Comprehensive Psychiatric Evaluation

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

Instructions/Descriptions

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

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Week (enter week #): (Enter assignment title)

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6635: Psychopathology and Diagnostic Reasoning

Faculty Name

Assignment Due Date

Subjective:

CC (chief complaint):

HPI:

Past Psychiatric History:

• General Statement:
• Caregivers (if applicable):
• Hospitalizations:
• Medication trials:
• Psychotherapy or Previous Psychiatric Diagnosis:

Substance Current Use and History:

Family Psychiatric/Substance Use History:

Psychosocial History:

Medical History:

• Current Medications:
• Allergies:
• Reproductive Hx:

ROS:

• GENERAL:
• HEENT:
• SKIN:
• CARDIOVASCULAR:
• RESPIRATORY:
• GASTROINTESTINAL:
• GENITOURINARY:
• NEUROLOGICAL:
• MUSCULOSKELETAL:
• HEMATOLOGIC:
• LYMPHATICS:
• ENDOCRINOLOGIC:

Objective:

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Physical exam: if applicable

Diagnostic results:

Assessment:

Mental Status Examination:

Differential Diagnoses:

Reflections:

The chart has been broken into sections and sub-sections in order to clearly outline the intended research process and set timeframe bound goals, although, these stages may be subject to change. Regular meetings with a supervisor have been allocated to make sure that any work produced is academically sound and approved ethically. The finely dotted lines seen at W/C 28/06/2021 and W/C 26/07/2021 mark the intended data collection period spanning approximately one month only due to the time-restricted nature of this project. The submission date of the 6th September 2021 has been clearly identified with a red dotted fill.

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

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