NRNP 6635 Week 2 Discussion: The Psychiatric Evaluation And Evidence-Based Rating Scales

NRNP 6635: Psychopathology And Diagnostic Reasoning

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

To Prepare:

  • Review this week’s Learning Resources and reflect on their psychiatric assessment and diagnosis insights.
  • Consider the elements of the psychiatric interview, history, and examination.
  • Consider the assessment tool assigned to you by the Course Instructor.

By Day 3 of Week 2

Post a brief explanation of three crucial components of the psychiatric interview and why you consider these elements necessary. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.

I was assigned PATIENT HEALTH QUESTIONAIRE (PHQ-9)
Read a selection of your colleagues’ responses.

By Day 6 of Week 2

Respond to at least two of your colleagues on two different days by comparing your assessment tool to theirs.

Note: For this Discussion, you are required to complete your initial post before you can view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

NRNP 6635 Week 2 Discussion Sample Soulution

Psychopathology and Diagnostic Reasoning Discussion Response

Communication is essential in ensuring psychiatric patients’ well-being (Donner & Wiklund, 2021). I have experienced cases where a treatment plan was inadequately developed due to a poor relationship between a patient and the medical practitioner. A good relationship facilitates data collection, organization, differential diagnosis, and treatment plans. Patients express themselves better when they feel that the healthcare worker is friendly, approachable, and ready to listen. You have highlighted the importance of patients speaking for themselves. In my work area, patients who give details on their chief complaint reveal information that a caregiver, family, or friend would have otherwise not shared.

Medical practitioners must conduct a psychiatric interview covering therapeutic activities, complementary and alternative medicines, over-the-counter medications, mental status, psychiatric history, and behavioral observation. Patients and their loved ones tend to read a lot of information on the internet has a lot on the management of mental health by using alternative and complementary medicines such as yoga, meditation, and prayer (Wemrell et al., 2020). The myths surrounding antipsychotics, antidepressants, and other mental health drugs discourage patients from seeking hospital solutions. I have witnessed several cases of relapse or reoccurrence caused by non-compliance. Patients must be advised on the importance of strictly following their regimen and attending hospital reviews.

Medical practitioners are encouraged to use rating scales and guidelines in making a diagnosis (Setkowski et al., 2021). Scales such as NICH Vanderbilt Assessment Scale for children with ADHD help in assessing signs and symptoms, patients’ behavior, and making a diagnosis. I recommend that hospital managers organize continuous medical education and training for medical practitioners to learn the latest guidelines and evidence-based practice. 

References

Donner, L., & Wiklund Gustin, L. (2021). Navigating between Compassion and Uncertainty – Psychiatric Nurses’ Lived Experiences of Communication with Patients Who Rarely Speak. Issues in mental health nursing42(4), 307–316. 

Setkowski, K., Boogert, K., Hoogendoorn, A. W., Gilissen, R., & van Balkom, A. (2021). Guidelines improve patient outcomes in specialized mental health care: A systematic review and meta-analysis. Acta Psychiatrica Scandinavica144(3), 246–258. 

Wemrell, M., Olsson, A., & Landgren, K. (2020). The Use of Complementary and Alternative Medicine (CAM) in Psychiatric Units in Sweden. Issues in mental health nursing41(10), 946–957. 

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