Psychiatric Evaluation. Unless otherwise indicated, all answers are from the Practice Guideline on this topic, AJP Supplement, June, 2006 As of 11Sep08. Limited English Proficiency. Q. What about the use of family members when working with a pt with limited English proficiency?.
Unless otherwise indicated, all answers are from the Practice Guideline on this topic, AJP Supplement, June, 2006
As of 11Sep08
Q. What about the use of family members when working with a pt with limited English proficiency?
Ans. To be avoided unless pt refuses to allow interpreters or under emergency conditions. Be sure to so note the use of family members in the note and the reason why they were used.
Q. Under what circumstances will one obtain the most comprehensive and accurate information in the initial interview?
Ans. Combination of:
1] Open-ended questions with empathy
2] Structured inquiry about specific symptoms and events.
Q. Desirable interview room arrangement with an agitated pt?
1] both have access to door
2] several arm lengths space between pt and examiner
3] no dangerous objects in the room
4] a mechanism for asking for assistance
5] no personal objects that can be used by pt to harm examiner, e.g. necktie.
Q. What does affect management consist of?
1] Allow pt to ventilate
2] Avoid logical responses that are likely to inflame
3] Validate the affect.
Q. What are some things to watch for as to signs the interview is getting more dangerous?
1] restlessness increasing
2] desire to pace
3] clenched fists
4] increased voice tone
5] threatening content of speech
Q. How does the Beck Depressive Inventory differ from the Hamilton Depression Rating as to self-reporting?
Ans. Unlike the Hamilton, the Beck can be self-reported by the pt.
Q. What is the PANSS?
Ans. Measures positive and negative signs of schizophrenia.
Q. What are uses of neurological testing?
Ans. “Clinical judgment” as to whether to so request. Not part of any DSM-IV criteria. May be helpful with:
1] Need to grade cognitive deficits or follow the progression of those deficits.
2] Differential dx with malingering or factitious disorders – or other psychiatric disorders.
Q. What is HIPAA?
Ans. Health Insurance Portability and Accountability Act.
Q. Under HIPAA, what is status of state laws that are more restrictive than HIPAA?
Ans. More restrictive state law takes precedent.