CLASS:
NRNP-6635: Psychpathology Diag Reasoning
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.).
Solution
Subjective:
Assessing and Diagnosing Patients with Schizophrenia, Other Psychotic Disorders, and
Medication-Induced Movement Disorders 2
CC (chief complaint): Having thoughts and hearing things that others couldn’t hear
HPI: J.D. is a 30-year-old Caucasian female who was brought in for psychiatric evaluation by
her 2 roommates who are concerned with behaviors. The patient seemed fine, according to her
roommates Liz and Rachel, but soon after your aunt passed away, she began acting in a different,
slightly unusual manner. started hearing and thinking things that nobody else could. According to
the records, the patient had some depression after the death of her aunt, but her condition
deteriorated in the 12 days following her brother’s GSW death during a gas station robbery. She
only sleeps for two hours per day and only eats canned foods. She has used marijuana every day
since she was 17 and………………………………………$10