor for suicide
- 15% of alcoholics commit suicide
rational thinking loss
risk factor for suicide
- psychosis is a risk factor, and 10% of patients with chronic schizophrenia die by suicide
social supports are lacking
risk factor for suicide
organized plan
risk factor for suicide
- a well-formulated suicide plan is a red flag
no spouse
risk factor for suicide
- being divorced, separated, or widowed is a risk factor; having responsibility for children is
an important statistical protector against suicide
sickness
chronic illness is a risk factor for suicide
short term warning signs of suicidal behavior
-rage
- recklessness
- feeling trapped
