HISTORY AND ASSESSMENT METHODS

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HISTORY AND ASSESSMENT METHODS
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DEFINITION OF ASSESSMENT

• It is defined as a systematic and continuous
  collection of data on the health status with the
  patient.

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TECHNIQUES AND ELEMENTS

• Psychiatric nursing history.
• Mental status examination.
• Psychological test.

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OBJECTIVES

• To describe patients condition.
• To find out the predisposing and primary cause of
  behaviour.
• To make nursing diagnosis.
• To identify psychiatric emergencies.
• To plan nursing interventions.

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STEPS FOR TAKING HISTORY

• Identification data.
• Reliability of informant.
• Presenting chief complaints.
• History of present illness.
• Past history of illness.
• Past psychiatric history.
• Medical illness.

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Contd

• Personal history.
• Perinatal history.
• Infancy.
• Childhood.
• Educational history.
• Play history.
• Puberty.
• Menstrual and obstetrical history.
• Occupational history.
• Sexual and marital history.

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Contd

• -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.

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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.

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ASPECTS

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

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Contd

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

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Contd

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

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Contd

• INSIGHT.
• JUDGEMENT.
• Social judgement.
• Test judgement.

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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.

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TESTS

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

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CONTD

• Rorschach Test.

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THEMATIC APPERCEPTION TEST
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MINNESOTA MULTIPHASIC PERSONALITY INVENTORY
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Contd

• Other personality test.
• Draw a person test.
• Sentence completion test.
• Bender Gestalt Test.

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THANK YOU