Nrnpprac 6645 Comprehensive Psychiatric Evaluation Template

Nrnpprac 6645 Comprehensive Psychiatric Evaluation Templateweek Ente

For this assignment, you will document information about a patient you examined in a group setting during the last 4 weeks, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient. Select a group patient for whom you conducted psychotherapy for a mood disorder during the last 4 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. Submit your note as a Word document and also include PDF/images of each page initialed and signed by your Preceptor. You must submit your note using SafeAssign. Then, develop a video presentation of the case, planning your presentation based on the assignment rubric and rehearsing what you plan to say. Review the Kaltura Media Uploader resource for assistance. The presentation should include the full complex case study, be succinct, and not exceed 8 minutes. The case presentation must include subjective and objective data, mental status exam findings, current psychiatric diagnoses with differentials ruled out, your psychotherapeutic plan including one health promotion activity and one patient education strategy, and patient progress toward treatment goals. Additionally, reflect on what you would do differently in a similar case, considering one social determinant of health from HealthyPeople 2030, and suggest one health promotion activity and one patient education consideration for improving health disparities and inequities in psychiatry and mental health. Support your assessment and diagnostic reasoning with at least five scholarly references.

Paper For Above instruction

Understanding and effectively documenting comprehensive psychiatric evaluations are essential skills for advanced practice psychiatric providers. The process involves a thorough collection of subjective and objective data, careful assessment, and formulation of a diagnostic and treatment plan tailored to individual patient needs. Implementing these evaluations within a structured framework ensures clarity, conciseness, and adherence to current research and best practices.

During patient encounters, subjective data include the patient's chief complaints, symptom descriptions, duration and severity of symptoms, and the impact on functioning. For instance, in cases of mood disorders such as depression or bipolar disorder, patients often report persistent feelings of sadness, irritability, sleep disturbances, or episodes of elevated mood with associated changes in activity and cognition. These reports help in differentiating between primary mood disorders and other psychiatric conditions such as anxiety disorders, personality disorders, or medical illnesses that can mimic psychiatric symptoms.

Objective data complement subjective reports with clinician observations, including appearance, behavior, affect, speech, thought processes, insight, judgment, and other mental status exam components. For example, flat affect, psychomotor agitation, or flight of ideas may point towards specific mood disorder subtypes or comorbid conditions influencing the clinical picture.

Assessment involves synthesizing this information to arrive at a primary diagnosis consistent with DSM-5-TR criteria. In depression, criteria such as persistent depressed mood most of the day, anhedonia, significant weight change, insomnia or hypersomnia, fatigue, feelings of worthlessness, or difficulty concentrating would be key. Differential diagnoses are considered and ruled out based on symptom presentation, duration, and context, including medical conditions, substance use, or psychotic features.

The psychotherapeutic treatment plan should be grounded in evidence-based modalities suitable for the diagnosis, such as cognitive-behavioral therapy (CBT) for depression, with incorporated health promotion activities—like lifestyle modifications, sleep hygiene education—or patient education strategies that address medication adherence, recognizing early warning signs, or reducing stigma. Follow-up planning includes establishing goals, monitoring progress, and adjusting interventions as necessary.

In reflective practice, considering social determinants of health from HealthyPeople 2030—such as socioeconomic status, education, or social environment—can guide more holistic care. For example, addressing barriers to accessing mental health services or social support networks can improve treatment engagement and outcomes.

Supporting this clinical reasoning with scholarly literature enhances the credibility and aligns practices with current standards. Incorporating at least five relevant, peer-reviewed references ensures evidence-based recommendations and ongoing professional development. The use of multimedia tools like video case presentations broadens communication and teaching skills essential for advanced practice providers.

References

• American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR). American Psychiatric Publishing.
• Bandelow, B., & Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st century. Dialogues in Clinical Neuroscience, 17(3), 327–335.
• Kessler, R. C., et al. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.
• Kupfer, D. J., et al. (2018). Bipolar disorder. The New England Journal of Medicine, 378(9), 834-846.
• Nolen-Hoeksema, S., et al. (2014). Abnormal Psychology (7th ed.). McGraw-Hill Education.
• World Health Organization. (2021). Mental health: strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
• HealthyPeople.gov. (2020). Social Determinants of Health. https://health.gov/healthypeople/objectives-and-data/social-determinants-health
• Zimmerman, M., et al. (2018). Effectiveness of psychotherapy for depression: A systematic review and meta-analysis. Psychiatric Services, 69(9), 1045–1053.
• Reuder, M., et al. (2014). Evidence-based stepped-care strategy for patients with depression. World Journal of Psychiatry, 4(4), 104–116.
• Thase, M. E., & Friedman, E. S. (2015). Treatment-resistant depression: Ethical considerations and treatment options. Journal of Clinical Psychiatry, 76(3), 245–250.