Hx Taking in Psychiatry

Question 1

initial consult lasts from ____

Answer 1

30min to 1hr

Question 2

are the patient’s defensive and self-protective, albeit maladaptive strategy against overwhelming anxiety, lowered self-esteem, and confusion

Answer 2

delusion

Question 3

past episodes of both psychiatric and medical illnesses are described; reflects the transition between the story of the present illness and the patient’s personal hx (anamnesis)

Answer 3

past illness

Question 4

provides for a thorough understanding of the patient’s past and its relations to the present emotional problem

Answer 4

anamnesis

Question 5

describes the sum total of the examiner’s observations and impressions of the psychiatric pt at the time of the interview; can change from day to day or hour to hour

Answer 5

mental status examination

Question 6

1. refers to both qualitative and quantitative aspects of the pt’s motor behavior
2. includes mannerisms, tics, gestures, hyperactivity, agitation, restlessness, gait

Answer 6

overt behavior and psychomotor activity

Question 7

pervasive and sustained emotion that colors the person’s perception of the world

Answer 7

mood

Question 8

1. patient’s present emotional responsiveness, inferred from the pt’s facial expression, including the amount and range of expressive behavior
2. “what u see in the patient’s emotion”; objective

Answer 8

affect

Question 9

when the range and intensity of expression is reduced

Answer 9

constricted affect

Question 10

when the range is further reduced

Answer 10

blunted affect

Question 11

when there is virtually no sign of affective expression, w/ monotonous voice and immobile face

Answer 11

flat affect

Question 12

1. Refers to the way a person puts together ideas and associations; the form in w/c a person thinks
2. This may be illogical and coherent or completely illogical and even incomprehensible s/a flight of ideas, looseness of associations, thought blocking, circumstantiality, tangentiality, neologisms, clang associations, etc.

Answer 12

thought process

Question 13

1. Refers to what a person is actually thinking about such as ideas, beliefs, preoccupations, obsessions, phobias, etc.
2. Ex: The pt is sexually preoccupied

Answer 13

thought content

Question 14

this portion of the MSE seeks to assess the organic brain fx and the pt’s intelligence, capacity for abstract thought, and the level of insight and judgment; important when assessing their capacity to make decisions

Answer 14

senosrium and cognition

Question 15

orientation impairment appears in what order?

Answer 15

time
place
person

Question 16

ask pt to draw a clock saying it is 10am

Answer 16

visuospatial ability

Question 17

subtracting serial 7s from 100

Answer 17

concentration and attention

Question 18

1. An assessment of impulse control is essential and critical in ascertaining the pt’s potential for danger to self and others
2. Is the pt capable of controlling sexual, aggressive, and other impulses?

Answer 18

impulsivity

Question 19

pt’s degree of awareness and understanding about being ill

Answer 19

insight

Question 20

includes an estimate of the psychiatrist’s impression of pt’s truthfulness or veracity

Answer 20

reliability

Question 21

consists of clinical disorder and other conditions that may be a focus of clinical attention like schizophrenia, mood disorders, anxiety disorders, etc

Answer 21

axis I

Question 22

1. Consists of personality disorders and mental retardation

2. Habitual use of a particular disease mechanism can be indicated in this axis

Answer 22

axis II

Question 23

Lists any physical disorder or general medical condiiton present in addition to the mental disorder

Answer 23

axis III

Question 24

1. Codes for the psychosocial environmental problems that contribute significantly to the dev’t of or exacerbation of the current disorder
2. Based on clinician’s assessment of the stress that an average person w/ similar socio-cultural values and circumstances would experience from the same stressors

Answer 24

axis IV

Question 25

1. A global assessment of functioning (GAF) scale
2. Clinician’s judge pt’s overall levels of functioning during a particular time w/ 100 representing the highest level of functioning

Answer 25

axis V