NRNP 6655 Discussion Comprehensive Integrated Psychiatric Assessment

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NRNP 6655 Discussion Comprehensive Integrated Psychiatric Assessment

NRNP 6655 Discussion Comprehensive Integrated Psychiatric Assessment

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Many assessment principles are the same for children and adults; however, unlike with
adults/older adults, where consent for participation in the assessment comes from the
actual client, with children it is the parents or guardians who must make the decision for
treatment. Issues of confidentiality, privacy, and consent must be addressed. When
working with children, it is not only important to be able to connect with the pediatric
patient, but also to be able to collaborate effectively with the caregivers, other family
members, teachers, and school counselors/psychologists, all of whom will be able to provide
important context and details to aid in your assessment and treatment plans.
Some children/adolescents may be more difficult to assess than adults, as they can be less
psychologically minded. That is, they have less insights into themselves and their
motivations than adults (although this is not universally true). The PMHNP must also take
into consideration the child’s culture and environmental context. Additionally, with
children/adolescents, there are lower rates of neurocognitive disorders superimposed on
other clinical conditions, such as depression or anxiety, which create additional diagnostic
In this Discussion, you review and critique the techniques and methods of a mental health
professional as the practitioner completes a comprehensive, integrated psychiatric
assessment of an adolescent. You also identify rating scales and treatment options that are
specifically appropriate for children/adolescents.
To Prepare
 Review the Learning Resources and consider the insights they provide on
comprehensive, integrated psychiatric assessment. Watch the Mental Status
Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.
 Watch the YMH Boston Vignette 5 video and take notes; you will use this video as
the basis for your Discussion post.

By Day 3 of Week 1
Based on the YMH Boston Vignette 5 video, post answers to the following questions:
 What did the practitioner do well? In what areas can the practitioner improve?
 At this point in the clinical interview, do you have any compelling concerns? If so,

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what are they?
 What would be your next question, and why?
Then, address the following. Your answers to these prompts do not have to be tailored to
the patient in the YMH Boston video.
 Explain why a thorough psychiatric assessment of a child/adolescent is important.
 Describe two different symptom rating scales that would be appropriate to use
during the psychiatric assessment of a child/adolescent.
 Describe two psychiatric treatment options for children and adolescents that may
not be used when treating adults.
 Explain the role parents/guardians play in assessment.
Support your response with at least three peer-reviewed, evidence-based sources and
explain why each of your supporting sources is considered scholarly. Attach the PDFs of
your sources.
Read a selection of your colleagues’ responses.
By Day 6 of Week 1
Respond to at least two of your colleagues on 2 different days by offering additional
insights or alternative perspectives on their analysis of the video, other rating scales that
may be used with children, or other treatment options for children not yet mentioned. Be
specific and provide a rationale with evidence.
Note: For this Discussion, you are required to complete your initial post before you will be
able to 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 own posts, and you
cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria

To access your rubric:
Week 1 Discussion Rubric

Post by Day 3 of Week 1 and Respond by Day 6 of Week 1

To Participate in this Discussion:
Week 1 Discussion

What's Coming Up in Week 2?

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In Week 2, you will explore ethical and legal considerations related to PMHNP care. You
will also complete a pretest of the body of knowledge that will be on the PMHNP
certification exam. This pretest is not graded; rather, it is used to identify your current
strengths and opportunities for improvement so that you can create a study plan for the
exam. You will use this study plan in this course and update it in NRNP 6675 and after
your program, as needed.
Next Week

To go to the next week:
Week 2

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