PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and

Walden University PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation 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 PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation

Whether one passes or fails an academic assignment such as the Walden University PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation 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 PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation

The introduction for the Walden University PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation 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.

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How to Write the Body for PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation

After the introduction, move into the main part of the PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation 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 PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation

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 PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation

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 PRAC 6635 Week 7 Comprehensive Psychiatric Evaluation and Patient, Video Case Presentation

CC (chief complaint): “My drinking hurts my relationships and job, and I need help.”

HPI: J.F., a 51-year-old white man, came to the clinic to say that he needs help because his drinking is hurting his relationships and job. Because of his drinking, he says he misses much work, does not perform as well, and has trouble meeting his regular duties. Following his split from his wife and children, he has been having trouble focusing, losing weight, and drinking more since then. He started smoking cigarettes a few months ago to help with his nervousness, and now he smokes four or five cigarettes every day on average. His boss has noticed that he is spending more time alone, that his mood changes often, and that he is doing a much worse job at his job. He says he is constantly tired, has trouble getting up in the morning, and doesn’t do the things he used to enjoy. Even though he is scared, J.F. denies having any suicidal thoughts. His boss told him he should get a mental health checkup.

Past Psychiatric History:

General Statement: Since he and his wife split up, the patient has had problems with drinking, which has affected his ability to do his job.
Caregivers (if applicable): none
Hospitalizations: denies a hospitalization history
Medication trials: denies ever using any medication for mental disorders.
Psychotherapy or Previous Psychiatric Diagnosis: denies previous mental illness diagnosis or taking part in psychotherapy.

Substance Current Use and History: He has drunk alcohol since the age of twenty-, but his consumption has increased to six beers nightly during the last three months. He has just begun smoking and now smokes five cigarettes each day.

Family Psychiatric/Substance Use History: Alcohol use has been moderate in the patient’s father’s life.

Psychosocial History: The person was raised in Orleans in a middle-class home. After finishing college, he moved to a different state and now works as a marketing manager at a small car dealership. Neither parent raised him, and his older sister is married. The person got married to his long-term partner, and their child is now six years old. He says his wife left a few months ago to reside with her grandparents in another state because they had difficulty getting along. The person in the hospital has not talked to his wife or kid.

Medical History:

Current Medications: None
Allergies: None

Reproductive Hx: Separated and heterosexual. Denies having an STD or HIV.

ROS:

GENERAL: He has seen significant weight loss, exhibits frailty, and gets exhausted quickly.
HEENT: No signs of visual impairment, blurred vision, diplopia, or jaundice. There is no evidence of pharyngitis, rhinorrhea, nasal congestion, sneezing, or hearing impairment.
Dermis: lax and desiccated in appearance.
CARDIOVASCULAR: The chest is not pressured, painful, or uncomfortable. There is no oedema or palpitations.
RESPIRATORY: denies shortness of breath, cough, or sputum production.
GASTROINTESTINAL: denies anorexia, nausea, vomiting, or diarrhea. No stomach pain or bleeding is present.
GENITOURINARY: denies dysuria or soreness during urination. There is an absence of urgency, uncertainty, unusual odor, or color changes.
NEUROLOGICAL: The patient often experiences headaches and dizziness. However, tingling, numbness, tremors, paralysis, or syncope episodes are not present. Bladder and bowel control are intact.
MUSCULOSKELETAL: denies muscle or spinal soreness, joint pain, or rigidity.
HAEMATOLOGIC: No evidence of bleeding, bruising, or indications of anemia is seen.
LYMPHATICS: No lymphadenopathy is seen. No previous history of splenectomy.
ENDOCRINOLOGIC: does not suggest hyperhidrosis or susceptibility to thermal extremes. Polyuria and polydipsia are absent.

Physical exam:

Vital Signs: BP 120/81; T 98.3; RR 17; OS 98.5%; P 79; Ht. 5’9; Wt. 197

GENERAL: Alert and orientated, exhibits anxiety but is not in extreme discomfort.
HEENT: The head is normocephalic and atraumatic. The pupils are equal and round and reactive to light and accommodation. Extraocular movements are intact, and there are no oropharyngeal lesions present.
SKIN: No sores or rashes, warm and dry.
CARDIOVASCULAR: The heart exhibits a regular rate and rhythm, with no Gallops, rubs, or murmurs present.
RESPIRATORY: Auscultation reveals clear lung fields bilaterally, with no presence of wheezes, rales, or rhonchi.
GENITOURINARY: External male genitalia is typical, with no lumps or soreness present.
NEUROLOGICAL: Neurological examination reveals intact cranial nerves II-XII, absence of focal impairments, and a normal gait.

Diagnostic results: Positive for urine alcohol test (Wong et al., 2020).

Assessment

Mental Status Examination: The patient seems concerned and anxious about the reasons for his referral for a mental health evaluation. He participates fervently in the meetings, providing the necessary information. He maintains proper hygiene and is dressed appropriately. No unusual motor activity is seen. The patient demonstrates coherent speech that is appropriate in volume and tone. The patient exhibits a goal-directed and logical cognitive process. The patient’s demeanor is melancholic, and he displays no signs of ease or smiling throughout the first interactions. The patient exhibits no indications of hallucinations or delusional cognition. He denies any suicidal or homicidal thoughts. He exhibits cognitive attentiveness and orientation in all four dimensions, with long-term and short-term memory preserved.

Differential Diagnoses:

Alcohol Use Disorder: The patient demonstrates alcohol-related problems affecting his work. The DSM-5 criteria for alcohol use disorder include excessive intake, a persistent urge to control drinking, considerable time spent on alcohol-related actions, cravings, neglect of responsibilities, social or interpersonal challenges, forfeiture of essential activities, consumption in hazardous circumstances, continued use despite physical or psychological problems, tolerance, and withdrawal symptoms or efforts to mitigate or avoid withdrawal (Slade et al., 2021). The patient satisfies the criteria for this as the principal diagnosis.
Substance/Medication-Induced Depressive Disorder: A drug-induced depressive illness is a mental disease characterized by a depressed state linked to drug intoxication, withdrawal symptoms, or certain medications (Li et al., 2024). The DSM-V diagnostic criteria require a temporal correlation between the disorder and substance use, symptoms that exceed the norm, and a significant impact on functioning. However, symptoms should not be more precisely ascribed to a primary depressive disorder.
Major Depressive Disorder: MDD is a psychological disorder characterized by persistent sadness, despair, and apathy. The DSM-5 requires the occurrence of five depressed symptoms during two weeks, leading to considerable suffering or functional impairment in many areas (Nussbaum, 2020). The patient’s symptoms align with the criteria for major depression, leading to significant impairment in occupational functioning and daily activities. However, given that his alcohol use problem and family separation worsen his depression, he does not fit the criteria for this diagnosis.

Reflections: If I were to care for this patient again, I would adopt a more holistic approach by thoroughly assessing his mental health history, substance use, and the impact of his family separation. I would use standardized screening tools for depression and alcohol use disorder while emphasizing an understanding of his social support network and exploring alternative coping strategies (Van Lonkhuyzen et al., 2023). Involving the patient in the course of treatment would foster collaboration and independence. Recognizing the importance of social and community context, I would strive to reinstate his social connections, maybe via a peer support group, to alleviate isolation (Boness et al., 2022). Additionally, I would provide compassionate guidance on the effects of alcohol on mental health and promote effective coping mechanisms to mitigate his emotional distress.

PRECEPTOR VERIFICATION:

I confirm that the patient used for this assignment was seen and managed by the student at their Meditrek-approved clinical site during this quarter’s learning course.

References

Boness, C. L., Votaw, V. R., Francis, M. W., Watts, A. L., Sperry, S. H., Kleva, C. S., Nellis, L., McDowell, Y., Douaihy, A. B., Sher, K. J., & Witkiewitz, K. (2022). Alcohol use disorder conceptualizations and diagnoses reflect their sociopolitical context. Addiction Research & Theory, 31(5), 307–312. https://doi.org/10.1080/16066359.2022.2150935

Li, J., Zelmat, Y., Storck, W., Laforgue, E., Yrondi, A., Balcerac, A., Sommet, A., & Montastruc, F. (2024). Drug-induced depressive symptoms: An update through the WHO pharmacovigilance database. Journal of Affective Disorders, 350, 452–467. https://doi.org/10.1016/j.jad.2024.01.119

Nussbaum, A. M. (2020). Questionable agreement: The experience of Depression and DSM-5 Major depressive Disorder criteria. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 45(6), 623–643. https://doi.org/10.1093/jmp/jhaa025

Slade, T., Mewton, L., O’Dean, S., Tibbetts, J., Clay, P., Isik, A., Johnson, P., McCraw, S., Upton, E., Kypri, K., Butterworth, P., McBride, N., & Swift, W. (2021). DSM-5 and ICD-11 alcohol use disorder criteria in young adult regular drinkers: Lifetime prevalence and age of onset. Drug and Alcohol Dependence, p. 229, 109184. https://doi.org/10.1016/j.drugalcdep.2021.109184

Van Lonkhuyzen, J. J. N. –., Van Der Ben, L., Van Den Hengel- Koot, I. S., De Lange, D. W., Van Riel, A. J., & Hondebrink, L. (2023). High Incidence of Signs of Neuropathy and Self-Reported Substance Use Disorder for Nitrous Oxide in Patients Intoxicated with Nitrous Oxide. European Addiction Research, 29(3), 202–212. https://doi.org/10.1159/000530123

Wong, J. W. M., Wurst, F. M., & Preuss, U. W. (2020). Comparison of alcohol use disorders in DSM and ICD. SUCHT – Zeitschrift Für Wissenschaft Und Praxis / Journal of Addiction Research and Practice, 66(3), 143–153. https://doi.org/10.1024/0939-5911/a000663