NRNP 6635 WU Sarah Mealtime Difficulties Comprehensive Psychiatric Evaluation

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• select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient.

BY DAY 7 OF WEEK 10

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.).

LEARNING RESOURCES

Required Readings

• American Psychiatric Association. (2022). Neurocognitive disorders. In Diagnostic and statistical manual of mental disordersLinks to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?u… https://dsm.psychiatryonline.org/doi/full/10.1176/…
• American Psychiatric Association. (2022). Neurodevelopmental disorders. In Diagnostic and statistical manual of mental disordersLinks to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?u… https://dsm.psychiatryonline.org/doi/full/10.1176/…
• Boland, R. & Verduin, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
  • Chapter 3, “Neurocognitive Disorders”
  • Chapter 2- sections 2.1 “Intellectual Disability”, 2.2 “Communication Disorders”, 2.3 Autism Spectrum Disorder, 2.4 Attention-Deficit Disorder, 2.5 “Specific Learning Disorder”, 2.6 “Motor Disorders”
  • Chapter 26 “Level of Care”
  • Chapter 29 “End-of-Life Issues and Palliative Care
• Document: Comprehensive Psychiatric Evaluation TemplateDownload Comprehensive Psychiatric Evaluation Template
• Document: Comprehensive Psychiatric Evaluation ExemplarDownload Comprehensive Psychiatric Evaluation Exemplar

Required Media

• Classroom Productions. (Producer). (2016). Neurocognitive disordersLinks to an external site. [Video]. Walden University.
• Classroom Productions. (Producer). (2016). Neurodevelopmental disordersLinks to an external site. [Video]. Walden University.
• MedEasy. (2016). Progressive neurocognitive disorders. | USMLE & COMLEXLinks to an external site. [Video]. YouTube.

Video Case Selections for Assignment

Select one of the following videos to use for your Assignment this week. Then, access the document “Case History Reports” and review the additional data about the patient in the specific video number you selected.

• Symptom Media. (Producer). (2017). Training title 48Links to an external site. [Video]. https://go.openathens.net/redirector/waldenu.edu?u…
• Symptom Media. (Producer). (2017). Training title 50Links to an external site. [Video]. https://go.openathens.net/redirector/waldenu.edu?u…
• Document: Case History Reports