NRNP 6635 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS

Walden University NRNP 6635 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6635 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS   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 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS                                                                                       

Whether one passes or fails an academic assignment such as the Walden University  NRNP 6635 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS    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 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS                                                                                     

The introduction for the Walden University NRNP 6635 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS   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 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS                                                                                     

After the introduction, move into the main part of the  NRNP 6635 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS    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 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS                                                                                     

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 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS                                                                                       

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 ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS

Subjective:

CC (chief complaint): “I get moody this time of year, every year.”

HPI: Natalie Crew is a 17-year-old female presenting with a chief complaint of getting moody this time of the year each year. Her mother booked an appointment in the psychiatric clinic because she worried about her mood changes. Natalie mentions that she is not feeling great and feels down and generally not doing well. She mentions that she is in a special business program in school, where she has to create a mock company. However, she is facing challenges because she cannot seem to go through with it. She is late with two of her projects. Natalie also reports difficulty concentrating, weight gain, and sleeping during class.

Furthermore, she finds her friends annoying and dull, yet she previously found them fun. She states that she does not like being outdoors because of the weather and has always been bothered by fall and winter, and prefers summer. Natalie states that she dislikes how dark, grey, and miserable the city is at this time of the year and loves how it is beautiful and sunny in August and September.

Past Psychiatric History:

• General Statement: No significant psychiatric history.
• Caregivers (if applicable): None.
• Hospitalizations: None
• Medication trials: None
• Psychotherapy or Previous Psychiatric Diagnosis: None

Substance Current Use and History: Denies using alcohol, drugs, or smoking.

Family Psychiatric/Substance Use History: No history of substance abuse or psychiatric disorders in the family.

Psychosocial History:  The patient is not married and is single. She recently enrolled in an accelerated high school business program in Chicago, Illinois. She has lived in New Orleans with her parents and four brothers. She currently stays in a specialty high school campus dormitory. She is a full-time student and works part-time at a local coffee shop.

Medical History:

• Current Medications: None
• Allergies: None

• Reproductive Hx: None

ROS:

• GENERAL: Reports weight gain and daytime sleepiness. Denies fever, chills, malaise, or fatigue.
• HEENT: Denies vision changes, blurred/double vision, eye pain, ear pain, hearing loss, sneezing, or sore throat.
• SKIN: Denies rashes, bruises, or itching.
• CARDIOVASCULAR: Denies SOB, chest pain, palpitations, or edema.
• RESPIRATORY: Denies sputum, SOB, cough, or wheezing.
• GASTROINTESTINAL: Denies abdominal pain, nausea/vomiting, or bowel changes.
• GENITOURINARY: Denies pelvic pain, urinary symptoms, or vulvar irritation.
• NEUROLOGICAL: Denies dizziness, headaches, muscle weakness, or tingling sensations.
• MUSCULOSKELETAL: Denies muscle pain or joint pain/stiffness.
• HEMATOLOGIC: Denies bruising or bleeding.
• LYMPHATICS: Denies lymph node swelling.
• ENDOCRINOLOGIC: Denies excessive sweating or cold, acute thirst, increased hunger, or polyuria.

Objective:

Physical exam: T 97.4; P-82; R-120; BP-128/84; Ht-5’2”; Wt-192lbs

Diagnostic results: No tests were ordered.

Assessment:

Mental Status Examination:

The patient is a female teenager. She is neat and dressed appropriately. Her eye contact is limited, and she appears dull. Her self-reported mood is low, and her affect is limited. Her speech is goal-directed, but the volume varies from low to average. She has a coherent thought process. No hallucinations, delusions, obsessions, or suicidal thoughts were noted. She is oriented to time, person, place, and event. Her memory is intact, and she demonstrates clear judgment.

Differential Diagnoses:

Major Depressive Disorder with Seasonal Pattern (MDD-SP):  Persons with MDD-SP present with mood changes and symptoms similar to depression. The symptoms usually occur during fall and winter when there is less sunlight and usually abate in spring (Rai et al., 2021). The common features of MDD-SP include fatigue, even excessive sleeping, and weight gain associated with increased appetite and carbohydrate cravings (Fellinger et al., 2022). Natalie reports mood changes during fall and winter, which occurs yearly. She has depressive symptoms like low mood, loss of interest in previously enjoyed activities, like hanging out with friends, weight changes, excessive sleeping, difficulty concentrating, and lack of motivation in school projects.

Major Depressive Disorder (MDD): The patient presents with clinical features of MDD like low mood, diminished interest and motivation in activities, weight gain, excessive sleeping, and concentration difficulties (Filatova et al., 2021). However, the patient’s depressive symptoms are present only at a specific time of year (winter), and full remission occurs after winter. This pattern rules out MDD as the primary diagnosis.

Bipolar Disorder: Bipolar disorder causes changes in an individual’s mood, energy, and ability to function. Patients with bipolar disorder experience intense emotional states (mood episodes) that usually occur during distinct periods of days to weeks (Baldessarini et al., 2020). The mood episodes are categorized as manic/hypomanic (irritable mood), which alternate with depressive (sad mood) states. Bipolar disorder is a differential diagnosis since the patient’s mood changes from happy to depressed. However, the patient’s mood changes are associated with weather changes and do not fit the criteria for Bipolar disorder.

Reflections:

In a different session, I would assess the patient for suicidal thoughts and ideations. This is because patients suffering from seasonal depression are prone to suicide and often require hospitalization during these seasonal times (Fonte & Coutinho, 2021). Besides, I would evaluate the severity of the depressive symptoms using the Patient Health Questionaire-9 (PHQ-9). Ethical considerations, in this case, surround the principles of beneficence and nonmaleficence. The practitioner should implement treatment interventions linked with the best outcomes for patients with seasonal depression without compromising the patient’s safety and quality of life. Health promotion should focus on educating the patient on measures to help alleviate the depressive symptoms during winter, like Dietary modifications, increased physical exercises, Meditation, Sleep hygiene, and taking Vitamin D supplements (Drew et al., 2021).

References

Baldessarini, R. J., Vázquez, G. H., & Tondo, L. (2020). Bipolar depression: a major unsolved challenge. International journal of bipolar disorders, 8(1), 1. https://doi.org/10.1186/s40345-019-0160-1

Drew, E. M., Hanson, B. L., & Huo, K. (2021). Seasonal affective disorder and engagement in physical activities among adults in Alaska. International Journal of Circumpolar Health, 80(1), 1906058. https://doi.org/10.1080/22423982.2021.1906058

Fellinger, M., Waldhör, T., Serretti, A., Hinterbuchinger, B., Pruckner, N., König, D., … & Fugger, G. (2022). Seasonality in major depressive disorder: effect of sex and age. Journal of Affective Disorders, 296, 111-116. https://doi.org/10.1016/j.jad.2021.09.051

Filatova, E. V., Shadrina, M. I., & Slominsky, P. A. (2021). Major Depression: One Brain, One Disease, One Set of Intertwined Processes. Cells, 10(6), 1283. https://doi.org/10.3390/cells10061283

Fonte, A., & Coutinho, B. (2021). Seasonal sensitivity and psychiatric morbidity: study about seasonal affective disorder. BMC psychiatry, 21(1), 317. https://doi.org/10.1186/s12888-021-03313-z

Rai, B., Gupta, R., & Chakravarty, R. (2021). Major Depressive Disorder With Seasonal Pattern or Seasonal Affective Disorder: Diagnostic Issues With Good Response to Agomelatine. The Primary Care Companion for CNS