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NRNP 6635: Psychopathology and Diagnostic Reasoning

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. 

· 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. 

For the assignment:

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 highe

NRNP 6635 Case History Reports

Use these case histories to supplement the information about the patients in the video case
studies.

Table of Contents

Week 3: Mood Disorders………………………………………………………………………………………….. 3

Training Title 2 ……………………………………………………………………………………………………………….3

Training Title 8 ……………………………………………………………………………………………………………….3

Training Title 18 ……………………………………………………………………………………………………………..3

Training Title 28 ……………………………………………………………………………………………………………..4

Training Title 38 ……………………………………………………………………………………………………………..4

Training Title 43 ……………………………………………………………………………………………………………..5

Training Title 150 ……………………………………………………………………………………………………………5

Training Title 118 ……………………………………………………………………………………………………………6

Training Title 144 ……………………………………………………………………………………………………………6

Week 4: Anxiety Disorders, PTSD, and OCD …………………………………………………………………. 7

Training Title 15 ……………………………………………………………………………………………………………..7

Training Title 21 ……………………………………………………………………………………………………………..7

Training Title 37 ……………………………………………………………………………………………………………..8

Training Title 40 ……………………………………………………………………………………………………………..8

Training Title 55 ……………………………………………………………………………………………………………..8

Training Title 85 ……………………………………………………………………………………………………………..9

Training Title 95 ……………………………………………………………………………………………………………..9

Week 7 Schizophrenia and Other Psychotic Disorde

Rubric Detail

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Content

Name: NRNP_6635_Week7_Assignment_Rubric

  Excellent Good Fair Poor
Create documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected.

In the Subjective section, provide:
• Chief complaint
• History of present illness (HPI)
• Past psychiatric history
• Medication trials and current medications
• Psychotherapy or previous psychiatric diagnosis
• Pertinent substance use, family psychiatric/substance use, social, and medical history
• Allergies
• ROS

Points:

Points Range:
18 (18%) – 20 (20%)

The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.

Feedback:

Points:

Points Range:
16 (16%) – 17 (17%)

The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.

Feedback:

Points:

Points Range:
14 (14%) – 15 (15%)

The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis, but is somewhat vague or contains minor innacuracies.

Feedback:

Points:

Points Range:
0 (0%) – 13 (13%)

The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history o

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