To Prepare:

• Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
• Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
• By Day 1 of this week, select a specific video case study to use for this Assignment 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.

By Day 7 of Week 10

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment?
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria 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.
• Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), 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.).

Solution: NRNP-6635 Week 10 Assignment

Subjective:

CC (chief complaint): “Not very well. They have to write her down a list. Sometimes I lose the list” (Symptom Media, 2017).

HPI: SH is an 11-year-old African American female presenting for evaluation of attention and behavior problems. She is not currently taking any medications. She was referred by her primary care physician for assessment of possible Attention Deficit Hyperactivity Disorder (ADHD). The chief complaint, per mother’s report, is that SH has had long-standing issues with inattention, distractibility, forgetfulness, and hyperactive behavior since starting school in kindergarten. SH has significant difficulty paying attention in class, remembering and following through on assignments unless they are written down for her. She frequently loses things like books, bracelet. She has trouble sitting still in her chair and fidgets excessively. Her concentration is very poor as he cannot sit and read for more than 5 minutes and has trouble remembering what she has read or what the teacher has read to the class. She daydreams frequently about playing with her dog or missing her mother. She makes careless mistakes on her schoolwork despite trying hard. She has trouble waiting her turn and has some impulsive behaviors like sticking her hand near zoo animal enclosures when younger, though her mother reports this has improved now. These symptoms of inattention, hyperactivity, and impulsivity have been longstanding since an early age, occur across multiple settings like home and school, and are causing significant impairment in SH’s academic functioning. There is no reported history of head trauma or other neurological conditions.

Past Psychiatric History:

• General Statement: No prior history of mental health treatment reported.
• Caregivers (if applicable): Sarah lives with her parents, though they mention being currently separated with plans to get back together soon.
• Hospitalizations: No prior psychiatric hospitalizations.
• Medication trials: She has not been on any psychiatric medications previously.
• Psychotherapy or Previous Psychiatric Diagnosis: She has not received any psychotherapy services or carried a previous psychiatric diagnosis based on the information provided.

Substance Current Use and History: No history of smoking, alcohol, illicit drug, or caffeine use reported.

Family Psychiatric/Substance Use History: No significant family history of psychiatric or substance use disorders reported. The patient was raised in a stable home by her biological parents.

Psychosocial History: The patient was born in Washington, D.C. and has lived there her whole life. She currently resides with her biological parents and younger brother in a single-family home. Her parents remain married. She is the oldest of two children. In school, she is in the 6th grade and enjoys art classes but struggles with academics due to attentional problems. Outside of school she enjoys playing with her dog. The patient is 11 years old and not of working age. No legal or trauma histories reported. Parents deny any concerns about safety at home, in the community, or experiences of past trauma or violence

Medical History:

• Current Medications: The patient reports taking no regular or as-needed medications.
• Allergies: No known drug or environmental allergies.

• Reproductive Hx: Pre-menarche at age 11 years. No pregnancy history….Please click purchase button below to get full answer for $10

Related: (Solution) NRNP-6645 Walden University Full Course Tutorials