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CMN 548 Module 1 study guide Questions with Answers
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CMN 548 Module 1 study guide Questions with Answers
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CMN 548 Module 1 study guide Questions with Answers1.GUIDE SADOCK Chapter 7.1 - 7.2, 7.6: Complete the following table
which outlines the elements of the initial psychiatric
interview:
2.Identifying data Topic: Name, age, sex, marital status, religion,
education, ad- dress, phone number, occupation, source of referral
3.Identifying data Questions: Be direct in obtaining identifying data.
Request specific answers.
4.Identifying data Comments and helpful hints: If patient cannot
cooperate, get information from family member or friend; if referred by
a physician, obtain medical record.
5.Chief complaint (CC) topic: Brief statement in patient's own words of
why patient is in the hospital or is being seen in consultation
6.Chief complaint (CC) questions: Why are you going to see a
psychiatrist? What brought you to the hospital? What seems to be the
problem?
7.Chief complaint (CC) comments and helpful hints: Record answers
verbatim; a bizarré complaint points to psychotic process.
8.History of present illness (HPI):: Development of symptoms from time
of onset to present; relation of life events, conflicts, stressors: drugs;
change from previous level of functioning
9.History of present illness (HPI): questions: When did you first notice
something happening to you? Were you upset about anything when
symptoms began? Did they begin suddenly or gradually?
10.History of present illness (HPI): comments and helpful hints: Record in
patient's own words as much as possible. Get history of previous
hospitalizations and treatment. Sudden onset of symptoms may
indicate drug-induced disorder.
11.Previous psychiatric and medical disorders:: Psychiatric disorders;
psycho- somatic; medical, neurologic illnesses (e.g., craniocerebral
trauma, convulsions).
12.Previous psychiatric and medical disorders: QUESTIONS: Did you ever
lose consciousness? Have a seizure?
13.Previous psychiatric and medical disorders: comments and helpful hints-
: Ascertain extent of illness, treatment, medications, outcomes, hospitals
doctors. Determine whether illness serves some additional purpose
(secondary gain).
14.substance use/abuse: Substance use disorders can mimic or induce
psychi- atric syndromes, elevate risk of suicide and violence, and have
,important impact on safe medication prescribing.
Various tools can be used to aid in gathering the substance use history.
Examples include the commonly used CAGE questionnaire which has
been modified to include other drugs (and now called CAGE-AID)
,15.Past medical history: The interviewer is interested in obtaining an
accounting of major medical disorders both to develop a complete
history and to identify illness that could mimic a psychiatric disorder,
contribute to the context of the presentation or factor into treatment
planning.
16.Family History (FH): topic: Psychiatric, medical, and genetic illness in
mother, father, siblings; age of parents and occupations; if deceased,
date and cause; feelings about each family member, finances .
Because many psychiatric illnesses have a genetic predisposition, if
not cause, a careful review of family history is important to the
assessment and can aid in diagnosis and establishing expected
prognosis .
17.Family History (FH): question: Have any members in your family
been de- pressed? Alcoholic? In a mental hospital? In jail? Describe
your living conditions. Did you have your own room?
18.Family History (FH): comments and helpful hints: Genetic loading in
anxiety, depression, schizophrenia. Get medication history of family
(medications effective in family members for similar disorders may be
effective in patient).
19.developmental and social history: The developmental and social
history re- views the stages of the patient's life from gestation to the
present with an eye toward understanding the important exposures,
relationships, and events that shaped the person's life story.
It is often helpful to review the social history chronologically; doing so
provides a natural flow to the questions and ensures a complete
history.
20.Review of systems: As in a general medical interview, the review of
systems is intended to capture any current physical signs and
symptoms not already identified in the HPI or past medical history
(including Table 7.1-2 and is organized by asking sentinel questions
about the major systems of the body).
21.review of systems: sleep: Sleep phase problems (initial, middle,
terminal in- somnia), total sleep time, abnormal sleep events
22.review of systems: mood depression: Depression: persistent sadness,
re- duced interest or pleasure in usual activities, tearfulness, reduced or
excessive sleep, reduced or increased appetite, weight loss or gain, low
energy, reduced con- centration, low libido, excessive or inappropriate
, guilt, psychomotor change (slowing or agitation), negative self-
appraisal, helpless and hopeless thinking thoughts of death or suicide. A
common mnemonic used to remember the symptoms of major
depression is SIGECAPS (Sleep, Interest, Guilt, Energy, Concentration,
Appetite, Psychomotor agitation or slowing, Suicidality).
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