Comprehensive Bio-Psychosocial Assessment Instrument Name: ________________________________________________________________ Gender: __________________ Date of Birth: _____/______/_______

Comprehensive Bio-Psychosocial Assessment Instrument

Name: ________________________________________________________________ Gender: __________________ Date of Birth: _____/______/_______
Marital Status ______________ Race/Ethnicity: ___________________________ Languages Spoken: _____________________________________________________

Chief Complaint: _____________________________________________________________________

History of Present Illness: __________________________________________________________________________________________________________________________________________________________________________________________________________________

Past Psychiatric/Psychological History:

Past Medical History: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Past Surgical History: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Allergies: _____________________________________________________________

Current Medication List

Medication

Dose

Frequency

Prescriber

Reason

Past Medication List

Medication

Dose

Frequency

Reason Started

Reason Stopped

Comments:

Drug/Alcohol Assessment

Which substances are currently used

Method of use (oral, inhalation, intranasal, injection)

Amount of use

Frequency of use (times/ month)

Time period of use

Which substances have been used in the past

__ Alcohol

__ Caffeine

__ Nicotine

__ Heroin

__ Opiates

__ Marijuana

__ Cocaine/Crack

__ Methamphetamines

__ Inhalants

__ Stimulants

__ Hallucinogens

__ Other: ________________

Suicidal/Homicidal Ideation

Is there a suicide risk? ___ No ___ Yes
___ Previous attempt (When: _____________________________________________) ___ Current plan ___ Means to carry out plan ___ Intent ___ Lethality of plan
Is the patient dangerous to others? ___ Yes ____ No
Does the patient have thoughts of harming others? ___ Yes ___ No
If yes: Target: __________________________________________________________ Can the thoughts of harm be managed? ___ Yes ___ No
___ Current plan ___Means to carry out plan ___ Intent ___ Lethality of plan
High risk behaviors
___ None ___ Cutting ___ Anorexia/Bulimia ___ Head Banging
___ Self injurious behaviors
___ Other: _____________________________________________________________

Abuse Assessment

In the past year has the patient been hit, kicked, or physically hurt by another person? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Is the patient in a relationship with someone who threatens or physically harms them? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Has the patient been forced to have sexual contact that they were not comfortable with? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Has the patient ever been abused? ___ Yes ___ No. If yes, describe by whom, when and how. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Family/Social History

Born/raised ________________________________________
Siblings ___ # of brothers ___ # of sisters
What was the birth order? ____of ____ children
Who primarily raised the patient? ___________________________________________
Describe marriages or significant relationships: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Number of children: _____________________________________________________
Current living situation: __________________________________________________
Military history/type of discharge: __________________________________________ Support/social network: __________________________________________________
Significant life events: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Family History of Mental Illness (which relative and which mental illness): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Employment

What is the current employment status? ___________________________________
Does the patient like their job? _____________________________________________
Will this job likely be done on a long-term basis? _______________________________
Does the patient get along with co-workers? __________________________________
Does the patient perform well at their job? ____________________________________
Has the patient ever been fired? Yes No If yes, explain ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How many jobs has the patient had in the last five years? ________________________

Education

Highest grade completed: ________________________________________________ Schools attended: _______________________________________________________ Discipline problems: _____________________________________________________

Current Legal Status

_____ No legal problems _____ Probation
_____ Previous jail

Developmental History

_____ Parole
_____ Charges pending _____ Has a guardian

Describe the childhood:
Describe the childhood in relation to personality, school, friends, and hobbies): _____ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Describe any traumatic experiences in the childhood: (List the age when they occurred) ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ What is the patient’s sexual orientation? ___ Heterosexual ___ Homosexual
___ Bisexual

Spiritual Assessment

Religious background: ___________________________________________________
Does the patient currently attend any religious services? Yes No If yes, where. ______________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Cultural Assessment

List any important issues that have affected the ethnic/cultural background.

Financial Assessment

Describe the financial situation. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

___ Traumatic ___ Painful ___ Uneventful

Coping Skills

Describe how the patient copes with stressful situations. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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

Interests and Abilities

What hobbies does the patient have? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What is the patient good at? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What gives the patient pleasure? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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:____________________________________________________________

Behavior/Motor Activity

___ Normal ____ Restless ____ Agitated ___ Lethargic
___ Abnormal facial expressions ___Tremors ___ Tics
___ Other:____________________________________________________________

Mood/Affect

___ Normal ____ Depressed ___ Flat ____ Euphoric ___ Anxious ___ Irritable ___ Liable ___ Indifferent ___ Careless ___ Inability to sense emotions
___ Lack of sympathy
___ Other:_____________________________________________________________

Speech

___ Normal ___ Nonverbal ___Slurred ___ Soft ___ Loud ___ Pressured ___ Limited ___ Incoherent ___ Halting ___ Rapid

___ Other: ____________________________________________________________

Attitude

___ Cooperative ___ Uncooperative ___Guarded ___ Suspicious ___ Hostile
___ Other: _____________________________________________________________

Thought Process

___ Intact ___ Flight of ideas ___ Tangential ___ Concrete thinking
___ Loose associations ___ Unable to think abstractly ___ Circumstantial

___ Neologisms ___ Racing ___ Word Salad
___ Other: _____________________________________________________________

Thought Content

___ Normal ___ Phobia ___ Hypochondriasis ___ Delusions ___ Obsessive
___ Preoccupations
___ Other: _____________________________________________________________

Delusions

___ None ___ Religious ___ Persecutory ___ Grandiose ___ Somatic
___ Ideas of reference ___Thought broadcasting ___Thought insertion
___ Other: ____________________________________________________________

Hallucinations

___ None ___ Auditory hallucinations ___ Visual hallucinations
___ Command hallucinations
___ Other: _____________________________________________________________ Describe: ______________________________________________________________ ______________________________________________________________________

Impulse Control

___ Normal ___ Partial ___ Limited ___ Poor ___ None
___ Frequently participates in activities without planning or thinking about them

Judgment

(What would you do if there was a fire in a crowded movie theater?) ___ Normal ____ Poor

Cognition/Knowledge

Orientation

___ Person ___ Place ___ Time

Attention

Can the patient spell W-O-R-L-D backwards? ___ Yes ___ No

Memory

Immediate recall of 3 objects ___/3 Recall after 5 minutes ___/3

Naming

Point out three objects. How many can the patient name? ___/3

Visual-spatial

Can the patient copy intersecting pentagons? ___ Yes ___ No

Praxis

Can the patient follow a three step command? ___ Yes ___ No

Calculations

Serial 7’s (how many times can the patient correctly subtract 7 from 100): __________

Abstractions

___ Comprehends ___ Does not comprehend

Insight

___ Normal ___ Poor
Is the patient able to meet their basic needs (e. g., food, shelter, medical):

___ Yes ___ No
If no, Describe: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Functional Ability

Check the area of concern
___ None ___ Activities of daily living ___Work ___ Family relationships___ Social relationships ___ Cognitive functioning ___ Physical health
___ Housing ___ Impulse control ___ Social skills

___ Finances ___ School ___ Safety ___ Legal

IMMEDIATE TREATMENT PLAN:

DX to RO (Rule Out):

Immediate Treatment Goals & Objectives:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Signature: _______________________________ Date: _______________________[supanova_question]

Comprehensive Bio-Psychosocial Assessment Instrument Name: ________________________________________________ Gender: Date of Birth: _//___

Comprehensive Bio-Psychosocial Assessment Instrument

Chief Complaint: _____________________________________________________________________

Past Psychiatric/Psychological History:

Allergies: _____________________________________________________________

Current Medication List

Medication

Dose

Frequency

Prescriber

Reason

Past Medication List

Medication

Dose

Frequency

Reason Started

Reason Stopped

Comments:

Drug/Alcohol Assessment

Which substances are currently used

Method of use (oral, inhalation, intranasal, injection)

Amount of use

Frequency of use (times/ month)

Time period of use

Which substances have been used in the past

__ Alcohol

__ Caffeine

__ Nicotine

__ Heroin

__ Opiates

__ Marijuana

__ Cocaine/Crack

__ Methamphetamines

__ Inhalants

__ Stimulants

__ Hallucinogens

__ Other: ________________

Suicidal/Homicidal Ideation

Abuse Assessment

Family/Social History

Employment

How many jobs has the patient had in the last five years? ________________________

Education

Current Legal Status

_____ No legal problems _____ Probation
_____ Previous jail

Developmental History

_____ Parole
_____ Charges pending _____ Has a guardian

Spiritual Assessment

Cultural Assessment

List any important issues that have affected the ethnic/cultural background.

Financial Assessment

___ Traumatic ___ Painful ___ Uneventful

Coping Skills

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

Interests and Abilities

MENTAL STATUS ASSESSMENT

(Describe any deviation from normal under each category.)

Arousal/Orientation

Appearance

___ Well groomed ___ Good eye contact ___ Poor eye contact ___ Disheveled ___ Bizarre ___ Poor hygiene ___ Inappropriate dress
___ Other:____________________________________________________________

Behavior/Motor Activity

___ Normal ____ Restless ____ Agitated ___ Lethargic
___ Abnormal facial expressions ___Tremors ___ Tics
___ Other:____________________________________________________________

Mood/Affect

Speech

___ Normal ___ Nonverbal ___Slurred ___ Soft ___ Loud ___ Pressured ___ Limited ___ Incoherent ___ Halting ___ Rapid

___ Other: ____________________________________________________________

Attitude

___ Cooperative ___ Uncooperative ___Guarded ___ Suspicious ___ Hostile
___ Other: _____________________________________________________________

Thought Process

___ Intact ___ Flight of ideas ___ Tangential ___ Concrete thinking
___ Loose associations ___ Unable to think abstractly ___ Circumstantial

___ Neologisms ___ Racing ___ Word Salad
___ Other: _____________________________________________________________

Thought Content

___ Normal ___ Phobia ___ Hypochondriasis ___ Delusions ___ Obsessive
___ Preoccupations
___ Other: _____________________________________________________________

Delusions

Hallucinations

Impulse Control

___ Normal ___ Partial ___ Limited ___ Poor ___ None
___ Frequently participates in activities without planning or thinking about them

Judgment

(What would you do if there was a fire in a crowded movie theater?) ___ Normal ____ Poor

Cognition/Knowledge

Orientation

___ Person ___ Place ___ Time

Attention

Can the patient spell W-O-R-L-D backwards? ___ Yes ___ No

Memory

Immediate recall of 3 objects ___/3 Recall after 5 minutes ___/3

Naming

Point out three objects. How many can the patient name? ___/3

Visual-spatial

Can the patient copy intersecting pentagons? ___ Yes ___ No

Praxis

Can the patient follow a three step command? ___ Yes ___ No

Calculations

Serial 7’s (how many times can the patient correctly subtract 7 from 100): __________

Abstractions

___ Comprehends ___ Does not comprehend

Insight

___ Normal ___ Poor
Is the patient able to meet their basic needs (e. g., food, shelter, medical):

Functional Ability

___ Finances ___ School ___ Safety ___ Legal

IMMEDIATE TREATMENT PLAN:

DX to RO (Rule Out):

Immediate Treatment Goals & Objectives:

Signature: _______________________________ Date: _______________________[supanova_question]

SOC 391- Fall 2021 Exam II Name______________________________ ADVICE: To do your best

SOC 391- Fall 2021

Exam II

Name______________________________

ADVICE: To do your best on this exam, make sure you consult the readings, the slides, and your class notes.

You must answer the following question (3 pages or less) 40pts…

Max Weber theorized that “rationality” or “formal rationality” increasingly dominates modern society. Explain Weber’s concept of rationality by identifying and explaining its characteristics. Be sure to address why rationality is a necessary and “good” thing for modern societies, and also explain the problems that often arise from it. To receive full credit, you must use examples from the movie Gattaca to help illustrate your response. Hint: Feel free to use the Ritzer Reading to aid in your explanation of rationality.

Answer any two of the following questions (2 pages or less) 30pts. each…

Define and explain Weber’s concept of the Protestant Ethic and how it gave rise to the birth and sustainability of capitalism.[supanova_question]

SOC 391- Fall 2021 Exam II Name______________________________ ADVICE: To do your best

Writing Assignment Help SOC 391- Fall 2021

Exam II

Name______________________________

ADVICE: To do your best on this exam, make sure you consult the readings, the slides, and your class notes.

You must answer the following question (3 pages or less) 40pts…

Answer any two of the following questions (2 pages or less) 30pts. each…

Define and explain Weber’s concept of the Protestant Ethic and how it gave rise to the birth and sustainability of capitalism. [supanova_question]

Comprehensive Bio-Psychosocial Assessment Instrument Name: ________________________________________________ Gender: Date of Birth: _//___

Comprehensive Bio-Psychosocial Assessment Instrument

Chief Complaint: _____________________________________________________________________

Past Psychiatric/Psychological History:

Allergies: _____________________________________________________________

Current Medication List

Medication

Dose

Frequency

Prescriber

Reason

Past Medication List

Medication

Dose

Frequency

Reason Started

Reason Stopped

Comments:

Drug/Alcohol Assessment

Which substances are currently used

Method of use (oral, inhalation, intranasal, injection)

Amount of use

Frequency of use (times/ month)

Time period of use

Which substances have been used in the past

__ Alcohol

__ Caffeine

__ Nicotine

__ Heroin

__ Opiates

__ Marijuana

__ Cocaine/Crack

__ Methamphetamines

__ Inhalants

__ Stimulants

__ Hallucinogens

__ Other: ________________

Suicidal/Homicidal Ideation

Abuse Assessment

Family/Social History

Employment

How many jobs has the patient had in the last five years? ________________________

Education

Current Legal Status

_____ No legal problems _____ Probation
_____ Previous jail

Developmental History

_____ Parole
_____ Charges pending _____ Has a guardian

Spiritual Assessment

Cultural Assessment

List any important issues that have affected the ethnic/cultural background.

Financial Assessment

___ Traumatic ___ Painful ___ Uneventful

Coping Skills

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

Interests and Abilities

MENTAL STATUS ASSESSMENT

(Describe any deviation from normal under each category.)

Arousal/Orientation

Appearance

___ Well groomed ___ Good eye contact ___ Poor eye contact ___ Disheveled ___ Bizarre ___ Poor hygiene ___ Inappropriate dress
___ Other:____________________________________________________________

Behavior/Motor Activity

___ Normal ____ Restless ____ Agitated ___ Lethargic
___ Abnormal facial expressions ___Tremors ___ Tics
___ Other:____________________________________________________________

Mood/Affect

Speech

___ Normal ___ Nonverbal ___Slurred ___ Soft ___ Loud ___ Pressured ___ Limited ___ Incoherent ___ Halting ___ Rapid

___ Other: ____________________________________________________________

Attitude

___ Cooperative ___ Uncooperative ___Guarded ___ Suspicious ___ Hostile
___ Other: _____________________________________________________________

Thought Process

___ Intact ___ Flight of ideas ___ Tangential ___ Concrete thinking
___ Loose associations ___ Unable to think abstractly ___ Circumstantial

___ Neologisms ___ Racing ___ Word Salad
___ Other: _____________________________________________________________

Thought Content

___ Normal ___ Phobia ___ Hypochondriasis ___ Delusions ___ Obsessive
___ Preoccupations
___ Other: _____________________________________________________________

Delusions

Hallucinations

Impulse Control

___ Normal ___ Partial ___ Limited ___ Poor ___ None
___ Frequently participates in activities without planning or thinking about them

Judgment

(What would you do if there was a fire in a crowded movie theater?) ___ Normal ____ Poor

Cognition/Knowledge

Orientation

___ Person ___ Place ___ Time

Attention

Can the patient spell W-O-R-L-D backwards? ___ Yes ___ No

Memory

Immediate recall of 3 objects ___/3 Recall after 5 minutes ___/3

Naming

Point out three objects. How many can the patient name? ___/3

Visual-spatial

Can the patient copy intersecting pentagons? ___ Yes ___ No

Praxis

Can the patient follow a three step command? ___ Yes ___ No

Calculations

Serial 7’s (how many times can the patient correctly subtract 7 from 100): __________

Abstractions

___ Comprehends ___ Does not comprehend

Insight

___ Normal ___ Poor
Is the patient able to meet their basic needs (e. g., food, shelter, medical):

Functional Ability

___ Finances ___ School ___ Safety ___ Legal

IMMEDIATE TREATMENT PLAN:

DX to RO (Rule Out):

Immediate Treatment Goals & Objectives:

Signature: _______________________________ Date: _______________________[supanova_question]

Comprehensive Bio-Psychosocial Assessment Instrument Name: ________________________________________________ Gender: Date of Birth: _//___

Comprehensive Bio-Psychosocial Assessment Instrument

Chief Complaint: _____________________________________________________________________

Past Psychiatric/Psychological History:

Allergies: _____________________________________________________________

Current Medication List

Medication

Dose

Frequency

Prescriber

Reason

Past Medication List

Medication

Dose

Frequency

Reason Started

Reason Stopped

Comments:

Drug/Alcohol Assessment

Which substances are currently used

Method of use (oral, inhalation, intranasal, injection)

Amount of use

Frequency of use (times/ month)

Time period of use

Which substances have been used in the past

__ Alcohol

__ Caffeine

__ Nicotine

__ Heroin

__ Opiates

__ Marijuana

__ Cocaine/Crack

__ Methamphetamines

__ Inhalants

__ Stimulants

__ Hallucinogens

__ Other: ________________

Suicidal/Homicidal Ideation

Abuse Assessment

Family/Social History

Employment

How many jobs has the patient had in the last five years? ________________________

Education

Current Legal Status

_____ No legal problems _____ Probation
_____ Previous jail

Developmental History

_____ Parole
_____ Charges pending _____ Has a guardian

Spiritual Assessment

Cultural Assessment

List any important issues that have affected the ethnic/cultural background.

Financial Assessment

___ Traumatic ___ Painful ___ Uneventful

Coping Skills

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

Interests and Abilities

MENTAL STATUS ASSESSMENT

(Describe any deviation from normal under each category.)

Arousal/Orientation

Appearance

___ Well groomed ___ Good eye contact ___ Poor eye contact ___ Disheveled ___ Bizarre ___ Poor hygiene ___ Inappropriate dress
___ Other:____________________________________________________________

Behavior/Motor Activity

___ Normal ____ Restless ____ Agitated ___ Lethargic
___ Abnormal facial expressions ___Tremors ___ Tics
___ Other:____________________________________________________________

Mood/Affect

Speech

___ Normal ___ Nonverbal ___Slurred ___ Soft ___ Loud ___ Pressured ___ Limited ___ Incoherent ___ Halting ___ Rapid

___ Other: ____________________________________________________________

Attitude

___ Cooperative ___ Uncooperative ___Guarded ___ Suspicious ___ Hostile
___ Other: _____________________________________________________________

Thought Process

___ Intact ___ Flight of ideas ___ Tangential ___ Concrete thinking
___ Loose associations ___ Unable to think abstractly ___ Circumstantial

___ Neologisms ___ Racing ___ Word Salad
___ Other: _____________________________________________________________

Thought Content

___ Normal ___ Phobia ___ Hypochondriasis ___ Delusions ___ Obsessive
___ Preoccupations
___ Other: _____________________________________________________________

Delusions

Hallucinations

Impulse Control

___ Normal ___ Partial ___ Limited ___ Poor ___ None
___ Frequently participates in activities without planning or thinking about them

Judgment

(What would you do if there was a fire in a crowded movie theater?) ___ Normal ____ Poor

Cognition/Knowledge

Orientation

___ Person ___ Place ___ Time

Attention

Can the patient spell W-O-R-L-D backwards? ___ Yes ___ No

Memory

Immediate recall of 3 objects ___/3 Recall after 5 minutes ___/3

Naming

Point out three objects. How many can the patient name? ___/3

Visual-spatial

Can the patient copy intersecting pentagons? ___ Yes ___ No

Praxis

Can the patient follow a three step command? ___ Yes ___ No

Calculations

Serial 7’s (how many times can the patient correctly subtract 7 from 100): __________

Abstractions

___ Comprehends ___ Does not comprehend

Insight

___ Normal ___ Poor
Is the patient able to meet their basic needs (e. g., food, shelter, medical):

Functional Ability

___ Finances ___ School ___ Safety ___ Legal

IMMEDIATE TREATMENT PLAN:

DX to RO (Rule Out):

Immediate Treatment Goals & Objectives:

Signature: _______________________________ Date: _______________________[supanova_question]