Psychiatric Nursing (Nursing 140)

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Psychiatric Nursing (Nursing 140L)
Case Study Assignment
Spring 2015
For this assignment you are to pick a patient you worked with this quarter and prepare a presentation
in give to your clinical seminar. For this assignment I would like you to follow the format below to
prepare your presentation. About 50% of the presentation should be focused on the background and
treatment recommendations (PART I). The other half should focus on describing the treatment that
was given in your clinical setting, your patient’s response to that treatment, and what you would do for
this patient if you were planning long-term care for him/her (PART II).
PART I:
Points earned/points possible
Demographics
/1
Source of Referral
/1
Patient-Stated Treatment Goal
/5
Presenting Symptoms
/3
Psychiatric History
/3
Medical History
/2
Ingestion History
/1
Mental Status Exam
/20
Orientation
Appearance
Motor
Speech
Affect
Thought content
Thought process
Perception
Intellect
Insight
Lifestyle Implications
/1
Clinical Impression
/3
Diagnostic Impression
/5
Axis I: Axis II: Axis III: Axis IV: Axis V
Treatment Recommendation
/5
Psychopharmacological
Psychological
PART II:
Treatment given in clinical setting (is it evidence-based?)
Summary of response to treatment
Long-term treatment planning
Mental health promotion
TOTAL POINTS/ TOTALPOSSIBLE POINTS
/15
/10
/15
/10
/100
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