Answer for NRNP 6665 Discussion Week 1 Comprehensive Integrated Psychiatric Assessment

A comprehensive psychiatric assessment comprises medical and psychiatric history, neurological examination, mental status exam, and educational and developmental growth assessment. The YMH Boston Vignette 5 video is about Tony, who was referred to a social worker by his primary care provider after presenting with symptoms of anxiety and depression.  This will analyze the patient’s interview assessment and discuss the psychiatric assessment of a child and adolescent.

What the Practitioner Did Well

The examiner asked the client about his mood, which is essential in evaluating mood disorders and determining if the patient has anxiety or depressive disorder. The practitioner encouraged the client to talk more about his mood after stating that he gets angry and feels like he wants to fight. The practitioner also did well by asking the client about his school performance since school performance is significantly affected by anxiety and depressive disorders (Mullen, 2018). The practitioner also inquired whether the client uses alcohol or drugs, which is crucial since most adolescents with anxiety or depressive disorders tend to abuse alcohol and drug substances (Mullen, 2018). Lastly, the practitioner did well by summarizing the patient’s problems identified during the assessment, which allowed the client to add more symptoms.

Areas the Practitioner Can Improve

The practitioner should first create a rapport with the patient by greeting them and introducing herself to the client (Bhide & Chakraborty, 2020). The practitioner should also have assured the client that the information given will be confidential to increase the client’s trust in the practitioner.

Compelling Concerns

The client mentioned that he gets angry and feels like he wants to fight. My compelling concern is whether the client has undergone anger management therapy. In addition, the patient stated that he had thoughts about harming himself and sometimes did not feel like he wanted to be alive. My concern is whether the patient has any solid plans to hurt himself and whether he has previously tried to harm himself or others.

Next Question and Why

The next question would be: Have you had thoughts of hurting your ex-girlfriend? I would ask this question to assess whether the client is a danger to others (Mullen, 2018). Since the patient’s distress began after breaking up with his girlfriend, it would be important to know his feelings towards her and assess the risk of harm.