CMN 548 Module 2 Study Guide Update; Questions And Answers

ways to handle auditory hallucinations in interview - ANS-- 1. Ask "do u ever hear someone talking when no one else is there?" If yes, a. have them repeat verbatim a specific convo; and b. Ask @ command hallucinations (like details, any orders to harm self/anyone, whether they ever felt compelled to follow commands). 2. Don't dismiss perception; helpful to test the strength of the belief- "does it seem voices are coming from inside head? Who do u think is speaking to u?" 3. Ask whether there's other perceptual disturbances (like visual, olfactory, tactile)- not common - suggests more medical etiology. Ways to handle delusions (like false fixed beliefs) during interview - ANS-- 1. Ask directly about any behaviors or comments noticed 2. If patient asks if u believe delusions, shift attention back to them and acknowledge need for more information like "I believe what you're experiencing is scary and I'd like to know more about your experience." How to handle paranoia during interviews - ANS-- 1. Maintain respectful distance 2. Avoid sustained eye contact - can be threatening 3. Sit side by side "looking out" vs face to face 4. If they seem afraid of u, ask "are u concerned I'm involved?" 5. Ask whether any specific target with paranoid thinking 6. Ask "Do u feel need to protect yourself in any way? How do u plan on doing so?" (helps assess violence risk) —> if any possible violence to others, do further risk assessment. How to handle depression during interviews - ANS-- Patient may need more direct questions vs open ended depending on symptom severity How to handle suicidal patients during interviews - ANS-- 1. Ask directly- "have you ever had thoughts life wasn't worth living?" 2. Get Details about current ideation , plan, intent, prior attempts + potential triggers for attempts (helps assess current risk), family history of attempts and completed suicides, any psychotic symptoms 3. If SI, ask @ specific plan and any means. If yes, get details of steps taken. If no, ask @ preventive factors like "what do u think has kept u from hurting yourself?" (Must continue to assess for any changes during treatment) 4. If imminent risk, may need to terminate interview and secure patient safety What is unpremeditated violence preceded by? - ANS-- A period of gradually escalating psychomotor agitation like pacing, loud speech or threatening comments How to handle hostility during interviews - ANS-- 1. Attention to room setup like chairs and both u and patient able to easily exit 2. Awareness of safety features like security, emergency buttons or numbers 3. Decrease excess stimulation 4. Notice patient body position and avoid threatening postures like clenched fists or hand behind back 5. Don't bargain for cooperation like "once we finish you'll be able to..." 6. If aware patient agitated, prepare for measure like security standby, restraints or meds What are some tests for attention and concentration - ANS-- Digit span test (7 numbers repeated fwd and backward), SSST (subtracting from 100 by 7s), or months backward from December What are most Clinically valid tests for memory - ANS-- Orientation to person, place, time;, 3 object recall like ball, chair , purple;, recall remote personal events; recall general cultural information What is a highly sensitive approach yo screening for dementia - ANS-- Set test - asking patient to name up tom10 Items as they can recall in 4 categories: colors, animals, fruits, and towns (scores Of 25 and up exclude dementia)