The Psychiatric Evaluation and Evidence-Based Rating Scales Essay
The Psychiatric Evaluation and Evidence-Based Rating Scales Essay
The Psychiatric Evaluation and Evidence-Based Rating Scales Sample EssayThe three most essential components of the psychiatric interview are Psychiatric and medical history, substance use and abuse history, and mental status examination (MSE). Psychiatric and medical history is vital because it helps identify the patient’s past emotional or mental disturbances, Psychosomatic disorders, medical conditions, and neurologic disorders often associated with psychiatric disorders (Tatayeva et al., 2022). Besides, identifying past psychiatric and medical conditions guides the practitioner on the appropriate treatment interventions.
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The substance use and abuse history since mental disorders are linked with substance use disorders (SUDs). Substance use triggers changes in brain structure and function, increasing the risk of a person developing a mental disorder Patients with mental disorders, like anxiety, depression, or post-traumatic stress disorder (PTSD), often take drugs or alcohol as a form of self-medication (Kaswa, 2021). Besides, drugs and alcohol worsen symptoms of mental disorders like schizophrenia and depression. The MSE is crucial since it provides information about a patient’s appearance, speech, actions, and thoughts (Martin et al., 2020). It helps to assess the patient’s thinking, feeling, and behavior, which guides in making a psychiatric diagnosis.
The Simple Delusional Syndrome Scale (SDSS) comprises seven items: Logical organization, stability, systemization, conviction, influence on the action, extension, and insertion. The scale is scored from 1-5. Forgácová (2008) performed a statistical analysis that found good psychometric characteristics of the SDSS with a Cronbach coefficient alpha=0.8327. The SDSS has been designed to measure the level of intensity of the delusional syndrome in patients whose clinical examination has established the delusional syndrome. The scale’s structure and the selection of the scale’s items are determined by clinical experience and the theoretical fundament obtained from essential works. The SDSS can help the NP assess changes in delusional syndromes based on the therapeutic effect of psychopharmacological agents.
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References
Forgácová, L. (2008). Delusion assessment scales. Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology, 10(1), 23–30.
Kaswa, R. (2021). Primary healthcare approach to substance abuse management. South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 63(1), e1–e4. https://doi.org/10.4102/safp.v63i1.5307
Martin, A., Jacobs, A., Krause, R., & Amsalem, D. (2020). The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients. MedEdPORTAL : the journal of teaching and learning resources, 16, 10947. https://doi.org/10.15766/mep_2374-8265.10947
Tatayeva, R., Ossadchaya, E., Sarculova, S., Sembayeva, Z., & Koigeldinova, S. (2022). Psychosomatic Aspects of The Development of Comorbid Pathology: A Review. Medical journal of the Islamic Republic of Iran, 36, 152. https://doi.org/10.47176/mjiri.36.152
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I-L Simple Delusional Syndrome Scale
THE PSYCHIATRIC EVALUATION AND EVIDENCE-BASED RATING SCALESAssessment 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.
WEEKLY RESOURCES
LEARNING RESOURCES
Required Readings
- 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. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.
- Chapter 34, 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”
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- American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescentsLinks 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 adultsLinks 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 PsychiatryLinks 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 PsychiatryLinks 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.
Required Media
- Classroom Productions. (Producer). (2015). Diagnostic criteria Links to an external site.[Video]. Walden University.
- MedEasy. (2017). Psychiatric history taking and the mental status examination | USMLE & COMLEXLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=U5KwDgWX8L8
- Psychiatry Lectures. (2015). Psychiatry lecture: How to do a psychiatric assessmentLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=IRiCntvec5U
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.
Read a selection of your colleagues’ responses.
BY DAY 6 OF WEEK 2
Respond to at least two of your colleagues on 2 different days by comparing your assessment tool to theirs.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
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NRNP_6635_Week2_Discussion_Rubric
| Criteria | Ratings | Pts | ||||
|---|---|---|---|---|---|---|
| This criterion is linked to a Learning OutcomeMain Posting:Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
|
44 pts | ||||
| This criterion is linked to a Learning OutcomeMain Posting:Writing |
|
6 pts | ||||
| This criterion is linked to a Learning OutcomeMain Posting:Timely and full participation |
|
10 pts | ||||
| This criterion is linked to a Learning OutcomeFirst Response:Post to colleague’s main post that is reflective and justified with credible sources. |
|
9 pts | ||||
| This criterion is linked to a Learning OutcomeFirst Response:Writing |
|
6 pts | ||||
| This criterion is linked to a Learning OutcomeFirst Response:Timely and full participation |
|
5 pts | ||||
| This criterion is linked to a Learning OutcomeSecond Response:Post to colleague’s main post that is reflective and justified with credible sources. |
|
9 pts | ||||
| This criterion is linked to a Learning OutcomeSecond Response:Writing |
|
6 pts | ||||
| This criterion is linked to a Learning OutcomeSecond Response:Timely and full participation |
|
5 pts | ||||
| Total Points: 100 | ||||||
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