NRNP6635: Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders – Assignment Solution

 

Assignment: Assessing and Diagnosing Patients with Neurocognitive and Neurodevelopmental Disorders

Neurocognitive and Neurodevelopmental Disorders

The human brain only constitutes approximately 2% of an individual’s total body weight, a percentage that pales in comparison to the brain’s level of importance in human development (Koch, 2016). Although externally protected by layers of membranes as well as the skull, the brain is not very resistant to damage. Damage to the brain may compromise its functionality, which may, in turn, lead to neurodevelopmental disorders in childhood and adolescence or neurocognitive disorders for any number of reasons across the lifespan.

This week, you practice assessing and diagnosing neurocognitive and neurodevelopmental disorders across the lifespan.

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment, and often co-occur (APA, 2013). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others.

For this Assignment, you will assess a patient in a case study who presents with a neurocognitive or neurodevelopmental disorder.

To Prepare:

• Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
• Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
• By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.

Assigned Video

• “Training Title 48.”, directed by Anonymous, Symptom Media, 2017. Alexander Street, https://video.alexanderstreet.com/watch/training-title-48.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient.

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Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:

• 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?
• Objective: What observations did you make during the psychiatric assessment?
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

View Youtube solution here;

Case Study

Week 10: Neurocognitive and Neurodevelopmental Disorders

Training Title 48

Name: Sarah Higgins

Gender: female Age: 9 years old

T- 97.4 P- 62 R 14 95/60 Ht 4’5 Wt 63lbs

Background: no history of treatment, developmental milestones met on time, vaccinations up to date. Sleeps 9hrs/night, meals are difficult as she has hard time sitting for meals, she does get proper nutrition per PCP. Symptom Media. (Producer). (2017). Training title 48 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-48

 

00:00:00 TRANSCRIPT OF VIDEO FILE:

00:00:00______________________________________________________________________________

00:00:00 BEGIN TRANSCRIPT:

00:00:00 [sil.]

00:00:15 OFF CAMERA Well, thank you for bringing in these completed questionnaires on attention deficit hyperactivity disorder.

00:00:25 MRS. HIGGINS Yeah, you asked me to have some of her teachers fill out the forms, and so, I had two, and I filled out one.

00:00:35 OFF CAMERA Great, great, that’s wonderful, and these look very, yep, very completely filled out. How are you today, Sarah?

00:00:40 SARAH Fine, thank you.

00:00:45 OFF CAMERA Is it okay if I ask you some of the questions about how well you pay attention in school?

00:00:50 SARAH Uh-huh.

00:00:55 MRS. HIGGINS Sarah, use full words.

00:00:55 SARAH Yes, sir.

00:00:55 OFF CAMERA You are very polite. Thank you. Some people your age have difficulty being polite. You are very polite. When teachers tell you assignments in school, how well do you remember what they said your assignments are?

00:01:10 SARAH Not very well.

00:01:10 OFF CAMERA Mm-hmm.

00:01:10 SARAH They have to write her down a list.

00:01:15 OFF CAMERA Okay. Does that list help?

00:01:20 SARAH Sometimes I lose the list.

00:01:20 OFF CAMERA Oh, do you forget where you put the list of assignments?

00:01:25 SARAH Uh-huh. I mean, yes, I forget.

00:01:25 OFF CAMERA Does that happen every time or sometimes or not very much?

00:01:30 SARAH It happens sometimes.

00:01:35 MRS. HIGGINS Actually, every day.

00:01:35 OFF CAMERA Okay. Do you think maybe your mom is right about that, that you forget your assignment list almost every day?

00:01:45 SARAH Yes.

00:01:45 MRS. HIGGINS Yeah, they have to leave me a list on my cell phone.

00:01:50 OFF CAMERA Oh, okay. How long has this been a problem?

00:01:55 MRS. HIGGINS Pretty much since she started school, kindergarten.

00:02:00 OFF CAMERA Uh-huh, let’s see what else is on this list. How well do you sit still in your chair at school?

00:02:10 SARAH Not very well.

00:02:10 OFF CAMERA Uh-huh, do you fidget?

00:02:10 SARAH (chuckles) Yes.

00:02:10 OFF CAMERA Do you get in trouble for fidgeting or getting out of your chair?

00:02:15 SARAH Sometimes.

00:02:20 OFF CAMERA Okay, and if you’re reading from a book or a paper, can you sit still then and read?

00:02:25 SARAH Sometimes.

00:02:25 OFF CAMERA Mm-hmm.

00:02:25 MRS. HIGGINS If she really, really likes it, she’ll last about five minutes or so.

00:02:30 OFF CAMERA Do you remember what you read? Sarah, do you remember what you read?

00:02:40 MRS. HIGGINS Sarah, he’s talking to you.

00:02:45 SARAH Uh.

00:02:45 MRS. HIGGINS Answer him. I think this is the longest she’s ever sat still.

00:02:50 OFF CAMERA Oh, when you read a book, that’s where I was asking, when you read a book, do you remember what you read?

00:03:00 SARAH Not much.

00:03:00 OFF CAMERA Mm-hmm. What if the teacher reads the book to you, do you remember what the teacher read?

00:03:05 SARAH No, sir.

00:03:05 OFF CAMERA Mm-hmm, you are very polite, and thank you for answering my questions. I have a few more. Is that okay if I ask you some more?

00:03:20 MRS. HIGGINS Sarah, he’s asking you a question, not me.

00:03:20 OFF CAMERA Is that okay if I ask you some more questions?

00:03:25 SARAH Yes.

00:03:25 OFF CAMERA Do you lose things at home like keys or books or pencils? Just anything. Do you lose or misplace things you need?

00:03:35 SARAH I lost my geography book yesterday.

00:03:35 OFF CAMERA Mm-hmm, did you find it?

00:03:40 MRS. HIGGINS I think she left it on the bus. The bus driver is very nice, and we put her name in the book, so we think we’ll get it back.

00:03:45 OFF CAMERA Well, that’s good.

00:03:50 SARAH I lost my bracelet, too.

00:03:50 OFF CAMERA Was that a bracelet you like?

00:03:55 SARAH Mimi gave it to me.

00:03:55 MRS. HIGGINS My mother.

00:03:55 SARAH My grandmother.

00:04:00 OFF CAMERA Where do you think you lost it?

00:04:00 SARAH On a trip, maybe in the bathroom at the restaurant.

00:04:05 MRS. HIGGINS Yeah, we think she took it off to wash her hands.

00:04:05 OFF CAMERA Sarah, do you love that bracelet?

00:04:10 SARAH Lots.

00:04:10 OFF CAMERA Mm-hmm, so then that was sad for you?

00:04:15 SARAH Uh-huh, I mean, yes, it was sad.

00:04:15 OFF CAMERA Do you ever have problems losing your temper?

00:04:20 SARAH Sometimes.

00:04:20 OFF CAMERA Mm-hmm, what is something at school that makes you angry?

00:04:25 SARAH When the teachers say they asked me to do something, and I didn’t hear them.

00:04:30 OFF CAMERA Mm-hmm, do you daydream in school sometimes?

00:04:35 SARAH Yes.

00:04:35 OFF CAMERA What do you daydream about?

00:04:35 SARAH Going home and playing with Conley.

00:04:40 MRS. HIGGINS That’s her dog.

00:04:40 OFF CAMERA Oh, so you think about good times?

00:04:45 SARAH Yes.

00:04:45 OFF CAMERA Do you ever think about bad times, too, when you daydream?

00:04:50 SARAH Sometimes.

00:04:50 OFF CAMERA Mm-hmm, what sorts of bad times?

00:04:50 SARAH Missing Mom.

00:04:55 MRS. HIGGINS Yeah, we’re separated right now, and we’re split up, but Mom’s working on us being back together real soon.

00:05:05 OFF CAMERA Good, any time, Sarah, thinking about anyone, way anyone has hurt you or someone did something bad to you that they wish they didn’t do?

00:05:15 SARAH No, May Ann hit me one time at school, though.

00:05:20 OFF CAMERA Mm-hmm, do you daydream about her hitting you?

00:05:25 SARAH No.

00:05:25 OFF CAMERA Oh, when you do your homework or classwork, do you make mistakes?

00:05:30 SARAH Lots.

00:05:30 OFF CAMERA Mm-hmm, is that pretty frustrating?

00:05:30 SARAH Yes, ’cause I try to do it right.

00:05:35 OFF CAMERA Mm-hmm, that must not feel good.

00:05:35 SARAH It doesn’t feel good.

00:05:40 OFF CAMERA What are some of the questions I asked you today?

00:05:40 SARAH Uh, about my dog?

00:05:45 OFF CAMERA Yeah, okay. Anything else I asked you today?

00:05:50 SARAH Uh, I don’t know.

00:05:50 OFF CAMERA Mm-hmm, were you just thinking about something else?

00:05:55 SARAH I guess so.

00:05:55 OFF CAMERA What were you thinking about just then?

00:05:55 SARAH Your picture on the wall.

00:06:00 OFF CAMERA Ah, do you like that picture?

00:06:00 MRS. HIGGINS Sarah loves art, and she loves museums.

00:06:05 OFF CAMERA Uh-huh, do you stand and look at the paintings for a long time?

00:06:10 MRS. HIGGINS No, she runs from painting to painting, three or four times.

00:06:15 OFF CAMERA Oh, let’s see. I see in this form from your teachers that sometimes you have trouble waiting your turn, and yet, you are very polite today.

00:06:25 MRS. HIGGINS Yeah, she’s very polite, but in groups, she has a little bit more difficulty.

00:06:30 OFF CAMERA Uh-huh, is it difficult to sit still?

00:06:35 MRS. HIGGINS Answer his question.

00:06:40 OFF CAMERA Mm-hmm, we’ve been sitting still a pretty long time.

00:06:40 MRS. HIGGINS Yeah, this is the longest that I’ve seen her sit still.

00:06:45 OFF CAMERA Uh-huh, do you play video games?

00:06:45 MRS. HIGGINS Yeah, she likes her video games. She can stay on those for long periods.

00:06:50 OFF CAMERA Uh-huh, is that right, Sarah? Is that right, Sarah?

00:06:55 SARAH Is what right?

00:07:00 OFF CAMERA That you can play a video game for a long time. Do you get injured much?

00:07:05 SARAH Sometimes.

00:07:05 OFF CAMERA Mm-hmm.

00:07:10 MRS. HIGGINS Not so much now. When she was younger. We couldn’t even take her to the zoo. She used to stick her hand inside of the bars where the animals could bite her.

00:07:20 OFF CAMERA Oh.

00:07:20 MRS. HIGGINS And she was this little thing, and she would jump up on the walls, and she even jumped in a pool before she learned how to swim, and that, that really scared us.

00:07:30 OFF CAMERA Is that something that doesn’t happen so much now?

00:07:35 MRS. HIGGINS No, thank God.

00:07:35 OFF CAMERA So, Sarah, from what your mom told me, and what these teachers listed on these forms, it sounds like everyone is in agreement that you have some kind of trouble paying attention and with remembering things and about losing things and some other problems. Do you think you’d like help with all of that?

00:07:55 SARAH I guess so.

00:08:00 MRS. HIGGINS Yes, we would.

00:08:05 [sil.]

00:08:05 END TRANSCRIPT

See complete NRNP6635 Guide.