SHEET CORE CONCEPT BREAKDOWN
◉ PMHNP scope of Practice.
Answer:
◉ Psychiatric H& P components.
Answer: Onset
duration
characteristics
associated aggravating factors
relieving factors
treatment and summary.
◉ Psychiatric Assessment.
Answer: establish therapeutic relationship of acceptance empathy
professionalism respect gather data review the purpose consider
safety issues communication skills screening tools developmental
assessment differential diagnosis assess precipitating events
stressors biological social psychological develop a treatment plan
that safe based on evidence and culture competent must instill hope
to decrease anxiety provide education and follow up labs and
,referrals to neuropsych testing therapy education psychotropic
meds reassurance follow up plan.
◉ objective MSE scales in which examiner rates patient.
Answer: cooperative conversate without acute distress orientation
dress for agencies than cycle motor activity iContact euthymic affect
fall even congruent with reported mood of speech is spontaneous
normal rate appropriate volume and tone with no problems
expressing self thought content is normal elicited content denies
suicide denies homicidal process appears linear coherent goal
directed cognition appears grossly intact with appropriate attention
span and concentration and average fund of knowledge judgment
appears fair insight appears fair the patient is able to articulate
needs is motivated for compliance adherence to medication regime
is willing and able to participate with treatment disposition and
discharge planning.
◉ Psychiatric Interview.
Answer: the most important element in the evaluation and care of
persons with mental illness
◉ Psychiatric H&P.
Answer:
◉ psychiatric goals.
,Answer:
◉ psychiatric treatment.
Answer:
◉ PMHNP mental health Anxiety assessment tools.
Answer: GAD-7:
5-9 mild,
10-14 mod,
15-21 severe
HAM- A:
14-17 mild,
18-24 mod,
25-30 severe
◉ PMHNP depression rating tool.
Answer: HAM-D:
0-7 norm,
8-13 mild,
14-18 mod,
19-22 sv,
, 23 severly severe
PQH-9:
1-4 min,
5-9 mild,
10-14 mod,
15-19 sev mod, >20 sv
Beck Depression Inventory (BDI)
0-13 min depression
14-19 mild depression
20-28 mod depression
29-63 severe depression
◉ Bipolar Spectrum Diagnostic Scale (BSDS).
Answer: BSDS
0-6 high unlike
7-12 low risk
13-19 mod
20-25 high likely
◉ social determinants of health.