* Please review the complete instructions

* Use the attached document to complete the assignment

* Review the exemplar as a guide to the assignment

* Attached is the transcript of the video needed to complete the assignment.

Training Title 85 Name: Mrs. Carol Holliman Gender: female Age: 42 years old T- 98.0 P- 77 R 18 132/72 Ht 5’0 Wt 127lbs Background: Born and raised in Northern Ireland, parents brought her and her 5 sisters to U.S. when she was 15 to go to U.S. university where she met her husband. They live in Charleston, SC. She obtained her bachelor’s degree in education; no history of mental health or substance use treatment, no family history. Her husband reported a recent school shooting nearby 3 weeks ago “flipped a switch” in her. She is watching the news 24/7, barely sleeping, and even when she does, it is only a few hours, Appetite is decreased. Hx of hysterectomy, NKDA, no legal hx. Symptom Media. (Producer). (2017). Training title 85 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-85




CAROL Sorry, I, I can’t find it.


OFF CAMERA It’s okay.


CAROL No, it’s not. Where is it? I never, I never leave without it. Oh Jesus.


OFF CAMERA What is it you’re looking for?


CAROL My cell. I never check the b. . . um, the trunk. I have to go.


OFF CAMERA You seem very upset not to have your phone with you.


CAROL Of course, who wouldn’t be? We’ll have to talk some other time.


OFF CAMERA Your husband must have his phone, he called that you were running late.


CAROL Yeah, he has his phone, but . . .


OFF CAMERA But what?


CAROL The children do not call their father when they want something.


OFF CAMERA They never call your husband?


CAROL No, they only call me.


OFF CAMERA Uh-huh, are you expecting your children to call?


CAROL My children are at home with the babysitter, my neighbor. She’s a widow. I just, I don’t feel comfortable, in case they need me. And I always call, they’ll be worried if I don’t.


OFF CAMERA How often do you call your children when you’re away from home?


CAROL I don’t know, a few times. Just normal checking.


OFF CAMERA Do you work?


CAROL I’m a mother, so yes, I work.


OFF CAMERA I’m sorry, I didn’t mean to suggest parenting isn’t work. It very much is work. Do you also have a job outside of the home?


CAROL I used to work from home. I quit my job after

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


CC (chief complaint):


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:















Physical exam: if applicable

Diagnostic results:


Mental Status Examination:

Differential Diagnoses:



© 2021 Walden University Page 1 of 3

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

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

Assignment: Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

“Fear,” according to the DSM-5, “is the emotional response to real or perceived imminent threat, whereas anxiety is anticipation of future threat” (APA, 2013). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease. 

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5 criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5 criteria. 

Assignment Instructions:

· Use the Comprehensive Psychiatric Evaluation Template (Attached) to complete this Assignment.

· Review the Comprehensive Psychiatric Evaluation Exemplar (Attached) 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. Video # 85 (See the transcript).

· 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 (attached), 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 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

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Exemplar


If you are struggling with the format or remembering what to include, follow the Comprehensive Psychiatric Evaluation Template
the Rubric
as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignment in Weeks 4–10. After reviewing the full details of the rubric, you can use it as a guide.

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


· Read rating descriptions to see the grading standards!

In the Objective section, provide:

· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history

· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.

· Read rating descriptions to see the grading standards!

In the Assessment section, provide:

· Results of the mental status examination,
presented in paragraph form.

· At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 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


· Read rating descriptions to see the grading standards!

Reflect on this case. Include: 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

!), 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.).

(The comprehensive evaluation is typically the initial new patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrat