Home>Homework Answsers>Nursing homework helpAccurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.To Prepare:Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.Select a specific video case study to use  from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.THEQUESTION.docxComprehensivePsychiatricEvaluationExampler.docxLEARNINGRESOURCES1.docxTEMPLATE.docx3 years ago19.06.202215Report issueAnswer(1)Catherine Owens4.8(28k+)4.8(2k+)ChatPurchase the answer to view itNOT RATEDComprehensivePsychiatricEvaluation.docxturnitinreport.pdf3 years agoplagiarism checkPurchase $15Bids(85)MISS HILLARY A+nicohwilliamBRIGHT MIND PROFPROF_ALISTERBest AssignmentsProf Double RDr. Sarah BlakeMUSYOKIONES A+sherry proffDr CloverAshley EllieMajesticMaestroEmma BuntonColeen AndersonDiscount AssignBrilliant GeekWIZARD_KIMTeacher A+ WorkMadam CathyDr Michelle Ellaother Questions(10)Macro economics expert…I need 100% gradeFor Prof XavierESE 631 Survey of the Exceptional ChildDoes literature shape a culture’s worldview, or is it worldview that shapes literatureThe objective of this examination is to give you an opportunity to effectively applyECE 311 Early Childhood Curriculum & MethodsCOM 530 Communications for Accountantstheory helpCase 2.2Math quiz roel_MathPhysicsChem

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Home>Homework Answsers>Nursing homework helpdayonetime.docx2 years ago24.02.202312Report issueBids(87)nicohwilliamPROF_ALISTERfirstclass tutorSheryl HoganDr. Freya WalkerFiona DavaProf Double Rsherry proffMUSYOKIONES A+Discount AssignDr CloverJudithTutorMARTHA92_PHDColeen AndersonBrilliant GeekTutor Cyrus KenTeacher A+ WorkAshley Elliemiss AaliyahDiscount AnsShow All Bidsother Questions(10)abbrillCan anyone help?1) Discuss the legal and ethical aspects of publishing & broadcast in Singapore emphasising on freedom of press, copyright issues,…Week 2: DiscussionDiscussion QuestionsORIGINAL WORK ONLYWeek 3 Discussion MgtDs 3Power point presentation about Solar Cells

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Home>Homework Answsers>Nursing homework helptime2 years ago04.08.202315Report issuefiles (2)AntepartumIntrapartumISBAR2023.pdfBSNLevel3DirectPatientCareDocumentation072023.pdfAntepartumIntrapartumISBAR2023.pdfI-SBAR FOR DIRECT PATIENT CARE DOCUMENTATION
ANTEPARTUM/INTRAPARTUMI
Introduce yourselfYour Name: Your Title: Reason for being there:D#:S
SituationPatient Initials:EDC: LMP: Other:Singleton Twin OtherReason for Admit:Fetal Movement: PresentMembrane Status: IntactAge: G____T____P____A____L____Gest. Age: /7 weeksNot Present:Ruptured Date Time: Fluid:B
BackgroundPrevious Pregnancies:Current Pregnancy Prenatal Care: ❑ Yes ❑ No GBS Status: ❑ pos ❑ neg Breast Feeding: ❑ Yes ❑ No
Labs:
Complications:
Past Medical History: Family Support:
Home Medications:A
AssessmentVital SignsLabor status: onset: stage /phase:Vaginal exam: _____/______/______ Blood/fluid ____________________Planned method of delivery: vaginal c/sectionFetal heart rate pattern: reassuring non-reassuringContraction pattern: frequency duration strengthLabor progress:Maternal physical assessment:IV: CURRENT MEDS:Labs:Activity:COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.12-200085 ©2020 Chamberlain University LLC. All rights reserved. 0420culcpeYEAR TYPE OF DELIVERY LABOR LENGTH COMPLICATIONSTEMP B/P HR RR SP02 PAIN FHTShttp://www.chamberlain.eduhttp://chamberlain.edu/locationsI-SBAR FOR DIRECT PATIENT CARE DOCUMENTATION
ANTEPARTUM/INTRAPARTUMR
RecommendationDischarge Planning Needs:Plan of Care:
Nursing Analysis/Priority Diagnosis:Patient Goal:Outcome Criteria:Met/ Not met/Partially metPRIORITY INTERVENTIONS REASONING EVALUATION OF INTERVENTION1.2.3.4.5.COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.NR327_ ISBAR PP-NB_DirectPatientCare Documentation_V1 New: Nov19http://www.chamberlain.eduhttp://chamberlain.edu/locationsText Field 2:Text Field 66:Text Field 52:Text Field 53:Text Field 68:Text Field 216:Text Field 217:Text Field 218:Text Field 219:Text Field 220:Text Field 221:Text Field 222:Text Field 223:Text Field 224:Text Field 225:Text Field 226:Text Field 227:Text Field 228:Text Field 168:Text Field 196:Text Field 170:Text Field 195:Text Field 194:Text Field 176:Text Field 215:Text Field 213:Text Field 214:Text Field 201:Text Field 2012:Text Field 2013:Text Field 2015:Text Field 2016:Text Field 2017:Text Field 2020:Text Field 2021:Text Field 2022:Text Field 2027:Text Field 2028:Text Field 2025:Text Field 2037:Text Field 2038:Text Field 2039:Text Field 2026:Text Field 2029:Text Field 2031:Text Field 2033:Text Field 2034:Text Field 2035:Text Field 2036:Text Field 2032:Text Field 2030:Text Field 2023:Text Field 2018:Text Field 2019:Text Field 2014:Text Field 205:Text Field 202:Text Field 206:Text Field 203:Text Field 207:Text Field 204:Text Field 208:Text Field 178:Text Field 179:Text Field 210:Text Field 211:Text Field 212:Text Field 186:Text Field 187:Text Field 188:Text Field 189:Text Field 190:Text Field 191:Text Field 198:Text Field 199:Text Field 200:Text Field 193:Check Box 9: OffCheck Box 14: OffCheck Box 10: OffCheck Box 15: OffCheck Box 11: OffCheck Box 12: OffText Field 65:Text Field 229:Text Field 230:Text Field 231:Text Field 247:Text Field 232:Text Field 233:Text Field 234:Text Field 235:Text Field 236:Text Field 237:Text Field 238:Text Field 239:Text Field 240:Text Field 241:Text Field 242:Text Field 243:Text Field 244:Text Field 245:Text Field 246:BSNLevel3DirectPatientCareDocumentation072023.pdfThis file is too large to display.View in new windowBSNLevel3DirectPatientCareDocumentation072023.pdfThis file is too large to display.View in new windowAntepartumIntrapartumISBAR2023.pdfI-SBAR FOR DIRECT PATIENT CARE DOCUMENTATION
ANTEPARTUM/INTRAPARTUMI
Introduce yourselfYour Name: Your Title: Reason for being there:D#:S
SituationPatient Initials:EDC: LMP: Other:Singleton Twin OtherReason for Admit:Fetal Movement: PresentMembrane Status: IntactAge: G____T____P____A____L____Gest. Age: /7 weeksNot Present:Ruptured Date Time: Fluid:B
BackgroundPrevious Pregnancies:Current Pregnancy Prenatal Care: ❑ Yes ❑ No GBS Status: ❑ pos ❑ neg Breast Feeding: ❑ Yes ❑ No
Labs:
Complications:
Past Medical History: Family Support:
Home Medications:A
AssessmentVital SignsLabor status: onset: stage /phase:Vaginal exam: _____/______/______ Blood/fluid ____________________Planned method of delivery: vaginal c/sectionFetal heart rate pattern: reassuring non-reassuringContraction pattern: frequency duration strengthLabor progress:Maternal physical assessment:IV: CURRENT MEDS:Labs:Activity:COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.12-200085 ©2020 Chamberlain University LLC. All rights reserved. 0420culcpeYEAR TYPE OF DELIVERY LABOR LENGTH COMPLICATIONSTEMP B/P HR RR SP02 PAIN FHTShttp://www.chamberlain.eduhttp://chamberlain.edu/locationsI-SBAR FOR DIRECT PATIENT CARE DOCUMENTATION
ANTEPARTUM/INTRAPARTUMR
RecommendationDischarge Planning Needs:Plan of Care:
Nursing Analysis/Priority Diagnosis:Patient Goal:Outcome Criteria:Met/ Not met/Partially metPRIORITY INTERVENTIONS REASONING EVALUATION OF INTERVENTION1.2.3.4.5.COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.NR327_ ISBAR PP-NB_DirectPatientCare Documentation_V1 New: Nov19http://www.chamberlain.eduhttp://chamberlain.edu/locationsText Field 2:Text Field 66:Text Field 52:Text Field 53:Text Field 68:Text Field 216:Text Field 217:Text Field 218:Text Field 219:Text Field 220:Text Field 221:Text Field 222:Text Field 223:Text Field 224:Text Field 225:Text Field 226:Text Field 227:Text Field 228:Text Field 168:Text Field 196:Text Field 170:Text Field 195:Text Field 194:Text Field 176:Text Field 215:Text Field 213:Text Field 214:Text Field 201:Text Field 2012:Text Field 2013:Text Field 2015:Text Field 2016:Text Field 2017:Text Field 2020:Text Field 2021:Text Field 2022:Text Field 2027:Text Field 2028:Text Field 2025:Text Field 2037:Text Field 2038:Text Field 2039:Text Field 2026:Text Field 2029:Text Field 2031:Text Field 2033:Text Field 2034:Text Field 2035:Text Field 2036:Text Field 2032:Text Field 2030:Text Field 2023:Text Field 2018:Text Field 2019:Text Field 2014:Text Field 205:Text Field 202:Text Field 206:Text Field 203:Text Field 207:Text Field 204:Text Field 208:Text Field 178:Text Field 179:Text Field 210:Text Field 211:Text Field 212:Text Field 186:Text Field 187:Text Field 188:Text Field 189:Text Field 190:Text Field 191:Text Field 198:Text Field 199:Text Field 200:Text Field 193:Check Box 9: OffCheck Box 14: OffCheck Box 10: OffCheck Box 15: OffCheck Box 11: OffCheck Box 12: OffText Field 65:Text Field 229:Text Field 230:Text Field 231:Text Field 247:Text Field 232:Text Field 233:Text Field 234:Text Field 235:Text Field 236:Text Field 237:Text Field 238:Text Field 239:Text Field 240:Text Field 241:Text Field 242:Text Field 243:Text Field 244:Text Field 245:Text Field 246:BSNLevel3DirectPatientCareDocumentation072023.pdfThis file is too large to display.View in new windowAntepartumIntrapartumISBAR2023.pdfI-SBAR FOR DIRECT PATIENT CARE DOCUMENTATION
ANTEPARTUM/INTRAPARTUMI
Introduce yourselfYour Name: Your Title: Reason for being there:D#:S
SituationPatient Initials:EDC: LMP: Other:Singleton Twin OtherReason for Admit:Fetal Movement: PresentMembrane Status: IntactAge: G____T____P____A____L____Gest. Age: /7 weeksNot Present:Ruptured Date Time: Fluid:B
BackgroundPrevious Pregnancies:Current Pregnancy Prenatal Care: ❑ Yes ❑ No GBS Status: ❑ pos ❑ neg Breast Feeding: ❑ Yes ❑ No
Labs:
Complications:
Past Medical History: Family Support:
Home Medications:A
AssessmentVital SignsLabor status: onset: stage /phase:Vaginal exam: _____/______/______ Blood/fluid ____________________Planned method of delivery: vaginal c/sectionFetal heart rate pattern: reassuring non-reassuringContraction pattern: frequency duration strengthLabor progress:Maternal physical assessment:IV: CURRENT MEDS:Labs:Activity:COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.12-200085 ©2020 Chamberlain University LLC. All rights reserved. 0420culcpeYEAR TYPE OF DELIVERY LABOR LENGTH COMPLICATIONSTEMP B/P HR RR SP02 PAIN FHTShttp://www.chamberlain.eduhttp://chamberlain.edu/locationsI-SBAR FOR DIRECT PATIENT CARE DOCUMENTATION
ANTEPARTUM/INTRAPARTUMR
RecommendationDischarge Planning Needs:Plan of Care:
Nursing Analysis/Priority Diagnosis:Patient Goal:Outcome Criteria:Met/ Not met/Partially metPRIORITY INTERVENTIONS REASONING EVALUATION OF INTERVENTION1.2.3.4.5.COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.NR327_ ISBAR PP-NB_DirectPatientCare Documentation_V1 New: Nov19http://www.chamberlain.eduhttp://chamberlain.edu/locationsText Field 2:Text Field 66:Text Field 52:Text Field 53:Text Field 68:Text Field 216:Text Field 217:Text Field 218:Text Field 219:Text Field 220:Text Field 221:Text Field 222:Text Field 223:Text Field 224:Text Field 225:Text Field 226:Text Field 227:Text Field 228:Text Field 168:Text Field 196:Text Field 170:Text Field 195:Text Field 194:Text Field 176:Text Field 215:Text Field 213:Text Field 214:Text Field 201:Text Field 2012:Text Field 2013:Text Field 2015:Text Field 2016:Text Field 2017:Text Field 2020:Text Field 2021:Text Field 2022:Text Field 2027:Text Field 2028:Text Field 2025:Text Field 2037:Text Field 2038:Text Field 2039:Text Field 2026:Text Field 2029:Text Field 2031:Text Field 2033:Text Field 2034:Text Field 2035:Text Field 2036:Text Field 2032:Text Field 2030:Text Field 2023:Text Field 2018:Text Field 2019:Text Field 2014:Text Field 205:Text Field 202:Text Field 206:Text Field 203:Text Field 207:Text Field 204:Text Field 208:Text Field 178:Text Field 179:Text Field 210:Text Field 211:Text Field 212:Text Field 186:Text Field 187:Text Field 188:Text Field 189:Text Field 190:Text Field 191:Text Field 198:Text Field 199:Text Field 200:Text Field 193:Check Box 9: OffCheck Box 14: OffCheck Box 10: OffCheck Box 15: OffCheck Box 11: OffCheck Box 12: OffText Field 65:Text Field 229:Text Field 230:Text Field 231:Text Field 247:Text Field 232:Text Field 233:Text Field 234:Text Field 235:Text Field 236:Text Field 237:Text Field 238:Text Field 239:Text Field 240:Text Field 241:Text Field 242:Text Field 243:Text Field 244:Text Field 245:Text Field 246:BSNLevel3DirectPatientCareDocumentation072023.pdfThis file is too large to display.View in new window12Bids(61)Dr. Ellen RMnicohwilliamPROF_ALISTERDr. Sarah BlakeEmily ClareSheryl HoganDr. Freya Walkerfirstclass tutorProf Double RFiona Davasherry proffMUSYOKIONES A+Dr CloverMISS HILLARY A+Discount AssignJudithTutorIsabella HarvardSTELLAR GEEK A+Jahky BProWritingGuruShow All Bidsother Questions(10)ECET 230 Week 7Assignment PAPER: Challenges in the Global Business Environmentstakeholders policy implementation strategy gridYaleJazz music impression reportThe veterinarian gives 
4/10 of a gram of medicine to each puppy in a new litter.There are 2 puppies in all…1).What are probabilityAnnotated Bibliography7 Page Science paperPlease try to do your best . Thanks a lot .

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Home>Homework Answsers>Nursing homework helpplease see attacheda year ago04.05.202430Report issuefiles (3)NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate3.docxNRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20225.docxComprehensivePsychiatricEvaluationquestion.docxNRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate3.docxNRNP/PRAC 6635 Comprehensive Psychiatric Evaluation TemplateWeek (enter week #): (Enter assignment title)Student NameCollege of Nursing-PMHNP, Walden UniversityNRNP 6635: Psychopathology and Diagnostic ReasoningFaculty NameAssignment Due DateSubjective:CC(chief complaint):HPI:Past Psychiatric History:·General Statement:·Caregivers (if applicable):·Hospitalizations:·Medication trials:·Psychotherapy orPrevious Psychiatric Diagnosis:Substance Current Use and History:Family Psychiatric/Substance Use History:Psychosocial History:Medical History:·Current Medications:·Allergies:·Reproductive Hx:ROS:· GENERAL:· HEENT:· SKIN:· CARDIOVASCULAR:· RESPIRATORY:· GASTROINTESTINAL:· GENITOURINARY:· NEUROLOGICAL:· MUSCULOSKELETAL:· HEMATOLOGIC:· LYMPHATICS:· ENDOCRINOLOGIC:Objective:Physical exam:if applicableDiagnostic results:Assessment:Mental Status Examination:Differential Diagnoses:Reflections:References© 2021 Walden University Page 1 of 3NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20225.docxNRNP/PRAC 6635 Comprehensive Psychiatric Evaluation ExemplarINSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLYIf you are struggling with the format or remembering what to include, follow theComprehensive Psychiatric Evaluation TemplateANDthe Rubricas your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignment in Weeks 4–10. After reviewing the full details of the rubric, you can use it as a guide.In theSubjectivesection, provide:· Chief complaint· History of present illness (HPI)· Past psychiatric history· Medication trials and current medications· Psychotherapy or previous psychiatric diagnosis· Pertinent substance use, family psychiatric/substance use, social, and medical history· Allergies· ROS·Read rating descriptions to see the grading standards!In theObjectivesection, provide:· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.·Read rating descriptions to see the grading standards!In theAssessmentsection, provide:· Results of the mental status examination,presented in paragraph form.· At least three differentials with supporting evidence. List them from top priority to least priority. Compare theDSM-5-TRdiagnostic criteria for each differential diagnosis and explain whatDSM-5-TRcriteria rules out the differential diagnosis to find an accurate diagnosis.Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.·Read rating descriptions to see the grading standards!Reflect on this case. Include: Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).(The comprehensive evaluation is typically theinitialnew patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)

EXEMPLAR BEGINS HERECC(chief complaint): Abriefstatement identifying why the patient is here. This statement is verbatim of the patient’s own words about why presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.HPI: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication and referral reason. For example:N.M. is a 34-year-old Asian male presents for psychiatric evaluation for anxiety. He is currently prescribed sertraline which he finds ineffective. His PCP referred him for evaluation and treatment.OrP.H., a 16-year-old Hispanic female, presents for psychiatric evaluation for concentration difficulty. She is not currently prescribed psychotropic medications. She is referred by her therapist for medication evaluation and treatment.Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.Paint a picture of what is wrong with the patient. First what is bringing the patient to your evaluation. Then, include a PSYCHIATRIC REVIEW OF SYMPTOMS. The symptoms onset, duration, frequency, severity, and impact. Your description here will guide your differential diagnoses. You are seeking symptoms that may align with many DSM-5-TR diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders.Past Psychiatric History: This section documents the patient’s past treatments. Use the mnemonicGoChaMP.General Statement: Typically, this is a statement of the patients first treatment experience. For example: The patient entered treatment at the age of 10 with counseling for depression during her parents’ divorce. OR The patient entered treatment for detox at age 26 after abusing alcohol since age 13.Caregivers are listed if applicable.Hospitalizations: How many hospitalizations? When and where was last hospitalization? How many detox? How many residential treatments? When and where was last detox/residential treatment? Any history of suicidal or homicidal behaviors? Any history of self-harm behaviors?Medication trials: What are the previous psychotropic medications the patient has tried and what was their reaction? Effective, Not Effective, Adverse Reaction? Some examples: Haloperidol (dystonic reaction), risperidone (hyperprolactinemia), olanzapine (effective, insurance wouldn’t pay for it)Psychotherapy orPrevious Psychiatric Diagnosis: This section can be completed one of two ways depending on what you want to capture to support the evaluation. First, does the patient know what type? Did they find psychotherapy helpful or not? Why? Second, what are the previous diagnosis for the client noted from previous treatments and other providers. Thirdly, you could document both.Substance Use History:This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.Family Psychiatric/Substance Use History:This section contains any family history of psychiatric illness, substance use illnesses, and family suicides. You may choose to use a genogram to depict this information. Be sure to include a reader’s key to your genogram or write up in narrative form.Social History:This section may be lengthy if completing an evaluation for psychotherapy or shorter if completing an evaluation for psychopharmacology. However, at a minimum, please include:Where patient was born, who raised the patientNumber of brothers/sisters (what order is the patient within siblings)Who the patient currently lives with in a home? Are they single, married, divorced, widowed? How many children?Educational LevelHobbies:Work History: currently working/profession, disabled, unemployed, retired?Legal history: past hx, any current issues?Trauma history: Any childhood or adult history of trauma?Violence Hx:Concern or issues about safety (personal, home, community, sexual (current & historical)Medical History:This section contains any illnesses, surgeries, include any hx of seizures, head injuries.Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.Allergies:Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.Reproductive Hx:Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse: oral, anal, vaginal, other, any sexual concernsROS: Cover all body systems that may help you include or rule out a differential diagnosis. Please note: THIS IS DIFFERENT from a physical examination!You should list each system as follows:General:Head:EENT: etc. You should list these in bullet format and document the systems in order from head to toe.Example of Complete ROS:GENERAL: No weight loss, fever, chills, weakness, or fatigue.HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.SKIN: No rash or itching.CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.RESPIRATORY: No shortness of breath, cough, or sputum.GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.GENITOURINARY: Burning on urination, urgency, hesitancy, odor, odd colorNEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.HEMATOLOGIC: No anemia, bleeding, or bruising.LYMPHATICS: No enlarged nodes. No history of splenectomy.ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.Physical exam (If applicable and if you have opportunity to perform—document if exam is completed by PCP): From head to toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History.Do not use “WNL” or “normal.” You must describe what you see.Always document in head-to-toe format i.e., General: Head: EENT: etc.Diagnostic results: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).AssessmentMental Status Examination:For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudohallucinations, illusions, etc.)., cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.He is an 8-year-old African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.Differential Diagnoses:You must have at least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnostic impression selection. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.Also included in this section is the reflection.Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?Also include in your reflection a discussion related to legal/ethical considerations (demonstrating critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).References (move to begin on next page)You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.© 2021 Walden University Page 1 of 3ComprehensivePsychiatricEvaluationquestion.docxThis file is too large to display.View in new windowComprehensivePsychiatricEvaluationquestion.docxThis file is too large to display.View in new windowNRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate3.docxNRNP/PRAC 6635 Comprehensive Psychiatric Evaluation TemplateWeek (enter week #): (Enter assignment title)Student NameCollege of Nursing-PMHNP, Walden UniversityNRNP 6635: Psychopathology and Diagnostic ReasoningFaculty NameAssignment Due DateSubjective:CC(chief complaint):HPI:Past Psychiatric History:·General Statement:·Caregivers (if applicable):·Hospitalizations:·Medication trials:·Psychotherapy orPrevious Psychiatric Diagnosis:Substance Current Use and History:Family Psychiatric/Substance Use History:Psychosocial History:Medical History:·Current Medications:·Allergies:·Reproductive Hx:ROS:· GENERAL:· HEENT:· SKIN:· CARDIOVASCULAR:· RESPIRATORY:· GASTROINTESTINAL:· GENITOURINARY:· NEUROLOGICAL:· MUSCULOSKELETAL:· HEMATOLOGIC:· LYMPHATICS:· ENDOCRINOLOGIC:Objective:Physical exam:if applicableDiagnostic results:Assessment:Mental Status Examination:Differential Diagnoses:Reflections:References© 2021 Walden University Page 1 of 3NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20225.docxNRNP/PRAC 6635 Comprehensive Psychiatric Evaluation ExemplarINSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLYIf you are struggling with the format or remembering what to include, follow theComprehensive Psychiatric Evaluation TemplateANDthe Rubricas your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignment in Weeks 4–10. After reviewing the full details of the rubric, you can use it as a guide.In theSubjectivesection, provide:· Chief complaint· History of present illness (HPI)· Past psychiatric history· Medication trials and current medications· Psychotherapy or previous psychiatric diagnosis· Pertinent substance use, family psychiatric/substance use, social, and medical history· Allergies· ROS·Read rating descriptions to see the grading standards!In theObjectivesection, provide:· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.·Read rating descriptions to see the grading standards!In theAssessmentsection, provide:· Results of the mental status examination,presented in paragraph form.· At least three differentials with supporting evidence. List them from top priority to least priority. Compare theDSM-5-TRdiagnostic criteria for each differential diagnosis and explain whatDSM-5-TRcriteria rules out the differential diagnosis to find an accurate diagnosis.Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.·Read rating descriptions to see the grading standards!Reflect on this case. Include: Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).(The comprehensive evaluation is typically theinitialnew patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)

EXEMPLAR BEGINS HERECC(chief complaint): Abriefstatement identifying why the patient is here. This statement is verbatim of the patient’s own words about why presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.HPI: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication and referral reason. For example:N.M. is a 34-year-old Asian male presents for psychiatric evaluation for anxiety. He is currently prescribed sertraline which he finds ineffective. His PCP referred him for evaluation and treatment.OrP.H., a 16-year-old Hispanic female, presents for psychiatric evaluation for concentration difficulty. She is not currently prescribed psychotropic medications. She is referred by her therapist for medication evaluation and treatment.Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.Paint a picture of what is wrong with the patient. First what is bringing the patient to your evaluation. Then, include a PSYCHIATRIC REVIEW OF SYMPTOMS. The symptoms onset, duration, frequency, severity, and impact. Your description here will guide your differential diagnoses. You are seeking symptoms that may align with many DSM-5-TR diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders.Past Psychiatric History: This section documents the patient’s past treatments. Use the mnemonicGoChaMP.General Statement: Typically, this is a statement of the patients first treatment experience. For example: The patient entered treatment at the age of 10 with counseling for depression during her parents’ divorce. OR The patient entered treatment for detox at age 26 after abusing alcohol since age 13.Caregivers are listed if applicable.Hospitalizations: How many hospitalizations? When and where was last hospitalization? How many detox? How many residential treatments? When and where was last detox/residential treatment? Any history of suicidal or homicidal behaviors? Any history of self-harm behaviors?Medication trials: What are the previous psychotropic medications the patient has tried and what was their reaction? Effective, Not Effective, Adverse Reaction? Some examples: Haloperidol (dystonic reaction), risperidone (hyperprolactinemia), olanzapine (effective, insurance wouldn’t pay for it)Psychotherapy orPrevious Psychiatric Diagnosis: This section can be completed one of two ways depending on what you want to capture to support the evaluation. First, does the patient know what type? Did they find psychotherapy helpful or not? Why? Second, what are the previous diagnosis for the client noted from previous treatments and other providers. Thirdly, you could document both.Substance Use History:This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.Family Psychiatric/Substance Use History:This section contains any family history of psychiatric illness, substance use illnesses, and family suicides. You may choose to use a genogram to depict this information. Be sure to include a reader’s key to your genogram or write up in narrative form.Social History:This section may be lengthy if completing an evaluation for psychotherapy or shorter if completing an evaluation for psychopharmacology. However, at a minimum, please include:Where patient was born, who raised the patientNumber of brothers/sisters (what order is the patient within siblings)Who the patient currently lives with in a home? Are they single, married, divorced, widowed? How many children?Educational LevelHobbies:Work History: currently working/profession, disabled, unemployed, retired?Legal history: past hx, any current issues?Trauma history: Any childhood or adult history of trauma?Violence Hx:Concern or issues about safety (personal, home, community, sexual (current & historical)Medical History:This section contains any illnesses, surgeries, include any hx of seizures, head injuries.Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.Allergies:Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.Reproductive Hx:Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse: oral, anal, vaginal, other, any sexual concernsROS: Cover all body systems that may help you include or rule out a differential diagnosis. Please note: THIS IS DIFFERENT from a physical examination!You should list each system as follows:General:Head:EENT: etc. You should list these in bullet format and document the systems in order from head to toe.Example of Complete ROS:GENERAL: No weight loss, fever, chills, weakness, or fatigue.HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.SKIN: No rash or itching.CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.RESPIRATORY: No shortness of breath, cough, or sputum.GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.GENITOURINARY: Burning on urination, urgency, hesitancy, odor, odd colorNEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.HEMATOLOGIC: No anemia, bleeding, or bruising.LYMPHATICS: No enlarged nodes. No history of splenectomy.ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.Physical exam (If applicable and if you have opportunity to perform—document if exam is completed by PCP): From head to toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History.Do not use “WNL” or “normal.” You must describe what you see.Always document in head-to-toe format i.e., General: Head: EENT: etc.Diagnostic results: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).AssessmentMental Status Examination:For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudohallucinations, illusions, etc.)., cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.He is an 8-year-old African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.Differential Diagnoses:You must have at least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnostic impression selection. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.Also included in this section is the reflection.Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?Also include in your reflection a discussion related to legal/ethical considerations (demonstrating critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).References (move to begin on next page)You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.© 2021 Walden University Page 1 of 3ComprehensivePsychiatricEvaluationquestion.docxThis file is too large to display.View in new windowNRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate3.docxNRNP/PRAC 6635 Comprehensive Psychiatric Evaluation TemplateWeek (enter week #): (Enter assignment title)Student NameCollege of Nursing-PMHNP, Walden UniversityNRNP 6635: Psychopathology and Diagnostic ReasoningFaculty NameAssignment Due DateSubjective:CC(chief complaint):HPI:Past Psychiatric History:·General Statement:·Caregivers (if applicable):·Hospitalizations:·Medication trials:·Psychotherapy orPrevious Psychiatric Diagnosis:Substance Current Use and History:Family Psychiatric/Substance Use History:Psychosocial History:Medical History:·Current Medications:·Allergies:·Reproductive Hx:ROS:· GENERAL:· HEENT:· SKIN:· CARDIOVASCULAR:· RESPIRATORY:· GASTROINTESTINAL:· GENITOURINARY:· NEUROLOGICAL:· MUSCULOSKELETAL:· HEMATOLOGIC:· LYMPHATICS:· ENDOCRINOLOGIC:Objective:Physical exam:if applicableDiagnostic results:Assessment:Mental Status Examination:Differential Diagnoses:Reflections:References© 2021 Walden University Page 1 of 3NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20225.docxNRNP/PRAC 6635 Comprehensive Psychiatric Evaluation ExemplarINSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLYIf you are struggling with the format or remembering what to include, follow theComprehensive Psychiatric Evaluation TemplateANDthe Rubricas your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignment in Weeks 4–10. After reviewing the full details of the rubric, you can use it as a guide.In theSubjectivesection, provide:· Chief complaint· History of present illness (HPI)· Past psychiatric history· Medication trials and current medications· Psychotherapy or previous psychiatric diagnosis· Pertinent substance use, family psychiatric/substance use, social, and medical history· Allergies· ROS·Read rating descriptions to see the grading standards!In theObjectivesection, provide:· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.·Read rating descriptions to see the grading standards!In theAssessmentsection, provide:· Results of the mental status examination,presented in paragraph form.· At least three differentials with supporting evidence. List them from top priority to least priority. Compare theDSM-5-TRdiagnostic criteria for each differential diagnosis and explain whatDSM-5-TRcriteria rules out the differential diagnosis to find an accurate diagnosis.Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.·Read rating descriptions to see the grading standards!Reflect on this case. Include: Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).(The comprehensive evaluation is typically theinitialnew patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)

EXEMPLAR BEGINS HERECC(chief complaint): Abriefstatement identifying why the patient is here. This statement is verbatim of the patient’s own words about why presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.HPI: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication and referral reason. For example:N.M. is a 34-year-old Asian male presents for psychiatric evaluation for anxiety. He is currently prescribed sertraline which he finds ineffective. His PCP referred him for evaluation and treatment.OrP.H., a 16-year-old Hispanic female, presents for psychiatric evaluation for concentration difficulty. She is not currently prescribed psychotropic medications. She is referred by her therapist for medication evaluation and treatment.Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.Paint a picture of what is wrong with the patient. First what is bringing the patient to your evaluation. Then, include a PSYCHIATRIC REVIEW OF SYMPTOMS. The symptoms onset, duration, frequency, severity, and impact. Your description here will guide your differential diagnoses. You are seeking symptoms that may align with many DSM-5-TR diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders.Past Psychiatric History: This section documents the patient’s past treatments. Use the mnemonicGoChaMP.General Statement: Typically, this is a statement of the patients first treatment experience. For example: The patient entered treatment at the age of 10 with counseling for depression during her parents’ divorce. OR The patient entered treatment for detox at age 26 after abusing alcohol since age 13.Caregivers are listed if applicable.Hospitalizations: How many hospitalizations? When and where was last hospitalization? How many detox? How many residential treatments? When and where was last detox/residential treatment? Any history of suicidal or homicidal behaviors? Any history of self-harm behaviors?Medication trials: What are the previous psychotropic medications the patient has tried and what was their reaction? Effective, Not Effective, Adverse Reaction? Some examples: Haloperidol (dystonic reaction), risperidone (hyperprolactinemia), olanzapine (effective, insurance wouldn’t pay for it)Psychotherapy orPrevious Psychiatric Diagnosis: This section can be completed one of two ways depending on what you want to capture to support the evaluation. First, does the patient know what type? Did they find psychotherapy helpful or not? Why? Second, what are the previous diagnosis for the client noted from previous treatments and other providers. Thirdly, you could document both.Substance Use History:This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.Family Psychiatric/Substance Use History:This section contains any family history of psychiatric illness, substance use illnesses, and family suicides. You may choose to use a genogram to depict this information. Be sure to include a reader’s key to your genogram or write up in narrative form.Social History:This section may be lengthy if completing an evaluation for psychotherapy or shorter if completing an evaluation for psychopharmacology. However, at a minimum, please include:Where patient was born, who raised the patientNumber of brothers/sisters (what order is the patient within siblings)Who the patient currently lives with in a home? Are they single, married, divorced, widowed? How many children?Educational LevelHobbies:Work History: currently working/profession, disabled, unemployed, retired?Legal history: past hx, any current issues?Trauma history: Any childhood or adult history of trauma?Violence Hx:Concern or issues about safety (personal, home, community, sexual (current & historical)Medical History:This section contains any illnesses, surgeries, include any hx of seizures, head injuries.Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.Allergies:Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.Reproductive Hx:Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse: oral, anal, vaginal, other, any sexual concernsROS: Cover all body systems that may help you include or rule out a differential diagnosis. Please note: THIS IS DIFFERENT from a physical examination!You should list each system as follows:General:Head:EENT: etc. You should list these in bullet format and document the systems in order from head to toe.Example of Complete ROS:GENERAL: No weight loss, fever, chills, weakness, or fatigue.HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.SKIN: No rash or itching.CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.RESPIRATORY: No shortness of breath, cough, or sputum.GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.GENITOURINARY: Burning on urination, urgency, hesitancy, odor, odd colorNEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.HEMATOLOGIC: No anemia, bleeding, or bruising.LYMPHATICS: No enlarged nodes. No history of splenectomy.ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.Physical exam (If applicable and if you have opportunity to perform—document if exam is completed by PCP): From head to toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History.Do not use “WNL” or “normal.” You must describe what you see.Always document in head-to-toe format i.e., General: Head: EENT: etc.Diagnostic results: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).AssessmentMental Status Examination:For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudohallucinations, illusions, etc.)., cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.He is an 8-year-old African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.Differential Diagnoses:You must have at least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnostic impression selection. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.Also included in this section is the reflection.Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?Also include in your reflection a discussion related to legal/ethical considerations (demonstrating critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).References (move to begin on next page)You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.© 2021 Walden University Page 1 of 3ComprehensivePsychiatricEvaluationquestion.docxThis file is too large to display.View in new window123Bids(71)Miss DeannaDr. Ellen RMEmily ClareMISS HILLARY A+abdul_rehman_Prof Double RDoctor.NamiraYoung NyanyaSTELLAR GEEK A+ProWritingGuruProf. TOPGRADEJahky BDr M. MichelleAshley EllieTutor Cyrus KenWIZARD_KIMProf SapolskyDr CloverIsabella HarvardgrA+de plusShow All Bidsother Questions(10)Balanced Scorecard for Online grocery store company Peapodashley-writer onlyEXAM 1/ Principles of Macroeconomics/Marketing – (MSC: AACSB Analytic | TB&E Model Promotion | Knowledge of General Business Functions)Law in Business. Brief Summary of caseNURSING THEORIES THE BASE FOR PROFESSIONAL NURSING PRACTICE JULIA B Georgeweekly assignmentFinances-35< Chapter 1—Human Resource Management in Organizations >could you please help me with essay about personal reflection on privacy and secrets and how they have influenced your…

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Home>Homework Answsers>Nursing homework helpPSY**PLEASE FOLLOW RUBRIC ATTACHED IN FILES!!****The documents from modules 2 and 3, referred to in the directions, are attached in files!****PART 3A OF THIS ASSIGNMENT IS TO BE COMPLETED ON THE WORKSHEET TEMPLATE ATTACHED IN THE FILES. ****PART 3B OF THIS ASSIGNMENT IS A 2 P A GE -P A P E R!!**To Prepare:Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high-level evidence) you selected in Module 3.Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.The Assignment(Evidence-Based Project)Part 3A: Critical Appraisal of ResearchConduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.Part 3B: Critical Appraisal of ResearchBased on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.Screenshot2024-06-29at9.45.51PM.pngScreenshot2024-06-29at9.44.22PM.pngScreenshot2024-06-29at9.44.34PM.pngScreenshot2024-06-29at9.44.36PM.pngMD2AssgnSankT.docMD1AssignSankT.docxScreenshot2024-06-29at9.46.06PM.pngUSW1_NURS_6052_CriticalAppraisalTools.doca year ago03.07.202415Report issueBids(68)Miss DeannaDr. Ellen RMMathProgrammingMISS HILLARY A+Dr. Aylin JMSheryl HoganProf Double RProf. TOPGRADEEmily ClareDr. Sarah BlakeProWritingGurufirstclass tutorPROF_ALISTERFiona Davasherry proffMUSYOKIONES A+Dr CloverDiscount AssigngrA+de plusDr. Everleigh_JKShow All Bidsother Questions(10)Assignment 1 Business lawUnit VI Project”Digital LawRaytheon CompanyAshley ClaireLAWComment the Discussion (Class 502 Unit 2 Comment 2English – Discussion Forum PostU7A1-12 & S1-Global Issue – Theoretical Framework (Phase 2) —see detailsHW

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