NR 548 Week 4 Exam 2 Study Guide.

• Diabetes: Mood disturbances. • Chronic pain: Depression, anxiety, poor sleep. • Serious/terminal illnesses (e.g., cancer, autoimmune disorders): Anxiety, depression. Focused Ques琀椀ons for the Psychiatric Assessment: The Psychiatric History • Have you experienced similar symptoms before? When did they 昀椀rst occur? • How have your symptoms changed over 琀椀me? • What treatments have you tried, and how did you respond to them? • Have you had psychotherapy? What type and how o昀琀en? • Have you been hospitalized for psychiatric issues? When and why? • Have you had thoughts of self-harm or suicide? • How do you feel talking about your mental health history? Focused Ques琀椀ons for the Psychiatric Assessment: Psychiatric History: • Have you ever been hospitalized for any mental health issues? • Have you ever had counseling or psychotherapy? • Have you ever taken medica琀椀ons for your mental health in the past? • Are you currently on any medica琀椀ons for mental health or sleep? Family Psychiatric History: • Has any rela琀椀ve of yours ever been hospitalized for a mental health issue? • Has any blood rela琀椀ve of yours ever been diagnosed with a mental health issue? • Has any blood rela琀椀ve of yours had a history of seizures or demen琀椀a/Alzheimer's? Social and Developmental History: • Tell me a li琀琀le bit about your childhood and how you grew up. • How was your experience in school when you were younger? Did you enjoy school? • How do you support yourself with your 昀椀nances? • Do you have a good support system? Are you currently in a rela琀椀onship? Where do you live? Who do you live with? • What do you do in your free 琀椀me? What ac琀椀vi琀椀es do you enjoy? Medical History/Screening for General Medical Condi琀椀ons: 1. Psychiatric Interview Long Form Adapted from the one used by Anthony Erdmann, an a琀琀ending psychiatrist at MGH, who takes notes during pa琀椀ent interviews and places them directly into the chart. o Advantages: Ensures thorough data evalua琀椀on and saves 琀椀me, as the notes are immediately integrated into the chart. o Disadvantages: Pa琀椀ents may feel alienated if the clinician appears more focused on 昀椀lling out the form than engaging with them personally. 2. Psychiatric Interview Short Form Used for rough notes, par琀椀cularly when the evalua琀椀on will be dictated or wri琀琀en up later. o Advantages: Less of a barrier between clinician and pa琀椀ent, and it is easy to refer to while dicta琀椀ng. o Disadvantages: May lead to a less comprehensive evalua琀椀on, as it does not capture all relevant details. 3. Psychiatric Interview Pocket Card A reminder tool for all the topics to cover, with rough notes oken wri琀琀en on paper or not at all. o Advantages: Encourages maximum interac琀椀on between clinician and pa琀椀ent. o Disadvantages: Required informa琀椀on may not be fully detailed on the card, requiring more reliance on memory. 4. Pa琀椀ent Ques琀椀onnaire Helps to collect basic informa琀椀on quickly. o Advantages: Allows more 琀椀me to focus on immediate pa琀椀ent concerns during the 昀椀rst session, and can make the pa琀椀ent feel more involved in their care. o