NURS6635: Week 8 Assignment

Assignment: Assessing and Diagnosing Patients With Substance-Related and Addictive

Disorders

Complete and submit your Comprehensive Psychiatric Evaluation, including your
differential diagnosis and critical-thinking process to formulate primary diagnosis.
I attached is the case study transcript and case report. PEASE use to answer question
below.

Diagnostic results:

LABS: Her admission labs abnormal for ALT 168 AST 200 ALK 250; bilirubin 2.5, albumin
3.0; her GGT is 59; UDS positive for cocaine, THC. Negative for alcohol or other drugs. BAL 0;
other labs within normal ranges.”
Vital Signs: T- 99.8 P- 101 R 20 178/94 Ht 5’6 Wt 140lbs
DIAGNOSTIC TEST(S): What diagnostic test needs to be done for this patient?

Differential diagnosis

1. Substance use disorder
2. Anxiety
3. , ??????

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. Explain each and why the other two are ruled out

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.).