Assignment Prompt & Instructions
I need assistance with a question
– ## psychopharmaassignmnet1.docx
– ## RealisticTreatmentPlanGradingRubric.pdf
**## psychopharmaassignmnet1.docx**
**_Realistic Treatment Plan_**
For this assignment, you will develop a realistic clinical case presentation. Use PowerPoint to create the slides for your presentation.
**Do not use the notes section for rubric information, as it will not be graded; all information must be included in the actual slides.** You will record narration for the slides in the next assignment, so keep that in mind as you work.
and
· The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
· The presentation should consist of 10-15 slides. There should be no narration recorded for this submission. Submit the slides only.
**Submit all information for rubric grading on the slides only (the notes section will not be graded).**
· Incorporate a minimum of 4 current (published within the last five years) scholarly
**journal articles** or primary legal sources (statutes, court opinions) within your work.
**Journal articles** should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
· Your submission will be reviewed for plagiarism through Turnitin.
· Complete and submit the assignment by 11:59 PM ET on Sunday.
· Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
**Content Requirements**
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information based on the DSM5-TR and current US clinical guidelines to support the case:
1. Subjective data:
· Chief Complaint
· Demographics
· History of the Present Illness (HPI) includes the presenting problem and the 8 dimensions of the problem. See an example of the correct way to document the psychiatric HPI hereLinks to an external site.
· Review of Systems (ROS)
2. Objective data:
· Current Medications
· Allergies
· Past medical history
· Family psychiatric history
· Social history
· Labs and screening tools
· Vital signs
· Mental status exam
3. Assessment:
· Primary Diagnosis – DSM5 only
· Differential diagnosis – DSM5 only
4. Plan:
· Pharmacologic treatment plan
· Non-pharmacologic treatment plan
· Follow up plan
5. Other:
· Incorporation of current US clinical guidelines
· Integration of research articles
· Role of the nurse practitioner
**Submission Instructions:**
· The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
· The presentation should consist of 10-15 slides. There should be no narration recorded for this submission. Submit the slides only.
· Incorporate a minimum of 4 current (published within the last five years) scholarly
**journal articles** or primary legal sources (statutes, court opinions) within your work.
**Journal articles** should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
**## RealisticTreatmentPlanGradingRubric.pdf**
Realistic Treatment Plan Grading Rubric
Your assignment will be graded according to the grading rubric.
Realistic Case Presentation Rubric
Criteria Ratings Points
Chief
Complaint
(Reason for
seeking health
care) – S
Exemplary – 4
points
Includes a direct quote
from the patient about
presenting problem.
Distinguished – 3
points
Includes a direct
quote from the
patient and other
unrelated
information.
Developing – 1-2
points
Includes information
but the information is
NOT a direct quote.
Novice – 0 points
Information is
completely missing.
4 points
Demographics –
S
Exemplary – 2
points
Begins with patient
initials, age, race,
ethnicity, and gender
(5 demographics).
Distinguished – 1.5
points
Begins with 4 of the
5 patient
demographics
(patient initials, age,
race, ethnicity, and
gender).
Developing – 1 point
Begins with 3 or less
patient demographics
(patient initials, age,
race, ethnicity, and
gender).
Novice – 0 points
Information is
completely missing.
2 points
History of the
Present Illness
(HPI) – S
Exemplary – 4-5
points
Includes the
presenting problem
and the 8 dimensions
of the problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing and Severity).
Distinguished – 3
points
Includes the
presenting problem
and 6 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Developing – 2
points
Includes the
presenting problem
and 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Novice – 0-1 point
The presenting
problem is not clearly
stated and/or there are
< 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
5 points
Allergies – S
Exemplary – 2
points
Includes NKA
(including = Drug,
Environmental, Food,
Herbal, and/or Latex
or if allergies are
present (reports for
each severity of
allergy AND
description of allergy).
Distinguished – 1.5
points
Only screened for
one type of allergy
(drug, environmental,
herbal, food or latex).
If allergies are
present, list type
drug, environmental
factor, herbal, food,
latex name and
include the severity
of allergy OR
description of the
allergy.
Developing –
1 points
If allergies are
present, students lists
only the type of
allergy name.
Novice – 0 points
Information is
completely missing.
2 points
Review of
Systems (ROS)
– S
Exemplary – 4-5
points
Includes a minimum
of 3 assessments for
each body system,
assesses at least 9
body systems directed
to chief complaint,
AND uses the words
“admits” and “denies”.
Distinguished – 3
points
Includes 3 or fewer
assessments for each
body system, assesses
5-8 body systems
directed to chief
complaint, AND uses
the words “admits”
and “denies”.
Developing – 1-2
points
Includes 3 or fewer
assessments for each
body system, and
assesses less than 5
body systems
directed to chief
complaint, OR
student does not use
the words “admits”
and “denies”.
Novice – 0 points
Information is
completely missing.
5 points
Vital Signs – O
Exemplary – 2
points
Includes all 8 vital
signs, (BP (with
patient position), HR,
RR, temperature (with
Fahrenheit or Celsius
and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Distinguished – 1.5
points
Includes at least 6
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Developing – 1 point
Includes at least 4
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Novice – 0 points
Information is
completely missing.
2 points
Labs,
Diagnostic
Tests and
Screening Tools
– O
Exemplary – 3
points
Includes a list of the
labs, diagnostic tests,
or screening tools that
should be completed
for identified patient
that are based on the
US clinical guidelines
OR acknowledges no
labs/diagnostic tests
are recommended.
Distinguished – 2
points
Includes a list of the
labs, diagnostic tests,
or screening tools
that should be
completed the
identified patient but
they do not follow the
US clinical
guidelines.
Developing – 1 point
Includes a list of the
labs, diagnostic tests,
or screening tools
reviewed for the
identified patient but
they are inappropriate
or do not address the
patient's problem.
Novice – 0 points
Information is
completely missing.
3 points
Medications-S
Exemplary – 4
points
Includes a list of all of
the patient reported
psychiatric and
medical medications
and the diagnosis for
the medication
(including name, dose,
route, frequency).
Distinguished – 3
points
Includes a list of all
of the patient
reported psychiatric
and but omits the
medical medications
and the diagnosis for
the medication
(including name,
dose, route,
frequency).
Developing – 1-2
points
Includes a list of
some of the patient
reported psychiatric
and/or medical
medications and the
diagnosis for the
medication (omits the
dose, route,
frequency of the
medications).
Novice – 0 point
Information is
completely missing.
4 points
Past Medical
History-S
Exemplary – 3
points
Includes
(Major/Chronic,
Trauma,
Distinguished – 2
points
Includes
(Major/Chronic,
Trauma,
Developing – 1 point
Includes each
medical diagnosis but
does not include year
of diagnosis or
Novice – 0 points
Information is
completely missing. 3 points
Hospitalizations), for
each medical
diagnosis, year of
diagnosis and whether
the diagnosis is active
or current.
Hospitalizations), for
each medical
diagnosis, either year
of diagnosis OR
whether the diagnosis
is active or current.
whether the diagnosis
is active or current.
Past Psychiatric
History-S
Exemplary – 4-5
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
year of diagnosis and.
Distinguished – 3
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (omits
addiction treatment),
year of diagnosis.
Developing – 1-2
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
does not include the
year of diagnosis.
Novice – 0 points
Information is
completely missing.
5 points
Family
Psychiatric
History-S
Exemplary – 3
points
Includes an
assessment of at least
6 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history of
suicidal attempts.
Distinguished – 2
points
Includes an
assessment of at least
4 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Developing – 1 point
Includes an
assessment of at least
2 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Novice – 0 points
Information is
completely missing.
3 points
Social History-
S
Exemplary – 3
points
Distinguished Includes
all 11 of the following:
tobacco use, drug use,
alcohol use, marital
status, employment
status, current and
previous occupation,
sexual orientation,
sexually active,
contraceptive
use/pregnancy status,
and living situation.
Distinguished – 2
points
Includes at least 8 of
the following:
tobacco use, drug
use, alcohol use,
marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Developing – 1 point
Includes all 6 of the
following: tobacco
use, drug use, alcohol
use, marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Novice – 0 points
Information is
completely missing.
3 points
Mental Status
Exam-O
Exemplary – 12-15
points
Includes all 10
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and judgement)
with detailed
descriptions for each
area.
Distinguished – 8-11
points
Includes all 8
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
detailed descriptions
for each area.
Developing – 4-
7 points
Includes >6
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
some descriptions for
each area.
Novice – 0-3 points
Includes <3
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) OR
detailed descriptions
is not included for
each area.
15
points
Primary
Diagnoses-A
Exemplary – 5-6
points
Includes a clear
outline of the accurate
principal diagnosis
based on DSM5 or
DSM5-TR criteria.
Distinguished – 3-4
points
Includes an
inaccurate diagnosis
as the principal
diagnosis based on
DSM5 or DSM5-TR
criteria.
Developing – 1-2
point
Includes a medical
diagnosis based as the
principal diagnosis
OR the diagnosis is
not a DSM5 or
DSM5-TR diagnosis.
Novice – 0 points
Information is
completely missing.
6 points
Differential
Diagnoses-A
Exemplary – 3
points
Includes at least 2
differential diagnoses
for the principal
diagnosis.
Distinguished – 2
points
Includes 2 differential
diagnoses for the
principal diagnosis.
Developing – 1 point
Includes 1 differential
diagnosis for the
principal diagnosis.
Novice – 0 points
Information is
completely missing. 3 points
Treatment
Exemplary – 11-15
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for each
of the diagnoses listed
under “assessment”.
The plan includes
ALL of the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration. If
the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Distinguished – 6-10
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4-7 of
the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration.
If the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Developing – 1-5
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4 of the
following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
Non-pharmacological
treatment NOT
included. If the
diagnosis is a chronic
problem, student
includes instructions
on currently
prescribed
medications as above.
Novice – 0 point
Information is
completely missing.
15
points
Referral
Exemplary – 4-5
points
Provides a detailed list
of medical and other
interdisciplinary
referrals or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Distinguished – 3
points
Provides a medical or
other
interdisciplinary
referral or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Developing – 1-2
points
Provides a medical or
other interdisciplinary
referral. DOES NOT
include a timeline for
follow up
appointments.
Novice – 0 points
Information is
completely missing.
5 points
APA
Formatting
Exemplary – 4-5
points
Effectively uses
literature and other
resources to inform
their work.
Exceptional use of
citations and extended
referencing. High level
of precision with APA
7th Edition writing
style.
Distinguished – 3
points
Effectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
Moderate level of
precision with APA
7th Edition writing
style.
Developing – 1-2
points
Ineffectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
APA 7th Edition
writing style not
strictly adhered to.
Novice – 0 points
APA style and writing
mechanics not used.
5 points
Total Points 90
**## RealisticTreatmentPlanGradingRubric.pdf**
Realistic Treatment Plan Grading Rubric
Your assignment will be graded according to the grading rubric.
Realistic Case Presentation Rubric
Criteria Ratings Points
Chief
Complaint
(Reason for
seeking health
care) – S
Exemplary – 4
points
Includes a direct quote
from the patient about
presenting problem.
Distinguished – 3
points
Includes a direct
quote from the
patient and other
unrelated
information.
Developing – 1-2
points
Includes information
but the information is
NOT a direct quote.
Novice – 0 points
Information is
completely missing.
4 points
Demographics –
S
Exemplary – 2
points
Begins with patient
initials, age, race,
ethnicity, and gender
(5 demographics).
Distinguished – 1.5
points
Begins with 4 of the
5 patient
demographics
(patient initials, age,
race, ethnicity, and
gender).
Developing – 1 point
Begins with 3 or less
patient demographics
(patient initials, age,
race, ethnicity, and
gender).
Novice – 0 points
Information is
completely missing.
2 points
History of the
Present Illness
(HPI) – S
Exemplary – 4-5
points
Includes the
presenting problem
and the 8 dimensions
of the problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing and Severity).
Distinguished – 3
points
Includes the
presenting problem
and 6 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Developing – 2
points
Includes the
presenting problem
and 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Novice – 0-1 point
The presenting
problem is not clearly
stated and/or there are
< 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
5 points
Allergies – S
Exemplary – 2
points
Includes NKA
(including = Drug,
Environmental, Food,
Herbal, and/or Latex
or if allergies are
present (reports for
each severity of
allergy AND
description of allergy).
Distinguished – 1.5
points
Only screened for
one type of allergy
(drug, environmental,
herbal, food or latex).
If allergies are
present, list type
drug, environmental
factor, herbal, food,
latex name and
include the severity
of allergy OR
description of the
allergy.
Developing –
1 points
If allergies are
present, students lists
only the type of
allergy name.
Novice – 0 points
Information is
completely missing.
2 points
Review of
Systems (ROS)
– S
Exemplary – 4-5
points
Includes a minimum
of 3 assessments for
each body system,
assesses at least 9
body systems directed
to chief complaint,
AND uses the words
“admits” and “denies”.
Distinguished – 3
points
Includes 3 or fewer
assessments for each
body system, assesses
5-8 body systems
directed to chief
complaint, AND uses
the words “admits”
and “denies”.
Developing – 1-2
points
Includes 3 or fewer
assessments for each
body system, and
assesses less than 5
body systems
directed to chief
complaint, OR
student does not use
the words “admits”
and “denies”.
Novice – 0 points
Information is
completely missing.
5 points
Vital Signs – O
Exemplary – 2
points
Includes all 8 vital
signs, (BP (with
patient position), HR,
RR, temperature (with
Fahrenheit or Celsius
and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Distinguished – 1.5
points
Includes at least 6
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Developing – 1 point
Includes at least 4
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Novice – 0 points
Information is
completely missing.
2 points
Labs,
Diagnostic
Tests and
Screening Tools
– O
Exemplary – 3
points
Includes a list of the
labs, diagnostic tests,
or screening tools that
should be completed
for identified patient
that are based on the
US clinical guidelines
OR acknowledges no
labs/diagnostic tests
are recommended.
Distinguished – 2
points
Includes a list of the
labs, diagnostic tests,
or screening tools
that should be
completed the
identified patient but
they do not follow the
US clinical
guidelines.
Developing – 1 point
Includes a list of the
labs, diagnostic tests,
or screening tools
reviewed for the
identified patient but
they are inappropriate
or do not address the
patient's problem.
Novice – 0 points
Information is
completely missing.
3 points
Medications-S
Exemplary – 4
points
Includes a list of all of
the patient reported
psychiatric and
medical medications
and the diagnosis for
the medication
(including name, dose,
route, frequency).
Distinguished – 3
points
Includes a list of all
of the patient
reported psychiatric
and but omits the
medical medications
and the diagnosis for
the medication
(including name,
dose, route,
frequency).
Developing – 1-2
points
Includes a list of
some of the patient
reported psychiatric
and/or medical
medications and the
diagnosis for the
medication (omits the
dose, route,
frequency of the
medications).
Novice – 0 point
Information is
completely missing.
4 points
Past Medical
History-S
Exemplary – 3
points
Includes
(Major/Chronic,
Trauma,
Distinguished – 2
points
Includes
(Major/Chronic,
Trauma,
Developing – 1 point
Includes each
medical diagnosis but
does not include year
of diagnosis or
Novice – 0 points
Information is
completely missing. 3 points
Hospitalizations), for
each medical
diagnosis, year of
diagnosis and whether
the diagnosis is active
or current.
Hospitalizations), for
each medical
diagnosis, either year
of diagnosis OR
whether the diagnosis
is active or current.
whether the diagnosis
is active or current.
Past Psychiatric
History-S
Exemplary – 4-5
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
year of diagnosis and.
Distinguished – 3
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (omits
addiction treatment),
year of diagnosis.
Developing – 1-2
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
does not include the
year of diagnosis.
Novice – 0 points
Information is
completely missing.
5 points
Family
Psychiatric
History-S
Exemplary – 3
points
Includes an
assessment of at least
6 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history of
suicidal attempts.
Distinguished – 2
points
Includes an
assessment of at least
4 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Developing – 1 point
Includes an
assessment of at least
2 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Novice – 0 points
Information is
completely missing.
3 points
Social History-
S
Exemplary – 3
points
Distinguished Includes
all 11 of the following:
tobacco use, drug use,
alcohol use, marital
status, employment
status, current and
previous occupation,
sexual orientation,
sexually active,
contraceptive
use/pregnancy status,
and living situation.
Distinguished – 2
points
Includes at least 8 of
the following:
tobacco use, drug
use, alcohol use,
marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Developing – 1 point
Includes all 6 of the
following: tobacco
use, drug use, alcohol
use, marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Novice – 0 points
Information is
completely missing.
3 points
Mental Status
Exam-O
Exemplary – 12-15
points
Includes all 10
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and judgement)
with detailed
descriptions for each
area.
Distinguished – 8-11
points
Includes all 8
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
detailed descriptions
for each area.
Developing – 4-
7 points
Includes >6
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
some descriptions for
each area.
Novice – 0-3 points
Includes <3
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) OR
detailed descriptions
is not included for
each area.
15
points
Primary
Diagnoses-A
Exemplary – 5-6
points
Includes a clear
outline of the accurate
principal diagnosis
based on DSM5 or
DSM5-TR criteria.
Distinguished – 3-4
points
Includes an
inaccurate diagnosis
as the principal
diagnosis based on
DSM5 or DSM5-TR
criteria.
Developing – 1-2
point
Includes a medical
diagnosis based as the
principal diagnosis
OR the diagnosis is
not a DSM5 or
DSM5-TR diagnosis.
Novice – 0 points
Information is
completely missing.
6 points
Differential
Diagnoses-A
Exemplary – 3
points
Includes at least 2
differential diagnoses
for the principal
diagnosis.
Distinguished – 2
points
Includes 2 differential
diagnoses for the
principal diagnosis.
Developing – 1 point
Includes 1 differential
diagnosis for the
principal diagnosis.
Novice – 0 points
Information is
completely missing. 3 points
Treatment
Exemplary – 11-15
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for each
of the diagnoses listed
under “assessment”.
The plan includes
ALL of the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration. If
the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Distinguished – 6-10
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4-7 of
the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration.
If the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Developing – 1-5
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4 of the
following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
Non-pharmacological
treatment NOT
included. If the
diagnosis is a chronic
problem, student
includes instructions
on currently
prescribed
medications as above.
Novice – 0 point
Information is
completely missing.
15
points
Referral
Exemplary – 4-5
points
Provides a detailed list
of medical and other
interdisciplinary
referrals or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Distinguished – 3
points
Provides a medical or
other
interdisciplinary
referral or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Developing – 1-2
points
Provides a medical or
other interdisciplinary
referral. DOES NOT
include a timeline for
follow up
appointments.
Novice – 0 points
Information is
completely missing.
5 points
APA
Formatting
Exemplary – 4-5
points
Effectively uses
literature and other
resources to inform
their work.
Exceptional use of
citations and extended
referencing. High level
of precision with APA
7th Edition writing
style.
Distinguished – 3
points
Effectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
Moderate level of
precision with APA
7th Edition writing
style.
Developing – 1-2
points
Ineffectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
APA 7th Edition
writing style not
strictly adhered to.
Novice – 0 points
APA style and writing
mechanics not used.
5 points
Total Points 90
**## psychopharmaassignmnet1.docx**
**_Realistic Treatment Plan_**
For this assignment, you will develop a realistic clinical case presentation. Use PowerPoint to create the slides for your presentation.
**Do not use the notes section for rubric information, as it will not be graded; all information must be included in the actual slides.** You will record narration for the slides in the next assignment, so keep that in mind as you work.
and
· The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
· The presentation should consist of 10-15 slides. There should be no narration recorded for this submission. Submit the slides only.
**Submit all information for rubric grading on the slides only (the notes section will not be graded).**
· Incorporate a minimum of 4 current (published within the last five years) scholarly
**journal articles** or primary legal sources (statutes, court opinions) within your work.
**Journal articles** should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
· Your submission will be reviewed for plagiarism through Turnitin.
· Complete and submit the assignment by 11:59 PM ET on Sunday.
· Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
**Content Requirements**
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information based on the DSM5-TR and current US clinical guidelines to support the case:
1. Subjective data:
· Chief Complaint
· Demographics
· History of the Present Illness (HPI) includes the presenting problem and the 8 dimensions of the problem. See an example of the correct way to document the psychiatric HPI hereLinks to an external site.
· Review of Systems (ROS)
2. Objective data:
· Current Medications
· Allergies
· Past medical history
· Family psychiatric history
· Social history
· Labs and screening tools
· Vital signs
· Mental status exam
3. Assessment:
· Primary Diagnosis – DSM5 only
· Differential diagnosis – DSM5 only
4. Plan:
· Pharmacologic treatment plan
· Non-pharmacologic treatment plan
· Follow up plan
5. Other:
· Incorporation of current US clinical guidelines
· Integration of research articles
· Role of the nurse practitioner
**Submission Instructions:**
· The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
· The presentation should consist of 10-15 slides. There should be no narration recorded for this submission. Submit the slides only.
· Incorporate a minimum of 4 current (published within the last five years) scholarly
**journal articles** or primary legal sources (statutes, court opinions) within your work.
**Journal articles** should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
**## RealisticTreatmentPlanGradingRubric.pdf**
Realistic Treatment Plan Grading Rubric
Your assignment will be graded according to the grading rubric.
Realistic Case Presentation Rubric
Criteria Ratings Points
Chief
Complaint
(Reason for
seeking health
care) – S
Exemplary – 4
points
Includes a direct quote
from the patient about
presenting problem.
Distinguished – 3
points
Includes a direct
quote from the
patient and other
unrelated
information.
Developing – 1-2
points
Includes information
but the information is
NOT a direct quote.
Novice – 0 points
Information is
completely missing.
4 points
Demographics –
S
Exemplary – 2
points
Begins with patient
initials, age, race,
ethnicity, and gender
(5 demographics).
Distinguished – 1.5
points
Begins with 4 of the
5 patient
demographics
(patient initials, age,
race, ethnicity, and
gender).
Developing – 1 point
Begins with 3 or less
patient demographics
(patient initials, age,
race, ethnicity, and
gender).
Novice – 0 points
Information is
completely missing.
2 points
History of the
Present Illness
(HPI) – S
Exemplary – 4-5
points
Includes the
presenting problem
and the 8 dimensions
of the problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing and Severity).
Distinguished – 3
points
Includes the
presenting problem
and 6 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Developing – 2
points
Includes the
presenting problem
and 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Novice – 0-1 point
The presenting
problem is not clearly
stated and/or there are
< 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
5 points
Allergies – S
Exemplary – 2
points
Includes NKA
(including = Drug,
Environmental, Food,
Herbal, and/or Latex
or if allergies are
present (reports for
each severity of
allergy AND
description of allergy).
Distinguished – 1.5
points
Only screened for
one type of allergy
(drug, environmental,
herbal, food or latex).
If allergies are
present, list type
drug, environmental
factor, herbal, food,
latex name and
include the severity
of allergy OR
description of the
allergy.
Developing –
1 points
If allergies are
present, students lists
only the type of
allergy name.
Novice – 0 points
Information is
completely missing.
2 points
Review of
Systems (ROS)
– S
Exemplary – 4-5
points
Includes a minimum
of 3 assessments for
each body system,
assesses at least 9
body systems directed
to chief complaint,
AND uses the words
“admits” and “denies”.
Distinguished – 3
points
Includes 3 or fewer
assessments for each
body system, assesses
5-8 body systems
directed to chief
complaint, AND uses
the words “admits”
and “denies”.
Developing – 1-2
points
Includes 3 or fewer
assessments for each
body system, and
assesses less than 5
body systems
directed to chief
complaint, OR
student does not use
the words “admits”
and “denies”.
Novice – 0 points
Information is
completely missing.
5 points
Vital Signs – O
Exemplary – 2
points
Includes all 8 vital
signs, (BP (with
patient position), HR,
RR, temperature (with
Fahrenheit or Celsius
and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Distinguished – 1.5
points
Includes at least 6
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Developing – 1 point
Includes at least 4
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Novice – 0 points
Information is
completely missing.
2 points
Labs,
Diagnostic
Tests and
Screening Tools
– O
Exemplary – 3
points
Includes a list of the
labs, diagnostic tests,
or screening tools that
should be completed
for identified patient
that are based on the
US clinical guidelines
OR acknowledges no
labs/diagnostic tests
are recommended.
Distinguished – 2
points
Includes a list of the
labs, diagnostic tests,
or screening tools
that should be
completed the
identified patient but
they do not follow the
US clinical
guidelines.
Developing – 1 point
Includes a list of the
labs, diagnostic tests,
or screening tools
reviewed for the
identified patient but
they are inappropriate
or do not address the
patient's problem.
Novice – 0 points
Information is
completely missing.
3 points
Medications-S
Exemplary – 4
points
Includes a list of all of
the patient reported
psychiatric and
medical medications
and the diagnosis for
the medication
(including name, dose,
route, frequency).
Distinguished – 3
points
Includes a list of all
of the patient
reported psychiatric
and but omits the
medical medications
and the diagnosis for
the medication
(including name,
dose, route,
frequency).
Developing – 1-2
points
Includes a list of
some of the patient
reported psychiatric
and/or medical
medications and the
diagnosis for the
medication (omits the
dose, route,
frequency of the
medications).
Novice – 0 point
Information is
completely missing.
4 points
Past Medical
History-S
Exemplary – 3
points
Includes
(Major/Chronic,
Trauma,
Distinguished – 2
points
Includes
(Major/Chronic,
Trauma,
Developing – 1 point
Includes each
medical diagnosis but
does not include year
of diagnosis or
Novice – 0 points
Information is
completely missing. 3 points
Hospitalizations), for
each medical
diagnosis, year of
diagnosis and whether
the diagnosis is active
or current.
Hospitalizations), for
each medical
diagnosis, either year
of diagnosis OR
whether the diagnosis
is active or current.
whether the diagnosis
is active or current.
Past Psychiatric
History-S
Exemplary – 4-5
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
year of diagnosis and.
Distinguished – 3
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (omits
addiction treatment),
year of diagnosis.
Developing – 1-2
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
does not include the
year of diagnosis.
Novice – 0 points
Information is
completely missing.
5 points
Family
Psychiatric
History-S
Exemplary – 3
points
Includes an
assessment of at least
6 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history of
suicidal attempts.
Distinguished – 2
points
Includes an
assessment of at least
4 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Developing – 1 point
Includes an
assessment of at least
2 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Novice – 0 points
Information is
completely missing.
3 points
Social History-
S
Exemplary – 3
points
Distinguished Includes
all 11 of the following:
tobacco use, drug use,
alcohol use, marital
status, employment
status, current and
previous occupation,
sexual orientation,
sexually active,
contraceptive
use/pregnancy status,
and living situation.
Distinguished – 2
points
Includes at least 8 of
the following:
tobacco use, drug
use, alcohol use,
marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Developing – 1 point
Includes all 6 of the
following: tobacco
use, drug use, alcohol
use, marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Novice – 0 points
Information is
completely missing.
3 points
Mental Status
Exam-O
Exemplary – 12-15
points
Includes all 10
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and judgement)
with detailed
descriptions for each
area.
Distinguished – 8-11
points
Includes all 8
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
detailed descriptions
for each area.
Developing – 4-
7 points
Includes >6
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
some descriptions for
each area.
Novice – 0-3 points
Includes <3
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) OR
detailed descriptions
is not included for
each area.
15
points
Primary
Diagnoses-A
Exemplary – 5-6
points
Includes a clear
outline of the accurate
principal diagnosis
based on DSM5 or
DSM5-TR criteria.
Distinguished – 3-4
points
Includes an
inaccurate diagnosis
as the principal
diagnosis based on
DSM5 or DSM5-TR
criteria.
Developing – 1-2
point
Includes a medical
diagnosis based as the
principal diagnosis
OR the diagnosis is
not a DSM5 or
DSM5-TR diagnosis.
Novice – 0 points
Information is
completely missing.
6 points
Differential
Diagnoses-A
Exemplary – 3
points
Includes at least 2
differential diagnoses
for the principal
diagnosis.
Distinguished – 2
points
Includes 2 differential
diagnoses for the
principal diagnosis.
Developing – 1 point
Includes 1 differential
diagnosis for the
principal diagnosis.
Novice – 0 points
Information is
completely missing. 3 points
Treatment
Exemplary – 11-15
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for each
of the diagnoses listed
under “assessment”.
The plan includes
ALL of the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration. If
the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Distinguished – 6-10
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4-7 of
the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration.
If the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Developing – 1-5
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4 of the
following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
Non-pharmacological
treatment NOT
included. If the
diagnosis is a chronic
problem, student
includes instructions
on currently
prescribed
medications as above.
Novice – 0 point
Information is
completely missing.
15
points
Referral
Exemplary – 4-5
points
Provides a detailed list
of medical and other
interdisciplinary
referrals or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Distinguished – 3
points
Provides a medical or
other
interdisciplinary
referral or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Developing – 1-2
points
Provides a medical or
other interdisciplinary
referral. DOES NOT
include a timeline for
follow up
appointments.
Novice – 0 points
Information is
completely missing.
5 points
APA
Formatting
Exemplary – 4-5
points
Effectively uses
literature and other
resources to inform
their work.
Exceptional use of
citations and extended
referencing. High level
of precision with APA
7th Edition writing
style.
Distinguished – 3
points
Effectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
Moderate level of
precision with APA
7th Edition writing
style.
Developing – 1-2
points
Ineffectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
APA 7th Edition
writing style not
strictly adhered to.
Novice – 0 points
APA style and writing
mechanics not used.
5 points
Total Points 90
**## psychopharmaassignmnet1.docx**
**_Realistic Treatment Plan_**
For this assignment, you will develop a realistic clinical case presentation. Use PowerPoint to create the slides for your presentation.
**Do not use the notes section for rubric information, as it will not be graded; all information must be included in the actual slides.** You will record narration for the slides in the next assignment, so keep that in mind as you work.
and
· The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
· The presentation should consist of 10-15 slides. There should be no narration recorded for this submission. Submit the slides only.
**Submit all information for rubric grading on the slides only (the notes section will not be graded).**
· Incorporate a minimum of 4 current (published within the last five years) scholarly
**journal articles** or primary legal sources (statutes, court opinions) within your work.
**Journal articles** should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
· Your submission will be reviewed for plagiarism through Turnitin.
· Complete and submit the assignment by 11:59 PM ET on Sunday.
· Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
**Content Requirements**
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information based on the DSM5-TR and current US clinical guidelines to support the case:
1. Subjective data:
· Chief Complaint
· Demographics
· History of the Present Illness (HPI) includes the presenting problem and the 8 dimensions of the problem. See an example of the correct way to document the psychiatric HPI hereLinks to an external site.
· Review of Systems (ROS)
2. Objective data:
· Current Medications
· Allergies
· Past medical history
· Family psychiatric history
· Social history
· Labs and screening tools
· Vital signs
· Mental status exam
3. Assessment:
· Primary Diagnosis – DSM5 only
· Differential diagnosis – DSM5 only
4. Plan:
· Pharmacologic treatment plan
· Non-pharmacologic treatment plan
· Follow up plan
5. Other:
· Incorporation of current US clinical guidelines
· Integration of research articles
· Role of the nurse practitioner
**Submission Instructions:**
· The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
· The presentation should consist of 10-15 slides. There should be no narration recorded for this submission. Submit the slides only.
· Incorporate a minimum of 4 current (published within the last five years) scholarly
**journal articles** or primary legal sources (statutes, court opinions) within your work.
**Journal articles** should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
**## RealisticTreatmentPlanGradingRubric.pdf**
Realistic Treatment Plan Grading Rubric
Your assignment will be graded according to the grading rubric.
Realistic Case Presentation Rubric
Criteria Ratings Points
Chief
Complaint
(Reason for
seeking health
care) – S
Exemplary – 4
points
Includes a direct quote
from the patient about
presenting problem.
Distinguished – 3
points
Includes a direct
quote from the
patient and other
unrelated
information.
Developing – 1-2
points
Includes information
but the information is
NOT a direct quote.
Novice – 0 points
Information is
completely missing.
4 points
Demographics –
S
Exemplary – 2
points
Begins with patient
initials, age, race,
ethnicity, and gender
(5 demographics).
Distinguished – 1.5
points
Begins with 4 of the
5 patient
demographics
(patient initials, age,
race, ethnicity, and
gender).
Developing – 1 point
Begins with 3 or less
patient demographics
(patient initials, age,
race, ethnicity, and
gender).
Novice – 0 points
Information is
completely missing.
2 points
History of the
Present Illness
(HPI) – S
Exemplary – 4-5
points
Includes the
presenting problem
and the 8 dimensions
of the problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing and Severity).
Distinguished – 3
points
Includes the
presenting problem
and 6 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Developing – 2
points
Includes the
presenting problem
and 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
Novice – 0-1 point
The presenting
problem is not clearly
stated and/or there are
< 4 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing.
5 points
Allergies – S
Exemplary – 2
points
Includes NKA
(including = Drug,
Environmental, Food,
Herbal, and/or Latex
or if allergies are
present (reports for
each severity of
allergy AND
description of allergy).
Distinguished – 1.5
points
Only screened for
one type of allergy
(drug, environmental,
herbal, food or latex).
If allergies are
present, list type
drug, environmental
factor, herbal, food,
latex name and
include the severity
of allergy OR
description of the
allergy.
Developing –
1 points
If allergies are
present, students lists
only the type of
allergy name.
Novice – 0 points
Information is
completely missing.
2 points
Review of
Systems (ROS)
– S
Exemplary – 4-5
points
Includes a minimum
of 3 assessments for
each body system,
assesses at least 9
body systems directed
to chief complaint,
AND uses the words
“admits” and “denies”.
Distinguished – 3
points
Includes 3 or fewer
assessments for each
body system, assesses
5-8 body systems
directed to chief
complaint, AND uses
the words “admits”
and “denies”.
Developing – 1-2
points
Includes 3 or fewer
assessments for each
body system, and
assesses less than 5
body systems
directed to chief
complaint, OR
student does not use
the words “admits”
and “denies”.
Novice – 0 points
Information is
completely missing.
5 points
Vital Signs – O
Exemplary – 2
points
Includes all 8 vital
signs, (BP (with
patient position), HR,
RR, temperature (with
Fahrenheit or Celsius
and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Distinguished – 1.5
points
Includes at least 6
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Developing – 1 point
Includes at least 4
vital signs, (BP (with
patient position), HR,
RR, temperature
(with Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.).
Novice – 0 points
Information is
completely missing.
2 points
Labs,
Diagnostic
Tests and
Screening Tools
– O
Exemplary – 3
points
Includes a list of the
labs, diagnostic tests,
or screening tools that
should be completed
for identified patient
that are based on the
US clinical guidelines
OR acknowledges no
labs/diagnostic tests
are recommended.
Distinguished – 2
points
Includes a list of the
labs, diagnostic tests,
or screening tools
that should be
completed the
identified patient but
they do not follow the
US clinical
guidelines.
Developing – 1 point
Includes a list of the
labs, diagnostic tests,
or screening tools
reviewed for the
identified patient but
they are inappropriate
or do not address the
patient's problem.
Novice – 0 points
Information is
completely missing.
3 points
Medications-S
Exemplary – 4
points
Includes a list of all of
the patient reported
psychiatric and
medical medications
and the diagnosis for
the medication
(including name, dose,
route, frequency).
Distinguished – 3
points
Includes a list of all
of the patient
reported psychiatric
and but omits the
medical medications
and the diagnosis for
the medication
(including name,
dose, route,
frequency).
Developing – 1-2
points
Includes a list of
some of the patient
reported psychiatric
and/or medical
medications and the
diagnosis for the
medication (omits the
dose, route,
frequency of the
medications).
Novice – 0 point
Information is
completely missing.
4 points
Past Medical
History-S
Exemplary – 3
points
Includes
(Major/Chronic,
Trauma,
Distinguished – 2
points
Includes
(Major/Chronic,
Trauma,
Developing – 1 point
Includes each
medical diagnosis but
does not include year
of diagnosis or
Novice – 0 points
Information is
completely missing. 3 points
Hospitalizations), for
each medical
diagnosis, year of
diagnosis and whether
the diagnosis is active
or current.
Hospitalizations), for
each medical
diagnosis, either year
of diagnosis OR
whether the diagnosis
is active or current.
whether the diagnosis
is active or current.
Past Psychiatric
History-S
Exemplary – 4-5
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
year of diagnosis and.
Distinguished – 3
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (omits
addiction treatment),
year of diagnosis.
Developing – 1-2
points
Includes (Outpatient
and Hospitalizations),
for each psychiatric
diagnosis (including
addiction treatment),
does not include the
year of diagnosis.
Novice – 0 points
Information is
completely missing.
5 points
Family
Psychiatric
History-S
Exemplary – 3
points
Includes an
assessment of at least
6 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history of
suicidal attempts.
Distinguished – 2
points
Includes an
assessment of at least
4 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Developing – 1 point
Includes an
assessment of at least
2 family members
regarding, at a
minimum, genetic
disorders, mood
disorder, bipolar
disorder and history
of suicidal attempts.
Novice – 0 points
Information is
completely missing.
3 points
Social History-
S
Exemplary – 3
points
Distinguished Includes
all 11 of the following:
tobacco use, drug use,
alcohol use, marital
status, employment
status, current and
previous occupation,
sexual orientation,
sexually active,
contraceptive
use/pregnancy status,
and living situation.
Distinguished – 2
points
Includes at least 8 of
the following:
tobacco use, drug
use, alcohol use,
marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Developing – 1 point
Includes all 6 of the
following: tobacco
use, drug use, alcohol
use, marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active, contraceptive
use/pregnancy status,
and living situation.
Novice – 0 points
Information is
completely missing.
3 points
Mental Status
Exam-O
Exemplary – 12-15
points
Includes all 10
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and judgement)
with detailed
descriptions for each
area.
Distinguished – 8-11
points
Includes all 8
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
detailed descriptions
for each area.
Developing – 4-
7 points
Includes >6
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) with
some descriptions for
each area.
Novice – 0-3 points
Includes <3
components of the
mental status exam
(appearance,
attitude/behavior,
mood, affect, speech,
thought process,
thought content/
perception, cognition,
insight and
judgement) OR
detailed descriptions
is not included for
each area.
15
points
Primary
Diagnoses-A
Exemplary – 5-6
points
Includes a clear
outline of the accurate
principal diagnosis
based on DSM5 or
DSM5-TR criteria.
Distinguished – 3-4
points
Includes an
inaccurate diagnosis
as the principal
diagnosis based on
DSM5 or DSM5-TR
criteria.
Developing – 1-2
point
Includes a medical
diagnosis based as the
principal diagnosis
OR the diagnosis is
not a DSM5 or
DSM5-TR diagnosis.
Novice – 0 points
Information is
completely missing.
6 points
Differential
Diagnoses-A
Exemplary – 3
points
Includes at least 2
differential diagnoses
for the principal
diagnosis.
Distinguished – 2
points
Includes 2 differential
diagnoses for the
principal diagnosis.
Developing – 1 point
Includes 1 differential
diagnosis for the
principal diagnosis.
Novice – 0 points
Information is
completely missing. 3 points
Treatment
Exemplary – 11-15
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for each
of the diagnoses listed
under “assessment”.
The plan includes
ALL of the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration. If
the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Distinguished – 6-10
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4-7 of
the following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
For non-
pharmacological
treatment, includes:
treatment name,
frequency, duration.
If the diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as above.
Developing – 1-5
points
Includes a detailed
pharmacologic and
non pharmacological
treatment plan for
each of the diagnoses
listed under
“assessment”. The
plan includes 4 of the
following:
drug/vitamin/herbal
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic agent.
Non-pharmacological
treatment NOT
included. If the
diagnosis is a chronic
problem, student
includes instructions
on currently
prescribed
medications as above.
Novice – 0 point
Information is
completely missing.
15
points
Referral
Exemplary – 4-5
points
Provides a detailed list
of medical and other
interdisciplinary
referrals or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Distinguished – 3
points
Provides a medical or
other
interdisciplinary
referral or documents
NO REFERRAL
ADVISED AT THIS
TIME. Includes a
timeline for follow up
appointments.
Developing – 1-2
points
Provides a medical or
other interdisciplinary
referral. DOES NOT
include a timeline for
follow up
appointments.
Novice – 0 points
Information is
completely missing.
5 points
APA
Formatting
Exemplary – 4-5
points
Effectively uses
literature and other
resources to inform
their work.
Exceptional use of
citations and extended
referencing. High level
of precision with APA
7th Edition writing
style.
Distinguished – 3
points
Effectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
Moderate level of
precision with APA
7th Edition writing
style.
Developing – 1-2
points
Ineffectively uses
literature and other
resources to inform
their work. Moderate
use of citations and
extended referencing.
APA 7th Edition
writing style not
strictly adhered to.
Novice – 0 points
APA style and writing
mechanics not used.
5 points
Total Points 90
– 1
– 2