Posted: April 24th, 2022

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NRNP/PRAC 6635 Comprehensive Psychiatric Assessment Template

Week (enter week #): (Enter assignment title)

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6635: Psychopathology and Diagnostic Reasoning

Faculty Name

Assignment Due Date

Subjective:

CC (chief complaint):

HPI:

Past Psychiatric History:

· General Statement:

· Caregivers (if applicable):

· Hospitalizations:

· Medication trials:

· Psychotherapy or Previous Psychiatric Diagnosis:

Substance Current Use and History:

Family Psychiatric/Substance Use History:

Psychosocial History:

Medical History:

· Current Medications:

· Allergies:

· Reproductive Hx:

ROS:

· GENERAL:

· HEENT:

· SKIN:

· CARDIOVASCULAR:

· RESPIRATORY:

· GASTROINTESTINAL:

· GENITOURINARY:

· NEUROLOGICAL:

· MUSCULOSKELETAL:

· HEMATOLOGIC:

· LYMPHATICS:

· ENDOCRINOLOGIC:

Objective:

Physical exam: if applicable

Diagnostic results:

Assessment:

Mental Status Examination:

Differential Diagnoses:

Reflections:

References

© 2021 Walden University Page 1 of 3

Comprehensive Psychiatric Assessment Template (NRNP/PRAC 6635)

Week (insert week number): (Enter assignment title)

Name of the student

Walden University’s College of Nursing-PMHNP

Psychopathology and Diagnostic Reasoning (NRNP 6635)

Name of the Professor

Due Date for Assignment

Subjective:

CC (complaint in chief):

HPI:

Psychiatric Background:

Statement of Purpose:

(If applicable) Caregivers:

Intensive Care Units (ICUs):

Trials of medications:

Previous Psychiatric Diagnosis or Psychotherapy:

Current and Past Uses of the Substance:

Psychiatric/Substance Abuse History in the Family:

Psychosocial Background:

Medical Background:

Medications in Use:

· Allergies:

· Reproductive Hx:

ROS:

· GENERAL:

· HEENT:

· SKIN:

· CARDIOVASCULAR:

· RESPIRATORY:

· GASTROINTESTINAL:

· GENITOURINARY:

· NEUROLOGICAL:

· MUSCULOSKELETAL:

· HEMATOLOGIC:

· LYMPHATICS:

· ENDOCRINOLOGIC:

Objective:

Physical exam: if applicable

Diagnostic results:

Assessment:

Mental Status Examination:

Differential Diagnoses:

Reflections:

References

© 2021 Walden University Page 1 of 3

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