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MH 707- EXAM 1. module 1-2 Questions and answers with 100% correct solutions | A+ Grade
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MH 707- EXAM 1. module 1-2 Questions and answers with 100% correct solutions | A+ Grade
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MH 707- EXAM 1. module 1-2 Questions andanswers with 100% correct solutions | A+ Grade
Components of History and physical ✔✔identifying
factors chief complaint (patients own words) HPI
past psychiatric history
substance use
past medical history
family history (health, tradition, beliefs)
social/developmental history
Psychiatric review of symptoms- neuro s/s
MSE
Physcial exam (Neuro focused)
Laboratory tests
Aims Scale ✔✔used to assess for EPS when on antipsychotics
SAF-T ✔✔suicide risk assessment tool
CAMS ✔✔suicide risk assessment tool; collaborative assessment and management for
suicidal behaviors; collaborative with patient
,Suicide Risk Factors ✔✔suicidal behavior, hx of attempts, aborted suicide attempts, self injurious
behavior, current/past psychiatric disorders, mood disorders, psychotic disorders, substance abuse,
ADHD, PTSD, Cluster B personality disorders, conduct disorders, comorbidity, recent onset of illness
Key symptoms for Suicide Risk ✔✔anhedonia, impulsivity, hopelessness, anxiety and panic, insomnia,
command hallucinations, family history of attempts, psychiatric disorders requiring hospitalization
Precipitating stressors for Suicide Risk ✔✔triggering events leading to humiliation, shame or
despair, ongong medical illness, intoxication, family turmoil, history of abuse, social isolation,
change in treatment, discharge from psych hospital, provider change, access to firearms
Protective factors for suicide risk ✔✔ability to cope with stress, religious beliefs, frustration
tolerance, responsibility to children and pets, positive therapeutic relationships, social supports
Suicide Inquiry ✔✔ideation ( frequency, intensity, duration), Plan (timing, location, lethality, availability,
preparatory acts), behaviors (past attempts, aborted attempts, rehearsals, non-suicidal injurious actions,
, intent (extent to which the patients expects to carry out the plan and believes the plan to be lethal vs
self injurious)
High Risk Suicide Level ✔✔psychiatric disorders with severe symptoms, acute precipitating event;
protective factors not relevant; potentially lethal attempt or persistent ideation with strong intent
or rehearsal
*admission generally indicated
Moderate Risk Suicide Level ✔✔multiple risk factors, few protective factors, ideation with plan but
no intent or behavior
*crisis plan
Low risk Suicide Level ✔✔modifiable risk factors, strong protective factors, thoughts of death but
no plan, intent or behavior
*outpatient referral, symptoms reduction
Resolved plans and preparation (RPP) ✔✔sense of courage, competence, opportunity, plans to make
as attempt, availability, specificity of plan, preparation for an attempt, duration and intensity of suicide
ideation
Multiple attempter Risk Level- Mild ✔✔no other symptoms or indicators, no RPP factors or other
risk factors
Multiple attempter Risk level- moderate ✔✔any symptom or indicator from Suicidal desire and
ideation or RPP factors or other risk factors
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