Psychiatric Screening Cheat Sheet

by CheyenneSchenk via cheatography.com/121624/cs/22340/

Legal Status Presenting Problem Substance Use Nutrition

Baker Act | Marchman Act | Ex- Symptoms History Active Abuse | Past History | No History of Eating Disorder Yes |
Parte | Voluntary Suicidal Threat​/At​‐ Psychi​‐ History No
Initiated by: Judge | Police | tempt | Homicidal atric Substance: Weight Change in Last 3
Provider | Other Threat​/At​tempt | Treatm​‐ Active | Early Remission | Months Yes | No
If police, specify depart​ment: Self-I​nfl​icted Injury ent​/Ho​spi​‐ Sustained Remission Weight Change in Last 6
| Traumatic Event | tal​ization | Months Yes | No
Route:
Mental Status Exam Legal Court Order ECT |
Frequency: Intent​ional Weight Change Yes |
| Physician Order | Substance
Appearance | Approp​riate | No
Impuls​ive​/Da​‐ Abuse
Disheviled | Other History of Abuse/​Trauma Appetite Increased Yes | No
ngerous Behavi​‐ Treatment
Mood | Approp​riate | Angry | Sad orP​syc​hotic | No Yes Physical | Sexual | Appetite Decreased Yes | No
| Manic | Other Features | Previous Emotional
Affect | Approp​riate | Flat | Cognitive Treatment Traumatic event:
Restricted Other
No
Motor Behavior | No Abnorm​‐ Living Status
alities Catatonic Marital Current Living Sleep
Speech | Unrema​rkable Status Arrang​ement
Symptoms Promotion
Pressured Hesitant Single House/​Apa​rtm​‐
Difficulty Relaxation
Thought Process | Coherent ent​/Ho​meless
Falling Asleep Techniques
Incoherent Married SNF or ALF?
Difficulty Avoid Naps
Judgem​ent​/In​sight | Adequate Divorced Lives with: Staying Asleep
Fair Poor
Other: Nightmares Avoid
AVH/De​lusions | Present Not
Stimulants
Present Other
Napping Ear
Plugs/Face
Mask
Other: Other:

By CheyenneSchenk Published 7th April, 2020. Sponsored by Readable.com

Last updated 7th April, 2020. Measure your website readability!
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