NRNP 6635 Week 2 Assignment: The Psychiatric Evaluation and Evidence-Based Rating

NRNP 6635 Week 2 Assignment: The Psychiatric Evaluation and Evidence-Based Rating

NRNP 6635 Week 2 Assignment: The Psychiatric Evaluation and Evidence-Based Rating
The Psychiatric Evaluation and Evidence-Based Rating Scales
Psychiatric mental health nurse practitioners conduct a psychiatric history to determine the mental health needs of a patient, diagnose, and develop a treatment plan. A psychiatric history has several components that facilitate accurate diagnosis and treatment of mental health problems. However, I consider the history of psychiatric conditions, the history of the presenting complaint, and social history to be the most important components of a psychiatric history. Psychiatric mental health nurse practitioners should obtain information about the history of presenting illness. The history of the presenting illness or complaints provides insights into the experiences of patients with a mental health problem (Boyd & Luebbert, 2022). Practitioners can also assess the severity of the mental health problem and its precipitating or alleviating factors.
The history of psychiatric and medical conditions is also important in the psychiatric interview. Nurse practitioners must ascertain if a patient has a history of a mental health problem since some mental health, problems have a risk of relapses. A history of medical problems such as thyroid diseases is also important since patients might experience symptoms seen in mental health problems. Information about social history such as substance use and abuse should be obtained when performing a psychiatric history (Jarvis, 2023). This is because substance abuse is associated with an increased risk of mental health problems.

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The NICH Vanderbilt Assessment Scale is the assigned assessment tool. NICH Vanderbilt assessment scale is used for the diagnosis of attention deficit hyperactivity disorder in children aged 6-12 years old. The scale has two components for parent and teaching scoring. They include impairment in performance and symptom assessment. The symptom assessment has 9(1-9) items for inattention and 8 (10-18) items for hyperactivity. A diagnosis of ADHD is made if a patient scores 6 positives for inattention, hyperactive core symptoms, or both (Kapogiannis et al., 2022). Practitioners should use the NICH Vanderbilt assessment scale when suspecting a patient has ADHD. They should also use it with other assessments to confirm a diagnosis of ADHD (Anderson et al., 2022, 2023). Therefore, nurse practitioners use it to complement their ADHD diagnoses.

References
Anderson, N. P., Feldman, J. A., Kolko, D. J., Pilkonis, P. A., & Lindhiem, O. (2022). National Norms for the Vanderbilt ADHD Diagnostic Parent Rating Scale in Children. Journal of Pediatric Psychology, 47(6), 652–661. https://doi.org/10.1093/jpepsy/jsab132
Anderson, N. P., Gaffney, D. H., Jagadeesh, D., Kennedy, T. M., Kolko, D. J., & Lindhiem, O. (2023). Quantifying Potential Bias Resulting From Child Age on Screening for Hyperactive/Impulsive Presentations of ADHD. Journal of Attention Disorders, 27(14), 1609–1617. https://doi.org/10.1177/10870547231188352
Boyd, M. A., & Luebbert, R. (2022). Essentials of Psychiatric Nursing. Lippincott Williams & Wilkins.
Jarvis, C. (2023). Physical Examination and Health Assessment – Canadian E-Book: Physical Examination and Health Assessment – Canadian E-Book. Elsevier Health Sciences.
Kapogiannis, A., Makris, G., Darviri, C., Artemiadis, A., Klonaris, D., Tsoli, S., Bachourou, T., Stefanaki, C., Papanikolaou, K., Chrousos, G., & Pervanidou, P. (2022). The Greek Version of the Vanderbilt ADHD Diagnostic Parent Rating Scale for Follow-up Assessment in Prepubertal Children with ADHD. International Journal of Disability, Development and Education, 69(5), 1726–1735. https://doi.org/10.1080/1034912X.2020.1802647

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The Psychiatric Evaluation and Evidence-Based Rating Scales

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Learning Resources

Required Readings

American Psychiatric Association. (2022). Section I: DSM-5 basics. In Diagnostic and statistical manual of mental disorders

Links to an external site.(5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.5555/appi.books.9780890425787.Section_1

Links to an external site.

American Psychiatric Association. (2022). Classification. In Diagnostic and statistical manual of mental disorders

Links to an external site.(5th ed., text rev., pp. xiii-xl). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.5555/appi.books.9780890425787.Section_1

Links to an external site.

Review

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

Chapter 34, Writing Up the Results of the Interview

Boland, R. & Verduin, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.

Chapter 1, “Examination and Diagnosis of the Psychiatric Patient”

American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescents

Links to an external site.. https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults

Links to an external site. (3rd ed.). https://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Classification in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry

Links to an external site. (4th ed., pp. 1–8). Wolters Kluwer.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry

Links to an external site. (4th ed., pp. 39–52). Wolters Kluwer.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Medical assessment and laboratory testing in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry

Links to an external site. (4th ed., pp. 16–21). Wolters Kluwer.

Required Media

Classroom Productions. (Producer). (2015). Diagnostic criteria

Links to an external site.[Video]. Walden University.

MedEasy. (2017). Psychiatric history taking and the mental status examination | USMLE & COMLEX

Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=U5KwDgWX8L8

Psychiatry Lectures. (2015). Psychiatry lecture: How to do a psychiatric assessment

Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=IRiCntvec5U

To Prepare:

Review this week’s Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis.

Consider the elements of the psychiatric interview, history, and examination.

Consider the assessment tool assigned to you by the Course Instructor.

By Day 3 of Week 2

Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.

Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

Read a selection of your colleagues’ responses.

By Day 6 of Week 2

Respond to at least two of your colleagues on 2 different days by comparing your assessment tool to theirs.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!