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Maryville University MSE Psychiatric Interview Discussion

 

Instructions:

It is anticipated that the initial discussion post should be in the range of 250-300 words. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Discussion Prompt

https://youtu.be/hPQKpNy-Hm4

(This video is not part of the prompt but I guess it is kinda similar to the previous assignment)

  • In review of the content and material related to a psychiatric mental health assessment interview, what components were surprising for you or different from your previous nursing experience intake information?
  • How will this information be helpful to initiate a therapy treatment plan for a client?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

EXAMPLE: (It does not have to be this long) FYI: I am a Family Nurse Practitioner / Primary care provider. You don’t have to be too specific about the differences. Just maybe state that psych interview is more detailed which focuses on mental health.

In reviewing the content and material related to a psychiatric mental health assessment interview, I didn’t really find any components surprising; however, I did find it more in-depth from the interview forms I am accustomed to from the medical assessment interview. My primary background is ER, so I am heavily focused on the physical assessment at first, and then am able to scratch the surface into the mental health components once the patient is deemed stable. The psychiatric mental health assessment involves a more advanced look into what is happening with the patient. There are actually many components of the psychiatric interview assessment that overlap with the medical interview assessment, just not as in-depth. In the setting I am most accustomed to, we do evaluate appearance, behavior, speech, mood, affect, cognition, and insight/judgment. Many times, patients who present for a physical medical complaint end up having a psychiatric complaint they didn’t initially disclose, or we find they are not current with their psychiatric care. I have always been surprised that a better mental health status assessment isn’t included upon admission to the hospital and in other medical care settings. There are often times that people may not come out and admit that they are having mental health difficulties; however, if a thorough mental health assessment was performed, mental health issues may be able to be detected.

In terms of treatment plans, a better, more thorough treatment plan could be initiated for all patients based on the information gathered during the psychiatric assessment interview. The psychiatric assessment can also help us to gauge the patient’s progressions and any regressions, as we can compare how the patient presented on initial interview to present time. I found an article that took a unique approach to creating treatment plans based off the findings from the psychiatric mental health assessment. This study found that often times, psychiatric patients treatment plans are focused on the patient’s weaknesses, rather than their strengths. The findings of the study indicate that healthcare professionals may easily overlook or underappreciate patient strengths; however, supporting and strengthening the strengths of patients is critical to fostering and creating value for nursing care in psychiatric settings (Maghsoudi et al., 2017). I feel that this is important to keep in mind while collecting information while interviewing the patient, as conversations about strengths can also be brought up during the process.

References

Maghsoudi, J., Oreyzi, H., & Zargham-Boroujeni, A. (2017). Exploring the strengths of patients with psychiatric disorders: A qualitative study. Journal of Nursing Research, 25(2), 149–155. https://doi.org/10.1097/JNR.0000000000000202