NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales

Walden University NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for  NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales                                                                                       

Whether one passes or fails an academic assignment such as the Walden University  NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales    depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales                                                                                     

The introduction for the Walden University NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales   is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales                                                                                     

After the introduction, move into the main part of the  NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales    assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales                                                                                     

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for  NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales                                                                                       

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales 

A psychiatric interview is important in psychiatric nursing for mental health problems screening, diagnosis, monitoring, and evaluation. The interview has several components. The presenting complaint is among the most important components of the psychiatric interview. Psychiatric nurses ask for information about the presenting complaint to determine what brought the client to the hospital. The information informs nurse-patient interaction. The history of the presenting complaint is the other crucial component of the psychiatric interview. Psychiatric nurses obtain additional information, including onset, duration, severity, character, and the effect of the health problem (s) on the client’s quality of life. The psychiatric nurse uses the information to develop a care plan and prioritize health needs. The last most essential component of the psychiatric interview is the history of mental health problems (Aquilina, 2021). The possibility of recurrence of mental health problems is high among patients with a history of psychiatric diagnosis and treatment.

The Patient Health Questionnaire-9 (PHQ-9) is the assigned psychiatric assessment tool. PHQ-9 is an assessment tool used to screen, diagnose, monitor, and evaluate depression symptoms severity. The tool measures the severity of depression symptoms, as stated in the DSM-5 manual. PHQ-9 has nine test items measured from 0-3. A score of zero means the client has no symptoms at all while a score of three implies nearly daily experience of the symptoms (Negeri et al., 2021). The provider should add the scores in all the columns. A score of 1-4 means minimal depression, 5-9 for mild depression, 10-14 for moderate depression, 15-19 for moderately severe depression, and 20-27 for severe depression. Depression symptoms assessed in PHQ-9 include little interest or pleasure in doing things, feeling depressed or hopeless, insomnia or too much sleep, feeling tired, changes in appetite, feelings of guilt, difficulty concentrating, changes in speech patterns, and suicidal thoughts (Cosci et al., 2024; Levis et al., 2020). Therefore, PHQ-9 helps psychiatric nurses screen, diagnose, monitor, and evaluate depression symptoms and treatment responses.

 References

Aquilina, C. (2021). A Guide to Psychiatric Examination. Elsevier.

Cosci, F., Christensen, K. S., Ceccatelli, S., Patierno, C., & Carrozzino, D. (2024). Patient Health Questionnaire-9: A clinimetric analysis. Brazilian Journal of Psychiatry, 46, e20233449. https://doi.org/10.47626/1516-4446-2023-3449

Levis, B., Benedetti, A., Ioannidis, J. P. A., Sun, Y., Negeri, Z., He, C., Wu, Y., Krishnan, A., Bhandari, P. M., Neupane, D., Imran, M., Rice, D. B., Riehm, K. E., Saadat, N., Azar, M., Boruff, J., Cuijpers, P., Gilbody, S., Kloda, L. A., … Thombs, B. D. (2020). Patient Health Questionnaire-9 scores do not accurately estimate depression prevalence: Individual participant data meta-analysis. Journal of Clinical Epidemiology, 122, 115-128.e1. https://doi.org/10.1016/j.jclinepi.2020.02.002

Negeri, Z. F., Levis, B., Sun, Y., He, C., Krishnan, A., Wu, Y., Bhandari, P. M., Neupane, D., Brehaut, E., Benedetti, A., & Thombs, B. D. (2021). Accuracy of the Patient Health Questionnaire-9 for screening to detect major depression: Updated systematic review and individual participant data meta-analysis. BMJ, 375, n2183. https://doi.org/10.1136/bmj.n2183

Sample Answer 2 for NRNP 6635 Week 2 The Psychiatric Evaluation and Evidence-Based Rating Scales 

The Global Assessment of Functioning (GAF) is a numerical rating scale employed in psychiatric assessments to gauge a patient’s current level of impairment in psychosocial and occupational or educational functioning. This scale, ranging from 0 to 100, categorizes functioning into different levels. Normal function falls within the 70-to-100 range, while mild psychiatric symptoms are coded in the 70-to-80 range (Pedersen et al., 2020). Moderate symptoms fall between 60 and 70, and severe symptoms are coded as 50 and below. Higher levels of psychiatric support may be necessary as function decreases on the scale.

The GAF is particularly useful during the psychiatric interview when there is a need to assess the client’s overall functioning. It is appropriate to use this rating scale to evaluate a client’s psychosocial and occupational functioning, providing a quantifiable measure of their current state (Pedersen et al., 2020).  The scale becomes helpful for a nurse practitioner’s psychiatric assessment by offering a standardized way to communicate the client’s level of impairment to other healthcare professionals. This numerical representation allows for clearer communication and a shared understanding of the client’s functioning among members of the healthcare team.

Moreover, the GAF aids in treatment planning by highlighting areas of impairment that may require targeted interventions. For instance, if the GAF score indicates severe impairment, the nurse practitioner may consider more intensive treatment options, such as inpatient hospitalization or intensive community-based treatment (Pedersen et al., 2020). On the other hand, if the score suggests mild impairment, outpatient interventions or less intensive support may be appropriate. The GAF thus serves as a practical tool for guiding treatment decisions based on the client’s level of functioning.

In conclusion, the psychiatric interview is a crucial component of psychotherapeutic assessment, involving the gathering of a comprehensive history, assessing current symptoms, and exploring the client’s psychosocial context. The Global Assessment of Functioning (GAF) rating scale contributes to this process by providing a numerical representation of a client’s current level of impairment. Its use during the psychiatric interview aids nurse practitioners in evaluating and communicating the client’s functioning, informing treatment decisions, and ensuring a comprehensive and individualized approach to mental health care.

References

Pedersen, G., Urnes, Ø., Hummelen, B., Wilberg, T., & Kvarstein, E. (2020). Revised manual for the global assessment of functioning scale. European Psychiatry, 51, 16-19. https://doi.org/10.1016/j.eurpsy.2017.12.028

Toffel, S., Rodriguez-Roman, L., & Holbert, R. C. (2023). The psychiatric diagnostic interview and the DSM5. Reference Module in Neuroscience and Biobehavioral Psychology. https://doi.org/10.1016/b978-0-323-95702-1.00015-4