course material

1. NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation TemplateNRNP/PRAC 6635
Comprehensive Psychiatric EvaluationCC (chief complaint):HPI:Past Psychiatric
History:General Statement:Caregivers (if applicable):Hospitalizations:Medication
trials:Psychotherapy or Previous Psychiatric Diagnosis:Substance Current Use and
History:Family Psychiatric/Substance Use History:Psychosocial History:Medical
History:CLICK HERE TO ORDER YOUR ASSIGNMENTCurrent
Medications:Allergies:Reproductive
Hx:ROS:GENERAL:HEENT:SKIN:CARDIOVASCULAR:RESPIRATORY:GASTROINTESTINAL:GE
NITOURINARY:NEUROLOGICAL:MUSCULOSKELETAL:HEMATOLOGIC:LYMPHATICS:ENDOC
RINOLOGIC:Physical exam: if applicableDiagnostic results:AssessmentMental Status
Examination:Differential Diagnoses:Reflections:ReferencesUtilize the Comprehensive
Psychiatric Evaluation Template as a reference to write this paper.Consider what history
would be necessary to collect from this patient. NRNP/PRAC 6635 Comprehensive
Psychiatric EvaluationConsider what interview questions you would need to ask this
patient.Identify at least three possible differential diagnoses for the patient.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 ing
evidence, listed in order from highest priority to lowest priority. Compare the DSM-5
diagnostic criteria for each differential diagnosis and explain what DSM-5 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.).Shane presents to the Psychiatrist with his

2. mother, they are arguing and Shane is oppositional. Poor eye contact and accusing everyone
other than himself. He has a typical 15 year old attitude. Mom is telling him to sit up straight
and get off his pone. The mom seems to be the reason the apt was made. At 13 Shane started
a new school met a bad group of friends, Shane claims she never liked any of his friends. He
got into trouble, and a friend Alex and Burton burned down a barn, put cement into the
teachers gas tank, Shen thinks this is funny. Alex states he doesn’t want help, his mom said
he was crying asking for help. He is charged with ”just” breaking and entering into an
abandoned building. with old rusty tractors and papers. They took tools, and Alex sold them
for money for pot. Shane has shop lifted electronics from Walmart and a bracelet from a
jeweler. Mom has no consequences, Shane is gone for days, he says he is at his friends
house, their parents say he is not there. Shane is missing a lot of school, was expelled for
truancy. At his old school at 11 he started skipping school. He has no history of physical
violence. Mom is constantly antagonizing him. He tortures an old cat. he put a can on its tail,
it ra into traffic got hit and killed. He has no access to guns, or knives. He has threatened to
beat up Alex for hitting on his girlfriend. Alex says Shane shows no emotion and his mother
agrees he has always been a calm quiet kid. Shane is slouched sitting on the couch, making
faces as he speaks and feels he is not wrong, and blaming everyone else. He smurks and
feels nothing he has done was wrong. He minimizes his behaviors and feels he has done
nothing wrong. Mother is earful, but argues with Shane, he doesn’t seem to be phased by
her pain. He has no interest in school, or activities, and only hangs out with Alex and Burton
who are ”bad influences”. Shane doesn’t care he still plans to be their friend and doesn’t
talk to his family for days, no punishments and he leaves for days at a time, no one knows
where he goes. He is clean and dressed nicely, shows extreme disrespect and no emotion for
his mother. She fears these behaviors will get worse and he will get into serious trouble
.After reading this think of 3 different diagnosis and followSubjective: 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 ing evidence, listed in order from highest priority to lowest
priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain
what DSM-5 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.). NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation.