COURSE:
NR548 – Psychiatric Assessment for Psychiatric-Mental Health Nurse
General Instructions
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- Download the Psychiatric Interview Links to an external site.
- Watch the Psychiatric Interview Recording. and complete the required psychiatric interview documentation. Client age and allergies have been completed.
Include the following elements:
- History of present illness (HPI)
- Include the chief complaint in quotation marks
- List only HPI data
- Use appropriate terminology
- Provide support from an appropriate scholarly source or textbook to support content and terminology
- Provide information that is understandable, well-organized, and easy to follow
- Medications
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- Provide all current medication information
- Include all criteria from the medication table
- Use appropriate medical terminology
- Provide information that is understandable, well-organized, and easy to follow
- Past psychiatric history
- Include entire past psychiatric history
- Address all criteria listed on the template
- Use appropriate terminology
- Provide support from an appropriate scholarly source or textbook to support content and terminology
- Provide information that is understandable, well-organized, and easy to follow
- Medical history
- Include all relevant medical information
- Address all criteria listed on the template
- Use appropriate terminology
- Provide support from an appropriate scholarly source or textbook to support content and terminology
- Provide information that is understandable, well-organized, and easy to follow
- Family History
- Include all pertinent family history
- Address all criteria listed on the template
- Use appropriate terminology
- Provide support from an appropriate scholarly source or textbook to support content and terminology
- Provide information that is understandable, well-organized, and easy to follow
- Social History
- Include all relevant information from the social history
- Address all criteria listed on the template
- Use appropriate terminology
- Provide support from an appropriate scholarly source or textbook to support content and terminology
- Provide information that is understandable, well-organized, and easy to follow
- Review of systems (ROS)
- Address all ROS criteria listed on the template
- Use appropriate terminology
- Provide support from an appropriate scholarly source or textbook to support content and terminology
- Provide information that is understandable, well-organized, and easy to follow
- Mental status examination (MSE)
- Include each element of the MSE
- Address all criteria listed on the template
- Use appropriate terminology
- Provide support from an appropriate scholarly source or textbook to support content and terminology
- Provide information that is understandable, well-organized, and easy to follow
- List items not addressed during the interview and discuss whether listed items were appropriately omitted or should be included. Cite a reference to support the listed items.
- Formatting
- Carlat’s (2017) textbook is used to support terminology and section content
- Sources represent a logical link between the source content and the interview documentation
- In-text citations match listed references
- Direct quotes are not used
Submit your completed template to the Week 6 Dropbox…………………………………….$10