04 Dec Post?a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric p
Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.
Brief Negative Symptom Scale-Assigned scale
2
Assignment,
Student Name
Student Affiliation (for example, department + institute)
Course name and number
Instructor name:
Date
The psychiatric interview is a key component in assessing a patient’s mental health, involving three critical elements: In the initial assessment, components such as the history and physical examination also referred to as the HEADS assessment, mental status examination (MSE), and psychosocial assessment.
1. History-Taking: This is crucial when trying to work out the nature of the problem since it will give the clinician an insight into the patient’s history. Patient history constitutes family psychiatric history, medical and personal history of the patient, and history of present illness. It is a critical tool in making diagnostics, risk factor determination, and treatment management.
2. Mental Status Examination (MSE): The MSE assesses the patient’s behavioral and cognitive condition. Functions involve things like sustained personal presentations, actions, feelings, perceptions, and levels of awareness. Sometimes it is very important to know the intensity of signs of certain mental diseases or disorders, which the MSE can contribute to.
3. Psychosocial Assessment: This looks at the patient’s interpersonal context, and how they manage their social interactions. As with employment, education, and family characteristics, knowledge of the patient’s social setting is essential to focus on effective intervention-related approaches necessary to address potential social causes of the patient’s condition (Davis & Murray, 2020).
In particular, the Beck Depression Inventory (BDI) was given for this discussion. BDI is a standard and well-validated depression scale that assesses the severity of depression-related symptoms, Inter-observer, test-retest reliability, and Construct, Content, and Criterion validity are some of the psychometric properties associated with BDI. Because of its design, it is suitable for use in adults and adolescent clients with symptoms of depression and allows the clinician to determine the severity of the symptoms and the level of functioning that has been impaired by them (García-Batista et al., 2018).
When conducting the psychiatric interview, the BDI can be used to gauge how depressed the patient is. It is important for initial complaints, assessment of change in their severity and to monitor the effectiveness of the treatment. Being a quantitative tool, it helps deliver homogeneous and measurable data, the deficiency of which negatively impacts the nurse practitioner’s clinical decision-making capacity and the measurement of the plan’s progression over time (Wang & Gorenstein, 2013).
References
Davis, J. L., & Murray, J. F. (2020). HISTORY AND PHYSICAL EXAMINATION. January. https://pmc.ncbi.nlm.nih.gov/articles/PMC7152492/
García-Batista, Z. E., Guerra-Peña, K., Cano-Vindel, A., Herrera-Martínez, S. X., & Medrano, L. A. (2018). Validity and reliability of the beck depression inventory (BDI-II) in general and hospital population of Dominican Republic. PLoS ONE, 13(6), 1–12. https://doi.org/10.1371/journal.pone.0199750
Wang, Y. P., & Gorenstein, C. (2013). Assessment of depression in medical patients: A systematic review of the utility of the Beck Depression Inventory-II. Clinics, 68(9), 1274–1287. https://doi.org/10.6061/clinics/2013(09)15
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THE PSYCHIATRIC EVALUATION AND EVIDENCE-BASED RATING SCALES
Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.
RESOURCES
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.
TO PREPARE:
· Review this week's Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis.
· Consider the elements of the psychiatric interview, history, and examination.
· Consider the assessment tool assigned to you by the Course Instructor.
BY DAY 3 OF WEEK 2
Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.
Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.
· American Psychiatric Association. (2022). Section I: DSM-5 basics. In Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.5555/appi.books.9780890425787.Section_1Links to an external site.
· American Psychiatric Association. (2022). Classification. In Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev., pp. xiii-xl). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.5555/appi.books.9780890425787.Section_1Links to an external site.
· Review
· Carlat, D. J. (2024). The psychiatric interview (5th ed.). Wolters Kluwer.
· Chapter 35, Writing Up the Results of the Interview
· Boland, R. & Verduin, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
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· Chapter 1, “Examination and Diagnosis of the Psychiatric Patient”
· American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescents Links to an external site. . https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf
· American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults Links to an external site. (3rd ed.). https://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760
· Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Classification in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry Links to an external site. (4th ed., pp. 1–8). Wolters Kluwer.
· Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry Links to an external site. (4th ed., pp. 39–52). Wolters Kluwer.
· Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Medical assessment and laboratory testing in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical PsychiatryLinks to an external site. (4th ed., pp. 16–21). Wolters Kluwer.
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