Assignent Solutionnurs

Please be sure to follow the instructions EXACTLY. This is very important.
Develop your mock patient fully, e.g., full psychosocial history, mental status exam 
using the evaluation report template provided below and then integrate a treatment 
plan based upon your research. The treatment plan is to be presented by each 
student in the Clinical Formulation section. 

So, pick a diagnosis, develop a mock patient with a comprehensive history, and 
based upon the above, present evidence-based treatment plan that should be 
implemented based upon this diagnosis. Provide essential information about your 
mock patient as indicated above. 

Assignment: Write a report on a mock client. Use the outline below in your 
report and address each section 

Evaluation Components Outline – 400 Points 

Here is the template you should use to complete your signature assignment. 
EVALUATION 
Mock patient- you create the identity and the profile using this template 
in your paper. The treatment is also included in this template, which should be 
a minimum of 8 pages. 
Name: 
Age: 
Date of Birth: 
Race: 
Sex: 
Marital Status 
Date of Evaluation: 
Date of Report: (There is often a delay before the report is ready, but generally 
should be within a week) 

_____________________________________________________________ 
REFERRAL INFORMATION 
Who made the referral to you and why? Typically 1 paragraph 
___________________________________________________________ 
DATA SOURCES 
What are the sources of your background information? Self-report, 
record review, collateral interviews. 

The sections below are typically 1 paragraph each 
CLINICAL SECTION 
RELEVANT HISTORY 
Psychosocial – info about early family life, parents, sibs, SES, conditions ? 
Educational – where attended, highest level of ed, any spec ed? Behavioral 
issues? 
Vocational –work history, # of jobs, strengths/problems? 
Legal – arrest record- when, where, outcome- served when & where? 
Past Medical History- history of past medical problems, surgeries, current 
diagnoses? 
Past Psychiatric History- history of previous treatment- inpatient and outpatient, 
Meds prescribed? 
Substance Use History-onset of use, which drugs? Alcohol? Street vs. Rx 
drugs? 
MENTAL STATUS EXAMINATION (an objective and organized review of 
relevant symptoms) 
Appearance/Presentation – hygiene, overall appearance, neat or disheveled? 
Alert, cooperative? Oriented to self, time, date, and situation? 
Speech – normal vs. rapid, coherent vs. garbled, , tone, rate, prosody, and 
rhythm. 
Mood/Affect – Mood is a direct quote from the patient in answer to what’s your 
mood? (sad, happy, depressed, etc.). Affect refers to observable mental state and is 
usually phrased.. His affect was appropriate to the content of his conversation- 

inappropriate would be a person talking about something very sad and laughing or 
smiling at the same time. 
Thought Processes are assessed through speech- if one is speaking their 
thoughts… are they coherent and goal-directed vs. rambling? Is the person reporting 
auditory or visual hallucinations? Reporting delusions? 
Thought Content – what is the subject of thought? Normal vs. bizarre, atypical 
abnormal? 
Suicidal Ideation- Is the person reporting suicidal ideas? Since when? Pervasive 
or episodic? Is there a fam history? Plan? History of previous gestures? What is the 
lethality? (this will be taught). 
Homicidal Ideation Is the person reporting homicidal ideas? Since when? 
Toward a specific person or generally? Pervasive or episodic? Is there a fam history? 
Plan? History of previous violence? What is the lethality? (this will be taught). 
HIGHER CORTICAL FUNCTIONING 
Memory – Intact or impaired? 3 out of 3 objects? Immediate vs. delayed? 
Concentration – Attentive or easily distracted? 
IQ Estimate- Make an estimate of IQ… low average, normal, bright average? 
General Fund of Knowledge- Recent big news stories, Who’s the 16th 
President? How many weeks in a year? 
Impulse Control- Based upon history and observations 
Abstraction- Intact or concrete? How are North and West alike? 
Judgment – Normal or poor 
Insight- Normal or poor 

DSM 5 DIAGNOSES 
1. 
2. 
3. 
CLINICAL FORMULATION- This is where you describe your informed treatment 
plan. 
The above results lead to the Diagnoses, which in turn should lead to a clinical 
formulation as to your treatment plan. How do you conceptualize the patient’s 


situation and problems? What treatment plan and why? 

RECOMMENDATIONS 
1. What are your specific treatment recommendations and why? 
2. 
3. 
4. 
Respectfully submitted, 
XXX 
Specific Learning Objective: Complete a research paper that requires using the 
above Psychosocial outline. Construct a fictional mock patient, picking a diagnosis 
from DSM V, constructing a history and symptom picture for the mock patient, and 
generating a complete evaluation in which symptoms are accurately presented in the 
comprehensive guide. 
Students are highly encouraged to complete the assigned review of DSM criteria for 
each week prior to the lecture. If possible, be present for the live lecture so that 
interaction can be a part of the learning experience.