course materials

1. Mental health comprehensive assessment
Mental health comprehensive assessmentMental health comprehensive assessmentplease
this is my last chance to resubmit this assignment. please pay attention to the comment
below——this assignment is a Mental health comprehensive assessment—–your HPI needs
more comprehensive information.—–I should be able to understand the differential
diagnosis from your HPI.(please explain the differential diagnoses)—–Needs more
information in the MSE section——please complete the genogram part 2——at least 5
references list need not more than 5 years——Zero plagiarismThe AssignmentPart 1:
Comprehensive Client Family AssessmentWith this client in mind, address the following in a
Comprehensive Client Assessment (without violating HIPAA regulations):Demographic
informationPresenting problemHistory or present illnessPast psychiatric historyMedical
historySubstance use historyDevelopmental historyFamily psychiatric historyPsychosocial
historyHistory of abuse/traumaReview of systemsPhysical assessmentMental status
examDifferential diagnosisCase formulationTreatment planPart 2: Family
GenogramPrepare a genogram for the client you selected. The genogram should extend
back by at least three generations (great grandparents, grandparents, and
parents).Learning ResourcesRequired ReadingsWheeler, K. (Ed.). (2014). Psychotherapy for
the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd
ed.). New York, NY: Springer Publishing Company. Mental health comprehensive
assessment————use scenerio belowHPI:Patient is a 30 year old female, seen via
telehealth, patient gave verbal consent for treatment, patient report she suffers alot of
anxiety and suffers from eating disorder, patient reported she use to be a model and she
was being critized about her bad and that resulted to her eating disorder, she began binge
eating sometimes she goes for days without food so once she eats she will binge , patient
report her weight freaks her out, patient report gaining wieght freeks her out.Patient report
she skip eating and she is very picky to maintained her weight.patient report she is
currently 119 Ibs and her goal weight is one 118 pound. Patient reprot she suffers alot of
anxiety , and her mother recently passed away and it has been hard for her to accept that
her mother isno more, patient report when she experience death in the family, it stop her
from eating , patient report she has not been sleeping well , patient report being depressed ,
feeling down, social isolates .patient report social anxiety disorder .Patient reported she is
thinking of chnaging her names, she does not react very well to death, and she does not feel
connected to her name .Patient denies any suicidal or homicidal ideation, plan or intent,
denied visual of auditory hallucination. Denies somatic complaints (headache, fatigue,

2. stomachache, etc.)ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERSPast Psychiatric
History:Past Diagnosis: eating , disorder, anxiety and depressionHospitalizations:
hospitalized a year ago for depression and eating disorderHistory of suicides: noneHistory
of Violence: NoHistory of self-mutilation: noOutpatient Rx with a Psychiatrist: patient was
receiving treatment from a psychiatrist Nurse practitionerPsychotherapy: currently at
Pathways in HollywoodMedications trials in the past:lexapro ,lovox,Current psychotropics:
mirtazapine, klonopin ,prochlorperazineMedication
History:DateMedicationSig#RefillStatus06/25/2020Zoloft 25 mg tablet1 tablet by mouth
daily300Active06/25/2020Remeron 15 mg tablet Mental health comprehensive
assessment1 tablet by mouth nightly300Active06/25/2020prochlorperazine maleate 10
mg tablet1 tablet by mouth daily0ActiveAllergies:patient reproted she is allergic to red
colour food or pillsSocial History:Social: Patient is single , no kidsDevelpmental: born and
raised in MarylandAlcohol: drinks occassionallyDrug: ; DeniesAbuse: deniesFaith:
christianOccupation: unemployedEducation: High school diplomaLegal: DeniesFamily
History:patient denies any family history of mental or medical problemsReview of
Systems:ConstitutionalDenied:Chills. Decline in Health. Fatigue. Fever. Malaise. Other
abnormal constitutional symptoms. Weakness. Weight Gain. Weight loss.EyesDenied:Blurry
Vision. Cataracts. Discharge. Double Vision. Excessive tearing. Eye Pain. Eyeglass Use.
Glaucoma. Infections. Pain with Light. Recent Injury. Redness. Unusual sensations. Vision
Loss.RespiratoryDenied:Asthma. Bronchitis. Cough. Coughing Blood. Pain. Pleurisy. Positive
TB Test. Recent Chest X-Ray. Short of Breath. Sputum. Tuberculosis.
Wheezing.CardiovascularDenied:Chest Pain. Extremity(s) Cool. Extremity(s) Discolored.
Hair loss on legs. Heart murmur. Heart Tests (Not EKG). High blood pressure. history of
heart attack. Leg Pain – Walking. Palpitations. Recent Electrocardiogram. Rheumatic fever.
Short of Breath – Exertion. Short of Breath – Lying Flat. Short of Breath – Sleeping. Swelling
of legs. Thrombophlebitis. ulcers on legs. Varicose veins.GastrointestinalDenied:Abdominal
Pain. Abdominal X-Ray Tests. Antacid Use. Black Tarry Stools. Change in Frequency of BM.
Change in stool caliber. Change in stool color. Change in stool consistency. Constipation.
Decreased Appetite. Diarrhea. Excessive Hunger. Excessive Thirst. Gallbladder Disease.
Heartburn. Hemorrhoids. Hepatitis. Infections. Jaundice. Laxative Use. Liver Disease.
Nausea. Rectal Bleeding. Rectal Pain. Swallowing Problem. Vomiting. Vomiting
Blood.MusculoskeletalReported:joint problems.Denied:disturbances of gait or station.
muscle strength. tone.PsychiatricReported:Depression. Nervousness. Mood
changes.Denied:Behavioral Change. compulsive. delusions. depressive symptoms.
Disorientation. Disturbing thoughts. Excessive stress. Hallucinations. intrusive. manic
symptoms. Memory loss. persistent thoughts. Psychiatric disorders. ritualistic acts. suicidal
ideas or intentions.SkinReported:Easting disorder ,scolliosis , seizuresDenied:Dryness.
Eczema. Hair dye. Hair texture change. Hives. Itching. Lumps. Mole Increased Size. nail
appearance change. nail texture change. Rashes. Skin Color Change. Mental health
comprehensive assessmentNeurologicalReported:seizures disorderDenied:Blackouts.
Burning. Dizziness. Fainting. Head Injury. Headaches. Loss of consciousness. Memory loss.
Numbness. Paralysis. Speech disorders. Strokes. Tingling. Tremors. Unsteady
gait.EndocrineDenied:Cold intolerance. Excessive Urination. Fatigue. Goiter. Heat

3. intolerance. Increased Thirst. Neck Pain. Sweats. Thyroid Trouble. Weakness. Weight gain.
Weight loss.Hematologic/LymphDenied:Anemia. Bleeding easily. Blood clots. Easy
bruisability. Lumps. Radiation Exposure. Swollen glands. Transfusion
reaction.Allergic/ImmunologicDenied:Coughing. Coughing with Exercise. Hives. Itchy Eyes.
Itchy Nose. Recurrent infections. Runny Nose. Sneezing. Stuffy Nose. Watery Eyes.
Wheezing. Wheezing with exercise.GenitourinaryUrinaryDenied:Awakening to Urinate.
Bed-Wetting. Blood in Urine. Burning. Difficulty Starting Stream. Excessive Urination. Flank
Pain. Frequency. Incontinence. Infections. Pain on Urination. Retention. Stones. Urgency.
Urine Discoloration. Urine Odor.Female GenitaliaReported:Menopause.Denied:Birth control.
Bleeding Between Periods. Change in Periods – Duration. Change in Periods – Flow. Change
in Periods – Interval. DES Exposure. Difficult Pregnancy. Discharge. Fertility problems.
Hernias. Itching. Lesions. Menstrual pain. Pain on Intercourse. Postmenopausal Bleeding.
Recent Pap Smear. Recent Pregnancy. Sexual Problems. Venereal Disease.ObjectiveVital
Signs:Height, Weight, BMI and MeasurementsHeightWeightBMIFlagHeadNeckWaist5?
11?119 (lb)16.6UnderweightPhysical Exam:ConstitutionalThe patient is awake, alert, well
developed, well nourished and well groomed.Age Sex Race:The patient is a 30 years old
female who appears the stated age.Distress:This patient is in no acute distress.Apparent
State of Health:This patient appears to be in generally good health.Level of
Consciousness:The patient is awake, alert, understands questions and responds
appropriately and quickly.Nutrition:The patient is well developed and well
nourished.Grooming:The patient’s is clothing clean and properly fastened. The patient’s
hair, nails, teeth and skin are clean and well groomed.Odor:The patient’s breath and body
odor are normal.Deformity:There are no obvious deformitiesPsychiatricOrientationThe
patient is oriented to time, place and person.MemoryTesting for the accuracy of remote and
recent memory is within normal limits.AttentionAttention testing for digit span and serial
7s is within normal limits.LanguageAphasia evaluation including testing for word
comprehension, repetition, naming, reading comprehension and writing were performed
and are normal.KnowledgeThe patient’s fund of knowledge: awareness of current events
and past history is appropriate for age.Mood Personality Mental health comprehensive
assessmentThe patient’s mood is described as sadness The affect is appropriate The patient
has the following symptoms of a depressed mood: depressed or irritable mood most of the
day nearly every day, fatigue or loss of energy nearly every day, feelings of worthlessness or
inappropriate guilt nearly every day, markedly diminished interest or pleasure in almost all
activities most of the day nearly every day, insomnia or hypersomnia nearly every day The
mood disorder is consistent with major depressive episodeThe patient’s social skills are
appropriate. The patient does not exhibit any traits consistent with personality
disorder.SpeechThe speech rate and quantity is normal and the volume is well modulated.
The patient is articulate, coherent; and spontaneous. The flow of words is consistent with
normal fluent speech.Thought ProcessesThe patient’s thought processes are logical,
relevant, organized and coherent.AssociationsThe patient’s associations are intact.Thought
ContentThere are no obsessive, compulsive, phobic, delusional thoughts. There are no
illusions or hallucinations.JudgmentThe patients judgment concerning everyday activities
and social situations is good and insight into their condition is appropriate.MSE : Exam –

4. Mental StatusAppearancePatient appears to be calm., Patient appears to be friendly., Patient
appears to be happy., The patient looks relaxed..MemoryThe patient seems to have
immediate memory..Speech QualityThe patient seems to have normal speech..LanguageThe
patient expressive language is good.. The patient displays good comprehension
language..Motor ActivityThe patients motor activity seems to be normal..InterpersonalThe
patient seems to be friendly..BehaviorThe patients behavior is cooperative..Stated MoodThe
patient seems to be in a okay mood..AffectThe patient present normal affect..PsychosisThe
patient seems not to be psychotic..SuicidalThe patient convincingly denies suicidal ideas or
intentions..HomicidalThe patient convincingly denies homicidal ideas or
intentions..I.Q.Vocabulary and fund of knowledge indicate cognitive functioning in the
normal range..JudgmentJudgement appears intact.AttentionThere are no signs of
hyperactive or attention difficulties..AssessmentDiagnosis:CommentMajor Depressv
Disorder, Recurrent Severe W/o Psych FeaturesOther Specified Anxiety
DisordersGeneralized Anxiety DisorderBinge Eating Disorder