[Lecture] Psychosocial Encounter : Interview and Physical [Howell] Flashcards Preview

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Flashcards in [Lecture] Psychosocial Encounter : Interview and Physical [Howell] Deck (12)
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1

Can body language clue you in to psychosocial issues?

Yes

E.g. Pt overjustifies injuries, does not make eye contact

2

What does SIG E CAPS stand for?

Depression Screen

S-leep changes

I-nterest decreased/Anhedonia

G-uilt

E-nergy decreased

C-oncentration decreased

A-ppetite/weight change

P-sychomotor change

S-uicidal thoughts

3

Will asking a patient about thoughts of suicide trigger suicidal ideatioin?

No

Will put the idea out there to come up with a plan if they were thinking about it

4

What are the top 3 risk factors for suicide that Dr. Howell mentions in lecture?

**Past suicide attempt!!!

Male

Physician

5

What are the top 2 protective factors against suicide that Dr. Howell mentions in lecture?

Supportive relationships

Religious/cultural beliefs against suicide (ask about spirituality and support systems in social hx)

6

What is the Audit-C screening tool used for?

Identify unhealthy alcohol use

How often do you have a drink with alcohol?

How many standard drinks containing ETOH do you have on a typical day?

How often do you have 6 or more drinks on one occasion?

7

What are the positive heavy drinking Audit-C scores for men? Women?

Men >4

Women >3

8

What are the CAGE questions to ask patients who may have alcohol abuse?

1. Cut down - Have you ever felt you should cut down?

2. Annoyed - Have people annoyed you by criticizing your drinking?

3. Guilty - Have you ever felt bad or guilty about your drinking?

4. Eye-opener - Have you ever had a drink first thing in the morning?

9

What is the CAGE threshold for men? Women?

Men: 14 drinks/week

Women: 7 drinks/week

>2 CAGE score is positive

 

10

Oral/dental injuries, pelvic/genital injuries, and multiple injuries in various stages of healing can be indicative of _____

Domestic violence

11

When asking patients about violence at home, your questions should be ____

Direct

12

In order to be _____, avoid editorializingjudgmental phrases, concrete descriptions, avoid making a diagnosis without objective data.

Objective!!