(Solution) NRNP-6635 Week 4: Assignment; Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

COURSE  

NRNP-6635 Psychpathology Diag Reasoning

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 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 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.).

SOLUTION

Subjective Data

Chief Complaint: “I went to the emergency department last week, because I was feeling like I was dying from a heart attack”

History of Present Illness: L.E., 21-years old Hispanic male that came to the clinic after going to the emergency room last week for feeling chest tightness, ponding of the heart that makes him feel like he is dying from heart attack. He also described his symptoms like his heart was about to explode out of his chest as he was sweating profusely. At the emergency room, his EKG was normal, and the symptoms subsided after twelve to fifteen minutes. …….please click the icon below to access entire solution at $10