Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders.

NRNP Week 7: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement DisordersIntroduction Psychiatric disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.INSTRUCTIONS Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document. USE the video case study Transcript (“Training Title 134″) for this Assignment from the Video Case Selections View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient. Complete and submit your Comprehensive Psychiatric Evaluation, including your DIFFERENTIAL DIAGNOSIS and critical-thinking process to formulate primary diagnosis.Incorporate the following into your responses in the template:SUBJECTIVE: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? OBJECTIVE: What observations did you make during the psychiatric assessment? ASSESSMENT: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.REFLECTION NOTES: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).Possible Resources to UseAmerican Psychiatric Association. (2022). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.). Medication_Induced_Movement_DisordersAmerican Psychiatric Association. (2022). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.) Schizophrenia_SpectrumBoland, R. & Verduin, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.Chapter 5, “Schizophrenia Spectrum and Other Psychotic Disorders”Chapter 2 only section 2.14, “Early-Onset Schizophrenia””Training Title 134″Produced by Symptom Media, In Test Section Index, 134 (Santa Monica, CA: Symptom Media, 2018), 2 minutesTest your diagnostic ability with this video.BEGIN TRANSCRIPT: 00:00:10[sil.] 00:00:15UNKNOWN Hi, Mrs. Warren, nice to see you again. How are you doing? 00:00:20WARREN You’re with them. 00:00:20UNKNOWN Pardon me. 00:00:25WARREN I know you are. But you won’t tell me, people like you never do. 00:00:30UNKNOWN I’m not sure that I follow. 00:00:30WARREN Sure. They dumb just like everybody else. We’re on to you. 00:00:40UNKNOWN Who do you mean by we? 00:00:45WARREN Mm-hmm. 00:00:45UNKNOWN You are not going to tell me? 00:00:50WARREN I don’t need to tell you. You have eyes and ears planted everywhere. 00:00:55UNKNOWN Everywhere meaning other places away from the hospital… 00:01:00WARREN Everywhere, enough set. 00:01:00UNKNOWN Let me make sure I understand. Are you saying you feel that I or someone else has been spying on you? 00:01:05WARREN I don’t feel that. I know it. You and your people had… I don’t need to explain it, you already know. 00:01:15UNKNOWN You feel safe here in the emergency department? 00:01:20WARREN There’s nowhere that is safe. Don’t pretend like there is. 00:01:30END TRANSCRIPThttps://video.alexanderstreet.com/watch/training-title-134<iframe src=”https://video.alexanderstreet.com/embed/training-title-134″ width=”640″ height=”390″ frameborder=”0″ allow=”encrypted-media *; autoplay *; fullscreen *” allowfullscreen></iframe>https://video.alexanderstreet.com/embed/training-title-134