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37 Cards in this Set
- Front
- Back
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What non verbal behaviours are observed during an interview?
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- Body posture
- gestures - eye movements - quality and pattern of speech |
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What are two important process goals in any assessment, interviewer treatment setting?
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Establishing rapport and maintaining cooperation
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The outcome of an interview depends on both the interviewee and the interviewer because an interview is a what?
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A dynamic, two-way interchange in which participants mutually influence each other
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Interviews should be conducted in what?
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A quiet room free from distractions
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An interviewer must be friendly while at the same time maintaining what?
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A neutral and professional distance
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Interviewers must be accepting of the interviewee without showing what?
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Approval or disapproval
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Explain the three types of interviews?
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1. Unstructured – usually open-ended and without a set agenda
2. Semi-structured - list of questions however the focus of the interview can be changed as needed 3. Structured – rigid and comprehensive list of questions that are usually designed to arrive at a diagnosis |
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The content of an assessment interview involves understanding what 7 aspects?
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1. Perception of the current problem
2. History of the current problem 3. Past psychiatric and medical history 4. Past treatment 5. Family history: parents, children, siblings 6. family history of disease and psychiatric illness 7. Relationships |
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What aspects of personal history are gathered during the assessment interview?
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1. Early development
2. Childhood 3. School 4. Adolescence 5. Relationship/martal history 6. Current partner 7. Children 8. Habits 9. Leisure 10. Social network |
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What are four mistakes an interviewer can make which reduce the effectiveness of the interview?
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1. Ask the wrong questions
2. Not encouraging complete answers 3. Not allowing enough time for responses 4. Inaccurately recording responses |
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What are the 8 basic communication skills required for effective interviews?
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1. Acknowledgement
2. Descriptive statements 3. Reflective statements 4. Reframing 5. Praise statements 6. Summary statements 7. Avoid critical statements 8 Ask open ended questions |
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A verbal/nonverbal response which indicates attention, expresses empathy or provides feedback is know as what?
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Acknowledgement
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A statement that provides a verbal picture of the ongoing behaviour such as “you’re drawing lots of colours in your rainbow” or “ you look sad when you talk about your grandmother” are known as what?
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Descriptive statements
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Why would an interviewer use descriptive statements?
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To focus on aspects of the situation that may interest the client and provide ways of maintaining communication while planning the next step.
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Statements that repeat or paraphrase client statements, emotions, content, or body language are known as what?
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Reflective statements
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What is the name of a CBT skill used by the interviewer to provide a more appropriate interpretation of the clients situation?
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Reframing
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The following statement by the interviewer is an example of what communication skill or technique? Child: “my mum is always getting mad at me for leaving my shoes everywhere. She always says that my room is messy and that I never make my bed”.
Interviewer: “It sounds like your mum is noticing that you’re growing up and you’re able to handle more responsibilities. But you don’t seem very happy with the way she reminds you of things you need to do”. |
Reframing
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A statement used to review information that the client has presented is known as what?
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A summary statement
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Are open-ended or closed questions more preferable during an interview?
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Open-ended
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What is the name of a communication skill, which is also a behaviour management technique, used to encourage an act or event?
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Praise statement
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What type of statements should interviewers avoid using? And what effect can these have on the client during the interview?
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Critical statements as they foster negative emotional reactions such as anger, resentment and frustration, and lead to unproductive defensiveness
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What type of statements are rapport killers?
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Critical statements
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“I don’t like it when you throw blocks at me” is an example of what type of statement?
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Critical statement
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What are the 13 recommendations when conducting a clinical interview?
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1. Assure confidentiality
2. Build rapport through interest and warmth 3. Empathise (try to get in touch with how the interviewee feels) 4. Be courteous, patient, and accepting 5. Encourage interviewee to freely express themselves 6. Adjust questions according to the clients culture and educational background 7. Avoid jargon 8. Avoid leading questions 9. Begin with open-ended questions then proceed to more direct questions 10. Use humour sparingly 11. Listen without emotionally overreactive 12. Attend to content and how content is conveyed 13. Take note or record session inconspicuously |
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Behavioural interviewing is a type of what?
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Clinical interview
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What are the ABC’s that the client needs to describe during a behavioural interview?
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Describe the problem behaviour, the antecedant conditions and the consequences
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What are 14 things an interviewer can do to facilitate rapport?
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1. Encourage collaboration
2. Give the interviewee your undivided attention 3. Convey to the interviewee that you want to listen and can be trusted 4. Listen openly and non-judgementally 5. Speak slowly and clearly, in a calm , matter of fact, friendly and accepting manner 6. Interrupt the interviewee only when necessary 7. Use a warm and expressive tone 8. Maintain a natural, relaxed, and attentive posture 9. Maintain appropriate eye contact 10. Ask tactful questions 11. Time questions and comments appropriately 12. Ascertain interviewee’s preferred name 13. Ascertain correct name pronunciation 14. Dress appropriately |
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What eight facets of functioning are assessed during a Mental Status Exam (MSE)?
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1. Appearance
2. Behaviour 3. Speech 4. Thought processes and content 5. Emotions 6. Perception 7. Cognition 8. Insight |
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What facets of appearance are assessed during an MSE?
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How the client looks
– healthy? – his/her age? – appropriately dressed? – well groomed? |
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What facets of behaviour are assessed during an MSE?
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How the client relates to the interviewer
–Does the client engage in conversation easily? – Is the client cooperative? – Does the client consistently make eye-contact? – Does the client have any visible tics or unusual movements? – What are the clients facial expressions and do they change over time? |
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What facets of speech are assessed during an MSE?
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– articulation, vocabulary, use of language
– It is slow? Pressured? Hesitant? – Is it rapid? Stuttered? – do they speak unsually loud or soft? – Do they have vocal tics? (throat clearing) – Is non-vernal language congruent with verbal language? – Do they have and accent? |
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How are thought processes and content assessed/observed during an MSE?
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– Do their thought make sense? Illogical thinking? Loose associations?
– Do they expresses any delusions? (grandeur, persecution or control) – Obsessive thoughts? Perseveration? – Suicidal or homicidal thoughts? (suicide risk assessment) – Do they display symptoms of thought disorder? |
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What are the symptoms of thought disorder?
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Problems with logical of thinking and difficulty on understanding some comments/overall thread of conversation
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How are emotions observed and assessed during an MSE?
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– Mood: how do they feel most of the time?
– Affect: how do they appear to feel when with you? – Does their affect vary over the interview? – Does their affect seem excessive? – Is their affect appropriate to what is discussed? – Do they exhibit labile affect (excessive fluctuation in affect)? |
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How is perception observed and assessed during an MSE?
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– Do they appear to have any hearing or sight problems?
– Do they suffer from hallucinations (auditory, visual, olfactory, tactile)? - Do they have any motor difficulties? |
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How is cognition observed and assessed during an MSE?
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– Is the person oriented to person, time and place?
– Do they appear to be of average intelligence? – Do they have normal concentration? – Is their immediate memory normal? – Do they have the capacity for insight? – Do they have an appropriate sense of self worth? |
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How is insight assessed during an MSE?
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– Is the client aware of their illness, its causes or objective reality?
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