CMN548 UNIT 1: PSYCHIATRIC HISTORY
AND PSYCHIATRIC ASSESSMENT
COMPLETE EXAM QUESTIONS WITH
OUTLINED ANSWERS
\Q\.Elements of the psychiatric interview-2 - ANSWERS✔-patient history (subjective info) and
mental status exam (objective info)
\Q\.Sadock -Complete psychiatric assessment - ANSWERS✔-1) *Identifying data*: pt
name.sex/,arital status/race/ethnicity/occupation.
*2) Source and reliability:* Where information is coming from (patient/chart/family) how
reliable information is- use own judgment
*3) Chief Complaint*: Pts own statement of why they are here>
*4)HPI History of present illness:* chronological description of current episode include changes
in habits/interests/physical health/relationships.
Length of time /fluctuations in severity/stressors involved.
What alleviates symptoms, triggering factors-why now? Any interventions (therapy/medications
tried).
*Include Psychiatric Review of Systems: *
Mood/anxiety/psychosis/other
*Mood- depressive symptoms*- sadness/tearfulness/difficulty concentrating sleep/appetite.
,USE SIGECAPS
S- Sleep
I-Interest
G-Guilt
E-Energy
C-Concentration
A-Appetite
P- psychomotor agitation/slowing
S- Suicidality
*Mood-Mania* impulsivity/reckless behavior/grandiosity/decreased need for sleep/excessive
spending/hyper-sexuality, talkativeness/racing thoughts /excessive energy
*Mood-mixed: *irritability/liability
*ANXIETY *
*Generalized anxiety sx *
( where when who/how long/how frequent
*Panic D/O-*
somatic sx, agoraphobic, SOB, trouble swallowing/sense of doom
*OCD symptoms:*
checking/rituals/organizing rational vs irrational beliefs
*PTSD:*
,nightmares, startle response/flashbacks/avoidance
*Social Anxiety Symptoms/Simple phobias*
*Psychosis*
*Hallucinations*
- Auditory/visual olfactory/tactile
*Paranoia*
*Delusions*
- TV,radio, thought broadcasting/referential thinking/
*Patient perceptions:*
spiritual beleifs/reality testing
*Other:* ADHD -hyperactivity Eating D/O.
*5)Past Psychiatric History:*
All psych illnesses/course/ past treatments hospitalizations. Medications used how long a trial -
Side effects problems with treatment. Past Suicide attempt
\Q\.Identifying data - ANSWERS✔-patient's name, age, sex, marital status/ significant other,
race, ethnicity, occupation
, \Q\.source and reliability - ANSWERS✔-clarify where the information came from and how
reliable the data are
\Q\.chief complaint - ANSWERS✔-Patient's presenting condition in their own words
\Q\.The history of present illness definition - ANSWERS✔-the chronological description of the
evolution of the symptoms of the current episode
\Q\.History of present illness: What to include - ANSWERS✔-*Chronological description of the
evolution of the symptoms of the current episode.
*Any changes that have occurred:* interests, relationships, behaviors, personal habits, physical
health.
*Ask open ended questions to get the info ("Can you tell me what brings you here today?")
*Length of time that the current sx have been present
*Fluctuations of sx in severity or nature of sx over time?
*Presence of absence of stressors
*Factors that alleviate or exacerbate sx
*Has the person already sought treatment? (if so, who patient saw, what was done, how often,
modality, continuing treatment?)
AND PSYCHIATRIC ASSESSMENT
COMPLETE EXAM QUESTIONS WITH
OUTLINED ANSWERS
\Q\.Elements of the psychiatric interview-2 - ANSWERS✔-patient history (subjective info) and
mental status exam (objective info)
\Q\.Sadock -Complete psychiatric assessment - ANSWERS✔-1) *Identifying data*: pt
name.sex/,arital status/race/ethnicity/occupation.
*2) Source and reliability:* Where information is coming from (patient/chart/family) how
reliable information is- use own judgment
*3) Chief Complaint*: Pts own statement of why they are here>
*4)HPI History of present illness:* chronological description of current episode include changes
in habits/interests/physical health/relationships.
Length of time /fluctuations in severity/stressors involved.
What alleviates symptoms, triggering factors-why now? Any interventions (therapy/medications
tried).
*Include Psychiatric Review of Systems: *
Mood/anxiety/psychosis/other
*Mood- depressive symptoms*- sadness/tearfulness/difficulty concentrating sleep/appetite.
,USE SIGECAPS
S- Sleep
I-Interest
G-Guilt
E-Energy
C-Concentration
A-Appetite
P- psychomotor agitation/slowing
S- Suicidality
*Mood-Mania* impulsivity/reckless behavior/grandiosity/decreased need for sleep/excessive
spending/hyper-sexuality, talkativeness/racing thoughts /excessive energy
*Mood-mixed: *irritability/liability
*ANXIETY *
*Generalized anxiety sx *
( where when who/how long/how frequent
*Panic D/O-*
somatic sx, agoraphobic, SOB, trouble swallowing/sense of doom
*OCD symptoms:*
checking/rituals/organizing rational vs irrational beliefs
*PTSD:*
,nightmares, startle response/flashbacks/avoidance
*Social Anxiety Symptoms/Simple phobias*
*Psychosis*
*Hallucinations*
- Auditory/visual olfactory/tactile
*Paranoia*
*Delusions*
- TV,radio, thought broadcasting/referential thinking/
*Patient perceptions:*
spiritual beleifs/reality testing
*Other:* ADHD -hyperactivity Eating D/O.
*5)Past Psychiatric History:*
All psych illnesses/course/ past treatments hospitalizations. Medications used how long a trial -
Side effects problems with treatment. Past Suicide attempt
\Q\.Identifying data - ANSWERS✔-patient's name, age, sex, marital status/ significant other,
race, ethnicity, occupation
, \Q\.source and reliability - ANSWERS✔-clarify where the information came from and how
reliable the data are
\Q\.chief complaint - ANSWERS✔-Patient's presenting condition in their own words
\Q\.The history of present illness definition - ANSWERS✔-the chronological description of the
evolution of the symptoms of the current episode
\Q\.History of present illness: What to include - ANSWERS✔-*Chronological description of the
evolution of the symptoms of the current episode.
*Any changes that have occurred:* interests, relationships, behaviors, personal habits, physical
health.
*Ask open ended questions to get the info ("Can you tell me what brings you here today?")
*Length of time that the current sx have been present
*Fluctuations of sx in severity or nature of sx over time?
*Presence of absence of stressors
*Factors that alleviate or exacerbate sx
*Has the person already sought treatment? (if so, who patient saw, what was done, how often,
modality, continuing treatment?)
