Transcript HISTORY AND ASSESSMENT METHODS

HISTORY AND
ASSESSMENT METHODS
DEFINITION OF ASSESSMENT

It is defined as a systematic and
continuous collection of data on the health
status with the patient.
TECHNIQUES AND ELEMENTS
Psychiatric nursing history.
 Mental status examination.
 Psychological test.

OBJECTIVES
To describe patient’s condition.
 To find out the predisposing and primary
cause of behaviour.
 To make nursing diagnosis.
 To identify psychiatric emergencies.
 To plan nursing interventions.

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.

Contd…

Personal history.
 Perinatal history.
 Infancy.
 Childhood.
 Educational history.
 Play history.
 Puberty.
 Menstrual and obstetrical history.
 Occupational history.
 Sexual and marital history.
Contd…
1.
2.
3.
4.
5.
6.
7.
8.
-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.
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.
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
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.

Contd…





COGNITION.
 Consciousness.
 Orientation.
 Attention.
CONCENTRATION.
MEMORY.
 Immediate.
 Recent.
 Remote.
INTELLIGENCE.
ABSTRACT THINKING.
 Proverb testing.
 Similarities.
Contd…
INSIGHT.
 JUDGEMENT.
 Social judgement.
 Test judgement.

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.
TESTS

INTELLIGENCE TESTS
Standford Binet intelligence test.
 Wechsler Adult intelligence scale.

CONTD…
 Rorschach
Test.
THEMATIC APPERCEPTION
TEST
MINNESOTA MULTIPHASIC
PERSONALITY INVENTORY
Contd…

Other personality test.
 Draw a person test.
 Sentence completion test.
 Bender Gestalt Test.
THANK YOU