Mental status

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• Display your photo ID at the start of the video when you introduce yourself.
• Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
• State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.
• Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.
• Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
• Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video.
• Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide.
o 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?
o Objective: What observations did you make during the psychiatric assessment?
o Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.
o Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Discuss an identified social determinate of health impacting this patient’s mental health status and provide your recommendation for a referral to assist this patient in meeting this identified need (students will need to conduct research on this topic both in the literature and for community resources).
o Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be.

Sample Solution

Unfortunately, numerous nurses assumed that “a selfless attitude and neglecting self-care made up a large part of a nurse’s identity” (Gabrielle, et al., 2008, p. 319). This nurse-held conviction of selflessness can have detrimental consequences, particularly when combined with the demands of the occupation. These consequences can include acute and chronic conditions or self-inflicted illnesses due to the absence of self-care. One older nurse expressed “You put yourself last…You see other nurses or patients needing…you can’t just have a break…But if you don’t look after yourself you end up sick…I ended up with a complicated UTI because I wasn’t drinking and I wasn’t going to the toilet” (Gabrielle, et al., 2008, p. 319). Tragically, this absence of self-care is normal to numerous nurses despite age and although many of the elderly nurses disregarded their own particular needs, the research outlined several tactics to incorporate self-care strategies among this particular age group of nurses. The self-care techniques included: setting time aside time for oneself, eating healthy, and regular exercise. Eating healthy is particularly critical for nurses because nurses are known to not allot time during their shifts to eat healthily of drink water. One nurse, in particular, expressed that, “…meal breaks, that’s got to be the biggest laugh out”, while another nurse said “I don’t drink water…basically, I have coffee, coffee, coffee, coffee” (Gabrielle, et al., 2008, p. 321). Subsequently, after executing self-care modalities delineated in the study, many nurses announced having diminished stress and physical ailments that accompany, as in high blood pressure, poor weight control, and decreased physical health. Nurses who engaged in daily physical exercises additionally communicated better eating and drinking tendencies:

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