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Flashcards in Assessment Tools Deck (21):
1

CAGE used for? 4 questions

Quick tool to assess problem drinking

1. Have you felt the need to CUT down on your drinking?

2. Do you feel ANNOYED by people complaining about your drinking?

3. Do you ever feel GUILTY about your drinking?

4. Do you ever feel the need to drink an EYE-opener?

= CAGE

2

Audit C used for? Questions asked?

Audit C used for active alcohol use disorders - short version of full audit assessment

1. How often do you have a drink containing alcohol?
a) Never b) monthly or less c) 2-4x/mo d) 4/more/wk

2. How many standard drinks containing alcohol do you have on a typical day?
a) 1/2 b) 3/4 c) 5/6 d) 7/9 or more

3. How often do you have six or more drinks on one occasion?
a) never b) less than monthly c) monthly d) weekly e) daily or almost daily

a = 0 points, b = 1 point, c = 2 points d = 3 points, e = 4 points

Men 4+ = drinking problem
Women 3 + = drinking problem

3

What is PHQ-2? What is it used for?

PHQ-2 = patient health questionnaire-2 - short version of PHQ-9

Used to assess depression - answer each question with:
0 - not at all
1 - several days
2 - more than half the days
3 - nearly every day

Question 1: Little interest or pleasure in doing things

Question 2: Feeling down, depressed or hopeless

Score of 3 is the cutoff. Score >3, do the full PHQ-9

4

What is the GAD-7?

Brief measure of assessing generalized anxiety disorder.

Answer each question:
0 - not at all, 1 - several days, 2 - more than half days, 3 - nearly every day

Questions:
1. Nervous, anxious
2. Can't control worrying
3. Worry too much about different things
4. Trouble relaxing
5. Restless
6. Easily annoyed/irritated
7. Feeling afraid as if something awful might happen

5

What is the PHQ-9 used for ? What are the 9 questions asking? Scoring system?

Assesses for depression

Questions:
1. Anhedonia?
2. Depressed/hopeless?
3. Sleep issues
4. Low energy
5. Feel bad about self?
6. Trouble concentrating?
7. Moving slowly or restless
8. Think you'd be better off dead
9. Poor appetite, overeating

Scoring: 1-4 minimal, 5-9 mild, 10-14 moderate, 15-19 moderate-severe, 20-27 severe

6

What is the MoCA? What is it used for?

Montreal cognitive assessment

Picks up early cognitive issues - especially in the elderly. Get baseline, reassess in 1 year etc.

Top score = 30. <26 is concerning. 8th grade edu or earlier can complete.

Tasks: Copy cube, draw clock, name animals drawn on paper, remember 3 words, subtraction, delayed recall

7

Extra psych-specific questions to ask during evaluation from each section

Psych history - Been hospitalized before? Current or past history suicidal, homicidal, or assaultive thoughts or actions

Social - alcohol/drug use? type of last use? prior urine tox/BAL results? Family structure? Education? Support network?

Current treatment providers?

Mental status exam - orientation (a&ox3), appearance, mood, affect, speech, thought process, thought content, cognitive function, impulse control

8

Mental status exam parts

Orientation
Appearance
Build
Body movements
Behavior
Mood
Affect
Speech

9

Mental Status Exam: Orientation

Alert and oriented x3 means to place, time and date

10

Mental Status Exam: Appearance

Well groomed vs...
Neat
Disheveled
Unkempt
Malodorous
Appropriate

11

Mental Status Exam: Build

Thin, overweight, short, average, tall

12

Mental Status Exam: Posture

Slumped, rigid, tense, atypical

13

Mental Status Exam: Body movments

Restless, vs slow, vs peculiar

14

Mental Status Exam: Behavior

Cooperative vs agitated, catatonic, compulsive, withdrawn, friendly, guarded, hostile, hyper-sexual, disinhibited

15

Mental Status Exam: Mood

Angry, anhedonia, anxious, depressed, empty, euphoric, guilty, irritable, lablie, sad, manic, hypomanic

16

Mental Status Exam: Affect

Congruent with mood, mormal range, appropriate, flat, expansive

17

Mental Status Exam: Speech

WNL, unintelligible, word salad, stammering, mute, loud

18

Normal thought process vs abnormal thought process

Linear and goal directed = normal

Abnormal = disorganized, loose, racing, tangental, chaotic

19

Words to describe insight

Good - fair - poor - impaired - WNL

How well does the pt appreciate their current circumstances or state and can they negotiate the social and physical transactions of life given current mental state?

20

Words to describe judgement

Good - fair - poor - tenuous

21

Words to describe impulse control

In control, no issues noted, tenuous