Discussion: The Psychiatric Evaluation and Evidence-Based Rating Scales
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.
Determine which of the following disorders to focus on for your initial post: Quality of Life Enjoyment and Satisfaction Questionnaire
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Solution
Psychiatric interview is a necessary process that facilitates the establishment of a relationship between care providers and their patients to ensure that they are able to obtain all the relevant information concerning the patient, to develop the appropriate intervention strategies. Some of the crucial components include past psychiatric history for the patient; this includes previous diagnosis, hospitalization due to mental illnesses, medications that have been used previously, psychotherapy, suicide attempts, and violence history (Rush et al., 2019). The past psychiatric history component provides the care provider with clues on what might be ailing the patient and guides other tests to be performed later. The mental status exam is a critical component where the care provider assesses appearance, affect, thought process, hygiene and grooming, speech, cognition, and insight. This allows the care provider to observe signs and symptoms they can use to determine a diagnosis. Developmental and social history; the component provides essential information about social support for the patient and can help indicate subtle symptoms of mental illnesses (Scott & Hirshbein, 2021).
Quality of Life Enjoyment and Satisfaction Questionnaire is a frequently used outcome measure in psychiatric research. The 16-item questionnaire measures a patient’s satisfaction within the past one week. The questions are rated on a 5-point scale, where the participant is required to respond to each question, and the total score is added and reported as a percentage. The scale is appropriate for use with the client during a psychiatric interview when the routine screening practices do not provide adequate information about the patients. The scale can provide greater details on whether a patient is satisfied with his/her life. Satisfaction with the quality of life is essential in predicting mental health status. Patients that are dissatisfied with their quality of life are likely to have mental illnesses such as depression or anxiety, while those that are satisfied are unlikely to have a mental illness (Ranum et al., 2019).
References
Ranum, E., Baumgartner, A., Burke, W. J., & Wengel, S. (2021). Modifying the psychiatric evaluation for older adults: at tool for medical learners. The American Journal of Geriatric Psychiatry, 29(4), S82. https://www.sciencedirect.com/science/article/abs/pii/S1064748121000993
Rush, A. J., South, C. C., Jha, M. K., Grannemann, B. D., & Trivedi, M. H. (2019). Toward a very brief quality of life enjoyment and Satisfaction Questionnaire. Journal of affective disorders, 242, 87-95. https://www.sciencedirect.com/science/article/abs/pii/S0165032718311984
Scott, J. A., & Hirshbein, L. (2021). Tell Me About It: The Historical Development of the Psychiatric Interview. Harvard review of psychiatry, 29(6), 438-443. https://journals.lww.com/hrpjournal/Citation/2021/11000/TellMeAboutItTheHistoricalDevelopmentof.8.aspx