Example Of A Psychosocial Assessment (Page 6 of 8) in pdf

Example Of A Psychosocial Assessment Page 6

Coping Skills

Describe how the patient copes with stressful situations.

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Is the patient’s coping methods: ___ adaptive ___ maladaptive

Interests and Abilities

What hobbies does the patient have?

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What is the patient good at?

________________________________________________________________________________

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What gives the patient pleasure?

________________________________________________________________________________

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MENTAL STATUS ASSESSMENT

(Describe any deviation from normal under each category.)

Arousal/Orientation

___ Alert ___ Sleepy ___ Attentive ___ Unresponsive ___ Oriented to person

___ Oriented to place ___ Oriented to time ___ Confused

___ Other: _____________________________________________________________

Appearance

___ Well groomed ___ Good eye contact ___ Poor eye contact ___ Disheveled

___ Bizarre ___

Poor hygiene ___ Inappropriate dress

___ Other:____________________________________________________________

Example Of A Psychosocial Assessment Page 6