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NRNP 6645: Psychopathology and Diagnostic Reasoning; The patient is a 42-year-old female $30.49   Add to cart

Exam (elaborations)

NRNP 6645: Psychopathology and Diagnostic Reasoning; The patient is a 42-year-old female

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The patient reports feeling "depressed and anxious," with a significant increase in fatigue and a lack of motivation over the past few months. History of Present Illness (HPI): The patient is a 42-year-old female with a past medical history of MDD and complains of deterioration in her depressive ...

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  • September 30, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
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  • NRNP6645
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Week (enter week #): Comprehensive Psychiatric Evaluation and Treatment Plan




Student Name

College of Nursing-PMHNP, Walden University

NRNP 6645: Psychopathology and Diagnostic Reasoning

Faculty Name

Assignment Due Date

, NRNP/PRAC 6645 Comprehensive Psychiatric

Evaluation Note Template

Chief Complaint (CC):

The patient reports feeling "depressed and anxious," with a significant increase in fatigue

and a lack of motivation over the past few months.

History of Present Illness (HPI):

The patient is a 42-year-old female with a past medical history of MDD and complains of

deterioration in her depressive and anxiety symptoms for the past 3 months. They outline the

symptoms that indicate low mood, hopelessness, powerlessness, reduced energy and social

interest, anhedonia, and inability to derive pleasure from previously enjoyed activities. The

patient also complains of increased worry and reduced ability to concentrate, hence a decline in

work productivity. They also suffer from sleeplessness, consequently waking up frequently

during the night, making it difficult for them to have a sound sleep that will help them avoid

fatigue in the coming day. The patient often does not follow the prescribed medications except

occasionally; they feel that their condition is worsening and personal functioning in daily

activities is becoming compromised.

They categorically respond in the negative concerning any recent alterations in the

pattern of substance use and suicidal thoughts. While they do not acknowledge any suicidal

thoughts in the recent past, they admit to having had occasional thoughts about hopelessness in

the past. The patient reveals various stress factors, such as financial threats and interpersonal

clashes at the workplace, that can explain the worsening of the symptoms.




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