NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.
Students will:
Develop formats for initial interviews of mental health clients
To prepare for this Discussion:
Review the Learning Resources.
Develop an interview format you would use for an initial interview of a client.
-Post:NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.
-Attach the interview format document you would use for an initial interview of a client.
-Describe what interview format your preceptor uses for the initial interview of a client.
-Describe which element of your interview format is most helpful in your practice.
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.
Standard 5C “Consultation” (page 57)
Note: Throughout the program you will be reading excerpts from the ANA’s Scope & Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners that you know the scope of practice of the advanced practice psychiatric/mental health nurse. You should also be able to differentiate between the generalist RN role in psychiatric/mental health nursing and the advanced practice nurse role.NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Section 5.1, “Psychiatric Interview, Mental Status Examination” (pp. 192–211)
Section 5.2, “The Psychiatric Report and Medical Record” (pp. 211–217)
Section 5.3, “Psychiatric Rating Scales” (pp. 217–236)
Section 5.5, “Personality Assessment: Adults and Children” (pp. 246–257)
Section 5.7, “Medical Assessment and Laboratory Testing in Psychiatry” (pp. 266–275)
Chapter 6, “Classification in Psychiatry” (pp. 290–308)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.
“Cautionary Statement for Forensic Use of DSM-5”
“Assessment Measures”
“Cultural Formulation”
“Glossary of Technical Terms”
“Glossary of Cultural Concepts of Distress”
Barton Associates. (2017). Nurse practitioner scope of practice laws. Retrieved from https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws/
American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults.
Required Media
Laureate Education (Producer). (2017b). Working with Adults and Older Adults” [Video file]. Baltimore, MD: Author.NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.
Note: The approximate length of this media piece 3 minutes.
Accessible player
Kundla, M. (Producer). (2015). The Mental Status Examination: Description and Demonstration [Video file]. Alexandria, VA: Microtraining Associates.
Note: The approximate length of this media piece is 31 minutes.
Optional Resources
American Psychological Association. (2008). Assessment of older adults with diminished capacity. Retrieved from https://www.apa.org/pi/aging/programs/assessment/capacity-psychologist-handbook.pdf
Rosen, S. L., & Reuben, D. B. (2011). Geriatric assessment tools. Mount Sinai Journal of Medicine, 78(4), 489–497. doi:10.1002/msj.20277
Note: You will access this article through the Walden Library databases.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2015). TIP 59: Improving cultural competence. Retrieved from http://store.samhsa.gov/product/TIP-59-Improving-Cultural-Competence/SMA15-4849
Note: This document is available as a free download.
Note: Please, avoid plagiarism, and try to use proper grammar and APA style. Professor is very exigent regarding these topics.NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.
Thank you,
The client.
Psychiatric-Mental Health Initial Interview Format It is a well established truth in Psychiatry that right determination and ensuing treatment is typically intensely reliant on the underlying mental clinical meeting (Nordgaard et al., 2013). In this way clinical talking remains the most huge indicative apparatus in Psychiatry. In any case, mental assessment is as a matter of fact an unpredictable procedure that requires a controlling instrument (Lin et al., 2003).NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II. This is critical in the event that one is to abstain from missing significant determinations and giving incorrectly medications. One of these evaluation apparatuses that manage the underlying mental meeting was created by Lin et al. (2003). It is connected to this paper as the supplement and as the manual for the meeting at introductory contact. My preceptor utilizes a serious organized way to deal with the underlying customer meet. This meeting structure follows the parameters appeared in the Lin et al. (2003) manual for the underlying mental meeting apparatus connected right now area. A portion of the contemplations she makes during the meeting incorporate after the customer's manner of thinking, utilizing non-driving open-finished inquiries to urge the customer to talk, utilizing the patient's words, maintaining a strategic distance from the utilization of specialized language in the meeting, pinpointing the customer's regions of solidarity just as issue territories, keeping away from questions starting with "why", not permitting improper conduct from the customer (like kicking seats), and evading untimely consolation of the customer (Waldinger and Jacobson, n.d.). The component of my meeting group which is extremely useful is the standard of permitting the customer to talk utilizing their own words and just controlling them. This guarantees the customer isn't directed to express specific things, yet just says what they feel and think. The underlying mental appraisal may require mutiple meetings for complex circumstances - for instance, when assessing youngsters or families, or while surveying a patient's reasonableness for a specific restorative methodology, for example, brief psychotherapy. The underlying evaluation likewise may require data gathering from different sources: guardians, youngsters, life partner, closest companion, educator, as well as other medicinal services suppliers. NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.These contacts might be consolidated into the main visit, or may happen later. The initial phase in making such courses of action is to clarify the explanation behind them to the quiet and to get express, composed consent for the contact. Why the Initial Interview? This first interview is performed essentially so as to set up a determination of the client's mental illness. It incorporates history taking and the clinical assessment of the psychological state. In any case, the mental meeting is considerably more than an analytic procedure. It additionally assists with setting up compatibility among patient and specialist and to teach and rouse the patient. Meeting patients additionally fills a significant restorative need. This is the objective for patients during psychotherapeutic interviews.NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II. However, it likewise applies to every other patient for whom the chance to talk about issues with a thoughtful audience is regularly useful. There are numerous elements of the first psychiatric meeting that can be discerned. Conclusion The initial psychiatric interview is a very important exercise in the diagnosis and treatment of psychiatric illnesses. However, as has been demonstrated above, this exercise has to be systematic and follow a certain pattern in order to yield the correct diagnosis. APPENDIX Psychiatric Interview Tool to Direct the Psychiatric-Mental Health Nurse Practitioner (Lin et al., 2003). Psychiatric assessment form 1. ID Name: Marital status: Sex: Occupation: DOB: Age: Financial situation: 2. HPI ONSET, DURATION, COURSE (Why present now/precipitants/stressors? When it started? How long it lasts/frequency? What is it like? Impact on life) For episodic illnesses describe first episode: 1. Onset: 2. Precipitants: 3. Duration: 4. Rx response: DEPRESSION (“Sigecaps”) MANIA (“Giddiness”) PSYCHOSIS PANIC ATTACKS Low mood for >2 weeks Grandiose Hallucinations/illusions Trembling Sleep Increased activity Delusions Palpitations Interest goal-directed/high risk Self-reference: Nausea/chills Guilt/worthlessness Decreased judgment people watching you Choking/chest pain Energy Distractible talking about you Sweating Concentration Irritability messages from media Fear: Appetite/weight ▲ Need less sleep Thought blocking/insertion dying/going crazy Psychomotor slowing Elevated mood Disorganization: Anticipatory anxiety Suicide:NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II. Speedy talking speech/behavior Avoidance Hopelessness/Plan/Access Speedy thoughts Agoraphobia GENERALIZED ANXIETY OBSESSIVE-COMPULSIVE DISORDER PTSD Excess worry Intrusive/persistent thoughts Experienced/witness event Restless/edgy Recognized as excessive/irrational Persistent re-experiencing Easily fatigued Repetitive behaviors: Dreams/flashbacks Muscle tension Washing/cleaning Avoidance behavior ↓ sleep Counting/checking Hyper-arousal: ↓ concentration Organizing/praying ↑ vigilance/↑ startle SOCIAL PHOBIA BORDERLINE PESONALITY ANTISOCIAL PERSONALITY Performance situations: Fear abandonment/rejection Forensic history: Fear of embarrassment Unstable relationships arrests/imprisonment Fear of humiliation Chronic emptiness Aggressiveness/violence Criticism ↓ self esteem Lack of empathy/remorse Intense anger/outbursts Lack of concern for safety: SPECIFIC PHOBIAS Self-damaging behavior self or others Heights/crowds/animals Labile mood and impulsivity Childhood conduct disorder BODY DYSMORPHIC DISORDER EATING DISORDERS Excess concern with appearance Binging/purging/restriction/amenorrhea or certain part of body Perception of body image or weight Avoidance behavior 3. PSYCHIATRIC HX Previous psychiatric Hx/Counseling/Suicide attempts/Violence: Previous diagnoses: Medications/Tx: 4. FAM PSYCHIATRIC HX Psychiatric Dx/Visits/Counseling/Suicide attempts: Substance use: Suicide: 5. MEDICAL HX 6. SYSTEMS REVIEW Previous illnesses & treatment: Surgeries/hospitalizations: Head injury (+/- LOC) and workup/imaging: Medications: Alcohol use: Substance use: NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.(caffeine, nicotine, over-counter/illicit med/drugs) CNS: H & N: CVS: RESP: GI: GU: MSK: DERM: 7. PERSONAL HX Place of birth: As a child: (family structure, parents’ occupations, relationship with parents, siblings, friends, abuse) As a teen: (friends, relationships, school, activities, sex, trouble, relationship with parents) As an adult: (work, finances, education, relationships, family, goals for future, trends in functioning) 8. MSE 9. FOLSTEIN MMSE Appearance: Behavior: Speech: Emotion: Affect and mood Perception: Thought process: Thought content: Concentration: Memory: Insight: Judgment: Suicide: Orientation: /10 Time: year season month date day Place: floor building city province country Immediate recall: /3 Attention: /5 Delay recall: /3 Naming: /2 Repetition: /1 3-stage command: /3 Reading: /1 Copying: /1 Writing: /1 Total: /30 10. IMPRESSION/FORMULATION BIOPSYCHOSOCIAL 11. MULTIAXIAL DIAGNOSIS Axis I: Psychiatric disorder: Axis II: Personality: Axis III: Medical conditions: Axis IV: Social factors: 12. PLAN Investigations: Treatment: Biological: Psychological:NURS 6670-Psychiatric Mental Health Nurse Practitioner Role II.