PMHNP ASSESSMENT GRADED A+
INITIAL STAGE: "CHIEF COMPLAINT"
-History Of Presenting Problems
-Social History
-Developmental History
-Family history
-Personal Evaluation
-Genetics
-Culture , religion, spirituality
-Past Psychiatric History
-Medical History (
-Sleep
-Substance use assessment - ✔✔SYMPTOM OF PRESENTING PROBLEM-the patients words
-Affective
-Cognitive
-Physical
i.e "I am depressed"
History of presenting problems - ✔✔C- Characteristics of Symptoms
O-Onset
L-Lingering (how long has the symptoms been going on?; days, weeks, months)
D-Duration(How long do symptoms last)
S-Stressors
P-Precipitating factors/triggers
A-Alleviating factors
, Social History - ✔✔Roles, Relationships, Education, Occupation/financial status, Living arrangement,
Psychological trauma, Legal issues
Developmental History - ✔✔Born full term, Met developmental milestones, Learning
disabilities/special education, difficulties with teachers/authority figure.
Autosmal Dominant - ✔✔Abnormal gene from one parent produces disease.
-Will be present in more than one generation
-50% will pass trait
example of autosomal dominant - ✔✔Huntington's disease, Neurofibromatosis type 1
autosomal recessive - ✔✔two copies of an abnormal gene must be present in order for the disease or
trait to develop. (parents could be carriers and not be affected by the disease)
Example of Austosomal Recessive - ✔✔Cystic Fibrosis, sicke cell, tay-sach disease
GENETICS-Gottesman, Laursen, Berelsen, Mortensen 2010 study - ✔✔Rates of schizophrenia highest
among offspring of two parents with schizophrenia, bipolar
Normal sleep cycle - ✔✔1. Stage 1 Non REM: individuals are somewhat aware of surroundings but
relaxed. Usually lasts a few minutes and occupies 4-5% of total sleep.
2. Stage 2 Non REM: Individuals become unaware of surroundings but can be easily awakened. It
occupies 50% of total sleep
INITIAL STAGE: "CHIEF COMPLAINT"
-History Of Presenting Problems
-Social History
-Developmental History
-Family history
-Personal Evaluation
-Genetics
-Culture , religion, spirituality
-Past Psychiatric History
-Medical History (
-Sleep
-Substance use assessment - ✔✔SYMPTOM OF PRESENTING PROBLEM-the patients words
-Affective
-Cognitive
-Physical
i.e "I am depressed"
History of presenting problems - ✔✔C- Characteristics of Symptoms
O-Onset
L-Lingering (how long has the symptoms been going on?; days, weeks, months)
D-Duration(How long do symptoms last)
S-Stressors
P-Precipitating factors/triggers
A-Alleviating factors
, Social History - ✔✔Roles, Relationships, Education, Occupation/financial status, Living arrangement,
Psychological trauma, Legal issues
Developmental History - ✔✔Born full term, Met developmental milestones, Learning
disabilities/special education, difficulties with teachers/authority figure.
Autosmal Dominant - ✔✔Abnormal gene from one parent produces disease.
-Will be present in more than one generation
-50% will pass trait
example of autosomal dominant - ✔✔Huntington's disease, Neurofibromatosis type 1
autosomal recessive - ✔✔two copies of an abnormal gene must be present in order for the disease or
trait to develop. (parents could be carriers and not be affected by the disease)
Example of Austosomal Recessive - ✔✔Cystic Fibrosis, sicke cell, tay-sach disease
GENETICS-Gottesman, Laursen, Berelsen, Mortensen 2010 study - ✔✔Rates of schizophrenia highest
among offspring of two parents with schizophrenia, bipolar
Normal sleep cycle - ✔✔1. Stage 1 Non REM: individuals are somewhat aware of surroundings but
relaxed. Usually lasts a few minutes and occupies 4-5% of total sleep.
2. Stage 2 Non REM: Individuals become unaware of surroundings but can be easily awakened. It
occupies 50% of total sleep
