6635-W2-D9

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Fazaia Degree College, M.R.F, Kamra, Attock *

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6635

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Nursing

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Nov 24, 2024

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docx

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Uploaded by maryamberlas

Three essential components of the psychiatric interview and they are considered critical elements in an interview: A psychiatric interview has many vital components, such as the client's subjective history, objective history, thought process and thought content, cognitive, and assessment and planning. Therefore, the three essential components would be the client's medical and psychiatric history, family history, and social history, vital aspects of a mental and psychiatric interview and examination. Before interviewing a client, the nurse practitioner needs to build a rapport with the client. Building trust between the client and the psychiatric mental health nurse practitioner is critical in gathering information to diagnose and treat the client effectively. A psychiatric interview must be client-centered, reflecting on the client's treatment goals. A successful interview should comprise empathy, respect, competence, and interest in the client, creating an atmosphere of trust that will encourage the client to talk openly and honestly about their thoughts and feelings (Sadock et al., 2015). The client's chief complaint and symptoms are constructive in diagnosing the client's present illness. The PMHNP must thoroughly understand the client's medical and social history to treat. The objective history, a mental status examination, is also a critical component of the psychiatric interview, which entails the client's behavior, appearance, speech, mood, thought process, and cognition during the interview (Sadock et al., 2015). Cultural sensitivity is a critical aspect of psychiatric interview awareness that can improve the mental health care of a client. The PMHNP should consider the client's age, gender, race, ethnicity, language, sexual orientation, socioeconomic class, education level, and religious and spiritual beliefs, influencing the client to comply with treatment (Fogel et al., 2022). The psychometric properties of the Sheehan Disability Scale The SDS is a tool to measure functional impairment in several psychiatric disorders, such as panic disorder, major depression, alcohol dependence, and social phobia, and the SDS is primarily used in adults who suffer from ADHA (Leon et al., 1992). The SDS also measures the impact of treatment on the disability in clinical trials and practice (Coles et al., 2014). Attention-deficit/hyperactivity disorder (ADHD) is considered one of the most common psychiatric disorders, 4%–12% with estimated childhood prevalence in the US and 2.5%– 4.2% adult prevalence in the world with approximately 700 adult clients that had a confirmed childhood-onset ADHD (Coles et al., 2014). Appropriate use of the SDS during a psychiatric interview and how it’s helpful the Nurse Practitioner’s Assessment The SDS consists of a five-item, self-rated questionnaire designed to measure the extent of the client’s disability due to an illness or health issues that might interfere with work, school, social life, family life, home responsibilities, or leisure activities (Coles et al., 2014). The first three items are designed to ask the client about the symptoms that might disrupt their regular activities. The PMHNP will then re- evaluate the client weekly for each of the three areas using the rating scale ranging from 0 (not at all) to 10 (extremely). The final two items on the SDS will ask the clients how many days in the last week his/her symptoms caused them to miss work or school and if they could not perform their normal daily activities. Lastly, the questionnaire will ask how many days in the last week their symptoms made them feel impaired, causing them to be underproductive at school and work (Leon et al., 1992). The scale is beneficial for the PMHNP’s psychiatric assessment because it assesses the client’s functional performance disability days, symptom-related difficulty, and health care. The DSMIV for the ADHD rating scale allows the PMHNP to report an instrument designed to assess the symptoms of ADHD by using 18

ordinal scale items that will have four response options directly adapted from the DSM-IV symptom list about ADHD. The PMHNP will eventually record the frequency of each symptom reported by the client for at least a week (Coles et al., 2014). References Coles, T., Coon, C., DeMuro, C., McLeod, L., & Gnanasakthy, A. (2014). Psychometric evaluation of the Sheehan Disability Scale in adult patients with attention-- deficit/hyperactivity disorder. Neuropsychiatric disease and treatment, 10, 887–895. https://doi.org/10.2147/NDT.S55220 (https://doi.org/10.2147/NDT.S55220) Fogel, A., Nazir, S., & Hirapara, K. (2022). Cultural Assessment and Treatment Of Psychiatric Patients. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK482311/ (https://www.ncbi.nlm.nih.gov/books/NBK482311/) Leon, A. C., Olfson, M., Portera, L., Farber, L., & Sheehan, D. V. (1997). Assessing Psychiatric Impairment in Primary Care with the Sheehan Disability Scale. The International Journal of Psychiatry in Medicine, 27(2), 93-105. https://doi.org/10.2190/T8EM- C8YH-373N-1UWD (https://doi.org/10.2190/T8EM-C8YH-373N-1UWD) 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. (https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=39) (4th ed., pp. 39–52). Wolters Kluwer.

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