Psychopathology And Diagnostic Reasoning Essay Assignment

Psychopathology And Diagnostic Reasoning Essay Assignment

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Assignment: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

Resources for NMHNP 6635 Week 7
American Psychiatric Association. (2013). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 709–714). Author.
American Psychiatric Association. (2013). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm02
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadockâ€s synopsis of psychiatry (11th ed.). Wolters Kluwer.
Chapter 7, Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 29.2, Medication Induced-Movement Disorders
Chapter 31.15, Early-Onset Schizophrenia Psychopathology And Diagnostic Reasoning Essay Assignment

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YOU MUST USE THIS TRAINING TRANSCRIPT ONLY for the Comprehensive Psychiatric eval.
Training Title 29
Name: Mr. Jay Feldman Gender: male
Age:19 years old

T- 98.3 P- 69 R 16 106/72 Ht 5â€7 Wt 117lbs
Background: European-American male. He has two younger brothers, one with history of ADHD, the other with history of anxiety. His mother has anxiety; his father has paranoia schizophrenia. He is home for spring break. He has no previous medical problems. Developmental milestones met as child. Appetite is inconsistent and it seems he has lost 18lbs since first going back to school in the fall. Jason has not acted this way before but did have a short trial of aripiprazole in the last six months of high school for mild paranoia. He stopped the medication after graduation as he could not tolerate due to side effects of akathisia. Jason has several friends but has not kept in touch with them since being back home. He has not been showering. Sleeping 4–5 hrs.
Training Title 134 Psychopathology And Diagnostic Reasoning Essay Assignment
Name: Mrs. Bunny Warren Gender: female
Age: 33 years old
Symptom Media. (Producer). (2016). Training title 29 [Video]. https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-29
Training # 29
BEGIN TRANSCRIPT:
00:00:00
[sil.]
00:00:15
OFF CAMERA Mr. Feldman? I understand you called us last week for an appointment.
00:00:20
MR. FELDMAN My parents.
00:00:25
OFF CAMERA Excuse me?
00:00:25
MR. FELDMAN My parents called for the appointment.
00:00:25
OFF CAMERA Oh. Do you know why your parents called for an appointment?
00:00:30
MR. FELDMAN No.
00:00:35
OFF CAMERA When your parents called me they said you were having some difficulty in school. Where are you in school?
00:00:50
MR. FELDMAN State College.
00:00:50
OFF CAMERA How long have you been at State College?
00:00:55
MR. FELDMAN My freshman year.
00:01:00
OFF CAMERA And how is it going?
00:01:05
MR. FELDMAN Fine.
00:01:10
OFF CAMERA What courses are you taking at State?
00:01:15
MR. FELDMAN In high school I took advanced placement courses. Theoretical physics, advanced calculus is what I’m taking now. Although I’m thinking about double majoring in philosophy and physics. Psychopathology And Diagnostic Reasoning Essay Assignment
00:01:35
OFF CAMERA That’s an interesting combination.
00:01:35
MR. FELDMAN Yes, the mysteries of life. The courses are mysteries, and just when you think you’ve understood it, it’s gone.
00:01:45
OFF CAMERA Gone?
00:01:50
MR. FELDMAN The totality of life precludes us from repeating it. I mean what’s the point?
00:02:00
OFF CAMERA Do you have a roommate at state?
00:02:05
MR. FELDMAN You could call him that.
00:02:10
OFF CAMERA Can you tell me about him?
00:02:15
MR. FELDMAN Oh no.
00:02:15
OFF CAMERA Why not?
00:02:20
[sil.]
00:02:25
MR. FELDMAN He put a microwave in there, but I know what that means. But I won’t tell. Not a word..
00:02:35
OFF CAMERA A microwave oven?
00:02:40
MR. FELDMAN They had them in here too, in this building. But they’ll spare me, and they’ll spare you too, because you are with me, and what that’s about a bleeding degeneration of blood cells, bleeding the humanity from our rightful destiny… but this room spies on us. Psychopathology And Diagnostic Reasoning Essay Assignment
00:03:05
OFF CAMERA I don’t understand what you mean.
00:03:10
MR. FELDMAN It’s in the eyes. You can hold of forever if you know how.
00:03:20
OFF CAMERA Mr. Feldman, did you come here with anyone else today?
00:03:25
[sil.]
00:03:30
MR. FELDMAN Sssshhhh.
00:03:35
OFF CAMERA Mr. Feldman, I think I may need to contact your parents.
00:03:45
SymptomMedia Visual Learning for Behavioral Health
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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 patientâ€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 diagnostic criteria for each differential diagnosis and explain what DSM-5 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.)Psychopathology And Diagnostic Reasoning Essay Assignment.

https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nrnp-6635/week-03/NRNP%20PRAC%206635%20Comprehensive%20Psychiatric%20Evaluation%20Template.docx

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RUBRIC
Write introduction of assignment/case with one to two paragraph.
Create documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected.
In the Subjective section, provide:
• Chief complaint
• History of present illness (HPI)
• Past psychiatric history
• Medication trials and current medications
• Psychotherapy or previous psychiatric diagnosis
• Pertinent substance use, family psychiatric/substance use, social, and medical history
• Allergies
• ROS
Excellent
18 (18%) – 20 (20%)
The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis
——————————————————————————————————————————————
In the Objective section, provide:
• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history
• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses
18 (18%) – 20 (20%) Psychopathology And Diagnostic Reasoning Essay Assignment
The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.
In the Assessment section, provide:
• Results of the mental status examination, presented in paragraph form.
• At least three differentials with supporting evidence. List them from top priority to least priority.
——————————————————————————————————————————————
Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 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.
23 (23%) – 25 (25%)
The response thoroughly and accurately documents the results of the mental status exam.

Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.

Reflect on this case. Discuss what you learned and what you might do differently. 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.)Psychopathology And Diagnostic Reasoning Essay Assignment.
9 (9%) – 10 (10%)
Reflections are thorough, thoughtful, and demonstrate critical thinking.

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Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).
14 (14%) – 15 (15%)
The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making. Psychopathology And Diagnostic Reasoning Essay Assignment

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Written Expression and Formatting—Paragraph development and organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
5 (5%) – 5 (5%)
A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

Paragraphs and sentences follow writing standards for flow, continuity, and clarity Written Expression and Formatting—English writing standards:
Correct grammar, mechanics, and punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors
Write one to two paragraphs of conclusion about assessing and diagnosing this psychiatric case evaluation. Psychopathology And Diagnostic Reasoning Essay Assignment