HISTORY AND ASSESSMENT METHODS DEFINITION OF ASSESSMENT l

HISTORY AND ASSESSMENT METHODS

DEFINITION OF ASSESSMENT l It is defined as a systematic and continuous collection of data on the health status with the patient.

TECHNIQUES AND ELEMENTS Psychiatric nursing history. l Mental status examination. l Psychological test. l

OBJECTIVES To describe patient’s condition. l To find out the predisposing and primary cause of behaviour. l To make nursing diagnosis. l To identify psychiatric emergencies. l To plan nursing interventions. l

STEPS FOR TAKING HISTORY Identification data. l Reliability of informant. l Presenting chief complaints. l History of present illness. l Past history of illness. l l Past psychiatric history. l Medical illness.

Contd… l Personal history. l Perinatal history. l Infancy. l Childhood. l Educational history. l Play history. l Puberty. l Menstrual and obstetrical history. l Occupational history. l Sexual and marital history.

Contd… 1. 2. 3. 4. 5. 6. 7. 8. -Premorbid personality. Interpersonal relationship. Use of leisure time. Predominant mood. Attitude to self and others. Attitude to work and responsibility. Religious beliefs and moral attitudes. Fantasy life. Habits.

MENTAL STATUS EXAMINATION DEFINITION It is a standardised format in which the clinician records the psychiatric signs and symptoms present at the time of interview.

ASPECTS l GENERAL APPEARANCE AND BEHAVIOUR. l General appearance. l Attitude towards examiner. l Comprehension. l Gait and posture. l Motor activity. l Social manner and non verbal behaviour. l Rapport. l Hallucinatory behaviour

Contd… l SPEECH. l Rate and quantity of speech. l Flow and rhythm of speech. MOOD AND AFFECT. l THOUGHT. l l Stream and form. l Content. l PERCEPTION. l Hallucination. l Illusion. l Depersonalization or derealisation. l Somatic passivity phenomenon.

Contd… l l l COGNITION. l Consciousness. l Orientation. l Attention. CONCENTRATION. MEMORY. l Immediate. l Recent. l Remote. INTELLIGENCE. ABSTRACT THINKING. l Proverb testing. l Similarities.

Contd… INSIGHT. l JUDGEMENT. l Social judgement. l Test judgement. l

PSYCHOLOGICAL TEST DEFINITION These are specialised assessment procedures for determining such characteristics of an individual as intellectual capacity, motive pattern , self concept , perception of environment, roles to be taken up, anxiety or depression, coping pattern and generally personality integration.

TESTS l INTELLIGENCE TESTS l Standford Binet intelligence test. l Wechsler Adult intelligence scale.

CONTD… l Rorschach Test.

THEMATIC APPERCEPTION TEST

MINNESOTA MULTIPHASIC PERSONALITY INVENTORY

Contd… l Other personality test. l Draw a person test. l Sentence completion test. l Bender Gestalt Test.

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