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NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment

NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentWeek 1: History and Theories of PsychopathologyThe history of the diagnosis of mental disorders is fraught with examples of how cultural norms and prejudices interfere with and warp a diagnosis. The result is that normal behavior and orientations have been pathologized as an illness or disease. An example of this would be the story of Alan Turing, the famous British computer scientist of the 20th century, who was instrumental in inventing modern computers and deciphering German code in World War II. He was convicted in 1952 in England of gross indecency for being gay. Turing was forced by the courts to undergo 12 months of hormone therapy and could no longer work for the British government. At the time, homosexuality was pathologized as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders and was criminalized in most Western countries. It was not until 1973 that the American Psychiatric Association (APA) finally removed homosexuality from the DSM.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentHistorically, the process of rendering a diagnosis has been used to pathologize those who fell outside what was considered the cultural norm of human behavior. This process often marginalized diagnosed populations and prevented individuals from receiving appropriate care. It is of utmost importance to consider cultural issues that influence how you as a clinician interpret a client’s behavior and how cultural issues influence how a client may express behavior. This week, you explore the history of psychopathology and the evolution of theoretical perspectives in the field.ORDER A PLAGIARISM-FREE PAPER HERELearning ObjectiveStudents will: Analyze historical and currently recognized biological, psychological, and sociocultural factors that inform the expression, course, and prevalence of psychopathologyLearning Resources NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentRequired Readings (click to expand/reduce)Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 1, Neural SciencesChapter 2, Contributions of the Psychosocial SciencesChapter 3, Contributions of the Sociocultural SciencesChapter 4, Theories of Personality and PsychopathologyChapter 31.17c, Child Psychiatry: Other Conditions: Identity ProblemButcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 3–14). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000065-001Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 127–147). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000064-006 NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentJackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 65–90). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000064-004Masten, A. S., & Kalstabakken, A. W. (2018). Developmental perspectives on psychopathology in children and adolescents. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 15–36). American Psychological Association. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1037/0000065-002Document: NRNP 6635 Mid-term Study GuideAssignment NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPracticum Manual AcknowledgmentThe Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.Field Experience: MSN Nurse Practitioner Practicum ManualClick here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.Optional Discussion Forum: PMHNP Study Support LoungeThe PMHNP Study Support Lounge is offered throughout the course as a place of academic refuge, where you can ask questions, offer insights, and interact with your peers. Your Instructor may also weigh in to provide global feedback to the group based on trends, common problems, and common strengths in student posts.As a peer, you are encouraged to provide constructive, helpful feedback to your peers. Advanced practice nurses always benefit from the feedback of others. Your Study Support Lounge posts may be procedural (“How do I attach a Kaltura video to a Discussion post?”), conceptual (“How does this relate to the other therapy approaches we have studied?”), or analytical (“What do these diagnostic results actually mean in the context of this specific patient case?”). Although not mandatory, this is an opportunity to interact and study together as you navigate the assignments, so you are highly encouraged to take part in this activity. Full participation in activities like these is a statistically significant predictor of success. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentTo Participate in this Optional Discussion:PMHNP Study Support LoungeDiscussion: Factors That Influence the Development of Psychopathology Photo Credit: Getty Images/Blend ImagesIn many realms of medicine, objective diagnoses can be made: A clavicula is broken.  An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentThanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?To Prepare:Review this week’s Learning Resources, considering the many interacting factors that contribute to the development of psychopathology.Consider how theoretical perspective on psychopathology impacts the work of the PMHNP.By Day 3 of Week 1Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentRead a selection of your colleagues’ responsesBy Day 6 of Week 1Respond to at least two of your colleagues on 2 different days by explaining the implications of why, as an advanced practice nurse, it is important to adopt a multidimensional, integrative model of psychopathology.Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6635_Week1_Discussion_Rubric NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentGrid ViewList ViewExcellentGoodFairPoorMain Posting:Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.Points Range: 40 (40%) – 44 (44%)Thoroughly responds to the discussion question(s).Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentNo less than 75% of post has exceptional depth and breadth.Supported by at least 3 current credible sources.Points Range: 35 (35%) – 39 (39%)Responds to most of the discussion question(s).Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.50% of the post has exceptional depth and breadth.Supported by at least 3 credible references.Points Range: 31 (31%) – 34 (34%)Responds to some of the discussion question(s).One to two criteria are not addressed or are superficially addressed.Is somewhat lacking reflection and critical analysis and synthesis.NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentSomewhat represents knowledge gained from the course readings for the module.Post is cited with fewer than 2 credible references.Points Range: 0 (0%) – 30 (30%)Does not respond to the discussion question(s).Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only 1 or no credible references.Main Posting:WritingPoints Range: 6 (6%) – 6 (6%)Written clearly and concisely.Contains no grammatical or spelling errors.Further adheres to current APA manual writing rules and style.Points Range: 5 (5%) – 5 (5%)Written concisely.May contain one to two grammatical or spelling errors.Adheres to current APA manual writing rules and style.Points Range: 4 (4%) – 4 (4%)Written somewhat concisely.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentMay contain more than two spelling or grammatical errors.Contains some APA formatting errors.Points Range: 0 (0%) – 3 (3%)Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.Main Posting:Timely and full participation NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 9 (9%) – 10 (10%)Meets requirements for timely, full, and active participation.Posts main discussion by due date.Points Range: 8 (8%) – 8 (8%)Posts main discussion by due date.Meets requirements for full participation.Points Range: 7 (7%) – 7 (7%)Posts main discussion by due date.Points Range: 0 (0%) – 6 (6%)Does not meet requirements for full participation.Does not post main discussion by due date.First Response:Post to colleague’s main post that is reflective and justified with credible sources.Points Range: 9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings.Responds to questions posed by faculty.The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.Points Range: 8 (8%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting.Points Range: 7 (7%) – 7 (7%)Response is on topic, may have some depth.Points Range: 0 (0%) – 6 (6%)Response may not be on topic, lacks depth.First Response:WritingPoints Range: 6 (6%) – 6 (6%)Communication is professional and respectful to colleagues.Response to faculty questions are fully answered, if posed. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentProvides clear, concise opinions and ideas that are supported by two or more credible sources.Response is effectively written in Standard, Edited English. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues.Response to faculty questions are mostly answered, if posed.Provides opinions and ideas that are supported by few credible sources.Response is written in Standard, Edited English.Points Range: 4 (4%) – 4 (4%)Response posed in the discussion may lack effective professional communication.Response to faculty questions are somewhat answered, if posed.Few or no credible sources are cited.Points Range: 0 (0%) – 3 (3%)Responses posted in the discussion lack effective communication.Response to faculty questions are missing.No credible sources are cited.First Response:Timely and full participationPoints Range: 5 (5%) – 5 (5%)Meets requirements for timely, full, and active participation.Posts by due date.Points Range: 4 (4%) – 4 (4%)Meets requirements for full participation.Posts by due date.Points Range: 3 (3%) – 3 (3%)Posts by due date.Points Range: 0 (0%) – 2 (2%)Does not meet requirements for full participation.Does not post by due date.Second Response:Post to colleague’s main post that is reflective and justified with credible sources.Points Range: 9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings.Responds to questions posed by faculty.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentThe use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 8 (8%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting.Points Range: 7 (7%) – 7 (7%)Response is on topic, may have some depth.Points Range: 0 (0%) – 6 (6%)Response may not be on topic, lacks depth.Second Response:WritingPoints Range: 6 (6%) – 6 (6%)Communication is professional and respectful to colleagues.Response to faculty questions are fully answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse is effectively written in Standard, Edited English.Points Range: 5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues.Response to faculty questions are mostly answered, if posed.Provides opinions and ideas that are supported by few credible sources.Response is written in Standard, Edited English.Points Range: 4 (4%) – 4 (4%)Response posed in the discussion may lack effective professional communication.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse to faculty questions are somewhat answered, if posed.Few or no credible sources are cited.Points Range: 0 (0%) – 3 (3%)Responses posted in the discussion lack effective communication.Response to faculty questions are missing.No credible sources are cited.Second Response:Timely and full participationPoints Range: 5 (5%) – 5 (5%)Meets requirements for timely, full, and active participation.Posts by due date.Points Range: 4 (4%) – 4 (4%)Meets requirements for full participation.Posts by due date.Points Range: 3 (3%) – 3 (3%)Posts by due date.Points Range: 0 (0%) – 2 (2%)Does not meet requirements for full participation.Does not post by due date. Total Points: 100Name: NRNP_6635_Week1_Discussion_RubricWeek 2: Assessment and Diagnosis of the Psychiatric Patient A sensitively crafted intake assessment can be a powerful therapeutic tool. It can establish rapport between patient and therapist, further the therapeutic alliance, alleviate anxiety, provide reassurance, and facilitate the flow of information necessary for an accurate diagnosis and appropriate treatment plan.—Pamela Bjorklund, clinical psychologistNRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentWhether you are treating patients for physical ailments or clients for mental health issues, the assessment process is an inextricable part of health care. To properly diagnose clients and develop treatment plans, you must have a strong foundation in assessment. This includes a working knowledge of assessments that are available to aid in diagnosis, how to use these assessments, and how to select the most appropriate assessment based on a client’s presentation.This week, as you explore assessment and diagnosis of patients in mental health settings, you examine assessment tools, including their psychometric properties and appropriate uses. You also familiarize yourself with the DSM-5 classification system.Reference: Bjorklund, P. (2013). Assessment and diagnosis. In K. Wheeler (Ed.), Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.) (pp. 95–168). Springer Publishing Company.Learning ObjectivesStudents will: Evaluate elements of the psychiatric interview, history, and examination Analyze psychometric properties of psychiatric rating scalesJustify appropriate use of psychiatric rating scales in advanced practice nursingLearning Resources NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentRequired Readings (click to expand/reduce)American  Psychiatric Association. (2013). Section I: DSM-5 basics. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 5–29). Author.Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.Chapter 34, Writing Up the Results of the InterviewSadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 5, Examination and Diagnosis of the Psychiatric PatientChapter 6, Classification in PsychiatryChapter 31, Child Psychiatry (Sections 31.1 and 31.2 only)American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescents. https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdfAmerican Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). https://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Classification in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 1–8). Wolters Kluwer.Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 9–15). Wolters Kluwer.Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Medical assessment and laboratory testing in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 16–21). Wolters Kluwer.Required Media (click to expand/reduce)Getting Started With the DSM-5 NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentIf you were to give a box of 100 different photographs to 10 people and ask them to sort them into groups, it is very unlikely that all 10 people would sort them into the exact same groups. However, if you were to give them a series of questions or a classification system to use, the chances that all 10 people sort them exactly the same increases depending on the specificity of the system and the knowledge of those sorting the photographs. Photo Credit: [Peter Polak]/[iStock / Getty Images Plus]/Getty ImagesThis is not unlike what has occurred in the process of classifying mental disorders. A system that provides enough specificity to appropriately classify a large variety of mental disorders while also attempting to include all of the possible symptoms, many of which can change over time, is a daunting task when used by a variety of specialists, doctors, and other professionals with varied experience, cultures, expertise, and beliefs. The DSM has undergone many transformations since it was first published in 1952. Many of these changes occurred because the uses for the DSM changed. However, the greatest changes began with the use of extensive empirical research to guide the creation of the classification system and its continued revisions.In order to assess and diagnose patients, you must learn to use the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, usually abbreviated as the DSM-5, to render a diagnosis. In this second week of the course, you will examine how DSM-5 is organized and how clinicians use it to render diagnoses.Review the Learning Resources this week, with special emphasis on viewing the Diagnostic Criteria video. This video explains the purpose and organization of the DSM-5 classification system, the purpose of the ICD-10 coding system, their relationship to one another, and the importance to the PMHNP role.Discussion: The Psychiatric Evaluation and Evidence-Based Rating Scales NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentAssessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.Photo Credit: [shironosov]/[iStock / Getty Images Plus]/Getty ImagesTo Prepare:Review this week’s Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis.Consider the elements of the psychiatric interview, history, and examination.Consider the assessment tool assigned to you by the Course Instructor.By Day 3 of Week 2Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.Read a selection of your colleagues’ responses.By Day 6 of Week 2Respond to at least two of your colleagues on 2 different days by comparing your assessment tool to theirs.Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6635_Week2_Discussion_RubricGrid ViewList ViewExcellentGoodFairPoorMain Posting:Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.Points Range: 40 (40%) – 44 (44%)Thoroughly responds to the discussion question(s).Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.No less than 75% of post has exceptional depth and breadth.Supported by at least 3 current credible sources. NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 35 (35%) – 39 (39%)Responds to most of the discussion question(s).Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.50% of the post has exceptional depth and breadth.Supported by at least 3 credible references.Points Range: 31 (31%) – 34 (34%)Responds to some of the discussion question(s).One to two criteria are not addressed or are superficially addressed.Is somewhat lacking reflection and critical analysis and synthesis.Somewhat represents knowledge gained from the course readings for the module.Post is cited with fewer than 2 credible references.Points Range: 0 (0%) – 30 (30%)Does not respond to the discussion question(s).Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only 1 or no credible references.Main Posting:WritingPoints Range: 6 (6%) – 6 (6%)Written clearly and concisely.Contains no grammatical or spelling errors.Further adheres to current APA manual writing rules and style.Points Range: 5 (5%) – 5 (5%)Written concisely.May contain one to two grammatical or spelling errors.Adheres to current APA manual writing rules and style.Points Range: 4 (4%) – 4 (4%)Written somewhat concisely.May contain more than two spelling or grammatical errors.Contains some APA formatting errors.Points Range: 0 (0%) – 3 (3%)Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.Main Posting:Timely and full participationPoints Range: 9 (9%) – 10 (10%)Meets requirements for timely, full, and active participation.Posts main discussion by due date. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 8 (8%) – 8 (8%)Posts main discussion by due date.Meets requirements for full participation.Points Range: 7 (7%) – 7 (7%)Posts main discussion by due date.Points Range: 0 (0%) – 6 (6%)Does not meet requirements for full participation.Does not post main discussion by due date.First Response:Post to colleague’s main post that is reflective and justified with credible sources. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings.Responds to questions posed by faculty.The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.Points Range: 8 (8%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting.Points Range: 7 (7%) – 7 (7%)Response is on topic, may have some depth.Points Range: 0 (0%) – 6 (6%)Response may not be on topic, lacks depth.First Response:WritingPoints Range: 6 (6%) – 6 (6%)Communication is professional and respectful to colleagues.NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse to faculty questions are fully answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is effectively written in Standard, Edited English.Points Range: 5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues.Response to faculty questions are mostly answered, if posed.Provides opinions and ideas that are supported by few credible sources.Response is written in Standard, Edited English.Points Range: 4 (4%) – 4 (4%)Response posed in the discussion may lack effective professional communication.Response to faculty questions are somewhat answered, if posed.Few or no credible sources are cited.Points Range: 0 (0%) – 3 (3%)Responses posted in the discussion lack effective communication.Response to faculty questions are missing.No credible sources are cited.First Response:Timely and full participationPoints Range: 5 (5%) – 5 (5%)Meets requirements for timely, full, and active participation.Posts by due date.Points Range: 4 (4%) – 4 (4%)Meets requirements for full participation.NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPosts by due date.Points Range: 3 (3%) – 3 (3%)Posts by due date.Points Range: 0 (0%) – 2 (2%)Does not meet requirements for full participation.Does not post by due date.Second Response:Post to colleague’s main post that is reflective and justified with credible sources.Points Range: 9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings.Responds to questions posed by faculty.The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 8 (8%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting.Points Range: 7 (7%) – 7 (7%)Response is on topic, may have some depth.Points Range: 0 (0%) – 6 (6%)Response may not be on topic, lacks depth.Second Response:WritingPoints Range: 6 (6%) – 6 (6%)Communication is professional and respectful to colleagues.Response to faculty questions are fully answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is effectively written in Standard, Edited English. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues.Response to faculty questions are mostly answered, if posed.Provides opinions and ideas that are supported by few credible sources.Response is written in Standard, Edited English.Points Range: 4 (4%) – 4 (4%)Response posed in the discussion may lack effective professional communication.Response to faculty questions are somewhat answered, if posed.Few or no credible sources are cited. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 0 (0%) – 3 (3%)Responses posted in the discussion lack effective communication.Response to faculty questions are missing.No credible sources are cited.Second Response:Timely and full participationPoints Range: 5 (5%) – 5 (5%)Meets requirements for timely, full, and active participation.Posts by due date.Points Range: 4 (4%) – 4 (4%)Meets requirements for full participation.Posts by due date.Points Range: 3 (3%) – 3 (3%)Posts by due date.Points Range: 0 (0%) – 2 (2%)Does not meet requirements for full participation.Does not post by due date. Total Points: 100Name: NRNP_6635_Week2_Discussion_RubricWeek 3: Mood DisordersWhile most people experience the sadness or grief at some point in their lives, it is typically of short duration and may occur in response to some type of loss. Clinically significant depression, on the other hand, is more disruptive and serious. It lasts longer and has more symptoms that interfere with daily functioning. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentThis week, you will explore the differences among mood disorders such as depressive, bipolar, and related disorders, and you will examine challenges in properly differentiating among them for the purpose of accurately rendering a diagnosis. You also will look at steps that can be taken to increase the likelihood that patients who are diagnosed with these disorders benefit from treatment and refrain from physically harming themselves or others.Learning ObjectivesStudents will:Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient informationFormulate differential diagnoses using DSM-5 criteria for patients with mood disorders across the lifespanLearning ResourcesRequired Readings (click to expand/reduce)American Psychiatric Association. (2013). Bipolar and related disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm03American Psychiatric Association. (2013). Depressive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.).Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 8, Mood DisordersChapter 31, Child Psychiatry (Section 31.12 only)Document: Comprehensive Psychiatric Evaluation TemplateDocument: Comprehensive Psychiatric Evaluation ExemplarRequired Media (click to expand/reduce)Video Case Selections for Assignment (click to expand/reduce) NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentAssignment: Assessing and Diagnosing Patients With Mood DisordersPhoto Credit: Juanmonino / E+ / Getty ImagesAccurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentTo Prepare:Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentBy Day 7 of Week 3Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentReflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6635_Week3_Assignment_RubricGrid ViewList ViewExcellentGoodFairPoorCreate documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected.In the Subjective section, provide:• Chief complaint• History of present illness (HPI)• Past psychiatric history• Medication trials and current medications• Psychotherapy or previous psychiatric diagnosis• Pertinent substance use, family psychiatric/substance use, social, and medical history• Allergies• ROS NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.Points Range: 16 (16%) – 17 (17%)The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis, but is somewhat vague or contains minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. Or, subjective documentation is missing.In the Objective section, provide:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.Points Range: 16 (16%) – 17 (17%)The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or, objective documentation is missing.In the Assessment section, provide:• Results of the mental status examination, presented in paragraph form.• At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Points Range: 23 (23%) – 25 (25%)The response thoroughly and accurately documents the results of the mental status exam.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.Points Range: 20 (20%) – 22 (22%)The response accurately documents the results of the mental status exam.Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected.Points Range: 18 (18%) – 19 (19%)The response documents the results of the mental status exam with some vagueness or inaccuracy.NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vagueness or inaccuracy.Points Range: 0 (0%) – 17 (17%)The response provides an incomplete or inaccurate description of the results of the mental status exam and explanation of the differential diagnoses. Or, assessment documentation is missing.Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 9 (9%) – 10 (10%)Reflections are thorough, thoughtful, and demonstrate critical thinking.Points Range: 8 (8%) – 8 (8%)Reflections demonstrate critical thinking. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 7 (7%) – 7 (7%)Reflections are somewhat general or do not demonstrate critical thinking.Points Range: 0 (0%) – 6 (6%)Reflections are incomplete, inaccurate, or missing.Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).Points Range: 14 (14%) – 15 (15%)The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making. NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 12 (12%) – 13 (13%)The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study.Points Range: 11 (11%) – 11 (11%)Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.Points Range: 0 (0%) – 10 (10%)Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based.Written Expression and Formatting—Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.Points Range: 5 (5%) – 5 (5%)A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentParagraphs and sentences follow writing standards for flow, continuity, and clarity.Points Range: 4 (4%) – 4 (4%)Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Purpose, introduction, and conclusion of the assignment is vague or off topic.NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time.Points Range: 0 (0%) – 3 (3%)No purpose statement, introduction, or conclusion were provided.Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.Written Expression and Formatting—English writing standards:Correct grammar, mechanics, and punctuationPoints Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errorsPoints Range: 4 (4%) – 4 (4%)Contains a few (one or two) grammar, spelling, and punctuation errorsPoints Range: 3 (3%) – 3 (3%)Contains several (three or four) grammar, spelling, and punctuation errorsPoints Range: 0 (0%) – 2 (2%)Contains many (≥ five) grammar, spelling, and punctuation errors that interfere with the reader’s understanding Total Points: 100Name: NRNP_6635_Week3_Assignment_RubricWeek 4: Anxiety Disorders, PTSD, and OCD NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentYour own experiences might tell you that expectations from family, friends, and work—as well as your own expectations regarding achievement, success, and happiness—can create stress. Stressors are a normal part of life, and stress traditionally has been viewed as an adaptive function with a set of physiological responses to a stressor. In a situation where stress is perceived, the organism is physiologically prepared to attack or flee from the threat. Those with effective fight or flight responses tended to survive long enough to reproduce, so we are descended from those who are genetically hardwired for self-protection. When you experience stress, your biology, emotions, social support, motivation, environment, attitude, immune function, and wellness all feel the ripple effect.This stress response is an adaptive response the human body has to threats; however, stress can also be difficult to handle and—depending upon the nature and intensity of the stress—can result in anxiety disorders, obsessive-compulsive disorders, or trauma- and stressor-related disorders. This week, you will focus on these disorders and explore strategies to accurately assess and diagnose them. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentLearning ObjectivesStudents will:Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient informationFormulate differential diagnoses using DSM-5 criteria for patients with anxiety disorders, PTSD, and OCD across the lifespanLearning ResourcesRequired Readings (click to expand/reduce)Required Media (click to expand/reduce)Video Case Selections for Assignment (click to expand/reduce)Assignment: Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment“Fear,” according to the DSM-5, “is the emotional response to real or perceived imminent threat, whereas anxiety is anticipation of future threat” (APA, 2013). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease.Photo Credit: Hill Street Studios / Blend Images / Getty ImagesFor this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5 criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5 criteria.To Prepare: NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentReview this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.By Day 7 of Week 4Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentIncorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentSubmission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6635_Week4_Assignment_Rubric NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentGrid ViewList ViewExcellentGoodFairPoorCreate documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected.In the Subjective section, provide:• Chief complaint• History of present illness (HPI)• Past psychiatric history• Medication trials and current medications• Psychotherapy or previous psychiatric diagnosis• Pertinent substance use, family psychiatric/substance use, social, and medical history• Allergies• ROS NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.Points Range: 16 (16%) – 17 (17%)The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis, but is somewhat vague or contains minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. Or, subjective documentation is missing.In the Objective section, provide:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 16 (16%) – 17 (17%)The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or, objective documentation is missing. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentIn the Assessment section, provide:• Results of the mental status examination, presented in paragraph form.• At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Points Range: 23 (23%) – 25 (25%)The response thoroughly and accurately documents the results of the mental status exam. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.Points Range: 20 (20%) – 22 (22%)The response accurately documents the results of the mental status exam.Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected.Points Range: 18 (18%) – 19 (19%)The response documents the results of the mental status exam with some vagueness or innacuracy. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vaguess or innacuracy.Points Range: 0 (0%) – 17 (17%)The response provides an incomplete or inaccurate description of the results of the mental status exam and explanation of the differential diagnoses. Or, assessment documentation is missing.Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 9 (9%) – 10 (10%)Reflections are thorough, thoughtful, and demonstrate critical thinking.Points Range: 8 (8%) – 8 (8%)Reflections demonstrate critical thinking. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 7 (7%) – 7 (7%)Reflections are somewhat general or do not demonstrate critical thinking.Points Range: 0 (0%) – 6 (6%)Reflections are incomplete, inaccurate, or missing.Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making.Points Range: 12 (12%) – 13 (13%)The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 11 (11%) – 11 (11%)Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.Points Range: 0 (0%) – 10 (10%)Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based.Written Expression and Formatting—Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 5 (5%) – 5 (5%)A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Points Range: 4 (4%) – 4 (4%)Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 3.5 (3.5%) – 3.5 (3.5%)Purpose, introduction, and conclusion of the assignment is vague or off topic.Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time.Points Range: 0 (0%) – 3 (3%)No purpose statement, introduction, or conclusion were provided.Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.Written Expression and Formatting—English writing standards:Correct grammar, mechanics, and punctuation NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errorsPoints Range: 4 (4%) – 4 (4%)Contains a few (one or two) grammar, spelling, and punctuation errorsPoints Range: 3 (3%) – 3 (3%)Contains several (three or four) grammar, spelling, and punctuation errors NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 0 (0%) – 2 (2%)Contains many (≥ five) grammar, spelling, and punctuation errors that interfere with the reader’s understanding Total Points: 100Name: NRNP_6635_Week4_Assignment_RubricWeek 5: Disruptive, Impulse-Control, and Conduct Disorders; Dissociative and Somatic Symptom-Related DisordersConsider the following two scenarios: Tim is a 6-year-old boy brought to the family medicine clinic for an initial visit. On entering the examination room, the physician observed Tim spinning in circles on the stool while his mother pled, “If I have to tell you one more time to sit down….” Tim was not permitted to begin first grade until his immunizations were updated. His mother explained that Tim had visited several physicians for immunization but was so disruptive that the physicians and nurses always gave up. She hoped that with a new physician, Tim might comply. The mother described a several-year history of aggressive and destructive behavior as well as four school suspensions during kindergarten. He often becomes “uncontrollable” at home and has broken dishes and furniture. Last year, Tim was playing with the gas stove and started a small fire. Tim frequently pulls the family dog around by its tail. Tim’s older sisters watched him in the past but have refused to do so since he threw a can of soup at one of them. Tim’s father is a long-haul truck driver who sees Tim every 3 to 4 weeks (Searight et al., 2001). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentWallace is a recently retired 55-year-old man and is the primary caregiver for his wife, who is currently undergoing chemotherapy for breast cancer. As his wife became weaker from the treatment, Wallace became increasingly anxious about his own ability to care for his wife and his sense of agency in the situation. After a serious infection led his wife to be hospitalized, Wallace’s symptoms grew worse. He stopped eating and lost 25 pounds during a matter of weeks. On a trip to the grocery store to purchase food for the household, Wallace had to stop and ask directions to get back to the house at which he had lived for 15 years. This further exacerbated his depression and anxiety and he grew fearful of leaving the home, often sitting in one chair for hours without moving.This week, you explore three disparate groupings of disorders. With the first—disruptive, impulse-control and conduct disorders—patients experience issues with self-control of emotions or behavior that involve aggression, destruction/violating others’ rights, defiance, or violating societal norms. Secondly, dissociative disorders involve a disconnection from elements in a person’s life, such as sense of identity, memories, environment, or perception of time. Lastly, somatic symptom-related disorders deal with excessive thoughts, feelings, or behaviors related to physical symptoms (e.g., pain, gastrointestinal issues) that cannot be fully explained by diagnosed medical conditions.Conduct Disorder: Diagnosis and Treatment in Primary Care by Searight, H. R., Rottnek, F., Abby, S. L., in American Family Physician, Vol. 63/ Issue 8. Copyright 2001 by American Academy of Family Physicians. Reprinted by permission of American Academy of Family Physicians via the Copyright Clearance Center. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentLearning ResourcesRequired Readings (click to expand/reduce)American Psychiatric Association. (2013). Disruptive, impulse-control, and conduct disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm15American Psychiatric Association. (2013). Dissociative disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm08American Psychiatric Association. (2013). Somatic symptom and related disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm09Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 12, Dissociative DisordersChapter 13, Psychosomatic MedicineChapter 19, Disruptive, Impulse-Control, and Conduct DisordersChapter 31, Child Psychiatry (Sections 31.13 and 31.14 only)Required Media (click to expand/reduce)Assessing and Diagnosing Patients With Disruptive, Impulse-Control, Conduct, Dissociative, and Somatic Symptom-Related Disorders NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentAssessing patients with symptoms related to the disorders you are exploring this week pose some particular challenges for which the PMHNP should be prepared. Disruptive, impulse-control, and conduct disorders may involve aggressive outbursts, anger, deceitfulness, and unpredictability. Eliciting the needed interview and history data requires special care, self-control, and deliberateness on the part of the clinician. Several structured or semi-structured clinical interview tools exist for patients and, in the case of minors, for parents as well.There is no Assignment due this week. Use this quiet week to work on your practicum Comprehensive Psychiatric Evaluation and Case Presentation if you are taking the two courses concurrently.What’s Coming Up in Week 6? NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPhoto Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty ImagesIn Week 6, you explore eating, sleeping, and elimination disorders through your Learning Resources. You also complete a midterm exam on the topics covered in the course thus far.Week 6: Eating, Sleeping, and Elimination DisordersThe process of assessment and diagnosis is complex. At the initial meeting, clients may want to vent about multiple areas in their lives, and they may not necessarily understand the assessment process or what kind of information the advanced practice nurse needs to elicit to diagnose. PMHNPs must strike a balance between keeping the assessment focused and structuring it in such a way that clients are encouraged to paint a complete picture of their chief complaint and history of present illness. If a client says that he or she is having a hard time dealing with family, difficulty in relationships, not eating regularly, or not sleeping, counselors must know how to listen and ask questions that can pull more information needed for an accurate diagnosis.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentYou are now at the halfway point of the course and have explored the assessment and diagnosis of many categories of disorder from the DSM-5. This week, you put your knowledge of concepts related to psychopathology and diagnostic reasoning to the test by completing a midterm exam. Your Learning Resources this week focus on eating, sleeping, and elimination disorders. Although you will not complete a comprehensive client assessment on a patient with these disorders, be sure to review the resources on them because they are included on the midterm.Learning ObjectiveStudents will:Apply concepts related to psychopathology and diagnostic reasoning in advanced practice nursing care in psychiatric and mental health settingsLearning ResourcesRequired Readings (click to expand/reduce)American Psychiatric Association. (2013h). Feeding and eating disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.  NRNP 6635: Psychopathology and Diagnostic Reasoning Assignmentdoi:10.1176/appi.books.9780890425596.dsm10American Psychiatric Association. (2013). Elimination disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.dsm11American Psychiatric Association. (2013). Sleep-wake disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.dsm12Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 15 Feeding and Eating DisordersChapter 16 Normal Sleep and Sleep-Wake DisordersChapter 31.9 Feeding and Eating Disorders of Infancy or Early ChildhoodChapter 31.10 Elimination DisordersRequired Media (click to expand/reduce)Classroom Productions. (Producer). (2016). Eating disorders [Video]. Walden University.Classroom Productions. (Producer). (2013). The new DSM-5 diagnosis: Understanding & treating binge eating disorder [Video]. Walden University.Classroom Productions. (Producer). (2016). Elimination disorders [Video]. Walden University.Classroom Productions. (Producer). (2016). Sleep disorders [Video]. Walden University.MedEasy. (2017b). Eating disorders (anorexia, bulimia, and binge-eating disorder) | USMLE & COMLEX [Video]. YouTube. https://www.youtube.com/watch?v=bD8KCcipGaYMidterm ExamThis exam will cover the following topics relevant to assessment and diagnosis across the lifespan:History and theories of psychopathologyThe psychiatric interview, history, and examinationRating scalesMood disordersAnxiety disorders, PTSD, OCDDisruptive, impulse-control, and conduct disordersEating, sleeping, and elimination disordersPhoto Credit: [Vergeles_Andrey]/[iStock / Getty Images Plus]/Getty ImagesPrior to starting the exam, you should review all of your materials. There is a 2.5-hour time limit to complete this 100-question exam. You may only attempt this exam once. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentThis exam is a test of your knowledge in preparation for your certification exam. No outside resources—including books, notes, websites, or any other type of resource—are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.By Day 7 of Week 6Complete your exam.Week 7: Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement DisordersAt age 18, Rose rented her first apartment in the city. Although she had a short commute to work, Rose did not enjoy the chaos and noise of the city. Within months, Rose left her apartment in the city for a small, rural cabin in the country. It was then that Rose began to withdraw from family and friends. Generally, she avoided contact with others. Her co-workers noticed random, obscure drawings on scrap paper at her desk. Additionally, her co-workers noticed other strange behaviors. Frequently, Rose would whisper to herself, appear startled when people approached her desk, and stare at the ceiling at various times throughout the day.  For individuals with disorders such as schizophrenia and other psychotic disorders, the development of mental disorder seldom occurs with a singular, defining symptom. Rather, many who experience such disorders show a range of unique symptoms. This range of symptoms may impede an individual’s ability to function in daily life. As a result, clinicians address a patient’s ability or inability to function in life.This week, you explore psychotic disorders, including schizophrenia. You also explore medication-induced movement disorders and formulate a diagnosis for a patient in a case study. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentLearning ObjectivesStudents will:Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient informationFormulate differential diagnoses using DSM-5 criteria for patients with schizophrenia, other psychotic disorders, and medication-induced movement disorders across the life spanLearning ResourcesRequired Readings (click to expand/reduce)American  Psychiatric Association. (2013). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 709–714). Author.American Psychiatric Association. (2013). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm02Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentChapter 7, Schizophrenia Spectrum and Other Psychotic DisordersChapter 29.2, Medication Induced-Movement DisordersChapter 31.15, Early-Onset SchizophreniaDocument: Comprehensive Psychiatric Evaluation TemplateDocument: Comprehensive Psychiatric Evaluation ExemplarDocument: NRNP 6635 Final Study GuideRequired Media (click to expand/reduce)Classroom Productions. (Producer). (2016). Schizophrenia and other psychotic disorders [Video]. Walden University.MedEasy. (2017). Psychotic disorders | USMLE & COMLEX [Video]. YouTube. https://www.youtube.com/watch?v=BdB6MgWAP1kVideo Case Selections for Assignment (click to expand/reduce)Select one of the following videos to use for your Assignment this week. Then, access the document “Case History Reports” and review the additional data about the patient in the specific video number you selected.Symptom Media. (Producer). (2016). Training title 9 [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-9Symptom Media. (Producer). (2016). Training title 24 [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-24Symptom Media. (Producer). (2016). Training title 29 [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-29Symptom Media. (Producer). (2018). Training title 134 [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-134Document: Case History ReportsAssignment: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPhoto Credit: [Hero Images]/[Hero Images]/Getty ImagesPsychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.To Prepare:Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentBy Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.By Day 7 of Week 7Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentObjective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentSubmission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6635_Week7_Assignment_RubricGrid ViewList ViewExcellentGoodFairPoorCreate documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected.In the Subjective section, provide:• Chief complaint• History of present illness (HPI)• Past psychiatric history• Medication trials and current medications• Psychotherapy or previous psychiatric diagnosis• Pertinent substance use, family psychiatric/substance use, social, and medical history• Allergies• ROS NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.Points Range: 16 (16%) – 17 (17%)The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.Points Range: 14 (14%) – 15 (15%)The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis, but is somewhat vague or contains minor innacuracies. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 0 (0%) – 13 (13%)The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. Or, subjective documentation is missing.In the Objective section, provide:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.Points Range: 16 (16%) – 17 (17%)The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented.Points Range: 14 (14%) – 15 (15%)Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or, objective documentation is missing.In the Assessment section, provide:• Results of the mental status examination, presented in paragraph form.• At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 23 (23%) – 25 (25%)The response thoroughly and accurately documents the results of the mental status exam.Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.Points Range: 20 (20%) – 22 (22%)The response accurately documents the results of the mental status exam.Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 19 (19%)The response documents the results of the mental status exam with some vagueness or innacuracy.Response lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vaguess or innacuracy.Points Range: 0 (0%) – 17 (17%)The response provides an incomplete or inaccurate description of the results of the mental status exam and explanation of the differential diagnoses. Or, assessment documentation is missing.Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 9 (9%) – 10 (10%)Reflections are thorough, thoughtful, and demonstrate critical thinking.Points Range: 8 (8%) – 8 (8%)Reflections demonstrate critical thinking. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 7 (7%) – 7 (7%)Reflections are somewhat general or do not demonstrate critical thinking.Points Range: 0 (0%) – 6 (6%)Reflections are incomplete, inaccurate, or missing.Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).Points Range: 14 (14%) – 15 (15%)The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 12 (12%) – 13 (13%)The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study.Points Range: 11 (11%) – 11 (11%)Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.Points Range: 0 (0%) – 10 (10%)Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based.Written Expression and Formatting—Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 5 (5%) – 5 (5%)A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Points Range: 4 (4%) – 4 (4%)Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Purpose, introduction, and conclusion of the assignment is vague or off topic.Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time.Points Range: 0 (0%) – 3 (3%)No purpose statement, introduction, or conclusion were provided.Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentWritten Expression and Formatting—English writing standards:Correct grammar, mechanics, and punctuationPoints Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errorsPoints Range: 4 (4%) – 4 (4%)Contains a few (one or two) grammar, spelling, and punctuation errorsPoints Range: 3 (3%) – 3 (3%)Contains several (three or four) grammar, spelling, and punctuation errorsPoints Range: 0 (0%) – 2 (2%)Contains many (≥ five) grammar, spelling, and punctuation errors that interfere with the reader’s understanding Total Points: 100Name: NRNP_6635_Week7_Assignment_RubricWeek 8: Substance-Related and Addictive DisordersMany individuals seeking treatment meet the criteria for both mental health and substance-related disorders. Regardless of whether you specialize in substance-related disorders, all advanced practice nurses should know their signs and symptoms and how to assess and diagnose them. There are assessment and screening tools available to clinicians, and a plethora of information can be obtained through the diagnostic interview. It takes time and experience to know what types of questions to ask to gain the most information, in addition to a basic knowledge of the substances and behaviors you are trying to assess. It can be complicated to sort out substance use disorders from other mental health disorders, but most clients seeking treatment have comorbidities.This week, you apply DSM-5 substance use and addictive criteria as you formulate a diagnosis for a patient in a case study. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentLearning ObjectivesStudents will:Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient informationFormulate differential diagnoses using DSM-5 criteria for patients with substance-related and addictive disorders across the lifespanLearning ResourcesRequired Readings (click to expand/reduce)American Psychiatric Association. (2013). Substance related and addictive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm16Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentChapter 20, Substance Use and Addictive DisordersChapter 31.16, Adolescent Substance AbuseDocument: Comprehensive Psychiatric Evaluation TemplateDocument: Comprehensive Psychiatric Evaluation ExemplarRequired Media (click to expand/reduce)Video Case Selections for Assignment (click to expand/reduce)Assignment: Assessing and Diagnosing Patients With Substance-Related and Addictive DisordersAn important consideration when working with patients is their cultural background. Understanding an individual’s culture and personal experiences provides insight into who the person is and where he or she may progress in the future. Culture helps to establish a sense of identity, as well as to set values, behaviors, and purpose for individuals within a society. Culture may also contribute to a divide between specific interpretations of cultural behavior and societal norms. What one culture may deem as appropriate another culture may find inappropriate. As a result, it is important for advanced practice nurses to remain aware of cultural considerations and interpretations of behavior for diagnosis, especially with reference to substance-related disorders. At the same time, PMHNPs must balance their professional and legal responsibilities for assessment and diagnosis with such cultural considerations and interpretations.For this Assignment, you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. With this and all cases, remember to consider the patient’s cultural background. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentTo Prepare:Review this week’s Learning Resources and consider the insights they provide.Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.By Day 7 of Week 8Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentIncorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentSubmission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.Click the Week 8 Assignment Rubric to review the Grading Criteria for the Assignment.Click the Week 8 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6635_Week8_Assignment_RubricGrid ViewList ViewExcellentGoodFairPoorCreate documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected.In the Subjective section, provide:• Chief complaint• History of present illness (HPI)• Past psychiatric history• Medication trials and current medications• Psychotherapy or previous psychiatric diagnosis• Pertinent substance use, family psychiatric/substance use, social, and medical history• Allergies• ROS NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.Points Range: 16 (16%) – 17 (17%)The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis, but is somewhat vague or contains minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. Or, subjective documentation is missing.In the Objective section, provide:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.Points Range: 16 (16%) – 17 (17%)The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or, objective documentation is missing.In the Assessment section, provide:• Results of the mental status examination, presented in paragraph form.• At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Points Range: 23 (23%) – 25 (25%)The response thoroughly and accurately documents the results of the mental status exam. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.Points Range: 20 (20%) – 22 (22%)The response accurately documents the results of the mental status exam.Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected.Points Range: 18 (18%) – 19 (19%)The response documents the results of the mental status exam with some vagueness or innacuracy.Response lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vaguess or innacuracy. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 0 (0%) – 17 (17%)The response provides an incomplete or inaccurate description of the results of the mental status exam and explanation of the differential diagnoses. Or, assessment documentation is missing.Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 9 (9%) – 10 (10%)Reflections are thorough, thoughtful, and demonstrate critical thinking. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 8 (8%) – 8 (8%)Reflections demonstrate critical thinking.Points Range: 7 (7%) – 7 (7%)Reflections are somewhat general or do not demonstrate critical thinking.Points Range: 0 (0%) – 6 (6%)Reflections are incomplete, inaccurate, or missing.Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 14 (14%) – 15 (15%)The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making.Points Range: 12 (12%) – 13 (13%)The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study.Points Range: 11 (11%) – 11 (11%)Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.Points Range: 0 (0%) – 10 (10%)Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based.Written Expression and Formatting—Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 5 (5%) – 5 (5%)A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Points Range: 4 (4%) – 4 (4%)Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Purpose, introduction, and conclusion of the assignment is vague or off topic.Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 0 (0%) – 3 (3%)No purpose statement, introduction, or conclusion were provided.Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.Written Expression and Formatting—English writing standards:Correct grammar, mechanics, and punctuationPoints Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errorsPoints Range: 4 (4%) – 4 (4%)Contains a few (one or two) grammar, spelling, and punctuation errorsPoints Range: 3 (3%) – 3 (3%)Contains several (three or four) grammar, spelling, and punctuation errorsPoints Range: 0 (0%) – 2 (2%)Contains many (≥ five) grammar, spelling, and punctuation errors that interfere with the reader’s understanding Total Points: 100Name: NRNP_6635_Week8_Assignment_RubricWeek 9: Personality and Paraphilic Disorders NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentWhat is the difference between observed patterns of personality and a personality disorder? Although some patterns of behavior may contribute to an individual’s personality, not all personality patterns may be disorders. For example, if a person is described as cold, cerebral, and rigid, these are patterns that might affect his or her personality but may not lead to a diagnosed disorder. As defined in the DSM, “A personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of one’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment” (APA, 2013, p. 645).Specifically, personality disorders, such as antisocial personality disorders and borderline personality disorders, present a pervasive, maladaptive pattern of inner experience and behavior that violate social norms such as trust, honesty, and personal value.This week, you explore the assessment and diagnosis of personality and paraphilic disorders in patients across the lifespan.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentLearning ResourcesRequired Readings (click to expand/reduce)American Psychiatric Association. (2013). Personality disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm18American Psychiatric Association. (2013). Paraphilic disorders. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 685–706). Author.Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 22, Personality DisordersChapter 17, Human Sexuality and Sexual DysfunctionRequired Media (click to expand/reduce)Classroom Productions. (Producer). (2016). Sexual dysfunctions [Video]. Walden University.Classroom Productions. (Producer). (2016). Paraphilic disorders [Video]. Walden University.MedEasy. (2017). Personality disorders by clusters | USMLE & COMLEX [Video]. YouTube. https://www.youtube.com/watch?v=C1tC2qNtH-oAssessing and Diagnosing Patients With Personality and Paraphilic DisordersThis week’s introduction explained that not all personality patterns represent disorders; it is pervasive patterns that lead to life impairment that meet the criteria for a disorder. Similarly, paraphilic, or sexual, behaviors fall on a spectrum and may or may not meet the criteria for a disorder. Sexual behaviors that could be a symptom of a disorder (e.g., enacting specific fantasies or integrating a fetish object into sexual activity) would only meet the criteria if they were present for more than six months and significantly impacted social or occupational functioning. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentThere is no Assignment due this week. Use this quiet week to work on your practicum Comprehensive Psychiatric Evaluation and Case Presentation if you are taking the two courses concurrently.Week 10: Neurocognitive and Neurodevelopmental DisordersThe human brain only constitutes approximately 2% of an individual’s total body weight, a percentage that pales in comparison to the brain’s level of importance in human development (Koch, 2016). Although externally protected by layers of membranes as well as the skull, the brain is not very resistant to damage. Damage to the brain may compromise its functionality, which may, in turn, lead to neurodevelopmental disorders in childhood and adolescence or neurocognitive disorders for any number of reasons across the lifespan.This week, you practice assessing and diagnosing neurocognitive and neurodevelopmental disorders across the lifespan.  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentReference: Koch, C. (2016, January 1). Does brain size matter? Scientific American. https://www.scientificamerican.com/article/does-brain-size-matter1/Learning ObjectivesStudents will:Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient informationFormulate differential diagnoses using DSM-5 criteria for patients with neurocognitive and neurodevelopmental disorders across the lifespanLearning ResourcesRequired Readings (click to expand/reduce)American  Psychiatric Association. (2013). Neurocognitive disorders. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 591–644). Author.American Psychiatric Association. (2013). Neurodevelopmental disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm01Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 21, Neurocognitive DisordersChapter 31, Child PsychiatryDocument: Comprehensive Psychiatric Evaluation TemplateDocument: Comprehensive Psychiatric Evaluation ExemplarRequired Media (click to expand/reduce)Classroom Productions. (Producer). (2016). Neurocognitive disorders [Video]. Walden University.Classroom Productions. (Producer). (2016). Neurodevelopmental disorders [Video]. Walden University. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentMedEasy. (2016). Progressive neurocognitive disorders. | USMLE & COMLEX [Video]. YouTube. https://www.youtube.com/watch?v=KdcjyHvaAuQVideo Case Selections for Assignment (click to expand/reduce)Select one of the following videos to use for your Assignment this week. Then, access the document “Case History Reports” and review the additional data about the patient in the specific video number you selected.Symptom Media. (Producer). (2017). Training title 48 [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-48Symptom Media. (Producer). (2017). Training title 50 [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-50Document: Case History ReportsAssignment: Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders Photo Credit: Getty ImagesNeurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment, and often co-occur (APA, 2013). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others.For this Assignment, you will assess a patient in a case study who presents with a neurocognitive or neurodevelopmental disorder. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentTo Prepare:Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.By Day 7 of Week 10Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?  NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentObjective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentSubmission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6635_Week10_Assignment_RubricGrid ViewList ViewExcellentGoodFairPoorCreate documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected.In the Subjective section, provide:• Chief complaint• History of present illness (HPI)• Past psychiatric history• Medication trials and current medications• Psychotherapy or previous psychiatric diagnosis• Pertinent substance use, family psychiatric/substance use, social, and medical history• Allergies• ROS NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 18 (18%) – 20 (20%)The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 16 (16%) – 17 (17%)The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.Points Range: 14 (14%) – 15 (15%)The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis, but is somewhat vague or contains minor innacuracies. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 0 (0%) – 13 (13%)The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. Or, subjective documentation is missing.In the Objective section, provide:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.Points Range: 18 (18%) – 20 (20%)The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.Points Range: 16 (16%) – 17 (17%)The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented.Points Range: 14 (14%) – 15 (15%)Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.Points Range: 0 (0%) – 13 (13%)The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or, objective documentation is missing.In the Assessment section, provide:• Results of the mental status examination, presented in paragraph form.• At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Points Range: 23 (23%) – 25 (25%)The response thoroughly and accurately documents the results of the mental status exam. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 20 (20%) – 22 (22%)The response accurately documents the results of the mental status exam.Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected.Points Range: 18 (18%) – 19 (19%)The response documents the results of the mental status exam with some vagueness or innacuracy. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentResponse lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vaguess or innacuracy. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 0 (0%) – 17 (17%)The response provides an incomplete or inaccurate description of the results of the mental status exam and explanation of the differential diagnoses. Or, assessment documentation is missing.Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 9 (9%) – 10 (10%)Reflections are thorough, thoughtful, and demonstrate critical thinking.Points Range: 8 (8%) – 8 (8%)Reflections demonstrate critical thinking.Points Range: 7 (7%) – 7 (7%)Reflections are somewhat general or do not demonstrate critical thinking.Points Range: 0 (0%) – 6 (6%)Reflections are incomplete, inaccurate, or missing.Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).Points Range: 14 (14%) – 15 (15%)The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 12 (12%) – 13 (13%)The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study.Points Range: 11 (11%) – 11 (11%)Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.Points Range: 0 (0%) – 10 (10%)Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentWritten Expression and Formatting—Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Points Range: 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentPoints Range: 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.Purpose, introduction, and conclusion of the assignment is vague or off topic.Points Range: 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.No purpose statement, introduction, or conclusion were provided.Written Expression and Formatting—English writing standards:Correct grammar, mechanics, and punctuationPoints Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errorsPoints Range: 4 (4%) – 4 (4%)Contains a few (one or two) grammar, spelling, and punctuation errorsPoints Range: 3 (3%) – 3 (3%)Contains several (three or four) grammar, spelling, and punctuation errorsPoints Range: 0 (0%) – 2 (2%)Contains many (≥ five) grammar, spelling, and punctuation errors that interfere with the reader’s understanding Total Points: 100Name: NRNP_6635_Week10_Assignment_RubricWeek 11: Gender Identity Disorders; Psychiatric EmergenciesIn the past, popular culture tended to present gender as an attribute that was dichotomous; that is, it was either/or. To a certain extent, our culture, as well as many others, still portrays gender as equivalent to biological sex assignment. We may still encounter this when we fill out forms or are otherwise asked to identify ourselves, but nonbinary choices are increasingly common, as is the widespread acceptance of a person’s choice of personal pronoun.NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentCurrent psychological and biological science sees gender as a continuum, and it is viewed as a cultural attribute, not a biological one. As a cultural construct, gender and its expression vary widely. An individual’s gender identify refers to whether they identify as male, female, or some other category. Everyone has a gender identity. To meet the criteria for a gender identity disorder, however, a patient must not only have gender manifestations that do not conform to their culture’s gender norms (e.g., wearing opposite sex clothing), but also experience significant distress and negative impact on their life because of the gender incongruence.Through the Learning Resources this week, you explore the assessment and diagnosis of gender identity disorders and psychiatric emergencies. You will also complete your final exam, which will cover the topics presented in Weeks 7–11.Learning ObjectivesStudents will:Apply concepts related to psychopathology and diagnostic reasoning in advanced practice nursing care in psychiatric and mental health settingsLearning Resources NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentRequired Readings (click to expand/reduce)American Psychiatric Association. (2013). Gender dysphoria. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org./10.1176/appi.books.9780890425596.dsm14Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 18, Gender DysphoriaChapter 23, Emergency Psychiatric MedicineAmerican Psychiatric Association. (2016). What is gender dysphoria?https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoriaRequired Media (click to expand/reduce)Classroom Productions. (Producer). (2016). Gender dysphoria [Video]. Walden University.Classroom Productions. (Producer). (2015). Self-harm and suicide [Video]. Walden University.Final Exam NRNP 6635: Psychopathology and Diagnostic Reasoning AssignmentThis exam will cover assessment and diagnosis of the following across the lifespan:Schizophrenia and other psychotic disordersMedication-induced movement disordersSubstance related disordersPersonality disordersDissociative and somatic symptom-related disordersParaphilic disordersNeurocognitive and neurodevelopmental disordersSexuality and gender identity disordersPsychiatric emergenciesPhoto Credit: [Vergeles_Andrey]/[iStock / Getty Images Plus]/Getty ImagesPrior to starting the exam, you should review all of your materials. There is a 2.5-hour time limit to complete this 100-question exam. You may only attempt this exam once.This exam is a test of your knowledge in preparation for your certification exam. No outside resources—including books, notes, websites, or any other type of resource—are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.By Day 7 of Week 11Complete your exam.Submission and Grading InformationGrading Criteria NRNP 6635: Psychopathology and Diagnostic Reasoning Assignment

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