Assessing and Diagnosing Patients With Mood Disorders – Depression

  • Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.
  • 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. 
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. 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. 
By Day 7 of Week 3

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a 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 diagnostic criteria for each differential diagnosis and explain what DSM-5 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.).

Video: 

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https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/depressive-disorders/cite?context=channel:diagnosing-mental-disorders-dsm-5-and-icd-10

video citation

Classroom Productions (Producer), & Harrigan, S. (Director). (2015). Depressive Disorders. [Video/DVD] Microtraining Associates. Retrieved from https://video.alexanderstreet.com/watch/depressive-disorders

Community Experience Project Report

Community Experience Project Report.

My community project was done during the period of covid where most people where carrying out all daily activities 100% and due to that lack of face to face meeting, I went ahead to join one of the links that we were giving by =our professor. There I was able to join

Texas

State:

Texas

State Organization:

NAMI Texas

Address:

NAMI Texas
P.O. Box 300817
Austin, TX 78703

Phone:

(512) 693-2000

Email Address:

executive.director@namitexas.org

Website:

NAMI Texas – Support and Advocacy for Mental Health

Serving:

President:

Andrew M. Horner

Executive Director:

Greg Hansch

tth

Course:NURS 223L

COMMUNITY EXPERIENCE PROJECT & RUBRIC

Page 1 of 5

OBJECTIVE: There are a variety of community-based treatment settings in which psychiatric-

mental health nurses practice. The Community Experience Project serves to provide students

with the opportunity to compare psychiatric services and identify nursing roles, responsibilities,

and activities in the community setting. Examples of in-person community experiences include:

– 12 step programs, such as Alcoholic Anonymous (AA); Cocaine Anonymous (CA);

Narcotic Anonymous (NA); Emotional Anonymous (EA) or Overeater Anonymous

(OA).

– Mental health court (LPS Conservatorship hearing and Writ of Habeas Corpus

(Latin for “present in the body”), which must be granted to anyone on a 14-day

hold or a 30-day hold upon request by the patient.

– Self-help/support groups, psychiatric adult day care settings, partial

hospitalization programs, and school counseling centers.

Ideally, students would be in the community setting, providing an in-person experience.

However, the COVID-19 pandemic has brought about many challenges, changes, and social

distancing requirements and recommendations. This project will be completed virtually;

ONLINE ONLY. It is noted that due to the pandemic and limited resources, currently, many

organizations/sites are not allowing students needing to fulfill a course requirement to attend

meetings. Therefore, assignment requirements have been modified. The assignment must

earn 76% by the grading rubric and meet the requirements of the specific criteria on the

Clinical Evaluation Tool. The report must follow the criteria on the Community Experience

Rubric and also include a personal reflection and brief summary of what was learned during

the community experience. In addition, you will include discussion of the nurse’s role as a

positive role model in the mental health community setting, and the nursing process within

the community setting. The report must be in APA format, be 800 – 1,000 words in

length, and is due in week 8.

PLEASE REFER TO THE FOLLOWING PAGES FOR THE COMMUNITY

EXPERIENCE PROJECT REQUIREMENT AND RUBRIC

MODIFICATIONS.

Course: NURS 223L

COMMUNITY EXPERIENCE PROJECT & RUBRIC

Page 2 of 5

INSTRUCTIONS: What if you were a patient in the local Dallas-Fort Worth metropolitan

area, diagnosed with a mental illness, or currently going through various challenges due to

COVID-19? Would you be able to easily find help? Would you know where to start? For this

project, imagine you are a mental health nurse in your community, volunteering during the

COVID relief efforts. Although, as a nurse, you have excellent therapeutic communication

skills, and are a skilled active listener, you realize that you cannot provide all of the necessary

help for the many people affected by the pandemic.

PART I. To better understand and experience the support group setting, first, attend (4 total)

support group meetings hosted by WEconnect Recovery at

https://www.weconnectrecovery.com/free-online-support-meetings. Choose:

– 2 of the daily recovery meetings

– 1 daily meeting for family and loved ones

– 1 LGBTQIA+ or Womxn* meeting

You will need to provide meeting verification, which will be emailed to you upon request.

Example resources:

Anxiety and Depression Association of America https://adaa.org/adaa-online-support-group

Depression and Bipolar Support Alliance (DBSA) https://www.dbsalliance.org/

Mental Health America https://mhanational.org/

National Alliance on Mental Illness https://nami.org/

National Domestic Violence Hotline https://www.thehotline.org/

Substance Abuse and Mental Health Services Administration (SAMHSA) https://www.samhsa.gov/

Support Groups Central https://www.supportgroupscentral.com/

TherapyTribe https://support.therapytribe.com/

Turn2Me https://www.turn2me.ie/group-supports

https://www.weconnectrecovery.com/free-online-support-meetings

https://adaa.org/adaa-online-support-group

Home

https://mhanational.org/

Homepage

Home

https://www.samhsa.gov/

https://www.supportgroupscentral.com/

Wellness Community

https://www.turn2me.ie/group-supports

Course: NURS 223L
COMMUNITY EXPERIENCE PROJECT & RUBRIC

Page 3 of 5

PART II. Now, you are tasked with locating mental health community resources for

those in need, and you have decided to make handouts/pamphlets and a blog for the

community. Keep in mind, that not everyone has access to a mobile phone, the internet, a

computer, or a car. Your instructor will assign each student a diagnoses. You are to

address the following questions/rubric criteria.

1. Give a general background summary on the diagnosis. DSM-5 criteria? How many
persons are affected (prevalence)? Who is most affected (demographics)? Treatment

options? Suicide risk? Cyclical, chronic, debilitating?

2. For the diagnosis, you must find 6 total resources (try to find free / low cost options):
a. 2 in person support group options (for the patient)
b. 2 telephone/video support options (for the patient)
c. 1 in person support option (for family/loved ones)
d. 1 telephone/video support option (for family/loved ones)

3. For each resource option, you must note:
a. Name and purpose of the supporting organization

i. population served and types of health concerns addressed
ii. professional services offered (social services, housing assistance, referrals,

etc.) and how the organization communicates with the community (website,

blog, social media, email, etc.)

b. Contact information (website, physical address, email address, phone, etc.)
c. Support group availability (meeting dates, times, method, costs, etc.)
d. Use internet search, google earth, local transit information, etc. to get an overview

of the in person group meeting location. Is the location easily accessible for those

without transportation or with disabilities? Do you have any geographical, safety,

or other concerns?

The typewritten report must follow the criteria on the rubric and also include a personal

reflection and brief summary of what was learned during the community experience. APA

format should be followed, including reference/resource citations. In addition, include

discussions of how the nurse could serve as a positive role model and discuss the nursing process

within the community setting. You should specifically detail activities

experienced during the

online support group meetings.

Other questions to address: How has the COVID-19 pandemic affected management of the

diagnosis? Did you have difficulties finding resources, signing up for meetings, getting contact

information, etc? What program changes might better serve the community? Are there any

resources for those with disabilities, such as hearing/sight impaired? What resources are

available for those who do not speak English? Nonverbal persons? Persons with developmental

disabilities? Low income persons? Children?

Course: NURS 223L
COMMUNITY EXPERIENCE PROJECT & RUBRIC

Page 4 of 5

COMMUNITY EXPERIENCE PROJECT RUBRIC

CRITERIA 4 3 2 1-0 SCORE

A. MEETING

ATTENDANCE

B. DIAGNOSIS/HEALTH

CONCERNS ADDRESSED

4 online support group

meetings attended. Gives

detailed overview of the

meeting experience and

assigned

diagnosis.

3 online support group meetings

attended. Gives detailed

overview of the meeting

experience and assigned

diagnosis.

1-2 online support group

meetings attended. Gives brief

overview of the meeting
experience and assigned
diagnosis.

No proof of meeting

attendance provided. Gives

no overview of the meeting

experience or assigned

diagnosis.

ORGANIZATION

INFORMATION

Provides contact information

(name, website, phone number,

address) of the

organization.

Details a clear description of

the purpose of the
organization.

Provides the name of the

organization and describes the

purpose of

the organization.

Provides the name of

organization and vaguely

describes the purpose of the

organization.

Did not identify the name,

address and/or purpose of

the organization.

A. POPULATION SERVED

B. HEALTH CONCERNS

Shows an excellent
understanding of the

population served at this

organization.

Presents a satisfactory
understanding of the population

served at this organization.

Presents an unclear
understanding of the

population served at this
organization.

Did not discuss the
population served.

RESOURCE

INFORMATION

Identifies all 6 required

support group options (2 in
person, 2 telephone, 2 family

resources). Notes availability

(dates/times).

Briefly identifies professional

services available at this setting.

Minimally identifies/alludes to

professional services available
at this setting.

Did not identify any

professional

services.

BARRIERS TO ACCESS

Insightfully details and

discusses concerns/issues, such
as transportation, finances,

disabilities, and language that

may be barriers to accessing

resources.

Briefly discusses possible

barriers to accessing resources.

Vaguely discusses possible

barriers to accessing resources.

Did not discuss possible

barriers to accessing
resources.

Course: NURS 223L
COMMUNITY EXPERIENCE PROJECT & RUBRIC

Page 5 of 5

CRITERIA 4 3 2 1-0 SCORE

A. COMMUNICATION

B. PROFESSIONAL

SERVICES

Discusses with detail the ways
the organization communicates

with the

community.

Addresses professional

services.

Briefly discusses ways the
organization communicates with

the community. Addresses

professional services.

Vaguely discusses /alludes to

ways the organization

communicates with the

community. Minimally

addresses professional

services.

Did not discuss how the
organization communicates

or professional services.

PERSONAL REFLECTION

Discusses with detail the

activities experienced during

the community experience and

what was learned.

Briefly discusses activities

experienced during the

community experience.

Vaguely discusses /alludes to
activities experienced during

the community experience.

Did not discuss activities

experienced during the
community experience.

A. NURSE’S ROLE

B. PROGRAM CHANGES

Analyzes the nurse as a role

model in setting and what

program changes might better

serve

the community.

Briefly discusses the nurse’s role

and possible program changes

that might better serve the

community.

Minimally discusses the

nurse’s role and program

changes that might better serve

the community.

Did not discuss nurse’s role

and program changes.

APA FORMAT

Follows the APA format

without APA violations,

grammar

and

spelling errors.

Follows the APA format with

few APA violations, grammar

and spelling errors.

Minimally follows the APA

format but has multiple

violations, grammar and/or

spelling errors.

Did not follow the APA

format.

OVERALL SCORING

36 – 30

____

29 – 23

____

22 – 16

____

15 – 9

____

TOTAL

POINTS

____

36

FINAL GRADE = ____%

COMMENTS: __________________________________________________________________________________________

___________________________________________________________________________________________________

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