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‘SEMISTRUCTURED INTERVIEW QUESTIONS 495, — Table B2 ‘Semistructured Interview Questions for an Older Child or Adolescent in a Mental Status Evaluation 4. Hil tm De (Ms, ir] tions. OK? Te fke to ask you some ques- General Orientation to Time, Place, and Person 2. What is your name? 3 How old are you? 4, What is todays date? 6, What day of the week Ist? 6, What Is the season? 7. What time of day is? 8, Where are you? 9, Whats the name ofthe sie we are in? 40. Whats the name ofthis cy? 11, Whats the name ofthis place? Recent and Remote Memory 12. And yous telephone numbers ..? 18, What s your adores? 14, What do you do? 15, What is my name? 416, What dd you have for breakfast? 17. What did you do in school fat the hospital, at hore) yesterday? 418, Who isthe president of the United States? 18, Who was the president belore him? 20, (f relevant) Where did you Ive botore you moved to [cite civ? 21, Name three major cites in the United States, 22. What are two major news events that happened inthe last mont? 223. How did you gett this hospital ini, office]? 24, Whats your father’s name? 25, What is your mather’s name? 26, When is your birthday? 27. Where were you born? 28. What school do you go to? 29, (relevant) When did you finish elementary schoot? 20. (relevant) When cid you finish high school? Immediate Memory 31, Say these numbers after me: 695... 4381 .. 2985-7 22, Say these numbers backwards: 83-7... 946+4,.. 73258, 3, Say these words after me: pencil, chal, stone, pate. ight and Judgment 34, What does this saying mean: “Too many cooks spoil the broth"? 35, What does this saying mean: "A sitch in time saves nine”? 36, How are a banana, peach, and pear alke? 37, How are a bicycle, wagon, and ca alike? Reading, Writing, and Spelling 38, Read those words. (Give intorviewee a piace of paper with the foloning words on it pa, father, sting, intervention.) 29, Now write these same words. (Give interviewee a blank piece of paper on which to wie; show the same words asin ‘question 38 for child to copy.) 40, Spell these words aloud: spoon ... cover... procedure, attitude ‘Arithmetical Concentration 41, (For children between 7 and 12 yeers) Subtract by s, start- ing with 30. 42. (For adolescents) Subtract by 7s, starting with 50, Concluding Questions 43. Are there any questions that you would Ike to ask me? 4, (yes) Go ahead. 45, Thank you for talking with me. Ifyou have any questions ori {You want to talk to me, please call me. Here is my card

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