©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Sadock, Sadock & Ruiz: Ch. 5.1- psychiatric interview, history,
mental status exam Questions and Answers
what is the most important element in the evaluation and care of patients with mental illness? -
Ans:✔✔-the psychiatric interview
general principles of the psychiatric interview - Ans:✔✔-*patient-doctor relationship
*open-ended interviewing
*confidentiality
The purpose the of the psychiatric interview - Ans:✔✔-obtain info that will establish a criteria based
diagnosis
How is the psychiatric interview helpful in the treatment of the patient? - Ans:✔✔-*helps predict the
course of illness, prognosis, and leads to treatment decisions
*gives multidimensional understanding of the biopsychosocial elements of the disorder and provides
info to develop a patient centered treatment plan
* the interview is an essential part of the treatment itself; shapes the provider-patient relationship, can
have profound influence on the outcome of the treatment
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What to do to start the process? - Ans:✔✔-*provider introduce self
*identify the purpose of speaking with the patient
*get consent to proceed with the interview
*explain the nature of the interaction and approx. time
*ask patient to identify elements of the process they wish to add or alter
*indicate the session will be private except what is needed to share with the treatment team
*identify who will get the information
crucial issue to identify in the agreement to the process - Ans:✔✔-Identify if the patient is voluntary or
involuntary
*do this before the interview begins
*will help guide the interviewer in the process
Maintaining privacy and confidentiality in the interview - Ans:✔✔-*follow HIPAA
*give the paperwork to the patient
what is an essential component to the patient-doctor relationship - Ans:✔✔-*maintaining confidentiality
*we aware of the privacy of the setting, may need to find a private room
Page 2/19
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what if there is no private room to do the interview? - Ans:✔✔-The interviewer may need to avoid
certain topics or indicate that these topics can be discussed later in private.
if family wants to talk to the psychiatrist? - Ans:✔✔-meet with the family and patient together at the
conclusion of the session after the patient has given consent.
*psychiatrist should not bring up info the patient shared
*ok to discuss topics the patient brings up in the family meeting
*if family member contacts the provider the patient should be told
does the patient need to give consent to allow the provider to talk to others? - Ans:✔✔-patient must
give consent unless the provider things the patient is a danger to himself or others
Considerations if the session is recorded or a one-way mirror is used - Ans:✔✔-*patient must be
informed of the recording, length of time the recording will be kept, and told how it will be used and
how access to it will be restricted
*patient must be told of use of the mirror and the categories of who is observing
success of the interview often depends on .. - Ans:✔✔-the provider's ability to allay excessive anxiety
*be respectful, considerate,
*be aware of stigma
Page 3/19
FIRST PUBLISH OCTOBER 2024
Sadock, Sadock & Ruiz: Ch. 5.1- psychiatric interview, history,
mental status exam Questions and Answers
what is the most important element in the evaluation and care of patients with mental illness? -
Ans:✔✔-the psychiatric interview
general principles of the psychiatric interview - Ans:✔✔-*patient-doctor relationship
*open-ended interviewing
*confidentiality
The purpose the of the psychiatric interview - Ans:✔✔-obtain info that will establish a criteria based
diagnosis
How is the psychiatric interview helpful in the treatment of the patient? - Ans:✔✔-*helps predict the
course of illness, prognosis, and leads to treatment decisions
*gives multidimensional understanding of the biopsychosocial elements of the disorder and provides
info to develop a patient centered treatment plan
* the interview is an essential part of the treatment itself; shapes the provider-patient relationship, can
have profound influence on the outcome of the treatment
Page 1/19
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What to do to start the process? - Ans:✔✔-*provider introduce self
*identify the purpose of speaking with the patient
*get consent to proceed with the interview
*explain the nature of the interaction and approx. time
*ask patient to identify elements of the process they wish to add or alter
*indicate the session will be private except what is needed to share with the treatment team
*identify who will get the information
crucial issue to identify in the agreement to the process - Ans:✔✔-Identify if the patient is voluntary or
involuntary
*do this before the interview begins
*will help guide the interviewer in the process
Maintaining privacy and confidentiality in the interview - Ans:✔✔-*follow HIPAA
*give the paperwork to the patient
what is an essential component to the patient-doctor relationship - Ans:✔✔-*maintaining confidentiality
*we aware of the privacy of the setting, may need to find a private room
Page 2/19
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what if there is no private room to do the interview? - Ans:✔✔-The interviewer may need to avoid
certain topics or indicate that these topics can be discussed later in private.
if family wants to talk to the psychiatrist? - Ans:✔✔-meet with the family and patient together at the
conclusion of the session after the patient has given consent.
*psychiatrist should not bring up info the patient shared
*ok to discuss topics the patient brings up in the family meeting
*if family member contacts the provider the patient should be told
does the patient need to give consent to allow the provider to talk to others? - Ans:✔✔-patient must
give consent unless the provider things the patient is a danger to himself or others
Considerations if the session is recorded or a one-way mirror is used - Ans:✔✔-*patient must be
informed of the recording, length of time the recording will be kept, and told how it will be used and
how access to it will be restricted
*patient must be told of use of the mirror and the categories of who is observing
success of the interview often depends on .. - Ans:✔✔-the provider's ability to allay excessive anxiety
*be respectful, considerate,
*be aware of stigma
Page 3/19
