{"id":6768,"date":"2024-01-16T00:27:41","date_gmt":"2024-01-16T00:27:41","guid":{"rendered":"https:\/\/www.writemyessays.app\/blog\/questions\/assessing-and-diagnosing-patients-with-substance-related-and-addictive-disorders\/"},"modified":"2024-01-16T00:27:41","modified_gmt":"2024-01-16T00:27:41","slug":"assessing-and-diagnosing-patients-with-substance-related-and-addictive-disorders","status":"publish","type":"questions","link":"https:\/\/www.writemyessays.app\/blog\/questions\/assessing-and-diagnosing-patients-with-substance-related-and-addictive-disorders\/","title":{"rendered":"ASSESSING AND DIAGNOSING PATIENTS WITH SUBSTANCE-RELATED AND ADDICTIVE DISORDERS"},"content":{"rendered":"
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TO PREPARE:<\/h3>\n<\/div>\n
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    \n
  • 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 (I’ve provided both the template and the example)<\/span>. <\/li>\n
  • 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 \u201cCase History Reports\u201d document, keeping the requirements of the evaluation template in mind (I’ve attached a link at the end of the instructions of the selected video-“training title 29”)<\/span>. Please let me know if it doesn’t work for you. <\/span><\/li>\n
  • Consider what history would be necessary to collect from this patient. If the information in the case history is not present, please do not write \u201cnot provided\u201d. Please explain what information is needed and why it is important.<\/span> <\/span><\/li>\n
  • Consider what interview questions you would need to ask this patient.<\/li>\n
  • Identify at least three possible differential diagnoses for the patient. <\/li>\n<\/ul>\n
    \n

    Complete and submit your Comprehensive Psychiatric Evaluation (on the provided template)<\/span>, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:<\/p>\n

      \n
    • Subjective: <\/strong>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? <\/li>\n
    • Objective: <\/strong>What observations did you make during the psychiatric assessment?\u202f <\/li>\n
    • Assessment:<\/strong> Discuss the patient\u2019s 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 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.<\/li>\n
    • Reflection notes:<\/strong> What would you do differently with this client if you could conduct the session over?\u202fAlso 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.).<\/li>\n<\/ul>\n
      \n
      Be sure to cite the DSM-V and the Video.
      <\/span><\/div>\n
      Use the DSM-V for diagnostic criteria.
      <\/span><\/div>\n
      Make sure to include a purpose statement, introduction, and conclusion.<\/span><\/div>\n
      Per the rubric,<\/span><\/div>\n
      Provide at least three evidence-based, peer-reviewed journal articles or evidence-based guidelines related to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).<\/span><\/span><\/div>\n

      <\/span><\/span><\/div>\n
      Link for video:<\/span><\/span><\/div>\n
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      https:\/\/www.dropbox.com\/scl\/fi\/e5ky8pp6c6t8gj0a0zine\/Screen-Recording-2024-01-15-at-6.56.58-PM.mov?rlkey=4bk7k74rewfkqf2mbzg3ba273&dl=0<\/span>
      <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

      <\/span><\/span><\/div>\n
      Rubric for grading below:<\/span><\/span><\/div>\n

      <\/span><\/span><\/div>\n
      <\/p>\n
      \n
      NRNP_6635_Week6_Assignment_Rubric<\/span><\/div>\n<\/div>\n\n\n\n\n\n
      Criteria<\/th>\nRatings<\/th>\nPts<\/th>\n<\/tr>\n<\/thead>\n
      \n
      \n
      This criterion is linked to a Learning Outcome<\/span><\/span>Create documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected. In the Subjective section, provide: \u2022 Chief complaint\u2022 History of present illness (HPI)\u2022 Past psychiatric history\u2022 Medication trials and current medications\u2022 Psychotherapy or previous psychiatric diagnosis\u2022 Pertinent substance use, family psychiatric\/substance use, social, and medical history\u2022 Allergies\u2022 ROS<\/span><\/p>\n
      <\/div>\n
      <\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n\n\n\n\n
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      <\/div>\n

      20<\/span> <\/span>to >17.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Excellent<\/div>\n
      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.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      17<\/span> <\/span>to >15.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Good<\/div>\n
      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.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      15<\/span> <\/span>to >13.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Fair<\/div>\n
      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.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
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      <\/div>\n

      13<\/span> <\/span>to >0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Poor<\/div>\n
      The response provides an incomplete or inaccurate description of 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. Or, subjective documentation is missing.<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n
      		\n
      20<\/span> <\/span>pts
      <\/span><\/div>\n<\/td>\n<\/tr>\n
      \n
      \n
      This criterion is linked to a Learning Outcome<\/span><\/span>In the Objective section, provide:\u2022 Physical exam documentation of systems pertinent to the chief complaint, HPI, and history\u2022 Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.<\/span><\/p>\n
      <\/div>\n
      <\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n\n\n\n\n
      \n
      \n
      \n
      <\/div>\n

      20<\/span> <\/span>to >17.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Excellent<\/div>\n
      The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      17<\/span> <\/span>to >15.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Good<\/div>\n
      The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      15<\/span> <\/span>to >13.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Fair<\/div>\n
      Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      13<\/span> <\/span>to >0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Poor<\/div>\n
      The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or, objective documentation is missing.<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n
      		\n
      20<\/span> <\/span>pts
      <\/span><\/div>\n<\/td>\n<\/tr>\n
      \n
      \n
      This criterion is linked to a Learning Outcome<\/span><\/span>In the Assessment section, provide:\u2022 Results of the mental status examination, presented in paragraph form.\u2022 At least three differentials with supporting evidence. List them from top priority to least 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.<\/span><\/p>\n
      <\/div>\n
      <\/div>\n<\/div>\n<\/div>\n<\/td>\n
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      <\/div>\n

      25<\/span> <\/span>to >22.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Excellent<\/div>\n
      The response thoroughly and accurately documents the results of the mental status exam…. Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
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      <\/div>\n

      22<\/span> <\/span>to >19.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Good<\/div>\n
      The response accurately documents the results of the mental status exam…. Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
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      \n
      <\/div>\n

      19<\/span> <\/span>to >17.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Fair<\/div>\n
      The response documents the results of the mental status exam with some vagueness or innacuracy…. Response lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vaguess or innacuracy.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      17<\/span> <\/span>to >0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Poor<\/div>\n
      The response provides an incomplete or inaccurate description of the results of the mental status exam and explanation of the differential diagnoses. Or, assessment documentation is missing.<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n
      		\n
      25<\/span> <\/span>pts
      <\/span><\/div>\n<\/td>\n<\/tr>\n
      \n
      \n
      This criterion is linked to a Learning Outcome<\/span><\/span>Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal\/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, 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.).<\/span><\/p>\n
      <\/div>\n
      <\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n\n\n\n\n
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      <\/div>\n

      10<\/span> <\/span>to >8.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Excellent<\/div>\n
      Reflections are thorough, thoughtful, and demonstrate critical thinking.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
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      \n
      <\/div>\n

      8<\/span> <\/span>to >7.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Good<\/div>\n
      Reflections demonstrate critical thinking.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
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      <\/div>\n

      7<\/span> <\/span>to >6.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Fair<\/div>\n
      Reflections are somewhat general or do not demonstrate critical thinking.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
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      \n
      <\/div>\n

      6<\/span> <\/span>to >0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Poor<\/div>\n
      Reflections are incomplete, inaccurate, or missing.<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n
      		\n
      10<\/span> <\/span>pts
      <\/span><\/div>\n<\/td>\n<\/tr>\n
      \n
      \n
      This criterion is linked to a Learning Outcome<\/span><\/span>Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).<\/span><\/p>\n
      <\/div>\n
      <\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n\n\n\n\n
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      <\/div>\n

      15<\/span> <\/span>to >13.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Excellent<\/div>\n
      The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      13<\/span> <\/span>to >11.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Good<\/div>\n
      The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      11<\/span> <\/span>to >10.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Fair<\/div>\n
      Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      10<\/span> <\/span>to >0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Poor<\/div>\n
      Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based.<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n
      		\n
      15<\/span> <\/span>pts
      <\/span><\/div>\n<\/td>\n<\/tr>\n
      \n
      \n
      This criterion is linked to a Learning Outcome<\/span><\/span>Written Expression and Formatting\u2014Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused\u2014neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.<\/span><\/p>\n
      <\/div>\n
      <\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n\n\n\n\n
      \n
      \n
      \n
      <\/div>\n

      5<\/span> <\/span>to >4.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Excellent<\/div>\n
      A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. …Paragraphs and sentences follow writing standards for flow, continuity, and clarity.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      4<\/span> <\/span>to >3.5<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Good<\/div>\n
      Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. …Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      3.5<\/span> <\/span>to >3.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Fair<\/div>\n
      Purpose, introduction, and conclusion of the assignment is vague or off topic. … Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time.<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      3<\/span> <\/span>to >0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Poor<\/div>\n
      No purpose statement, introduction, or conclusion were provided. … Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n
      		\n
      5<\/span> <\/span>pts
      <\/span><\/div>\n<\/td>\n<\/tr>\n
      \n
      \n
      This criterion is linked to a Learning Outcome<\/span><\/span>Written Expression and Formatting\u2014English writing standards: Correct grammar, mechanics, and punctuation<\/span><\/p>\n
      <\/div>\n
      <\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n\n\n\n\n
      \n
      \n
      \n
      <\/div>\n

      5<\/span> <\/span>to >4.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Excellent<\/div>\n
      Uses correct grammar, spelling, and punctuation with no errors<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      4<\/span> <\/span>to >3.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Good<\/div>\n
      Contains a few (one or two) grammar, spelling, and punctuation errors<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      3<\/span> <\/span>to >2.0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Fair<\/div>\n
      Contains several (three or four) grammar, spelling, and punctuation errors<\/div>\n<\/div>\n<\/div>\n<\/td>\n
      		\n
      \n
      \n
      <\/div>\n

      2<\/span> <\/span>to >0<\/span><\/span> <\/span>pts<\/span><\/p>\n

      Poor<\/div>\n
      Contains many (\u2265 five) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n
      		\n
      5<\/span> <\/span>pts
      <\/span><\/div>\n<\/td>\n<\/tr>\n
      \n
      Total Points: <\/span>100<\/span><\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

      <\/span><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

      <\/div>\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

      TO PREPARE: 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 (I’ve provided both the template and the example).  By Day 1 of this week, select a specific video case study to use for this […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[60],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/6768"}],"collection":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/comments?post=6768"}],"version-history":[{"count":0,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/6768\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/media?parent=6768"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/disciplines?post=6768"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/paper_types?post=6768"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/tagged?post=6768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}