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CMN548 Unit 1: Psychiatric History And
Psychiatric Assessment | Actual Questions &
Verified Answers
Elements of the psychiatric interview-2-correct-answer-patient history (subjective
info) and mental status exam (objective info)
Sadock -Complete psychiatric assessment-correct-answer-1) *Identifying data*: pt
name.sex/,arital status/race/ethnicity/occupation.
*2) Source and reliability:* Where information is coming from
(patient/chart/family) how reliable information is- use own judgment
*3) Chief Complaint*: Pts own statement of why they are here>
*4)HPI History of present illness:* chronological description of current episode
include changes in habits/interests/physical health/relationships.
Length of time /fluctuations in severity/stressors involved.
What alleviates symptoms, triggering factors-why now? Any interventions
(therapy/medications tried).
*Include Psychiatric Review of Systems: *
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Mood/anxiety/psychosis/other
*Mood- depressive symptoms*- sadness/tearfulness/difficulty concentrating
sleep/appetite.
USE SIGECAPS
S- Sleep
I-Interest
G-Guilt
E-Energy
C-Concentration
A-Appetite
P- psychomotor agitation/slowing
S- Suicidality
*Mood-Mania* impulsivity/reckless behavior/grandiosity/decreased need for
sleep/excessive spending/hyper-sexuality, talkativeness/racing thoughts
/excessive energy
*Mood-mixed: *irritability/liability
*ANXIETY *
*Generalized anxiety sx *
( where when who/how long/how frequent
*Panic D/O-*
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somatic sx, agoraphobic, SOB, trouble swallowing/sense of doom
*OCD symptoms:*
checking/rituals/organizing rational vs irrational beliefs
*PTSD:*
nightmares, startle response/flashbacks/avoidance
*Social Anxiety Symptoms/Simple phobias*
*Psychosis*
*Hallucinations*
- Auditory/visual olfactory/tactile
*Paranoia*
*Delusions*
- TV,radio, thought broadcasting/referential thinking/
*Patient perceptions:*
spiritual beleifs/reality testing
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*Other:* ADHD -hyperactivity Eating D/O.
*5)Past Psychiatric History:*
All psych illnesses/course/ past treatments hospitalizations. Medications used
how long a trial - Side effects problems with treatment. Past Suicide attempt
Identifying data-correct-answer-patient's name, age, sex, marital status/
significant other, race, ethnicity, occupation
source and reliability-correct-answer-clarify where the information came from
and how reliable the data are
chief complaint-correct-answer-Patient's presenting condition in their own words
The history of present illness definition-correct-answer-the chronological
description of the evolution of the symptoms of the current episode
History of present illness: What to include-correct-answer-*Chronological
description of the evolution of the symptoms of the current episode.
CMN548 Unit 1: Psychiatric History And
Psychiatric Assessment | Actual Questions &
Verified Answers
Elements of the psychiatric interview-2-correct-answer-patient history (subjective
info) and mental status exam (objective info)
Sadock -Complete psychiatric assessment-correct-answer-1) *Identifying data*: pt
name.sex/,arital status/race/ethnicity/occupation.
*2) Source and reliability:* Where information is coming from
(patient/chart/family) how reliable information is- use own judgment
*3) Chief Complaint*: Pts own statement of why they are here>
*4)HPI History of present illness:* chronological description of current episode
include changes in habits/interests/physical health/relationships.
Length of time /fluctuations in severity/stressors involved.
What alleviates symptoms, triggering factors-why now? Any interventions
(therapy/medications tried).
*Include Psychiatric Review of Systems: *
,2|Page
Mood/anxiety/psychosis/other
*Mood- depressive symptoms*- sadness/tearfulness/difficulty concentrating
sleep/appetite.
USE SIGECAPS
S- Sleep
I-Interest
G-Guilt
E-Energy
C-Concentration
A-Appetite
P- psychomotor agitation/slowing
S- Suicidality
*Mood-Mania* impulsivity/reckless behavior/grandiosity/decreased need for
sleep/excessive spending/hyper-sexuality, talkativeness/racing thoughts
/excessive energy
*Mood-mixed: *irritability/liability
*ANXIETY *
*Generalized anxiety sx *
( where when who/how long/how frequent
*Panic D/O-*
,3|Page
somatic sx, agoraphobic, SOB, trouble swallowing/sense of doom
*OCD symptoms:*
checking/rituals/organizing rational vs irrational beliefs
*PTSD:*
nightmares, startle response/flashbacks/avoidance
*Social Anxiety Symptoms/Simple phobias*
*Psychosis*
*Hallucinations*
- Auditory/visual olfactory/tactile
*Paranoia*
*Delusions*
- TV,radio, thought broadcasting/referential thinking/
*Patient perceptions:*
spiritual beleifs/reality testing
, 4|Page
*Other:* ADHD -hyperactivity Eating D/O.
*5)Past Psychiatric History:*
All psych illnesses/course/ past treatments hospitalizations. Medications used
how long a trial - Side effects problems with treatment. Past Suicide attempt
Identifying data-correct-answer-patient's name, age, sex, marital status/
significant other, race, ethnicity, occupation
source and reliability-correct-answer-clarify where the information came from
and how reliable the data are
chief complaint-correct-answer-Patient's presenting condition in their own words
The history of present illness definition-correct-answer-the chronological
description of the evolution of the symptoms of the current episode
History of present illness: What to include-correct-answer-*Chronological
description of the evolution of the symptoms of the current episode.
