ANSWER
Comprehensive Psychiatric Exam
What is a thorough psychiatric evaluation?
A comprehensive psychiatric evaluation may be required to diagnose emotional, behavioral, or developmental disorders. A child, adolescent, or adult’s behavior is evaluated by physical, genetic, environmental, social, cognitive (thinking), emotional, and educational components that may be affected by these behaviors.
Who is being evaluated?
Families, spouses, teachers, or friends are frequently the first to suspect that a loved one is being challenged by feelings, behaviors, or environmental conditions that cause him or her to act disruptive, rebellious, or sad. Such issues include problems with relationships with friends or family members, work, school, sleeping, eating, substance abuse, emotional expression, development, coping, attentiveness, and responsiveness. Families who suspect a problem in any of these areas should seek treatment as soon as possible. Treatment for mental illnesses is available.
What does a comprehensive psychiatric evaluation entail?
These are the most common components of a thorough, diagnostic psychiatric evaluation. However, each evaluation is unique because each person’s symptoms and behaviors are unique. The evaluation may include the following:
ORDER WITH US AND GET FULL ASSIGNMENT HELP FOR THIS QUESTION AND ANY OTHER ASSIGNMENTS (PLAGIARISM FREE)
Behaviors are described in detail (like when the behaviors happen, how long does the behavior last, and what are the conditions in which the behaviors most often happen)
Symptoms description (physical and psychiatric symptoms)
Behaviours or symptoms associated with:
Workplace performance
Academic performance at school
Interactions and relationships with others (like spouses, coworkers, family members, or neighbours)
Involvement of family members
Participation in an activity
Psychiatric examination
Emotional, behavioural, or developmental disorders in one’s own family
Complete medical history, including a description of the individual’s overall physical health, a list of any other illnesses or conditions present, and a description of any current treatments
In some cases, lab tests (such as those listed below) may be used to determine whether an underlying medical condition exists.
Examinations of the blood
Radiology examinations to look for anomalies, particularly in brain structures
Educational evaluations
Speech and language evaluations
Psychological evaluations
QUESTION
Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process, to formulate a 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 are 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 rule 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_ComprehensivePsychiatricEvaluationExemplar_rev.4.2022.docx NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx