(2026) | Latest Exam Practice Questions |
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• To begin the process of assessment you would establish: -
✓✓Therapeutic relationship/ working diagnosis/need for further
evaluation and testing/initial plan of care.
• Prior to the interview review: -✓✓referral information/ patient
questionnaires/ health assessments
• You would set the stage and make the client comfortable by: -
✓✓introducing yourself ( consider cultural norms)/ ensure that you
won't be interrupted/ consider clinician safety, with exit strategies if
patient should escalate.
• Chief complaint: -✓✓Document the problem in the patient's words/
are symptoms: affective/ cognitive/ physical
seek permission to consult with family member
• History of presenting problems: -✓✓duration of problem (s)
What other things were going on in their life when they started to have
problems.
• Precipitating factors: -✓✓1. exacerbating factors
, 2. triggers
3. connecting events
4. causality
• Social History: -✓✓1. changes in role or social function
2. history of abuse and victimization
• Social and developmental history: -✓✓1. identify who played roles in
person's life.
2. Who are presently involved.
3. Social support
• Family genogram: -✓✓biological: eval autosomal dominant genetic
inheritance which is rare: present in more than one generation
~autosomal recessive- expressed in one generation
process: examine family patterns of communication and relating.
• Social history continued: -✓✓1. friendships/ relationships with service
providers
2. religious groups and/or clergy
3. history re: intimate relationships
4. status of interpersonal relationships
5. are important people in client's life- loving vs angry
6. involvement of family or other's in client's care