Residual Functional Capacity - Adult Anxiety Related Mental Disorder Page 7

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Complete a normal workday and
workweek without interruptions
from psychologically based
symptoms and perform at a
consistent pace without an
unreasonable number and length of
rest periods. (These requirements are
usually strict.)
Ask simple questions or request
assistance.
Accept instructions and respond
appropriately to criticism from
supervisors.
Get along with coworkers or peers
without (unduly) distracting them or
exhibiting behavioral extremes.
Respond appropriately to changes in
a (routine) work setting.
Be aware of normal hazards and take
appropriate precautions.
MENTAL ABILITIES NEEDED TO DO SEMISKILLED AND SKILLED WORK
The basic abilities listed in “DI 25020.010B.” (i.e., the “abilities needed to perform any job”) are necessary.
Often, there is an increasing requirement for understanding and memory and for concentration and persistence,
e.g.: the ability to perform the following functions:
Mild
Moderate
Marked
Severe
No
Impairment
Impairment
Impairment
Impairment
Impairment
Understand and remember detailed
instructions,
Carry out detailed instructions
Set realistic goals or make plans
independently of others.
Signature of Physician___________________________________ Date __________________
Page 7 of 7

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