Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Nursing homework help

Comprehensive Psychiatric Evaluation 3

patient must be 12 years old with depression living in florida

Psychiatric SOAP Note Template

Encounter date: ________________________

Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____

Reason for Seeking Health Care: ______________________________________________

HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SI/HI: _______________________________________________________________________________

Sleep: _________________________________________
Appetite: ________________________

Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________

Current perception of Health: Excellent Good Fair Poor

Psychiatric History:

Inpatient hospitalizations:

Date

Hospital

Diagnoses

Length of Stay

Outpatient psychiatric treatment:

*Date*	*Hospital*	*Diagnoses*	*Length of Stay*

Detox/Inpatient substance treatment:

*Date*	*Hospital*	*Diagnoses*	*Length of Stay*

History of suicide attempts and/or self injurious behaviors:
____________________________________

Past Medical History

· Major/Chronic Illnesses____________________________________________________

· Trauma/Injury ___________________________________________________________

· Hospitalizations __________________________________________________________

Past Surgical History___________________________________________________________

Current psychotropic medications:

_________________________________________ ________________________________

Current prescription medications:

_________________________________________ ________________________________

OTC/Nutritionals/Herbal/Complementary therapy:

_________________________________________ ________________________________

Substance use

: (alcohol, marijuana, cocaine, caffeine, cigarettes)

*Substance*	*Amount*	*Frequency*	*Length of Use*

Family Psychiatric History: _____________________________________________________

Social History

Lives: Single family House/Condo/ with stairs: ___________
Marital Status:________

Education:____________________________

Employment Status: ______
Current/Previous occupation type: _________________

Exposure to: ___Smoke____ ETOH ____Recreational Drug Use: __________________

Sexual Orientation: _______ Sexual Activity: ____
Contraception Use: ____________

Family Composition: Family/Mother/Father/Alone
: _____________________________

Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________

________________________________________________________________________

Health Maintenance

Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____

Exposures:

Immunization HX:

Review of Systems:

General:

HEENT:

Neck:

Lungs:

Cardiovascular:

Breast:

GI:

Male/female genital:

GU:

Neuro:

Musculoskeletal:

Activity & Exercise:

Psychosocial:

Derm:

Nutrition:

Sleep/Rest:

LMP:

STI Hx:

Physical Exam

BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
percentile) _____

General:

HEENT:

Neck:

Pulmonary:

Cardiovascular:

Breast:

GI:

Male/female genital:

GU:

Neuro:

Musculoskeletal:

Derm:

Psychosocial:

Misc.

Mental Status Exam

Appearance:

Behavior:

Speech:

Mood:

Affect:

Thought Content:

Thought Process:

Cognition/Intelligence:

Clinical Insight:

Clinical Judgment:

Significant Data/Contributing Dx/Labs/Misc.

Plan:

Differential Diagnoses

Principal Diagnoses

Plan

Diagnosis #1

Diagnostic Testing/Screening:

Pharmacological Treatment:

Non-Pharmacological Treatment:

Education:

Referrals:

Follow-up:

Anticipatory Guidance:

Diagnosis #2

Diagnostic Testingg/Screenin:

Pharmacological Treatment:

Non-Pharmacological Treatment:

Education:

Referrals:

Follow-up:

Anticipatory Guidance:

Signature (with appropriate credentials): __________________________________________

Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________

DEA#: 101010101 STU Clinic LIC# 10000000

Tel: (000) 555-1234 FAX: (000) 555-12222

Patient Name: (Initials)______________________________ Age ___________

Date: _______________

RX ______________________________________

SIG:

Dispense: ___________
Refill: _________________

No Substitution

Signature: ____________________________________________________________

Rev. 10162021 LM

image1.png

>Nursing homework help

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

PATHO WEEK 7

image1.png image2.png image3.png image4.png

ROLES WEEK 7

image1.png image2.png image3.png

4k35 safety n quality

Assessment 2 Root-Cause Analysis and Safety Improvement Plan For this assessment, you can use a supplied template to conduct a root-cause analysis. The completed assessment will be a scholarly paper focusing on a quality or safety issue in a healthcare setting of your choice as well as a safety improvement

NUR 514 Clinical Soap note 3

Submission Instructions: Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings. You must use the template provided. Turnitin will recognize the template and not score against it.

Ion Channels and G Proteins

Discussion on Ion Channels and G Proteins Discussion: Ion Channels and G Proteins Post a response answering the following: · Explain the difference between ion channels and G proteins as they relate to signal transduction and targets of medications. · How would you answer the following patient question: · My grandmother

Care plan

Introduction: The first step in any effective project is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and

PHI

Scenario: In this assessment, imagine you are a nurse in one of the health care settings described in the following resource: · Assessment 02 Supplement: Protected Health Information (Attached Below) Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and

health and wellness

NR222 Health and Wellness Required Uniform Assignment: Health Promotion Project Guidelines TOPIC: The impact of universal health coverage on public health outcomes’ 1. Discuss the professional nurse’s role in health promotion activities. 3. Discuss health promotion, illness prevention, health maintenance, health restoration, and rehabilitation in relation to the nurse’s role

patient care

NURS 112 Clinical Week 3 Assignment 10 Points Include APA formatted in-text citations and reference page. References must be published in the last 5 yrs. Medical dictionaries and textbooks are excellent references. Websites must be .gov, .org, and .edu. NO .com websites. NO patient education websites (Mayo, Cleavland clinic). Students

Asssigment

Module 6: Descriptive and Inferential Statistics Instructions Distinguish between the organization of articles by evidence level and organization of articles by clinical question (Essay). Please utilize Figure 1 John Hopkins Evidence Based-Practice Model for Nursing and Health Care Professionals. Once all the articles considered important to answer the clinical question

Asssigment

Module 6: Clinical Work Instructions Prepare a data extraction of 5 peer reviewed journals. As a DNP, you need to be able to evaluate peer reviewed journals and appropriately appraise the articles to evaluate if the information can be used to answer the clinical question. Clinical Question: In patients diagnosed

Asssigment

Follow the feedback Final Capstone Project Part I, II, III Exercise Instructions CAPSTONE: PART I, II, III Part 1 Attempt feedback You are on the right track. For the final proposal, discuss nursing leadership skills and stakeholders. What specifically will the nurses teach? Part 2 Attempt feedback Focus on

SOAP Note

Patient is coming in for pap smear SOAP Note 3 A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient

case study 2

Kylie, a 24-year-old female patient, comes to your office for a refill of her allergy medication. Before going into the room, you note that her Patient Health Questionnaire – Depression (PHQ-9) score is 20, and that she is not currently on any medication for depression. When you enter the room,

week 8

Evaluate the current policies related to medicinal marijuana

week7 re

Consider the following questions as you watch your peers’ presentations: Did the presentation include strong evidence to influence practice change? Was the presentation organized, clear, and easy to follow? Was the presentation delivery professional with appropriate video and sound quality? Did the presenter appear to be prepared with the

week 8

Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions. Include the following sections: Application of Course Knowledge: Answer all questions/criteria with explanations and detail. Reflect on your learning experience in this course. Which concepts stood out to you and made an impact? How

Health Assessment

Respond to these two posts with 75-80 words. No AI. Will go through Turnitin.com #1 “According to the Centers for Disease Control and Prevention (CDC), more than 34 million people in the United States (U.S.) have diabetes, and 1 in 5 of those individuals don’t know they have it. Diabetes