NRNP/PRAC 6635 Comprehensive Psychiatric Assessment Template
Week (enter week #): (Enter assignment title)
Student Name
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Faculty Name
Assignment Due Date
Subjective:
CC (chief complaint):
HPI:
Past Psychiatric History:
· General Statement:
· Caregivers (if applicable):
· Hospitalizations:
· Medication trials:
· Psychotherapy or Previous Psychiatric Diagnosis:
Substance Current Use and History:
Family Psychiatric/Substance Use History:
Psychosocial History:
Medical History:
· Current Medications:
· Allergies:
· Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Objective:
Physical exam: if applicable
Diagnostic results:
Assessment:
Mental Status Examination:
Differential Diagnoses:
Reflections:
References
© 2021 Walden University Page 1 of 3
Comprehensive Psychiatric Assessment Template (NRNP/PRAC 6635)
Week (insert week number): (Enter assignment title)
Name of the student
Walden University’s College of Nursing-PMHNP
Psychopathology and Diagnostic Reasoning (NRNP 6635)
Name of the Professor
Due Date for Assignment
Subjective:
CC (complaint in chief):
HPI:
Psychiatric Background:
Statement of Purpose:
(If applicable) Caregivers:
Intensive Care Units (ICUs):
Trials of medications:
Previous Psychiatric Diagnosis or Psychotherapy:
Current and Past Uses of the Substance:
Psychiatric/Substance Abuse History in the Family:
Psychosocial Background:
Medical Background:
Medications in Use:
· Allergies:
· Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Objective:
Physical exam: if applicable
Diagnostic results:
Assessment:
Mental Status Examination:
Differential Diagnoses:
Reflections:
References
© 2021 Walden University Page 1 of 3
