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: Client stated “My parent called for the appointment” does not know why

History of Present Illness: H.F., 20 years old European American male that came to the clinic after his parent booked the appointment for psychiatric evaluation. He is a college student that is having some difficulty in school as a freshman. During the interview, the client stated he is currently taking physics and advanced calculus but thinking of doubling is major in philosophy and physics. He also indicated someone put microwave in there while grabbing his jacket and stated, “they’ll spare me, and they’ll spare you too, because you are with me”. H.F. has a history of mild paranoia and was on a short trial medication of Risperidone for six months but due to the side effects of over sedation, the patient stated he stopped taking it after high school. ……..please click the icon below to access entire solution at $10