Psychiatric Assessment of the Adult and
Older Adult
Skills in Interviewing and Diagnostic Reasoning
Many assessment principles are the same for children and adults;
however, with adults/older adults, consent for participation in the
assessment comes from the actual client and not parents or
guardians. The exception to this is adults/older adults who have
been determined incapacitated by a court of competent
jurisdiction. Some adults may be easier to assess than
children/adolescents as they are more psychologically minded.
That is, they have better insights into themselves and their
motivations than children/adolescents (although this is not
universally true).
Older adults present some of their own unique assessment
challenges in that they may have higher levels of stigma
associated with seeking psychiatric care. Additionally, there are
higher rates of neurocognitive disorders superimposed on other
clinical conditions such as depression or anxiety, which creates
additional diagnostic challenges.
This week, you will develop your own personal format for initial
interviews of mental health clients. You also will explore the
restrictions and limitations for practice as a PMHNP in your home
state and create a plan for passing the national certification exam.
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