Psychopathology and Diagnostic Reasoning
A PMHNP resource hub offering comprehensive psychiatric evaluation templates for ADHD and related disorders, complete with subjective histories, mental status exams, differential diagnosis guides, and recommended assessment tools.
Daniel Miller
Contributor
4.7
36
2 months ago
Preview (2 of 6)
Sign in to access the full document!
Week 10: (Title 48)
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Dr. Kennedy LaVille Thoren
May 04, 2025
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Dr. Kennedy LaVille Thoren
May 04, 2025
NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
Subjective:
CC (chief complaint): "Not able to pay attention in school, not very well"
HPI: Sarah, a school-aged female, presents to the office due to having a difficult time
focusing and completing tasks at school and at home. During the interview, Sarah
appears to be distracted and looks away while being asked questions. The clinician has
to repeat questions multiple times during the interview to get Sarah to answer. Sarah
has a short attention span, easily forgetting the answers, questions, and the discussed
topics. She has poor eye contact throughout the interview. Per the mom, the patient has
a difficult time concentrating in school and forgetting about the assignments almost
eveiy day. The patient is not able to sit still on a chair for more than five minutes. The
patient has a difficult time understanding the material in the textbook as well as
remembering its content. The patient consistently loses items in school and at home
and is unable to organize her items. The patient admits to occasional frustration from
school because of not understanding what the teacher says. The patient also struggles
at home as she is not able to focus on completing assigned tasks. She used to have
impulsive behavior that is dangerous and was not aware of environmental dangers,
such as running to the street, jumping into the pool, climbing the wall, and sticking her
hands over the bars in the zoo. The patient denies symptoms of sadness, depression,
or thoughts of wanting to hurt themself. The patient denies aggression and thoughts of
hurting other people.
Past Psychiatric History :
□ General Statement: Sarah has struggled at school and at home due to the
inability to focus, easily distractable, loses things, and forgetting tasks.
□ Caregivers (if applicable): Mom
□ Hospitalizations: Information not available
□ Medication trials: Information not available
n P sychotherapy or Previous Psychiatric Diagnosis: Attention Deficit Hyperactive
Disorder (ADHD)
Substance Current Use and History: Information not available
Family Psychiatric/Substance Use History: Information not available
Psychosocial History: Sarah is a school-aged female who lives with mom. Sarah
seems to have a good support system with mom very involved in her care and
grandma. Sarah does not seem to have a lot of friends, spends time with mom, her dog
and also likes to play video games.
Educational level: Highschool
Hobbies: She likes to spend time with mom and plays video games
© 2021 Walden University Page 2 of 6
Subjective:
CC (chief complaint): "Not able to pay attention in school, not very well"
HPI: Sarah, a school-aged female, presents to the office due to having a difficult time
focusing and completing tasks at school and at home. During the interview, Sarah
appears to be distracted and looks away while being asked questions. The clinician has
to repeat questions multiple times during the interview to get Sarah to answer. Sarah
has a short attention span, easily forgetting the answers, questions, and the discussed
topics. She has poor eye contact throughout the interview. Per the mom, the patient has
a difficult time concentrating in school and forgetting about the assignments almost
eveiy day. The patient is not able to sit still on a chair for more than five minutes. The
patient has a difficult time understanding the material in the textbook as well as
remembering its content. The patient consistently loses items in school and at home
and is unable to organize her items. The patient admits to occasional frustration from
school because of not understanding what the teacher says. The patient also struggles
at home as she is not able to focus on completing assigned tasks. She used to have
impulsive behavior that is dangerous and was not aware of environmental dangers,
such as running to the street, jumping into the pool, climbing the wall, and sticking her
hands over the bars in the zoo. The patient denies symptoms of sadness, depression,
or thoughts of wanting to hurt themself. The patient denies aggression and thoughts of
hurting other people.
Past Psychiatric History :
□ General Statement: Sarah has struggled at school and at home due to the
inability to focus, easily distractable, loses things, and forgetting tasks.
□ Caregivers (if applicable): Mom
□ Hospitalizations: Information not available
□ Medication trials: Information not available
n P sychotherapy or Previous Psychiatric Diagnosis: Attention Deficit Hyperactive
Disorder (ADHD)
Substance Current Use and History: Information not available
Family Psychiatric/Substance Use History: Information not available
Psychosocial History: Sarah is a school-aged female who lives with mom. Sarah
seems to have a good support system with mom very involved in her care and
grandma. Sarah does not seem to have a lot of friends, spends time with mom, her dog
and also likes to play video games.
Educational level: Highschool
Hobbies: She likes to spend time with mom and plays video games
© 2021 Walden University Page 2 of 6
Preview Mode
Sign in to access the full document!
100%
Study Now!
XY-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat
Document Details
Subject
Psychology