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NRNP/PRAC 6635 Comprehensive Pychiatric Evaluation Template for Ally Chen

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Patient Information: Name Initials: A.C. Gender: Female Age: 44 Years Race: Caucasian Subjective: CC (Chief Complaint): "I am feeling down and struggling in school." HPI (History of Present Illness): Ally Chen, a 44-year-old Caucasian female, experiences significant seasonal mood fluctuations that impact her productivity and mood as daylight decreases. Over several years, she has observed a pattern where depressive symptoms emerge in winter, contrasting sharply with her energetic, engaged state during warmer months. This cyclical pattern affects her role as a high school biology teacher, where she struggles to meet her usual standards, participates less in school activities, and reduces interactions with students. Her symptoms include profound fatigue, concentration difficulties, a lack of motivation, social withdrawal, and disrupted sleep, often waking multiple times at night. She also reports increased

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Institution
NRNP/PRAC 6635 Comprehensive Pychiatric Evaluation
Course
NRNP/PRAC 6635 Comprehensive Pychiatric Evaluation

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Week (enter week #):


Comprehensive Psychiatric Evaluation for Ally Chen




Student Name


College of Nursing-PMHNP, Walden University


NRNP 6635: Psychopathology and Diagnostic Reasoning


Faculty Name


Assignment Due Date

, NRNP/PRAC 6635 Comprehensive Pychiatric Evaluation Template

Patient Information:


Name Initials: A.C.


Gender: Female


Age: 44 Years


Race: Caucasian


Subjective:


CC (Chief Complaint): "I am feeling down and struggling in school."


HPI (History of Present Illness): Ally Chen, a 44-year-old Caucasian female, experiences

significant seasonal mood fluctuations that impact her productivity and mood as daylight

decreases. Over several years, she has observed a pattern where depressive symptoms emerge in

winter, contrasting sharply with her energetic, engaged state during warmer months. This

cyclical pattern affects her role as a high school biology teacher, where she struggles to meet her

usual standards, participates less in school activities, and reduces interactions with students. Her

symptoms include profound fatigue, concentration difficulties, a lack of motivation, social

withdrawal, and disrupted sleep, often waking multiple times at night. She also reports increased

carbohydrate cravings and weight gain during winter, worsening her self-esteem and depressive

symptoms. However, she experiences no psychosis, and thoughts of hopelessness are occasional

without suicidal or homicidal ideations. As spring arrives, her mood noticeably improves with

increased sunlight, prompting her to seek continued psychiatric care to manage these seasonally

induced changes.




© 2021 Walden University Page 2 of 9

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Institution
NRNP/PRAC 6635 Comprehensive Pychiatric Evaluation
Course
NRNP/PRAC 6635 Comprehensive Pychiatric Evaluation

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Uploaded on
September 19, 2024
Number of pages
9
Written in
2024/2025
Type
CASE
Professor(s)
None
Grade
A

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