NUR 806 Week 2 - psych interview Questions and answers verified

NUR 806 Week 2 - psych interview Questions and answers verified Purpose - Psychiatric interview serves the purpose of establishing trust o Have an opportunity to pull together data while keeping a larger goal in mind o Allows us to have dx plan at end of interview ▪ Might not be the complete overall plan but the way pts treatment is going to start - Method to gather information to synthesize plan of treatment - Obtain psychiatric data to formulate diagnosis - Build alliance/trust - The patient has the opportunity to let us know what their major concern is and what txt they are hoping for Effective interview - Ask open-ended questions o Give the opportunity to give us as much info as possible o Not going to find out additional data with closed-ended questions - General lead (go on.) o Continuation technique o Tell me more o Really? Go on.. o Works esp. with kids - Neutral conversation o Talking about something non-psychiatric or reason they are seeing you o Ex. Walking pt from waiting room start asking about the weather, weekend, what they did yesterday, etc.. ▪ Helps gather info - The second interview as needed; recognize if the patient needs to stop o We’re not going to be able to finish now so let’s stop and make an appt for an additional interview Therapeutic alliance - Be yourself - Warm, courteous, non-judgmental o Respectful of who pt is and who they want to portray whether or not you agree - SOLER o Sitting position o How you’re looking at them o What you’re doing to listen - Defuse the uncomfortable silence o Comfy topics, something they don’t want to talk about - Project competence o Pt will second guess if they think you don’t know what you’re doing - Eye contact o Difficult with kids – usually the older the kids the more eye contact you’ll get o Be mindful, don’t stare ▪ Kids w/ poor self-esteem or abuse hx may have difficult time if you are looking at them too much - Genuine and empathetic o Sometimes crisis for child is something an adult might sound somewhat ridiculous but to the child it’s a large catastrophe o Be empathetic about what their needs and questions are Discussing difficult topics - Use normalizing questions to decrease embarrassment - Symptom expectation and reduction of guilt to defuse admission of sensitive disclosures (I would believe you) o Ex - Expectation for anger is that pt will not punch holes in walls while they are at home o Need to be careful to not prejudge and make them feel guilty of things they might want to disclose ▪ Ex - Getting expelled, sexually assaulting someone, physically beating up teacher - Symptom exaggeration to determine actual frequency of sensitive or shameful behavior o Ex. Parent reports children kick holes in walls ▪ Say things such as “oh my goodness you kick holes in walls every single day?! ▪ Will illicit more info like “no only once or twice a week” without you sounding punitive - Familiar language – i.e. “get high” o How often do you get high? o Suicide language in teenagers may be different as well Specific techniques - Patient overtalkative o Can use some closed-ended questions to elicit specific information, esp when needing illicit info o Gentle interruption o Educate about the need to continue with convo o Parents can overtake convo and answer for children ▪ Depending on age you can ask w/ parent consent to talk to pt alone ▪ Once pt feels you are trustworthy/confident they will fe