CMN 548 Official Study
Guide – Practice Test &
Review
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CMN 548 Official Study Guide test
UNIT 2 STUGY GUIDE CARLAT READINGS
Required Readings for this Unit:
Chapters 1-13, 19-20
Chapter 1-13:
1. What are the four tasks of the diagnostic interview? P. 4
• Build a therapeutic alliance
• Obtain a psychiatric database
• Interview for diagnoses
• Negotiate a tmt plan and communicate it to your pt
1 Complete the table below to create an overview of the phases of the diagnostic
interview: p. 6
Phase Time Allotted Major Tasks
Opening Phase 5-10 min Meet pt
Learn about them
Let them talk about self
Body 30-40 min - Come up with initial diagnostic hypothesis Ch 20
- Map out interview strategy
Hx of present illness Ch14
- Hx of depression, SI, subst abuse Ch 23,23,26
- Family hx
- Asmt that pt meets DSM criteria Ch 20, 21, 24
- Social/development hx Ch 18
- Medical hx Ch 16
- Psychiatric ROS section III
Closing Tasks 5-10 min - Discussion of assessment
- Come up with negotiated agreement
1 Complete the table below which identifies strategies related to preparation for the
diagnostic interview: p. 9-11
Strategy Rationale (how does facilitate the interview process)
Arrive earlier than the patient Prep allows for reduced stress, sets up mellower interview
1
CMN 548 Official Study Guide test
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Prevent interruptions ▪ Ask the clinic secretary to take messages for you.
▪ Ask the page operator to hold all but urgent pages.
2
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▪ Put your pager on vibrate mode and only answer urgent
pages.
▪ Sign your pages out to a colleague
Don’t overbook patients Allows for time to evaluate and write up/dictate notes
Leave time for notes Schedule enough time for charting-know how much you need
1 From the information on using paper tools effectively, complete the following
table:
Tool Purpose Advantages Disadvantages
Long Form Takes notes on it during Ensures thorough Pts may feel alienated when
P11 interview process data evaluation, notes being completed in front
saves time of them
Short Form Used for rough notes Presents less of Less thorough evaluation
P11 barrier between
clinician and pt
Pocket Card Reminds clinicians what Allows for max Information not clearly spelled
topics to cover interaction btween out, requires more memory
clinician and pt from clinician
Patient Given to pt before first Allows more time to Some pts may view
Questionnaire appt focus on issues questionnaire as a burden
during appt
Patient Pts like receiving, a tool Increases pts sense May provide too much info,
Handouts that often helps to of actively pts may be overwhelmed with
increase pt compliance participation in tmt all the info provided.
1 What are the “rules” regarding the patients contacting the provider?
• Never give out personal phone number
• If you give out phone specify times when you’re available to be called
• If you have voice mail, have pts call there instead of personal phone
• When on vacation, sign pts out to a clinician.
1 How should the provider handle missed appointments?
Inform you at least 24 hrs in advance of any missed appointments or there will be
a charge.
Repeated missed sessions- figure out why pt is missing continued appts. Is it for
legitimate reasons, or is pt acting out feelings of anxiety or hostility.
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CMN 548 Official Study Guide test