Document the following for the family in the video, using the Comprehensive Evaluation Note Template

Learning Goal: I’m working on a nursing multi-part question and need the explanation and answer to help me learn.

  • Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.
  • View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

****please use attached template in order to complete assignment please provide 3 APA FORMAT REFERENCES evidence-based, peer-reviewed journal articles****

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

  • Chief complaint
  • History of present illness
  • Past psychiatric history
  • Substance use history
  • Family psychiatric/substance use history
  • Psychosocial history/Developmental history
  • Medical history
  • Review of systems (ROS)
  • Physical assessment (if applicable)
  • Mental status exam
  • Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria
  • Case formulation and treatment plan
  • Include a psychotherapy genogram for the family

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