NRNP 6635 WEEK 2 DISCUSSION: THE PSYCHIATRIC EVALUATION AND EVIDENCE-BASED RATING SCALES
NRNP 6635 WEEK 2 DISCUSSION: THE PSYCHIATRIC EVALUATION AND EVIDENCE-BASED RATING SCALES
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.
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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.
***This week we will be looking at the assessment and diagnosis of psychiatric patients. Your assignment for this week is to complete the discussion board. You should have your initial post done by DAY 3 (Wednesday). After, you must respond to two peers on two different days before DAY 6(Saturday). The discussion board asks you to discuss your assigned scale. I have decided that you may choose your own, rather than assigning them. Please see the chart below, and choose one you are interested in learning more about.
Dr H
| Quality of Life Scales | |
| Quality of Life Enjoyment and Satisfaction Questionnaire Q-LES-Q | Endicott et al. (1993) |
| Quality of Well-Being Scale (QWB) | Kaplan and Anderson (1988) |
| Quality of Life in Depression Scale (QLDS) | Hunt and McKenna (1992) |
| Medical Outcome Survey (MOS) | Ware and Sherbourne (1992) |
| Mental Health Status and Functioning Scales | |
| Clinical Global Impression (CGI) | NIMH (1970) |
| Endicott Work Productivity Scale | Endicott and Nee (1997) |
| Global Assessment of Functioning (GAF) | APA, 2000: DSM-IV-TR |
| Sheehan Disability Scale | Leon et al. (1992) |
| Social and Occupational Functioning Assessment Scale (SOFAS) | APA, 2000: DSM-IV-TR |
| Work and Social Adjustment Scale | Mundt et al. (2002) |
| Adverse Effects Scales | |
| Abnormal Involuntary Movement Scale (AIMS) | Guy (1976) |
| Simpson–Angus Extrapyramidal Symptom Rating Scale | Simpson and Angus (1970) |
| Cognitive Disorders Scales | |
| Delirium Rating Scale Revised—98 (DRS—R98) | Trzepacz et al. (2001) |
| Mini-Mental State Examination (MMSE) | Folstein et al. (1975) |
| St Louis University Mental Status Exam (SLUMS) | Tariq, Tumosa, Chibnall, Perry III, Morley (2006) |
| Montreal Cognitive Assessment (MOCA) | Nasreddine (1996) |
| Confusion Assessment Method (CAM) | Inouye, van Dyck, Alessi, Balkin, Siegal, Horwitz (1990) |
| Alcohol Use Disorders Scales | |
| CAGE Questionnaire | Ewing (1984) |
| Michigan Alcoholism Screening Test (MAST) | Selzer (1971) |
| Mood Disorders Scales | |
| Beck Depression Inventory, 2nd Revision (BDI-II) | Beck et al. (1961) |
| Hamilton Depression Rating Scale (HAM-D) | Hamilton (1960) |
| Inventory of Depressive Symptomatology (IDS) | Rush et al. (1996) |
| Quick Inventory of Depressive Symptomatology (QIDS) | Rush et al. (2003) |
| Patient Health Questionnaire (PHQ-9) | www.pfizer.com |
| Geriatric Depression Scale (GDS) | Yesavage et al. (1983) |
| Montgomery–Asberg Depression Rating Scale (MADRS) | Montgomery and Asberg (1979) |
| Zung Self-Rating Depression Scale (ZSRDS) | Zung (1965) |
| Young Mania Rating Scale (YMRS) | Young et al. (1978) |
| Anxiety Disorders Scales | |
| Hamilton Anxiety Rating Scale (HAM-A) | Hamilton (1959) |
| Yale-Brown Obsessive–Compulsive Scale (Y-BOCS) | Goodman et al. (1989) |
| PTSD Checklist (PCL) | Weathers, Litz, Keane, Palmieri, Marx, Schnurr (2013) |
| Social Interaction Anxiety Scale | Mattick, Clarke (1998) |
| Psychotic Disorders Scales | |
| Brief Psychiatric Rating Scale (BPRS) | Overall and Gorham (1962) |
| Positive and Negative Symptom Scale (PANSS) | Kay et al. (1987) |
| Aggression and Agitation Scale | |
| Overt Aggression Scale—Modified (OAS-M) | Kay et al. (1988) |
| Attention Deficit/Hyperactivity Scales | |
| NICH Vanderbilt Assessment Scale | American Academy of Pediatrics and National Initiative for Children’s Healthcare Quality (2002) |
| Conners 3rd Edition | Conners (2008) |
| ADHD Rating Scale V (ADHD-RS-V) for children | DuPaul, Power, Anastopoulos, Reid (2016) |
| Adult ADHD Self-Report Scale for adults | |
| Brown Attention-Deficit Disorder Scales | Brown (2001) |
ORDER A CUSTOMIZED, PLAGIARISM-FREE NRNP 6635 WEEK 2 DISCUSSION: THE PSYCHIATRIC EVALUATION AND EVIDENCE-BASED RATING SCALES HERE
LEARNING RESOURCES
- 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”
- 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.
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- Classroom Productions. (Producer). (2015). Diagnostic criteriaLinks to an external site.[Video]. Walden University.
- (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
- NRNP_6635_Week2_Discussion_Rubric
| 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 | ||||||