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Psychiatric ROS - Answer-Mood, anxiety, psychosis, other
/.Psych ROS: Mood
-Depression - Answer--MDD (SIGECAPS)
Sleep, interest, guilt, energy, concentration, appetite, psychomotor, agitation, or
slowing, suicidality, sexual fx
/.Psych ROS: Mood
-mania - Answer-Impulsivity, grandiosity, recklessness, excessive energy, decreased
need for sleep, increased spending beyond means, talkativeness, racing thoughts,
hypersexuality
/.Psych ROS: Mood
Mixed other - Answer-Irritability, viability
/.Psych ROS: Anxiety - Answer-GAD, panic disorder, OCD, PTSD, social, anxiety,
simple phobias
/.Psych ROS: anxiety -GAD - Answer-Where, wind, who, how long, how frequent
/.Psych ROS: Anxiety-panic disorder - Answer-How long until peak, somatic symptoms,
including racing heart, sweating, shortness of breath, trouble, swallowing, sense of
doom, fear of recurrence, agoraphobia
/.Psych ROS: anxiety obsessive, compulsive - Answer-Checking, cleaning, organizing,
rituals, hangups, obsessive, thinking, counting, rational versus irrational beliefs
/.Psych ROS Anxiety -PTSD - Answer-Nightmares, flashbacks, startle response,
avoidance
/.Psych ROS: Anxiety social anxiety - Answer-Avoidance
/.Psych ROS anxiety simple phobias - Answer-Heights, planes, spiders
/.Psych ROS: Psychosis
-Types of delusions to ask about (5) - Answer-Hallucinations, paranoia, delusions,
patient's perception
, /.Psychosis: Hallucinations - Answer-Sensory perception without an actual stimulus
Auditory: usually in Schizophrenic patients
Visual: can be in Schizophrenia, drug intoxication or delirium
Olfactory: usually an aura associated with epilepsy
Tactile: usually secondary to drug use or alcohol withdrawal
/.Psychosis and paranoia - Answer-can occur with prolonged use of strong stimulants,
unreasonable fear
/.Psychosis and delusions - Answer-Fixed false beliefs.
Bizarre delusions is a false belief that is impossible (FBI has sent Aliens from area 57
after me).
Non-bizarre: can be possible (Neighbours are spying on me)
TV, radio, thought broadcasting, mind control, referential, thinking
/.Psychosis patient perception - Answer-Spiritual or cultural context of symptoms, reality
testing, conspiracy theories
/.Psych ROS other - Answer-ADHD
Eating disorder: binging, purging, excessive exercising
/.MSE - Answer-mental status examination- my parents and behavior, motor activity,
speech, mood, affect, thought content, thought process, perceptual disturbances
/.MSE: Appearance - Answer-build, posture, dress, grooming, level of alertness, facial
expression, attitude towards examiner, stated age
/.MSE: Behavior - Answer-Cooperative, agitated, disinhibited, disinterested-general
statement of whether patient is exhibiting acute distress and patient's approach to the
interview
/.MSE: Motor Activity - Answer-Describes the client's physical movements.
Level of Activity: lethargic, tense, restless, or agitated.
Type of Activity: tics, grimaces, or tremors
Unusual gestures or mannerisms: compulsions- lip smacking tongue protrusions
/.MSE: Speech - Answer-Fluency, amount, rate, tone volume
/.MSE: speech fluency - Answer-Stuttering, word, fighting, difficulty, para phasic errors