NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment
Walden University NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment 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 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment
Whether one passes or fails an academic assignment such as the Walden University NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment 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 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment
The introduction for the Walden University NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment 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 NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment
After the introduction, move into the main part of the NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment 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 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment
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 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment
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 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment
A comprehensive psychiatric assessment comprises medical and psychiatric history, neurological examination, mental status exam, and educational and developmental growth assessment. The YMH Boston Vignette 5 video is about Tony, who was referred to a social worker by his primary care provider after presenting with symptoms of anxiety and depression. This will analyze the patient’s interview assessment and discuss the psychiatric assessment of a child and adolescent.
What the Practitioner Did Well
The examiner asked the client about his mood, which is essential in evaluating mood disorders and determining if the patient has anxiety or depressive disorder. The practitioner encouraged the client to talk more about his mood after stating that he gets angry and feels like he wants to fight. The practitioner also did well by asking the client about his school performance since school performance is significantly affected by anxiety and depressive disorders (Mullen, 2018). The practitioner also inquired whether the client uses alcohol or drugs, which is crucial since most adolescents with anxiety or depressive disorders tend to abuse alcohol and drug substances (Mullen, 2018). Lastly, the practitioner did well by summarizing the patient’s problems identified during the assessment, which allowed the client to add more symptoms.
Areas the Practitioner Can Improve
The practitioner should first create a rapport with the patient by greeting them and introducing herself to the client (Bhide & Chakraborty, 2020). The practitioner should also have assured the client that the information given will be confidential to increase the client’s trust in the practitioner.
Compelling Concerns
The client mentioned that he gets angry and feels like he wants to fight. My compelling concern is whether the client has undergone anger management therapy. In addition, the patient stated that he had thoughts about harming himself and sometimes did not feel like he wanted to be alive. My concern is whether the patient has any solid plans to hurt himself and whether he has previously tried to harm himself or others.
Next Question and Why
The next question would be: Have you had thoughts of hurting your ex-girlfriend? I would ask this question to assess whether the client is a danger to others (Mullen, 2018). Since the patient’s distress began after breaking up with his girlfriend, it would be important to know his feelings towards her and assess the risk of harm.
Why a Thorough Psychiatric Assessment of a Child/Adolescent Is Important
A detailed psychiatric assessment in a child/adolescent is essential to identify emotional and behavioral problems that often go unnoticed in this population. A psychiatric assessment helps to identify developmental delays in children as well as deficits in social skills and speech (Srinath et al., 2019). Furthermore, a thorough psychiatric assessment helps the child/adolescent better understand their difficulties and offers them an opportunity to think about the information they share.
Symptom Rating Scales Appropriate in a Child/Adolescent
Symptom rating scales appropriate for a psychiatric evaluation of a child or an adolescent include the Child and Adolescent Symptom Inventory-4R (CASI-4R) and the Pediatric Symptom Checklist (PSC). CASI-4R rates affective and behavioral features. It is used in assessing mood disorders in the pediatric population, specifically depressive and dysthymia symptoms. Other psychiatric disorders assessed by CASI-4R include generalized anxiety disorder, bipolar disorder, ODD, ADHD, conduct disorder, schizophrenia, separation anxiety disorder, social phobia, autism, anorexia, and bulimia nervosa (Salcedo et al., 2018). The PSC is a psychosocial screen developed to help identify cognitive, behavioral, and emotional problems in the pediatric population so that proper interventions can be initiated promptly (Murphy et al., 2016). It has two versions: the parent-completed version and the youth self-report(Y-PSC) for adolescents aged 11 years and above.
Psychiatric Treatment Options for Children/Adolescents
Psychiatric treatment modalities used only in children and adolescent patients include Play Therapy and parent-child interaction therapy. Play Therapy entails using toys, dolls, blocks, games, and drawings to help a child recognize, identify, and express feelings (Bhide & Chakraborty, 2020). A combination of talk and play gives the child an opportunity to better recognize and manage their feelings, behavior, and conflicts. Parent-child interaction therapy is used in parents and children struggling with behavior problems or connection using physical coaching sessions. Parents interact with their children, while the therapist guides the family toward positive interactions.
The Role Parents/Guardians Play In Assessment
The parents’ role in assessment is to provide detailed information about the child’s symptoms. A child may give their symptoms but may not remember details, such as duration and the order the symptoms occurred. Obtaining information from the parents helps to minimize discrepancies in the patient’s history, thus facilitating diagnosis and management (Bhide & Chakraborty, 2020). In addition, parents are valuable agents in carrying out therapeutic principles for a child or adolescent behavioral problems in the home setting, such as positive and negative reinforcement, activity scheduling, and time management.
Conclusion
A thorough psychiatric assessment is important in the pediatric population to identify emotional and behavioral problems and speech and social skills deficits. The CASI-4R and PSC are suitable rating scales for affective, cognitive, behavioral, and emotional problems in the pediatric population. Treatment modalities exclusive to the population include play therapy and parent-child interaction therapy.
References
Bhide, A., & Chakraborty, K. (2020). General Principles for Psychotherapeutic Interventions in Children and Adolescents. Indian journal of psychiatry, 62(Suppl 2), S299–S318. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_811_19
Mullen, S. (2018). Major depressive disorder in children and adolescents. The mental health clinician, 8(6), 275–283. https://doi.org/10.9740/mhc.2018.11.275
Murphy, J. M., Bergmann, P., Chiang, C., Sturner, R., Howard, B., Abel, M. R., & Jellinek, M. (2016). The PSC-17: Subscale Scores, Reliability, and Factor Structure in a New National Sample. Pediatrics, 138(3), e20160038. https://doi.org/10.1542/peds.2016-0038
Salcedo, S., Chen, Y. L., Youngstrom, E. A., Fristad, M. A., Gadow, K. D., Horwitz, S. M., … & Findling, R. L. (2018). Diagnostic efficiency of the Child and Adolescent Symptom Inventory (CASI-4R) depression subscale for identifying youth mood disorders. Journal of Clinical Child & Adolescent Psychology, 47(5), 832-846. https://doi.org/10.1080/15374416.2017.1280807
Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical Practice Guidelines for Assessment of Children and Adolescents. Indian journal of psychiatry, 61(Suppl 2), 158–175. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18