When there is insufficient information to meet the diagnostic criteria, but there
is a strong presumption that it will become available
The modifier "provisional" can be used
what does a patient-centered interview focus on
Understanding the patient and enabling the patient to tell his or her story
what are the essential questions to be answered within the HPI
What (symptoms)
How much (severity)
How long (duration)
Associated factors
Why the pt is seeking help (Triggering factors/Timing)
what is the medical review of systems for
Captures any current physical or psychological signs not already identified in
the history of present illness (HPI)
What provides the PMHNP with a snapshot of the patient’s mental status at the
time of the interview?
Mental status exam
Flat affect
Demonstrating NO EMOTION. Maintain an impassive expression even when
receiving extreme news,
Blunted affect
Displays a narrow INTENSITY of emotion. May appear remarkably stoic in the
face of very funny jokes, or maintain a stony facade when receiving crushing
news, revealing only the slightest hint of emotional perturbation.
, Constricted affect
Displays a narrow RANGE of emotion. Could hear both good and bad news and
react with minimal emotional expression.
where would you find obsession in the mental status exam
thinking and perception.
content of thinking
The elements of cognitive functioning that should be assessed include:
ALERTNESS
ORIENTATION
CONCENTRATION
MEMORY (SHORT/LONG)
CALCULATIONS
FUND OF KNOWLEDGE
ABSTRACT REASONING
INSIGHT
JUDGEMENT
When asking a patient to interpret proverbs is assessing?
abstract reasoning
AIMS
abnormal involuntary movement scale
validity
the extent to which a test measures or predicts what it is supposed to
reliability
consistency of measurement
interrater reliability
consistent scores are obtained no matter who measures or observes
internal consistency
when the facts presented within a single source do not clash with each other
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