Psychiatric Interview Notes: Questions and Answers for 2024-2025, Exams of Nursing

Download Psychiatric Interview Notes: Questions and Answers for 2024-2025 and more Exams Nursing in PDF only on Docsity! The Psychiatric Interview - Carlat (notes) 2024-2025. Questions & Correct, Verified Answers. Graded A+ Antisocial PD: mnemonic, typical statement, behavioral clues - ANSMnemonic: CORRUPT (3/7) - Conformity to law lacking - Obligations ignored - Reckless disregard for safety of self or others - Remorse lacking - Underhanded (decitful, lies, cons others) - Planning insufficient (impulsive) - Temper self-statement: I love to take advantage of other people, and I never feel bad about it. behavioral clues: the pt is excessively cocky and arrogant. The pt always portrays self as innocent and a victim in violent or criminal circumstances. Avoidant PD: mnemonic, typical statement, behavioral clues - ANSmnemonic: CRINGES (4/7) - Certainty of being liked required before willing to risk involvement - Rejection possibility preoccupies their thoughts - Initimate relationships avoided - New relationships avoided - Gets around occupational activities that involve interpersonal contact - Embarrassment potential prevents new activities - Self viewed as unappealing, inept, inferior self statement: I'm really afraid of what people will think of me, so I avoid making new friends to prevent rejection behavioral clues: The pt may appear shy and nervous but with a poignant eagerness to make contact. He may begin the interview reluctant to open up and will typically become quite self-revealing once rapport has been established Cannabis withdrawal sxs - ANSirritable mood anger outbursts violent episodes nervousness anxiety insomnia nightmares decreased appetite/wt loss restlessness depressed mood physical sxs classes of defense mechanisms - ANSmature: suppression, altruism, sublimation, humor neuotic: denial, repression, reaction formation, displacement, rationalization immature: passive aggressive, acting out, dissociation, projection, splitting psychotic: denial of external reality, distortion of external reality note: if using more immature defenses then they may have a personality disorder. pts using higher level defense mechanisms have better prognosis. Cluster B PDs - ANSDramatic: - BPD - Antisocial - Histrionic - Narcissistic Cluster C PDs - ANSAnxious: - Avoidant - Dependent - Obsessive-Compulsive Dependent PD: mnemonic, typical statement, behavioral clues - ANSmnemonic: RELIANCE - Reassurance rewired for decisions - Expressing unique) - Preoccupied with fantasies (of unlimited success, power) - Envious - Entitlement - Excessive admiration required - Conceited - Interpersonal exploitation - Arrogant - Lacks empathy Self Statement: I'm an extremely talented and special person, better than most people, and yet I get angry and depressed because people don't recognize how great I am! behavioral clues: the pt may appear haughty and excessively critical of your credentials or experience. She may begin the interview with a litany of angry complaints about how unfairly others have treated her. Obsessive-Compulsive PD: mnemonic, typical statement, behavioral clues - ANSmnemonic: LAW FIRMS (4/8) - Loses point of activitiy - Avility to complete tasks compromised by perfectionism - Worthless objects (unable to discard) - Friendships (and leisure activities) excluded (owing to preoccupation with work) - Inflexible, scrupulous, overconscientious - Reluctant to delegate - Miserly - Stubborn self statement: I'm a perfectionist. I keep lists, I drive myself hard, and I'm very serious about life. behavioral clues: the pt is meticulously groomed and dressed. He will tend to give an excessively detailed and accurate account of his sxs. Opioid withdrawal sxs - ANSdepressed/irritable moods N/V muscle aches teary eyes runny nose dilated pupils goose bumps sweating diarrhea yawning fever decreased sleep Note: can also happen after an opioid antagonist Paranoid personality disorder: mnemonic typical statement behavioral clues - ANSmnemonic: SUSPECT (4/7) - spousal infidelity suspected - unforgiving (holds grudges) - suspicious of others - perceives attacks - views everyone as either an enemy or a friend - confiding in others is feared - threats perceived in benign events self statement: others are untrustworthy, and they try to take advantage of me. behavioral clues: appears guarded and suspicious; patient answers questions reluctantly and with an air of suspicion Schizoid PD: mnemonic, typical statement, behavioral clues - ANSmnemonic: DISTANT (4/7) - Detached (flat) affect - Indifferent to criticism or praise - Sexual experiences of little inerest - Tasks (activities) performed solitarily - Absense of close friends - Neither desires nor enjoys close relations - Takes pleasure in few actvities self statement: I prefer to be alone; my world is completely empty behavioral clues: appears shy and aloof. seems to be preoccupied in their own world. Schizotypal PD: mnemonic, typical statement, behavioral clues - ANSmnemonic: ME PECULIAR (5/9 + R/O) - Magical thinking or odd beliefs - Experiences unusual perceptions - Paranoid ideation - Eccentric behavior or appearance - Constricted (or inappropriate) affect - Unusual (odd) thinking and speech - Lacks of reference - Anxiety in social situations - Rule out psychotic disorder and autistic disorder self statement: I'd like to have friends but it's hard, because people find me pretty strange. behavioral clues: Patient appears odd in any number of ways - for example, she may be disheveled, wearing strange clothes, or have odd mannerisms. Patient describes strange ideas that border on psychotic. Sedative/hypnotic withdrawal - ANSheart racing/sweating hand tremor sleep problems N/V hallucinations/illusions feeling fidgety restless agitation anxiety nervousness seizures Stimulant withdrawal - ANSdepressed/irritable moods fatigue vivid unpleasant dreams increased/decreased sleep increased appetite feeling fidgety/restless/agitated or feeling slowed down Terms to use to be more familiar with your pts - ANSInstead of = say - Do you have a hx of IV drug use? = Have you ever shot up? - do you smoke marijuana? = do you get high/smoke dope? - do you use cocaine? = do you snort or smoke coke? Note: using these terms increases honesty by 15% what were the 5 axes of DSM4? - ANSAxis 1: