Mental Health Evaluation of An Adolescent Client Case Study

  1. Select a pediatric/adolescent client or case that you have worked within either in your current nursing practice or your PMHNP student clinical setting. Ensure that you correctly remove the appropriate information (name, etc.) to remain HIPAA compliant.
  2. Prepare a full mental health evaluation on your pediatric/adolescent client. Use the resources presented in the course to help guide your evaluation. Kaplan & Saddock’s Synopsis of Psychiatry has a robust list of the categories of information you should collect and present in your evaluation report (5.1. Parts of the Initial Psychiatric Interview). This should include the following:
    1. A full psychiatric, physical, social, family, and birth and developmental history including verbal reports of the client, your observations of the client, and a summary of any diagnostic aids that you have used.
    2. The use of at least one psychiatric screening or assessment tool from the literature to assist in your assessment of the client
    3. A full physical assessment in addition to the mental status exam and psychiatric history
  3. Develop a DSM-5 diagnostic assessment:
    1. Support your diagnosis through a thoughtful, evidence-based rationale of the data collected in your evaluation.
  4. Propose a practical, evidence-based plan of care:
    1. Keep in mind the role of the psychiatric-mental health nurse practitioner is to assess all aspects of the patient’s health status, including health promotion, and disease prevention. Psychiatric care is interdisciplinary. Your plan of care may include the use of other mental health professionals for the delivery of appropriate care. For example, someone who has been chronically back pain, and has been out of work may have these factors contributing to his or her depression and may require a pain specialist and social services to address those aspects of the client’s poor psychological functioning.

Expert Solution Preview

Introduction: In this assignment, we will be evaluating a pediatric/adolescent client’s mental health condition and creating a practical, evidence-based plan of care. We will be using resources such as Kaplan & Saddock’s Synopsis of Psychiatry to collect and present information and develop a DSM-5 diagnostic assessment. As psychiatric-mental health nurse practitioners, our role is to assess all aspects of the patient’s health status and provide interdisciplinary care for optimal patient outcomes.

1. Pediatric/adolescent client case:
A 14-year-old male, referred by his school counselor for frequent absences and social isolation. He reports feeling “empty” and “numb” most of the time, has difficulty sleeping, and has lost interest in activities he previously enjoyed. He reports no medical history and no family history of mental illness.

2. Full mental health evaluation:

Psychiatric History: The client currently reports feeling hopeless, numb, and disinterested in daily activities. He has been experiencing difficulty falling asleep and staying asleep for several weeks. He denies any suicidal ideation or intent.

Physical History: Client denies any physical health issues

Social History: The client lives with his parents and a younger sibling. The client’s parents are supportive but work long hours. The client denies the use of drugs or alcohol.

Family History: No family history of mental illness reported.

Birth and developmental history: No significant history reported.

Diagnostic Aids: Patient Health Questionnaire-9 (PHQ-9) was used to assess the client’s symptoms of depression. The client scored a 16 on the PHQ-9, indicating severe depressive symptoms.

3. DSM-5 diagnostic assessment:
Diagnosis: Major Depressive Disorder, single episode, severe

Rationale: The client reports symptoms consistent with the diagnosis of Major Depressive Disorder, including feelings of hopelessness, disinterest in daily activities, and difficulty sleeping. The PHQ-9 score of 16 also supports this diagnosis.

4. Plan of care:
The plan of care for this client includes a combination of pharmacological and non-pharmacological interventions. The client will be prescribed an initial dose of an SSRI medication, and the dosage will be increased based on the client’s response. The client will also be referred to a cognitive-behavioral therapist to address the underlying psychological factors contributing to his depression. The therapist will provide the client with coping skills and tools to manage his depression. The therapist will work with the client’s family and school to help create an improved support system at home and school. Follow-up visits will be scheduled with the client to monitor his progress. Finally, the client will be provided with resources and information on community support groups and hotline numbers for crisis situations.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Describe and critique a current article that relates to Nursing Assignment Help

Describe and critique a current article that relates to hospital financing and competitive practices in healthcare. (Article should be from a scholarly, peer-reviewed journal published within the last 3-5 years). Submit 1,000-1,500-word paper with a KU title page and reference page in a scholarly format. You are a medical professor

GCU Patient Preferences in Care Discussion Reply Nursing Assignment Help

please respond to the following discussion as a peer making a comment. Hello everyone, Integrating patient preferences and values with clinician expertise is essential when making evidence-based decisions. This approach leads to patient-centered care, improves treatment adherence, and enhances health outcomes. Patients’ unique values, beliefs, priorities, and circumstances can significantly

UM Administrator in Training Rotation Experience Report Nursing Assignment Help

Complete and Submit the Three Sections of the Report for the Assignment: AIT Experience: LTC Settings and Services Report Template (ATTACHED) APA: Include APA 7th Edition Formatted Reference Page. ALL RESPONSES IN PARAGRAPH FORM. Complete Section 1 of the Report Select the Long Term Care (LTC) Settings and Services: ALREADY

NYU Autoimmune Disease of Myelin Abstract Nursing Assignment Help

`The disease is called MS You should read Wikipedia “Immune System”, “Antibody”,  “Antigen”, “T  cell”, “B cell”, “Macrophage”, “Dendritic cell”  for writing your abstract. It would also be good to read the Wikipedia article on MS.  The purpose of writing an abstract is to condense the material you have read

Within the Professions of Psychology Paper Nursing Assignment Help

PSY 540 Final Project Guidelines and Rubric Overview Within the professions of psychology, it can be typical for you to work on proposals for programs, studies, or new initiatives. For example, you may work for a university that regularly partners with foundations and corporations to identify grant opportunities for projects

Professional Ethics Instructions Baccalaureate education Nursing Assignment Help

Professional Ethics Instructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses

Select one of the following populations: Aging Nursing Assignment Help

Select one of the following populations: Aging Population Homelessness Migrant Workers LGBTQIA+ Other Identified Vulnerable Populations from Your Reading Then complete the following steps for your discussion post: Identify which vulnerable population you have chosen to use for this post and describe what this vulnerable population looks like in your

WGU Population Health Data Analysis Paper Nursing Assignment Help

In this course, you learned that Informatics for Transforming Nursing Care integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. This provides knowledge and skills to apply informatics concepts, communications, and data critical to facilitating interprofessional

Professional EthicsInstructions Baccalaureate education Nursing Assignment Help

Professional EthicsInstructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses and

HSA 599 SU Public Health Emergencies Discussion Nursing Assignment Help

I’m working on a health & medical discussion question and need the explanation and answer to help me learn. Discuss a life-threatening event or a natural disaster in your community, such as a severe weather event, terrorist attack, or other type of public health emergency. Examine an overall strategy that

Develop a literature map or a visual representation of the Nursing Assignment Help

Develop a literature map or a visual representation of the Public Health Informatics literature.  Also include a powerpoint presentation explaining the literature map with the slides Constructing a literature map helps you: develop an understanding of the key issues and research findings in the literature organize ideas see how different research studies