Advanced Psych Assessment Midterm Questions And 100% Correct Answers

The most important goal of the interview process - Therapeutic alliance- a working relationship with the therapist and pt Fundamental component of successful therapy. Opening phase lasts how long - 5-10 minutes What phase establishes rappport and therapeutic alliance it is the most important component in the interview - Opening phase How long is the body of the interview - 30-40 minutes What brings you in today? - Opening phase What phase is HPI in? - Body of the interview. How long is the closing phase - 5-10 minutes. What are two components for the closing phase - Discussion of your assessment using pt education, an effort to come to negotiated agreement about tx or follow up Why are you so anxious - asking for explanation Why dont you and john get married - asking personal questions If I were you I would take a break from school - Giving advise You shouldn't even be thinking about assisted suicide - Disapproval No one here would intentionally lie to you - Defensive Don;t worry everything will be alright - false reassurance What would you like to talk about today - Broad openings What do you think you should do about it - Reflecting I don;t see anyone else in the room - Presenting reality I am so sorry about your mastectomy it must be terrible to lose a breast - Sympathy Today we have talked about a plan for you to manage feelings or anger - Summarizing You seem upset about something - Making an observation Communicate your acceptance and understanding of a painful emotion. "You must have felt terrible when she left you" What rapport building technique is this - Empathy/sympathy What rapport building technique is "How did you feel when she left you" - Direct questions What rapport building technique is "You sound sad when you talk about her" - Reflective statement What rapport building technique should not be over used because it is stating the obvious - Reflective statements Therapeutic techniques: Listen attentively to ensure understanding - Active listening Therapeutic techniques: Allow pt to take initiative - Broad openings Therapeutic techniques: Indicate toy heard the client without judgement - Accepting Therapeutic techniques: Make vague topics clear - clarifying Therapeutic techniques: Examine topics deeper - Exploring Therapeutic techniques: Putting attention into a single topic - Focusing Therapeutic techniques: Direct client thoughts and feelings back to the pt - Reflecting Therapeutic techniques: Repeat pt words in a different way to make it more clear - Restating What type of transition is this "Earlier, you mentioned that you didn't know how much more of this you could take. Have you had the thought that you'd be better off dead?" - Referred transition. Referring to something the patient said earlier i the interview to move to a new topic - Referred transition What transition is "Now I'd like to switch gears a little and ask you about different symptoms that people might have, many of these may not apply to you at all and that is a useful thing to know in itself." - Introduction transitions Introduce the next topic before launching into it - Introduction transition Cue off something the patient just said to introduce a new topic - Smooth transition Interview techniques for hostile pt - Dx the cause to target your intervention Interview techniques for irritable depression - You sound angry but it sounds like there is some sadness under it. I can understand how you would be angry with me but I wonder if there is something beneath that anger Interview techniques for BPD - Respond with What do you think just happened? You're very angry at me and i'm wondering what the anger is about? I've done something that upset you and I hope I can understand what that is so we can put it behind us on move on with the important work. Interview for the seductive pt - We are here today to better understand what is troubling you and I think we should keep our focus there Interview technique for the tearful pt - what is it about what you are saying that is so painful? I can see you are feeling emotional now. What are your tears about?What's on your mind now as you are crying? Ask if they have been crying a lot about this. Crying is a big part of the healing process, crying can be a good release" Interview techniques for the reluctant pt - Open ended questions/commands to increase flow of information (What kind of symptoms has your depression caused? What sorts of things have you done hen you felt manic? If all else fails with a reluctant pt what do you do - Why don't we stop for now and meet again next week to give you a chance to think and sort through things Interview techniques for overly talkative pt - Close ended/multiple choice questions, gentle interruption Have you been sleeping normally over the past week, how many hours of sleep did you get? How has your appetite been over the past few weeks better/worse than normal or normal? What sort of sleep problem do you have? Problems falling asleep, waking up, waking up too early? overly talkative patient appropriate interruptions - Empathetic, delaying, educaiton Interview techniques for malingering - Tale is too perfect DSM-5 exact, tale is too vague. If previously vague become precise it is a clue of malingering. Symptoms are unrealistic What to ask if malingering is suspected and the tale is too perfect - throw them off "Did either of your parents have PTSD" Yes "That is odd in my experience its very unusual for someone with PTSD that their parents did as well are you sure? What to do if tale is too vague - Use very closed ended questions to nail down their answers. If previously vague answers become precise that is a clue of malingering Nothing works Doc - ask in depth questions on medication and psychotherapy trials, 4-6 week antidepressants, 8 sessions of therapy. Make sure to offer more aggressive treatment. t. I have heard of klonopin from a friend who has what I have: Prescription substance abusers, - asks for control early, pt insists has tried every other non addictive treatment, pt has tried a friends medication, history of abuse. Try stating "Did you know Drug X has very dangerous side effects like addiction" Ask to speak to prior prescribers I don't know syndrome - ask them if they do not know or if they do not want to say. If I were a fly on the wall what would I see during one of your moods. Ask if their friends are in any trouble; this might lead to an autobiography. If adolescents grades change what can it be a sign of - Depression/substance abuse Ask adolescences about sports/outside activities because this gives you insight on what - Depression- withdrawal How to inquire about sex with an adol patient - "Do you have any romantic relationships?" then "would you be comfortable talking about sex? Are you sexually active? "Do you ever think that your feelings about sex are different from other kids feelings. Techniques for conduct disorder - Normalize it "It looks like your family feels there's been a lot of stealing. I am sure if you have done it there was a good reason for it, maybe it was the only way to get something or a challenge from friends