NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

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