Lucas Callahan Bipolar Disorder Subjective Data Collection

Lucas Callahan Bipolar Disorder Subjective Data Collection

Subjective Data Collection: 69 of 69 (100.0%)

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:

Indicates an item that you found.
Available:

Indicates an item that is available to be found.

Category
Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Chief Complaint

Discovery:

Inquired about chief complaint

Discovery:

Indicates being brought in by police
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about their chief complaint will allow the patient to voice any concerns or symptoms the patient may have in their own words.
Example Question:
What brings you to the emergency room?

History of Present Illness

Discovery:

Followed up on incident

Discovery:

Indicates looking into cars for government agents chasing him
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What were you doing when the police found you?

Discovery:

Indicates being in a grocery store parking lot
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Where were you when the police found you?

NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

Discovery:

Indicates knowing the police stopped him for running around and looking in cars
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Do you know what caused the police to bring you in?

Discovery:

Denies having hurt himself or others
(Available)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Were you hurting anyone?

Discovery:

Denies having done anything illegal
(Available)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Were you doing anything illegal?

Discovery:

Followed up on government agents

Discovery:

Indicates government is trying to imprison him for being enlightened
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What is the reason that government agents are following you?

Discovery:

Indicates government sees his enlightenment as a threat to their secrets
(Found)
Pro Tip: Asking a patient the details about their current health issues allows you to fully comprehend them. Details of their illness will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
What is the reason that government agents are following you?

Discovery:

Inquired about anxiety or paranoia

Discovery:

Indicates last depressive period ended a couple months ago
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
When did your last period of depression end?

Discovery:

Indicates last depressive period was a long one
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
How long was your last period of depression?

Discovery:

Inquired about details of depression diagnosis

Discovery:

Indicates being diagnosed by psychiatrist
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Who diagnosed you with depression?

Discovery:

Indicates being diagnosed 3 years ago
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
When were you diagnosed with depression?

Discovery:

Inquired about reason for seeing psychiatrist

Discovery:

Indicates being made to see the psychiatrist following a suicide attempt
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
What did you see the psychiatrist for?

Discovery:

Inquired about how depression was treated

Discovery:

Indicates psychiatrist prescribed antidepressants
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Did the psychiatrist prescribe anything for your depression?

Discovery:

Inquired about hospitalizations

Discovery:

Indicates being hospitalized after suicide attempt
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Were you hospitalized after your suicide attempt?

Discovery:

Indicates being hospitalized 3 years ago
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can

indicate where you should follow-up for further care and treatment.
Example Question:
When were you hospitalized?

Discovery:

Inquired about allergies

Discovery:

Denies allergies
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Do you have any allergies?

Home Medications

Discovery:

Inquired about effectiveness of medication

Discovery:

Indicates antidepressants were not effective
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Were the antidepressants effective?

Discovery:

Indicates antidepressants caused side effects
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Did the antidepressants cause any side effects?

Discovery:

Indicates stopping the antidepressant regimen
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Did you continue taking the antidepressants?

Discovery:

Indicates not consulting a healthcare provider before stopping regimen
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Did you consult your healthcare provider before stopping the antidepressants?

Discovery:

Followed up on medication side effects

Discovery:

Indicates not wanting to discuss side effects
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
What kind of side effects did the antidepressants cause?

Discovery:

Followed up on details of the medication prescription

Discovery:

Denies remembering details of the medication prescription
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
What was the name of the antidepressant?

Discovery:

Inquired about home medications beside antidepressants

Discovery:

Denies home medications beside antidepressants
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Do you take any other medications?

Ask Suicide Screening Questions

Discovery:

Followed up on suicide attempt

Discovery:

Indicates attempt occurred 3 years ago
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
When was your suicide attempt?

Discovery:

Indicates not wanting to discuss the suicide attempt
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
How did you attempt suicide?

Discovery:

Followed up on other suicide attempts

Discovery:

Denies other suicide attempts
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Have you had other suicide attempts?

Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Do you ever think others would be better off without you?

Discovery:

Indicates not wanting to discuss this belief
(Available)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Do you ever think others would be better off without you?

Discovery:

Inquired about thoughts of suicide

Discovery:

Denies current thoughts of suicide
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Are you having suicidal thoughts right now?

Discovery:

Indicates previous thoughts of suicide during depressive episodes
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Have you ever had suicidal thoughts?

Discovery:

Indicates that thoughts of suicide are permanently behind him
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Do you ever have suicidal thoughts?

Discovery:

Inquired about current plans for suicide

Discovery:

Denies recent plan to attempt suicide
(Found)
Pro

Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Have you recently planned to commit suicide?

Discovery:

Indicates last suicidal plans were before suicidal attempt 3 years ago
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Have you ever planned to commit suicide?

Discovery:

Inquired about self-harming without intending to die

Discovery:

Indicates only self-injury was the suicide attempt
(Found)
Pro Tip: Determining a patient’s risk for suicide is imperative for suicide prevention, intervention, and education. Using the Ask Suicide-Screening Questions (ASQ) will help you uncover the most relevant pieces of information around suicide ideation and action, both past and present, that are necessary for protecting the patient’s safety.
Example Question:
Have you ever self-harmed?

Discovery:

Inquired about homicidal urges

Discovery:

Denies homicidal urges
(Found)
Pro Tip: Asking a patient if they are experiencing homicidal urges may be uncomfortable, but it is important for determining a patient’s mental health, issues with rage or violence, and the safety levels of the patient and the people in their lives.
Example Question:
Do you ever feel homicidal urges?

Mood Disorder Questionnaire

Discovery:

Inquired about perception of mental health

Discovery:

Indicates feeling like his depression is over
(Found)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.
Example Question:
How do you feel about your depression?

Discovery:

Indicates feeling like mental health is exceptional
(Found)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.
Example Question:
How would you describe your mental health?

Discovery:

Indicates feeling mental health treatment is unnecessary
(Available)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.
Example Question:
Do you think you need mental health treatment?

Discovery:

Inquired if others notice mood or energy shifts

Discovery:

Indicates not paying attention to others’ perception of him
(Found)
Pro Tip: Utilizing the Mood Disorder Questionnaire (MDQ) is an effective means of gathering relevant information about a patient’s mental health, helping you screen them for signs of Bipolar Disorder. By discussing these relevant topics such as mood changes, associated behaviors, and changes to lifestyle and relationships, you can determine what diagnosis, education, and interventions the patient needs.
Example Question:
Has anyone commented on your mood and energy shifts?

Discovery:

Inquired about excessive irritability or anger

Discovery:

Indicates feeling angry only when people “interfere with the vibes”