CMN548 UNIT 1: PSYCHIATRIC HISTORY
AND PSYCHIATRIC ASSESSMENT (Latest
Update ) 124 Questions &
Answers {Grade A} 100% Correct
Why is a tobacco use assessment important? - correct answer Persons abusing
substances are more likely to die as a result of tobacco use than their drug use
CAGE assessment - correct answer For alcohol abuse
*Have you ever cut down on your drinking?
*have people annoyed you by criticizing your drinking?
*guilt about drinking?
*eye-opener (need drink in AM)
RAPS4 - correct answer for alcohol abuse-Rapid Alcohol Screen 4
Remorse- have you every felt guilty after drinking?
Amnesia- couldn't remember what you did/said?
Perform- failed to do what was expected
Starter- need a morning drink?
,Past medical history- definition - correct answer * medical history, major
illnesses/conditions, treatments, surgeries
*patient's reaction to illness and coping skills used
How is past medical history important? - correct answer Important consideration
when determining potential causes of mental illness, comorbid or confounding factors
that may dictate or limit treatment options.
*Medical illnesses can precipitated psychiatric disorder (cancer) or influence
treatment (renal disorder may limit use of lithium)
*medical illness can mimic psychiatric disorder: thyroid
*psychiatric illness/treatment may cause medical illness (metabolic syndrome)
*neurological issues: seizures, head injury, pain disorder
Assessing pregnancy history of women - correct answer *history of prenatal
problems, birthing issues, developmental milestones
*reproductive and menstrual history
*pregnancy assessment (ask "how do you know you are not pregnant?)
,Past medical history: review of current medications - correct answer *include all
psych meds (how long used, compliance, effect, side effects)
*Ask about compliance or side effects in very specific terms.
*review non psych meds, OTC, herbals, sleep aids, etc.
*checking for interactions that may dictate treatment options.
Importance of getting a family history - correct answer *many psychiatric illnesses are
familial with genetic disposition
*helps to learn patient's risk factors for specific illnesses
* helps to know psychosocial background
*may be a familial response to meds
*suicides in family is a risk factor
*medical family history may be a risk factor in the psych patient (diabetes, etc)
, *family traditions, beliefs, roles may be a factor in patient's treatment response and
illness
*identification of stressors or family support
What to cover when getting a family history? - correct answer psychiatric diagnosis,
medications, hospitalizations, substance use, lethality, suicides or attempts.
Importance of the developmental and social history - correct answer *Reviews the
stages of the patient's life
*important to determine the context of the psychiatric symptoms and evolution of the
disorder.
*may uncover some factors in the evolution of the disorder
*uncovers psychosocial stressors
Developmental and social history: childhood history - correct answer *review info on
prenatal or birthing history and developmental milestones if available
AND PSYCHIATRIC ASSESSMENT (Latest
Update ) 124 Questions &
Answers {Grade A} 100% Correct
Why is a tobacco use assessment important? - correct answer Persons abusing
substances are more likely to die as a result of tobacco use than their drug use
CAGE assessment - correct answer For alcohol abuse
*Have you ever cut down on your drinking?
*have people annoyed you by criticizing your drinking?
*guilt about drinking?
*eye-opener (need drink in AM)
RAPS4 - correct answer for alcohol abuse-Rapid Alcohol Screen 4
Remorse- have you every felt guilty after drinking?
Amnesia- couldn't remember what you did/said?
Perform- failed to do what was expected
Starter- need a morning drink?
,Past medical history- definition - correct answer * medical history, major
illnesses/conditions, treatments, surgeries
*patient's reaction to illness and coping skills used
How is past medical history important? - correct answer Important consideration
when determining potential causes of mental illness, comorbid or confounding factors
that may dictate or limit treatment options.
*Medical illnesses can precipitated psychiatric disorder (cancer) or influence
treatment (renal disorder may limit use of lithium)
*medical illness can mimic psychiatric disorder: thyroid
*psychiatric illness/treatment may cause medical illness (metabolic syndrome)
*neurological issues: seizures, head injury, pain disorder
Assessing pregnancy history of women - correct answer *history of prenatal
problems, birthing issues, developmental milestones
*reproductive and menstrual history
*pregnancy assessment (ask "how do you know you are not pregnant?)
,Past medical history: review of current medications - correct answer *include all
psych meds (how long used, compliance, effect, side effects)
*Ask about compliance or side effects in very specific terms.
*review non psych meds, OTC, herbals, sleep aids, etc.
*checking for interactions that may dictate treatment options.
Importance of getting a family history - correct answer *many psychiatric illnesses are
familial with genetic disposition
*helps to learn patient's risk factors for specific illnesses
* helps to know psychosocial background
*may be a familial response to meds
*suicides in family is a risk factor
*medical family history may be a risk factor in the psych patient (diabetes, etc)
, *family traditions, beliefs, roles may be a factor in patient's treatment response and
illness
*identification of stressors or family support
What to cover when getting a family history? - correct answer psychiatric diagnosis,
medications, hospitalizations, substance use, lethality, suicides or attempts.
Importance of the developmental and social history - correct answer *Reviews the
stages of the patient's life
*important to determine the context of the psychiatric symptoms and evolution of the
disorder.
*may uncover some factors in the evolution of the disorder
*uncovers psychosocial stressors
Developmental and social history: childhood history - correct answer *review info on
prenatal or birthing history and developmental milestones if available
