This assignment is a graduate-level Masters in Nursing in the Psychiatric Nurse Practitioner program.
Please use APA 7 format only. Please use at least 3 USA-based peer-reviewed evidence-based articles from the past 5 years as references. Below are the assignment details, including the video on the patient I selected to do an assessment on, “Training Title 50,” and patient information will be on the instructions. Also attached is the comprehensive psychiatric evaluation template to use for this assignment. Please let me know if you have any questions. Thank you in advance.
Assignment and instructions:
The human brain only constitutes approximately 2% of an individual’s total body weight, a percentage that pales in comparison to the brain’s level of importance in human development (Koch, 2016). Although externally protected by layers of membranes as well as the skull, the brain is not very resistant to damage. Damage to the brain may compromise its functionality, which may, in turn, lead to neurodevelopmental disorders in childhood and adolescence or neurocognitive disorders for any number of reasons across the lifespan.
This week, you practice assessing and diagnosing neurocognitive and neurodevelopmental disorders across the lifespan.
Reference: Koch, C. (2016, January 1). Does brain size matter? Scientific American links to an external site. https://www.scientificamerican.com/article/does-brain-size-matter1/
Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment and often co-occur (APA, 2022). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such as brain injury, diseases such as Alzheimer’s, Parkinson’s, or Huntington’s, infection, or stroke, among others.
For this assignment, you will assess a patient in a case study who presents with a neurocognitive or neurodevelopmental disorder.
Review this week’s learning resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this assignment.
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.
Complete and submit your comprehensive psychiatric evaluation, including your differential diagnosis and critical-thinking process to formulate a 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 are 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 rule 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.).
American Psychiatric Association (2022) Neurocognitive disorders. In Diagnostic and statistical manual of mental disordersLinks to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url= https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x17_Neurocognitive_Disorders
American Psychiatric Association (2022) Neurodevelopmental disorders. In Diagnostic and statistical manual of mental disordersLinks to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url= https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x01_Neurodevelopmental_Disorders
Boland, R., Verduin, M. L., and Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
Chapter 3, “Neurocognitive Disorders”
Chapter 2: sections 2.1 “Intellectual Disability”, 2.2 “Communication Disorders”, 2.3 Autism Spectrum Disorder, 2.4 Attention-Deficit Disorder, 2.5 “Specific Learning Disorders” and 2.6 “Motor Disorders”
Chapter 26: “Level of Care”
Chapter 29: “End-of-Life Issues and Palliative Care
Classroom Productions (Producer) (2016). Neurocognitive disordersLinks to an external site. [Video]. Walden University.
Classroom Productions (Producer) (2016). Neurodevelopmental disordersLinks to an external site. [Video]. Walden University.
MedEasy. (2016). Progressive neurocognitive disorders (USMLE and COMLEX) Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=KdcjyHvaAuQ
Video Case Selections for Assignment:
Select one of the following videos to use for your assignment this week. Then, access the document “Case History Reports” and review the additional data about the patient in the specific video number you selected.
Symptom Media (producer) (2017). Training title: 50 Links to an external site. [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-50
Case History Report: Training Title 50
Name: Harold Brown
Age:60 years old
T- 98.8 P- 74 R 18 134/70 Ht 5’10 Wt 170lbs
Has bachelor’s degree in engineering. He dates casually, never married, no children. Has one
younger brother. Sleeps 7 hours, appetite good. Denied legal issues; MOCA 28/30 difficulty with
attention and delayed recall; ASRS-5 21/24; denied hx of drug use; enjoys one scotch drink on
the weekends with a cigar. Allergies Dilaudid; history HTN blood pressure controlled with
Cozaar 100mg daily, angina prescribed ASA 81mg po daily, valsartan 80mg daily.
Hypertriglyceridemia prescribed fenofibrate 160mg daily, has BPH prescribed tamsulosin 0.4mg
Symptom Media. (Producer). (2017). Training title 50 [Video].
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