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Psychopathology and Diagnostic Reasoning

A PMHNP resource hub offering comprehensive psychiatric evaluation templates for ADHD and related disorders, complete with subjective histories, mental status exams, differential diagnosis guides, and recommended assessment tools.

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    Week 10: (Title 48) College of Nursing-PMHNP, Walden University NRNP 6635: Psychopathology and Diagnostic Reasoning Dr. Kennedy LaVille Thoren May 04, 2025

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    NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template Subjective: CC (chief complaint): "Not able to pay attention in school, not very well" HPI: Sarah, a school-aged female, presents to the office due to having a difficult time focusing and completing tasks at school and at home. During the interview, Sarah appears to be distracted and looks away while being asked questions. The clinician has to repeat questions multiple times during the interview to get Sarah to answer. Sarah has a short attention span, easily forgetting the answers, questions, and the discussed topics. She has poor eye contact throughout the interview. Per the mom, the patient has a difficult time concentrating in school and forgetting about the assignments almost eveiy day. The patient is not able to sit still on a chair for more than five minutes. The patient has a difficult time understanding the material in the textbook as well as remembering its content. The patient consistently loses items in school and at home and is unable to organize her items. The patient admits to occasional frustration from school because of not understanding what the teacher says. The patient also struggles at home as she is not able to focus on completing assigned tasks. She used to have impulsive behavior that is dangerous and was not aware of environmental dangers, such as running to the street, jumping into the pool, climbing the wall, and sticking her hands over the bars in the zoo. The patient denies symptoms of sadness, depression, or thoughts of wanting to hurt themself. The patient denies aggression and thoughts of hurting other people. Past Psychiatric History : □ General Statement: Sarah has struggled at school and at home due to the inability to focus, easily distractable, loses things, and forgetting tasks. □ Caregivers (if applicable): Mom □ Hospitalizations: Information not available □ Medication trials: Information not available n P sychotherapy or Previous Psychiatric Diagnosis: Attention Deficit Hyperactive Disorder (ADHD) Substance Current Use and History: Information not available Family Psychiatric/Substance Use History: Information not available Psychosocial History: Sarah is a school-aged female who lives with mom. Sarah seems to have a good support system with mom very involved in her care and grandma. Sarah does not seem to have a lot of friends, spends time with mom, her dog and also likes to play video games. Educational level: Highschool Hobbies: She likes to spend time with mom and plays video games © 2021 Walden University Page 2 of 6

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