NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation Example
NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation; Midterm Clinical Evaluation
NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation Assignment Brief
Assignment Instructions Overview:
This assignment requires students to conduct a comprehensive psychiatric evaluation of a patient they have encountered in the last five weeks of their practicum. Using the provided template, the student must document the evaluation and present the case in a recorded video. The video should include the chief complaint, the history of present illness, and pertinent medical and psychiatric history, among other elements. Students should submit the written evaluation alongside the signed pages from their preceptor.
Understanding Assignment Objectives:
The objective of this assignment is to demonstrate the ability to assess a patient’s psychiatric health comprehensively. Students will apply their knowledge from the Learning Resources to analyze a patient case, develop a working diagnosis, and present a differential diagnosis. This assignment connects real-life practicum experience with academic learning, fostering critical thinking in psychiatric evaluation and diagnosis.
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The Student’s Role:
The student acts as the primary evaluator, documenting the patient’s case thoroughly, presenting clinical findings, and showcasing their diagnostic reasoning skills. The student must demonstrate professionalism, clinical competence, and the ability to synthesize patient information while adhering to ethical standards, including maintaining patient confidentiality as per HIPAA regulations.
Competencies Measured:
This assignment measures several competencies, including the ability to conduct a thorough psychiatric evaluation, utilize critical thinking for diagnosis, present cases professionally, and develop a comprehensive care plan. Students are also expected to apply scholarly resources to support their diagnostic and treatment decisions, reinforcing evidence-based practice.
You can also read other assignment examples for the NRNP 6635 – Psychopathology and Diagnostic Reasoning Course below:
NRNP 6635 Week 1: Competencies of Advanced Nursing Practice Paper Example
NRNP 6635 Week 1 Assignment 2: Clinical Skills Self-Assessment Paper Example
NRNP 6635 Week 2: Practicum Experience Plan (PEP) Paper Example
NRNP 6635 week 3 Assignment: Assessing and Diagnosing Patients With Mood Disorders Paper Example
NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation Example
NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation Example
Chief Complaint (CC):
- A 36-year-old male presenting with restlessness, agitation, disorganized speech, impaired cognition, and periodic delusions.
History of Present Illness (HPI):
- Symptoms have fluctuated over three weeks with episodes of restlessness alternating with lack of motivation and withdrawal. Delusions and hallucinations have persisted for four weeks.
Past Psychiatric History:
- Diagnosed with bipolar disorder 10 years ago and schizophrenia at age 30. Non-adherence to medication is a noted issue.
- History of one hospitalization following a suicide attempt.
- Previous and current medications are detailed, including issues experienced with fluphenazine.
Substance Use History:
- History of binge drinking, cigarette, and cannabis use since his undergraduate years. Still smokes cigarettes and drinks alcohol occasionally.
Family Psychiatric/Substance Use History:
- Schizophrenia in the paternal grandfather and a family history of substance use (cigarette smoking, alcohol).
Psychosocial History:
- Married with one child, working as a software engineer. History of violent behavior leading to arrest and imprisonment.
Medical History:
- History of head injuries from violent behavior and a minor car accident, as well as past hospitalization for malaria.
Current Medications:
- Sodium valproate, sertraline, alprazolam, and aripiprazole.
Allergies:
- None.
Reproductive History:
- Heterosexual, married with one child, sexually active with occasional withdrawal during symptom flares.
Review of Systems (ROS):
- General: Weight gain.
- HEENT: Normal.
- Skin: Warm, normal turgor.
- Cardiovascular: Normal BP and heart rate.
- Respiratory: Normal.
- Gastrointestinal: Normal.
- Neurological: Tingling in limbs and difficulty moving feet.
- Musculoskeletal: Stiffness in lower extremities.
- Other systems are unremarkable.
Diagnostic Results:
- Head CT scan showed no physical injury.
- Blood tests revealed positive for alcohol, cigarette, and cannabis use.
Mental Status Examination:
- Appropriately dressed, aware of time and occasion.
- Admitted to suicidal ideation.
Differential Diagnoses:
- Schizophrenia, Bipolar Disorder, Major Depressive Disorder.
- Schizophrenia is diagnosed based on DSM-5 criteria.
Reflections:
- The diagnosis of schizophrenia requires careful assessment, supported by symptom clusters and appropriate diagnostics. The case reinforced the need for a compassionate approach to psychiatric care, emphasizing public education on modifiable risk factors like substance abuse.
Detailed Assessment Instructions for the NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation Assignment
Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation
Photo Credit: Pexels
Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.
For this Assignment, you will document information about a patient that you examined during the last 5 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient.
To Prepare
- Select a patient that you examined during the last 5 weeks. Review prior resources on the disorder this patient has. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
- Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor. You must submit your document using SafeAssign.Please Note:Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.
- Develop a video case presentation, based on your progress note of this patient, that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.
- Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.
- Ensure that you have the appropriate lighting and equipment to record the presentation.
Assignment
Record yourself presenting the complex case for your clinical patient. In your presentation:
- Dress professionally with a lab coat and present yourself in a professional manner.
- Display your photo ID at the start of the video when you introduce yourself.
- Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
- Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.
- Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
Be succinct in your presentation, and do not exceed 8 minutes. Address the following:
- Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
- Objective: What observations did you make during the interview and review of systems?
- Assessment:What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?
- Reflection notes:What would you do differently in a similar patient evaluation?
By Day 7
Submit your Video and Comprehensive Psychiatric Evaluation. You must submit two (2) files for the evaluation, including a Word document and scanned PDF/images of each page that is initialed and signed by your Preceptor.
Learning Resources
Required Readings (click to expand/reduce)
Document: Comprehensive Psychiatric Evaluation Template (Word document)
Document: Comprehensive Psychiatric Evaluation Exemplar (Word document)
- Chapter 12, “Dissociative Disorders”
- Chapter 13, “Psychosomatic Medicine”
- Chapter 19, “Disruptive, Impulse-Control, and Conduct Disorders”
- Chapter 31, “Child Psychiatry”
- Section 31.13, “Anxiety Disorders of Infancy, Childhood, and Adolescence”
- Section 31.14, “Obsessive-Compulsive Disorder in Childhood and Adolescence”
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