NRNP6635 WK8 Assignemnt - Training Title 81

Discipline: Nursing

Type of Paper: Case study

Academic Level: Master's

Paper Format: APA

Pages: 5 Words: 2750


Assignment: Assessing and Diagnosing Patients

With Substance-Related and Addictive


An important consideration when working with patients is their cultural background.

Understanding an individual's culture and personal experiences provides insight into who the

person is and where he or she may progress in the future. Culture helps to establish a sense of

identity, as well as to set values, behaviors, and purpose for individuals within a society. Culture

may also contribute to a divide between specific interpretations of cultural behavior and societal

norms. What one culture may deem as appropriate another culture may find inappropriate. As a

result, it is important for advanced practice nurses to remain aware of cultural considerations and

interpretations of behavior for diagnosis, especially with reference to substance-related disorders.

At the same time, PMHNPs must balance their professional and legal responsibilities for

assessment and diagnosis with such cultural considerations and interpretations.

For this Assignment, you will practice assessing and diagnosing a patient in a case study who is

experiencing a substance-related or addictive disorder. With this and all cases, remember to

consider the patient’s cultural background.

To Prepare:

• Review this week’s Learning Resources and consider the insights they provide.

• Review the Comprehensive Psychiatric Evaluation template, which you will use to

complete this Assignment.

• 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 “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.

By Day 7 of Week 8

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 highest priority to lowest 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

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.).