(SOLVED) NRNP-6635 WEEK 7 ASSIGNMENT: ASSESSING AND DIAGNOSING PATIENTS WITH SCHIZOPHRENIA, OTHER PSYCHOTIC DISORDERS, AND MEDICATION INDUCED MOVEMENT DISORDERS

Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.

For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.

TO PREPARE:

  • Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

BY DAY 3 OF WEEK 7

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:

CC (chief complaint): “You are with them”

HPI: Under a police order, PW, 42, was taken to the emergency room for evaluation after locking herself in a closet and yelling for more than an hour. Because of her violent and aggressive behavior, paramedics had to use Ativan to sedate her. She is suspicious of everyone and refuses to cooperate with tests and treatments. She claims that the interviewer is “planting eyes and ears everywhere” to spy on her. “Nowhere is safe,” she said.

Past Psychiatric History: PW was admitted to the inpatient psychiatric unit at some point last year and has visited the ER three times in the past two weeks.
• Overview: We are aware that PW lost both of her parents in the previous three years.
and according to her friend, it had a significant impact on PW. It seems that PW has been experiencing mental breakdowns annually for the past three years, coinciding with the deaths of her parents.

• Caregivers (if applicable): Her spouse, a truck driver, lives with her but is frequently away. Not much was mentioned regarding her relationship with her five-year-old sister or her residence. Felicia’s best friend is the person who frequently checks in on her.
• Hospitalizations: At some point last year, PW was admitted to the inpatient psychiatric unit.
• No medication trials were recorded; however, she is allergic to Clozaril and was given Ativan for sedation…………………..KINDLY CLICK ON THE PURCHASE ICON BELOW TO ACCESS THE ENTIRE SOLUTION FOR $15