NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
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:
Physical exam: if applicable
Diagnostic results:
Assessment:
Mental Status Examination:
Differential Diagnoses:
Reflections:
References
Psychosocial History:
Medical History:
· Current Medications:
· Allergies:
· Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Objective:
Physical exam: if applicable
Diagnostic results:
Assessment:
Mental Status Examination:
Differential Diagnoses:
Reflections:
NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
Here’s a template for the Comprehensive Psychiatric Evaluation:
—
**Week: [Enter week #]**
**Assignment Title: Comprehensive Psychiatric Evaluation**
**Student Name**
College of Nursing-PMHNP, Walden University
**NRNP 6635: Psychopathology and Diagnostic Reasoning**
**Faculty Name**
**Assignment Due Date**
**Subjective:**
**CC (chief complaint):**
[Patient’s chief complaint goes here]
**HPI (History of Present Illness):**
[Detailed description of current symptoms, onset, duration, exacerbating or alleviating factors, etc.]
**Past Psychiatric History:**
– **General Statement:** [Brief overview of past psychiatric history]
– **Caregivers (if applicable):** [Information about caregivers and their involvement]
– **Hospitalizations:** [Any previous psychiatric hospitalizations]
– **Medication trials:** [List of medications tried in the past]
– **Psychotherapy or Previous Psychiatric Diagnosis:** [Details about past psychotherapy and psychiatric diagnoses]
**Substance Current Use and History:**
[Description of current substance use and relevant history]
**Family Psychiatric/Substance Use History:**
[Information about family members’ psychiatric and substance use history]
**Psychosocial History:**
[Details about the patient’s social, occupational, and educational background]
**Medical History:**
– **Current Medications:** [List of current medications]
– **Allergies:** [Any known allergies]
– **Reproductive Hx:** [Relevant reproductive history]
**ROS (Review of Systems):**
– **GENERAL:** [General health-related symptoms]
– **HEENT:** [Head, Eyes, Ears, Nose, Throat]
– **SKIN:** [Skin-related symptoms]
– **CARDIOVASCULAR:** [Cardiovascular symptoms]
– **RESPIRATORY:** [Respiratory symptoms]
– **GASTROINTESTINAL:** [Gastrointestinal symptoms]
– **GENITOURINARY:** [Genitourinary symptoms]
– **NEUROLOGICAL:** [Neurological symptoms]
– **MUSCULOSKELETAL:** [Musculoskeletal symptoms]
– **HEMATOLOGIC:** [Hematologic symptoms]
– **LYMPHATICS:** [Lymphatic symptoms]
– **ENDOCRINOLOGIC:** [Endocrinologic symptoms]
**Objective:**
**Physical exam:**
[Description of physical examination findings if applicable]
**Diagnostic results:**
[Summary of relevant diagnostic test results]
**Assessment:**
**Mental Status Examination:**
[Detailed assessment of the patient’s mental status]
**Differential Diagnoses:**
[List of potential diagnoses based on the assessment]
**Reflections:**
[Reflections on the assessment process, potential challenges, insights, etc.]
**References Psychosocial History:**
**Medical History:**
– **Current Medications:** [List of current medications]
– **Allergies:** [Any known allergies]
– **Reproductive Hx:** [Relevant reproductive history]
**ROS:**
– **GENERAL:** [General health-related symptoms]
– **HEENT:** [Head, Eyes, Ears, Nose, Throat]
– **SKIN:** [Skin-related symptoms]
– **CARDIOVASCULAR:** [Cardiovascular symptoms]
– **RESPIRATORY:** [Respiratory symptoms]
– **GASTROINTESTINAL:** [Gastrointestinal symptoms]
– **GENITOURINARY:** [Genitourinary symptoms]
– **NEUROLOGICAL:** [Neurological symptoms]
– **MUSCULOSKELETAL:** [Musculoskeletal symptoms]
– **HEMATOLOGIC:** [Hematologic symptoms]
– **LYMPHATICS:** [Lymphatic symptoms]
– **ENDOCRINOLOGIC:** [Endocrinologic symptoms]
**Objective:**
**Physical exam:**
[Description of physical examination findings if applicable]
**Diagnostic results:**
[Summary of relevant diagnostic test results]
**Assessment:**
**Mental Status Examination:**
[Detailed assessment of the patient’s mental status]
**Differential Diagnoses:**
[List of potential diagnoses based on the assessment]
**Reflections:**
[Reflections on the assessment process, potential challenges, insights, etc.]
—
You can fill in the specific details for each section based on the patient’s case.
The post NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template appeared first on Destiny Papers.
