MH707 EXAM 1 REVIEW QUESTIONS AND ANSWERS

4 Tasks of the Dx Interview - ANSWER 1) Establish a therapeutic alliance
2) Get the psych database
3) Interview for dx
4) Negotiate tx plan


3 Phases of Interview - ANSWER Opening Phase (5-10min): Rapport,
background information, sets agenda and tone for rest of interview.
Middle Phase (30-40min): Body of interview. Includes dx questioning.
Closing Phase (5-10min): Discussion of assessment plan, tx, and/or f/u.


3 Rapport-Building Techniques to Help Develop a Therapeutic Alliance -
ANSWER 1) Use Empathy
2) Encourage pt to talk
3) Use nonverbal responses


Reinforcement - ANSWER Positive/encouraging words and actions to convey
interest and encourage pt to continue.
Ex: "I see", "Go on", "Tell me more", "hmm", "uh-huh".


Reflection - ANSWER Use pt's words to reflect back what they are hearing.
Stated as fact, not as a question.
Ex: "You sound sad when you talk about her."

, Summarizing - ANSWER Use own words to convey understanding of what pt
has shared


Leading - ANSWER What/When/Where/Who questions


Layout of the Psychiatric Interview - ANSWER - Identifying Data; Source and
Reliability
- c/c
- HPI
- Psych RoS
- Past Psych Hx
- Substance/ETOH Hx
- PMH
- Familial Hx
- Developmental/Social Hx
- Medical RoS
- MSE
- Physical Exam
- Narrative Summary/Formulation; DSM-5 Dx
- Tx Plan


HPI - ANSWER Detailed account of c/c in chronological order and impact of
illness in pt's life.
Answers what (symptoms, triggering factors), how much (severity), how long,
associated factors, and why pt is seeking help now.