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    – 2 years ago **files (2)** – ## GraduateComprehensivePsychiatricEvaluationTemplate.docx – NUR630CLComprehensivePsychiatricEvaluation1.docx **## GraduateComprehensivePsychiatricEvaluationTemplate.docx** ![page1image3861729600](https://www.sweetstudy.com/questions/nursing-homework-20877903) **Psychia…

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    – 2 years ago

    **files (2)**

    – ## GraduateComprehensivePsychiatricEvaluationTemplate.docx

    – NUR630CLComprehensivePsychiatricEvaluation1.docx

    **## GraduateComprehensivePsychiatricEvaluationTemplate.docx**

    ![page1image3861729600](https://www.sweetstudy.com/questions/nursing-homework-20877903)

    **Psychiatric SOAP Note Template**

    Encounter date: ________________________

    Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____

    Reason for Seeking Health Care: ______________________________________________

    **HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    **SI/HI:** _______________________________________________________________________________

    **Sleep:**_________________________________________
    **Appetite:**\_\_\______________________

    **Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________

    **Current perception of Health**: Excellent Good Fair Poor

    **Psychiatric History:**

    **_Inpatient hospitalizations:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Outpatient psychiatric treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Detox/Inpatient substance treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________

    **Past Medical History**

    · Major/Chronic Illnesses____________________________________________________

    · Trauma/Injury ___________________________________________________________

    · Hospitalizations __________________________________________________________

    **Past Surgical History**\_\_\_________________________________________________________

    **_Current psychotropic medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Current prescription medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_OTC/Nutritionals/Herbal/Complementary therapy:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)

    | | | | |
    | — | — | — | — |
    | **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

    **Family Psychiatric History:** _____________________________________________________

    **Social History**

    **Lives**: Single family House/Condo/ with stairs: ___________
    **Marital Status**:________

    **Education**:____________________________

    **Employment Status**: ______
    **Current/Previous occupation type**: _________________

    **Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________

    **Sexual Orientation:** _______ Sexual Activity: ____
    **Contraception Use**: ____________

    **Family Composition:** Family/Mother/Father/Alone
    **: _____________________________**

    **Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**

    **\_\_\______________________________________________________________________**

    **Health Maintenance**

    **Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____**

    **Exposures:**

    **Immunization HX:**

    **Review of Systems:**

    General:

    HEENT:

    Neck:

    Lungs:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Activity & Exercise:

    Psychosocial:

    Derm:

    Nutrition:

    Sleep/Rest:

    LMP:

    STI Hx:

    **Physical Exam**

    BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
    **percentile**) _____

    General:

    HEENT:

    Neck:

    Pulmonary:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Derm:

    Psychosocial:

    Misc.

    **Mental Status Exam**

    Appearance:

    Behavior:

    Speech:

    Mood:

    Affect:

    Thought Content:

    Thought Process:

    Cognition/Intelligence:

    Clinical Insight:

    Clinical Judgment:

    ****Significant Data/Contributing Dx/Labs/Misc.****

    ****Plan:****

    ****Differential Diagnoses****

    ****1.****

    ****2.****

    ****Principal Diagnoses****

    ****1.****

    ****2.****

    ****Plan****

    ****Diagnosis #1****

    ****Diagnostic Testing/Screening:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Diagnosis #2****

    ****Diagnostic Testingg/Screenin:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Signature (with appropriate credentials): __________________________________________****

    ****Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________****

    ****DEA#: 101010101 STU Clinic LIC# 10000000****

    ****Tel: (000) 555-1234 FAX: (000) 555-12222****

    **Patient Name: (Initials)______________________________ Age ___________**

    **Date: _______________**

    ****RX ______________________________________****

    ****SIG:****

    ****Dispense**: ___________**
    ****Refill:** _________________**

    ****No Substitution****

    ****Signature:** ____________________________________________________________**

    ****Rev. 10162021 LM****

    **## image1.png**

    **NUR630CLComprehensivePsychiatricEvaluation1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluation1-docx)

    **NUR630CLComprehensivePsychiatricEvaluation1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluation1-docx)

    **## GraduateComprehensivePsychiatricEvaluationTemplate.docx**

    ![page1image3861729600](https://www.sweetstudy.com/questions/nursing-homework-20877903)

    **Psychiatric SOAP Note Template**

    Encounter date: ________________________

    Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____

    Reason for Seeking Health Care: ______________________________________________

    **HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    **SI/HI:** _______________________________________________________________________________

    **Sleep:**_________________________________________
    **Appetite:**\_\_\______________________

    **Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________

    **Current perception of Health**: Excellent Good Fair Poor

    **Psychiatric History:**

    **_Inpatient hospitalizations:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Outpatient psychiatric treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Detox/Inpatient substance treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________

    **Past Medical History**

    · Major/Chronic Illnesses____________________________________________________

    · Trauma/Injury ___________________________________________________________

    · Hospitalizations __________________________________________________________

    **Past Surgical History**\_\_\_________________________________________________________

    **_Current psychotropic medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Current prescription medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_OTC/Nutritionals/Herbal/Complementary therapy:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)

    | | | | |
    | — | — | — | — |
    | **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

    **Family Psychiatric History:** _____________________________________________________

    **Social History**

    **Lives**: Single family House/Condo/ with stairs: ___________
    **Marital Status**:________

    **Education**:____________________________

    **Employment Status**: ______
    **Current/Previous occupation type**: _________________

    **Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________

    **Sexual Orientation:** _______ Sexual Activity: ____
    **Contraception Use**: ____________

    **Family Composition:** Family/Mother/Father/Alone
    **: _____________________________**

    **Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**

    **\_\_\______________________________________________________________________**

    **Health Maintenance**

    **Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____**

    **Exposures:**

    **Immunization HX:**

    **Review of Systems:**

    General:

    HEENT:

    Neck:

    Lungs:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Activity & Exercise:

    Psychosocial:

    Derm:

    Nutrition:

    Sleep/Rest:

    LMP:

    STI Hx:

    **Physical Exam**

    BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
    **percentile**) _____

    General:

    HEENT:

    Neck:

    Pulmonary:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Derm:

    Psychosocial:

    Misc.

    **Mental Status Exam**

    Appearance:

    Behavior:

    Speech:

    Mood:

    Affect:

    Thought Content:

    Thought Process:

    Cognition/Intelligence:

    Clinical Insight:

    Clinical Judgment:

    ****Significant Data/Contributing Dx/Labs/Misc.****

    ****Plan:****

    ****Differential Diagnoses****

    ****1.****

    ****2.****

    ****Principal Diagnoses****

    ****1.****

    ****2.****

    ****Plan****

    ****Diagnosis #1****

    ****Diagnostic Testing/Screening:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Diagnosis #2****

    ****Diagnostic Testingg/Screenin:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Signature (with appropriate credentials): __________________________________________****

    ****Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________****

    ****DEA#: 101010101 STU Clinic LIC# 10000000****

    ****Tel: (000) 555-1234 FAX: (000) 555-12222****

    **Patient Name: (Initials)______________________________ Age ___________**

    **Date: _______________**

    ****RX ______________________________________****

    ****SIG:****

    ****Dispense**: ___________**
    ****Refill:** _________________**

    ****No Substitution****

    ****Signature:** ____________________________________________________________**

    ****Rev. 10162021 LM****

    **## image1.png**

    **NUR630CLComprehensivePsychiatricEvaluation1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluation1-docx)

    **## GraduateComprehensivePsychiatricEvaluationTemplate.docx**

    ![page1image3861729600](https://www.sweetstudy.com/questions/nursing-homework-20877903)

    **Psychiatric SOAP Note Template**

    Encounter date: ________________________

    Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____

    Reason for Seeking Health Care: ______________________________________________

    **HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    **SI/HI:** _______________________________________________________________________________

    **Sleep:**_________________________________________
    **Appetite:**\_\_\______________________

    **Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________

    **Current perception of Health**: Excellent Good Fair Poor

    **Psychiatric History:**

    **_Inpatient hospitalizations:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Outpatient psychiatric treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Detox/Inpatient substance treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________

    **Past Medical History**

    · Major/Chronic Illnesses____________________________________________________

    · Trauma/Injury ___________________________________________________________

    · Hospitalizations __________________________________________________________

    **Past Surgical History**\_\_\_________________________________________________________

    **_Current psychotropic medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Current prescription medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_OTC/Nutritionals/Herbal/Complementary therapy:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)

    | | | | |
    | — | — | — | — |
    | **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

    **Family Psychiatric History:** _____________________________________________________

    **Social History**

    **Lives**: Single family House/Condo/ with stairs: ___________
    **Marital Status**:________

    **Education**:____________________________

    **Employment Status**: ______
    **Current/Previous occupation type**: _________________

    **Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________

    **Sexual Orientation:** _______ Sexual Activity: ____
    **Contraception Use**: ____________

    **Family Composition:** Family/Mother/Father/Alone
    **: _____________________________**

    **Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**

    **\_\_\______________________________________________________________________**

    **Health Maintenance**

    **Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____**

    **Exposures:**

    **Immunization HX:**

    **Review of Systems:**

    General:

    HEENT:

    Neck:

    Lungs:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Activity & Exercise:

    Psychosocial:

    Derm:

    Nutrition:

    Sleep/Rest:

    LMP:

    STI Hx:

    **Physical Exam**

    BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
    **percentile**) _____

    General:

    HEENT:

    Neck:

    Pulmonary:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Derm:

    Psychosocial:

    Misc.

    **Mental Status Exam**

    Appearance:

    Behavior:

    Speech:

    Mood:

    Affect:

    Thought Content:

    Thought Process:

    Cognition/Intelligence:

    Clinical Insight:

    Clinical Judgment:

    ****Significant Data/Contributing Dx/Labs/Misc.****

    ****Plan:****

    ****Differential Diagnoses****

    ****1.****

    ****2.****

    ****Principal Diagnoses****

    ****1.****

    ****2.****

    ****Plan****

    ****Diagnosis #1****

    ****Diagnostic Testing/Screening:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Diagnosis #2****

    ****Diagnostic Testingg/Screenin:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Signature (with appropriate credentials): __________________________________________****

    ****Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________****

    ****DEA#: 101010101 STU Clinic LIC# 10000000****

    ****Tel: (000) 555-1234 FAX: (000) 555-12222****

    **Patient Name: (Initials)______________________________ Age ___________**

    **Date: _______________**

    ****RX ______________________________________****

    ****SIG:****

    ****Dispense**: ___________**
    ****Refill:** _________________**

    ****No Substitution****

    ****Signature:** ____________________________________________________________**

    ****Rev. 10162021 LM****

    **## image1.png**

    **NUR630CLComprehensivePsychiatricEvaluation1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluation1-docx)

  • [Solved] Nursing homework

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (2)** – ## GraduateComprehensivePsychiatricEvaluationTemplateSOAPnotetemplatePSYch.docx – NUR630CLComprehensivePsychiatricEvaluationAssigment.docx **## GraduateComprehensivePsychiatricEvaluationTemplateSOAPnotetemplatePSYch.docx** ![page1image3861729600](https://www.sweetstudy….

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    – 2 years ago

    **files (2)**

    – ## GraduateComprehensivePsychiatricEvaluationTemplateSOAPnotetemplatePSYch.docx

    – NUR630CLComprehensivePsychiatricEvaluationAssigment.docx

    **## GraduateComprehensivePsychiatricEvaluationTemplateSOAPnotetemplatePSYch.docx**

    ![page1image3861729600](https://www.sweetstudy.com/questions/nursing-homework-20877901)

    **Psychiatric SOAP Note Template**

    Encounter date: ________________________

    Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____

    Reason for Seeking Health Care: ______________________________________________

    **HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    **SI/HI:** _______________________________________________________________________________

    **Sleep:**_________________________________________
    **Appetite:**\_\_\______________________

    **Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________

    **Current perception of Health**: Excellent Good Fair Poor

    **Psychiatric History:**

    **_Inpatient hospitalizations:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Outpatient psychiatric treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Detox/Inpatient substance treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________

    **Past Medical History**

    · Major/Chronic Illnesses____________________________________________________

    · Trauma/Injury ___________________________________________________________

    · Hospitalizations __________________________________________________________

    **Past Surgical History**\_\_\_________________________________________________________

    **_Current psychotropic medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Current prescription medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_OTC/Nutritionals/Herbal/Complementary therapy:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)

    | | | | |
    | — | — | — | — |
    | **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

    **Family Psychiatric History:** _____________________________________________________

    **Social History**

    **Lives**: Single family House/Condo/ with stairs: ___________
    **Marital Status**:________

    **Education**:____________________________

    **Employment Status**: ______
    **Current/Previous occupation type**: _________________

    **Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________

    **Sexual Orientation:** _______ Sexual Activity: ____
    **Contraception Use**: ____________

    **Family Composition:** Family/Mother/Father/Alone
    **: _____________________________**

    **Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**

    **\_\_\______________________________________________________________________**

    **Health Maintenance**

    **Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____**

    **Exposures:**

    **Immunization HX:**

    **Review of Systems:**

    General:

    HEENT:

    Neck:

    Lungs:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Activity & Exercise:

    Psychosocial:

    Derm:

    Nutrition:

    Sleep/Rest:

    LMP:

    STI Hx:

    **Physical Exam**

    BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
    **percentile**) _____

    General:

    HEENT:

    Neck:

    Pulmonary:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Derm:

    Psychosocial:

    Misc.

    **Mental Status Exam**

    Appearance:

    Behavior:

    Speech:

    Mood:

    Affect:

    Thought Content:

    Thought Process:

    Cognition/Intelligence:

    Clinical Insight:

    Clinical Judgment:

    ****Significant Data/Contributing Dx/Labs/Misc.****

    ****Plan:****

    ****Differential Diagnoses****

    ****1.****

    ****2.****

    ****Principal Diagnoses****

    ****1.****

    ****2.****

    ****Plan****

    ****Diagnosis #1****

    ****Diagnostic Testing/Screening:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Diagnosis #2****

    ****Diagnostic Testingg/Screenin:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Signature (with appropriate credentials): __________________________________________****

    ****Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________****

    ****DEA#: 101010101 STU Clinic LIC# 10000000****

    ****Tel: (000) 555-1234 FAX: (000) 555-12222****

    **Patient Name: (Initials)______________________________ Age ___________**

    **Date: _______________**

    ****RX ______________________________________****

    ****SIG:****

    ****Dispense**: ___________**
    ****Refill:** _________________**

    ****No Substitution****

    ****Signature:** ____________________________________________________________**

    ****Rev. 10162021 LM****

    **## image1.png**

    **NUR630CLComprehensivePsychiatricEvaluationAssigment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluationassigment-docx)

    **NUR630CLComprehensivePsychiatricEvaluationAssigment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluationassigment-docx)

    **## GraduateComprehensivePsychiatricEvaluationTemplateSOAPnotetemplatePSYch.docx**

    ![page1image3861729600](https://www.sweetstudy.com/questions/nursing-homework-20877901)

    **Psychiatric SOAP Note Template**

    Encounter date: ________________________

    Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____

    Reason for Seeking Health Care: ______________________________________________

    **HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    **SI/HI:** _______________________________________________________________________________

    **Sleep:**_________________________________________
    **Appetite:**\_\_\______________________

    **Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________

    **Current perception of Health**: Excellent Good Fair Poor

    **Psychiatric History:**

    **_Inpatient hospitalizations:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Outpatient psychiatric treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Detox/Inpatient substance treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________

    **Past Medical History**

    · Major/Chronic Illnesses____________________________________________________

    · Trauma/Injury ___________________________________________________________

    · Hospitalizations __________________________________________________________

    **Past Surgical History**\_\_\_________________________________________________________

    **_Current psychotropic medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Current prescription medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_OTC/Nutritionals/Herbal/Complementary therapy:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)

    | | | | |
    | — | — | — | — |
    | **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

    **Family Psychiatric History:** _____________________________________________________

    **Social History**

    **Lives**: Single family House/Condo/ with stairs: ___________
    **Marital Status**:________

    **Education**:____________________________

    **Employment Status**: ______
    **Current/Previous occupation type**: _________________

    **Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________

    **Sexual Orientation:** _______ Sexual Activity: ____
    **Contraception Use**: ____________

    **Family Composition:** Family/Mother/Father/Alone
    **: _____________________________**

    **Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**

    **\_\_\______________________________________________________________________**

    **Health Maintenance**

    **Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____**

    **Exposures:**

    **Immunization HX:**

    **Review of Systems:**

    General:

    HEENT:

    Neck:

    Lungs:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Activity & Exercise:

    Psychosocial:

    Derm:

    Nutrition:

    Sleep/Rest:

    LMP:

    STI Hx:

    **Physical Exam**

    BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
    **percentile**) _____

    General:

    HEENT:

    Neck:

    Pulmonary:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Derm:

    Psychosocial:

    Misc.

    **Mental Status Exam**

    Appearance:

    Behavior:

    Speech:

    Mood:

    Affect:

    Thought Content:

    Thought Process:

    Cognition/Intelligence:

    Clinical Insight:

    Clinical Judgment:

    ****Significant Data/Contributing Dx/Labs/Misc.****

    ****Plan:****

    ****Differential Diagnoses****

    ****1.****

    ****2.****

    ****Principal Diagnoses****

    ****1.****

    ****2.****

    ****Plan****

    ****Diagnosis #1****

    ****Diagnostic Testing/Screening:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Diagnosis #2****

    ****Diagnostic Testingg/Screenin:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Signature (with appropriate credentials): __________________________________________****

    ****Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________****

    ****DEA#: 101010101 STU Clinic LIC# 10000000****

    ****Tel: (000) 555-1234 FAX: (000) 555-12222****

    **Patient Name: (Initials)______________________________ Age ___________**

    **Date: _______________**

    ****RX ______________________________________****

    ****SIG:****

    ****Dispense**: ___________**
    ****Refill:** _________________**

    ****No Substitution****

    ****Signature:** ____________________________________________________________**

    ****Rev. 10162021 LM****

    **## image1.png**

    **NUR630CLComprehensivePsychiatricEvaluationAssigment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluationassigment-docx)

    **## GraduateComprehensivePsychiatricEvaluationTemplateSOAPnotetemplatePSYch.docx**

    ![page1image3861729600](https://www.sweetstudy.com/questions/nursing-homework-20877901)

    **Psychiatric SOAP Note Template**

    Encounter date: ________________________

    Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____

    Reason for Seeking Health Care: ______________________________________________

    **HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    **SI/HI:** _______________________________________________________________________________

    **Sleep:**_________________________________________
    **Appetite:**\_\_\______________________

    **Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________

    **Current perception of Health**: Excellent Good Fair Poor

    **Psychiatric History:**

    **_Inpatient hospitalizations:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Outpatient psychiatric treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_Detox/Inpatient substance treatment:_**

    | | | | |
    | — | — | — | — |
    | **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
    | | | | |
    | | | | |

    **_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________

    **Past Medical History**

    · Major/Chronic Illnesses____________________________________________________

    · Trauma/Injury ___________________________________________________________

    · Hospitalizations __________________________________________________________

    **Past Surgical History**\_\_\_________________________________________________________

    **_Current psychotropic medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Current prescription medications:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_OTC/Nutritionals/Herbal/Complementary therapy:_**

    \_\_\_______________________________________ ________________________________

    \_\_\_______________________________________ ________________________________

    **_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)

    | | | | |
    | — | — | — | — |
    | **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

    **Family Psychiatric History:** _____________________________________________________

    **Social History**

    **Lives**: Single family House/Condo/ with stairs: ___________
    **Marital Status**:________

    **Education**:____________________________

    **Employment Status**: ______
    **Current/Previous occupation type**: _________________

    **Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________

    **Sexual Orientation:** _______ Sexual Activity: ____
    **Contraception Use**: ____________

    **Family Composition:** Family/Mother/Father/Alone
    **: _____________________________**

    **Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**

    **\_\_\______________________________________________________________________**

    **Health Maintenance**

    **Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____**

    **Exposures:**

    **Immunization HX:**

    **Review of Systems:**

    General:

    HEENT:

    Neck:

    Lungs:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Activity & Exercise:

    Psychosocial:

    Derm:

    Nutrition:

    Sleep/Rest:

    LMP:

    STI Hx:

    **Physical Exam**

    BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
    **percentile**) _____

    General:

    HEENT:

    Neck:

    Pulmonary:

    Cardiovascular:

    Breast:

    GI:

    Male/female genital:

    GU:

    Neuro:

    Musculoskeletal:

    Derm:

    Psychosocial:

    Misc.

    **Mental Status Exam**

    Appearance:

    Behavior:

    Speech:

    Mood:

    Affect:

    Thought Content:

    Thought Process:

    Cognition/Intelligence:

    Clinical Insight:

    Clinical Judgment:

    ****Significant Data/Contributing Dx/Labs/Misc.****

    ****Plan:****

    ****Differential Diagnoses****

    ****1.****

    ****2.****

    ****Principal Diagnoses****

    ****1.****

    ****2.****

    ****Plan****

    ****Diagnosis #1****

    ****Diagnostic Testing/Screening:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Diagnosis #2****

    ****Diagnostic Testingg/Screenin:****

    ****Pharmacological Treatment:****

    ****Non-Pharmacological Treatment:****

    ****Education:****

    ****Referrals:****

    ****Follow-up:****

    ****Anticipatory Guidance:****

    ****Signature (with appropriate credentials): __________________________________________****

    ****Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________****

    ****DEA#: 101010101 STU Clinic LIC# 10000000****

    ****Tel: (000) 555-1234 FAX: (000) 555-12222****

    **Patient Name: (Initials)______________________________ Age ___________**

    **Date: _______________**

    ****RX ______________________________________****

    ****SIG:****

    ****Dispense**: ___________**
    ****Refill:** _________________**

    ****No Substitution****

    ****Signature:** ____________________________________________________________**

    ****Rev. 10162021 LM****

    **## image1.png**

    **NUR630CLComprehensivePsychiatricEvaluationAssigment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur630clcomprehensivepsychiatricevaluationassigment-docx)

  • [Solved] SOAP Note 1

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  • [Solved] Women’s Health

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  • [Solved] nursing leadership and management.

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    How has nursing practice evolved over time? Explain the significance of evidence-based practice and critical thinking in modern nursing. Identify one key nursing leader and summarize one historical event that has shaped contemporary nursing practice, the advancement of nursing as a profession, and t…

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    How has nursing practice evolved over time? Explain the significance of evidence-based practice and critical thinking in modern nursing. Identify one key nursing leader and summarize one historical event that has shaped contemporary nursing practice, the advancement of nursing as a profession, and the development of nursing roles. Select a leader and a historical event different from those identified by your classmates.

    minimum of 300 words and include at least two references cited using APA format.

    – 2 years ago

  • [Solved] writing

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  • [Solved] 3-2 Module Three Program Critique

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    follow rubric verbatim Reading: https://www.proquest.com/docview/906369526?_oafollow=false&accountid=3783&sourcetype=Scholarly%20Journals ## What to Submit Your submission should be a 2- to 3-page Word document. Also include a title page. Use 12-point Times New Roman font, double spacing, and one-i…

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    follow rubric verbatim

    Reading:

    https://www.proquest.com/docview/906369526?_oafollow=false&accountid=3783&sourcetype=Scholarly%20Journals

    ## What to Submit

    Your submission should be a 2- to 3-page Word document. Also include a title page. Use 12-point Times New Roman font, double spacing, and one-inch margins. Sources should be cited according to APA style.

    – [\
    \
    rubric2.pdf](https://www.sweetstudy.com/files/rubric2-pdf-10162635 "rubric2.pdf")
    – [\
    \
    3-2Template.docx](https://www.sweetstudy.com/files/3-2template-docx "3-2Template.docx")

    – 2 years ago

  • [Solved] Discussion 4

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    Attached – [\ \ Screenshot_20250122_185311_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250122-185311-chrome-jpg-10164001 "Screenshot_20250122_185311_Chrome.jpg") – 2 years ago

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    Attached

    – [\
    \
    Screenshot_20250122_185311_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250122-185311-chrome-jpg-10164001 "Screenshot_20250122_185311_Chrome.jpg")

    – 2 years ago

  • [Solved] case study week 4

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    please see attachment – 2 years ago **files (1)** – ## Casestudyweek4.docx **## Casestudyweek4.docx** Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references within 5 years. Answer the case studies on the same document. The answers must b…

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    please see attachment

    – 2 years ago

    **files (1)**

    – ## Casestudyweek4.docx

    **## Casestudyweek4.docx**

    Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references within 5 years. Answer the  case studies on the same document.

    The answers must be in your own words with reference to the journal or book where you found the evidence to your answer.

    Copy-paste from websites or textbooks will not be accepted or tolerated.  Copy-paste from websites (chat gtp) or textbooks will not be accepted or tolerated. 0% plagiarism No artificial intelligence

    All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

    Follow up Visit

    Patient Data: BG is a 44 yo male weighing 438 pounds at 5’ 8 was schedule as a regular follow up for the following rash:

    ![](https://www.sweetstudy.com/questions/case-study-week-4-20877983)

    1- Identify the picture

    2- Mention at least three differential diagnoses as part of your assessment and diagnostic strategies

    3- Discuss and describe the diagnosis

    4- Discuss lines of treatment for conclude diagnosis

    ## image1.png

    **## Casestudyweek4.docx**

    Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references within 5 years. Answer the  case studies on the same document.

    The answers must be in your own words with reference to the journal or book where you found the evidence to your answer.

    Copy-paste from websites or textbooks will not be accepted or tolerated.  Copy-paste from websites (chat gtp) or textbooks will not be accepted or tolerated. 0% plagiarism No artificial intelligence

    All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

    Follow up Visit

    Patient Data: BG is a 44 yo male weighing 438 pounds at 5’ 8 was schedule as a regular follow up for the following rash:

    ![](https://www.sweetstudy.com/questions/case-study-week-4-20877983)

    1- Identify the picture

    2- Mention at least three differential diagnoses as part of your assessment and diagnostic strategies

    3- Discuss and describe the diagnosis

    4- Discuss lines of treatment for conclude diagnosis

    ## image1.png