NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

 

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:

 

Physical exam: if applicable

 

Diagnostic results:

 

Assessment

 

Mental Status Examination:

 

Differential Diagnoses:

 

Reflections:

 

PRECEPTOR VERFICIATION:

 

I confirm the patient used for this assignment is a patient that was seen and managed by the student at their Meditrek approved clinical site during this quarter course of learning.

 

Preceptor signature: ________________________________________________________

 

Date: ________________________

 

References

We can handle this paper for you

We Guarantee ZERO Plagiarism ZERO AI

Done by Professional writers from scratch