NR548 Week 6: Psychiatric Interview Documentation Assignment

Description

NR548 Week 6: Psychiatric Interview Documentation Assignment

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

General Instructions

1. 1. Download the Psychiatric Interview Template.Links to an external site.
   2. Watch the Psychiatric Interview RecordingLinks to an external site. and complete the required psychiatric interview documentation. Client age and allergies have been completed.

Include the following elements:

1. History of present illness (HPI)
   • Include the chief complaint in quotation marks
   • List only HPI data
   • Use appropriate terminology
   • Provide support from an appropriate scholarly source or textbook to support content and terminology
   • Provide information that is understandable, well-organized, and easy to follow

2. Medications

• • Provide all current medication information
  • Include all criteria from the medication table
  • Use appropriate medical terminology
  • Provide information that is understandable, well-organized, and easy to follow

3. Past psychiatric history

• • Include entire past psychiatric history
  • Address all criteria listed on the template
  • Use appropriate terminology
  • Provide support from an appropriate scholarly source or textbook to support content and terminology
  • Provide information that is understandable, well-organized, and easy to follow 

4. Medical history

1. Include all relevant medical information
2. Address all criteria listed on the template
3. Use appropriate terminology
4. Provide support from an appropriate scholarly source or textbook to support content and terminology
5. Provide information that is understandable, well-organized, and easy to follow

5. Family History

1. Include all pertinent family history
2. Address all criteria listed on the template
3. Use appropriate terminology
4. Provide support from an appropriate scholarly source or textbook to support content and terminology
5. Provide information that is understandable, well-organized, and easy to follow

6. Social History

1. Include all relevant information from the social history
2. Address all criteria listed on the template
3. Use appropriate terminology
4. Provide support from an appropriate scholarly source or textbook to support content and terminology
5. Provide information that is understandable, well-organized, and easy to follow

7. Review of systems (ROS)

1. Address all ROS criteria listed on the template
2. Use appropriate terminology
3. Provide support from an appropriate scholarly source or textbook to support content and terminology
4. Provide information that is understandable, well-organized, and easy to follow

8. Mental status examination (MSE)

1. Include each element of the MSE
2. Address all criteria listed on the template
3. Use appropriate terminology
4. Provide support from an appropriate scholarly source or textbook to support content and terminology
5. Provide information that is understandable, well-organized, and easy to follow
6. List items not addressed during the interview and discuss whether listed items were appropriately omitted or should be included. Cite a reference to support the listed items.

9. Formatting

1. Carlat’s (2017) textbook is used to support terminology and section content
2. Sources represent a logical link between the source content and the interview documentation
3. In-text citations match listed references
4. Direct quotes are not used

SOLUTION:

History of Present Illness (HPI)

The client’s chief complaint was: “I have been feeling anxious and unable to sleep for the past few weeks.” The patient described increased restlessness, racing thoughts at night, and difficulty staying asleep. Anxiety symptoms were noted to be interfering with work performance and concentration. The patient denied suicidal or homicidal ideation and reported no hallucinations or delusions. Symptoms were described as………………………………………………………………Get a complete solution at $ 9.99