Assignment: Comprehensive Psychiatric Evaluation

Comprehensive Psychiatric Evaluation
To Prepare
Review this week’s Learning Resources and consider the insights they provide about assessment and diagnosis.
Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain.

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Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.
Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.
Report normal diagnostic results as the name of the test and â€œnormalâ€ (rather than specific value). Abnormal results should be reported as a specific value.
Address the following:
Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
Objective: What observations did you make during the interview and review of systems?
Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis and why?
Reflection notes: What would you do differently in a similar patient evaluation?

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Description of chief complaint and history of present illness
Points Range:5 (5.00%) – 5 (5.00%)
The student provides an accurate, clear, and complete description of the chief complaint and history of present illness.
Description of past psychiatric, substance use, medical, social, and family history
Points Range:5 (5.00%) – 5 (5.00%)
The student provides an accurate, clear, and complete description of past psychiatric, substance use, medical, social, and family history.
Discussion of most recent mental status exam and observations made during interview and review of systems
Points Range:14 (14.00%) – 15 (15.00%)
The student provides an accurate, clear, and complete discussion of results from most recent mental status exam and observations made during interview and review of systems.
Discussion of diagnostics with results
Points Range:9 (9.00%) – 10 (10.00%)
The student provides an accurate, clear, and complete discussion of diagnostics with results.
Diagnosis with three (3) differentials
Points Range:23 (23.00%) – 25 (25.00%)
The student provides an accurate, clear, and complete diagnosis with three (3) differentials.
Comprehensive Psychiatric Evaluation documentation
Points Range:23 (23.00%) – 25 (25.00%)
The response clearly, accurately, and thoroughly follows the Comprehensive Psychiatric Evaluation format to document the selected patient case.