review for edits – 2 years ago
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– 2 years ago
– 2 years ago **files (1)** – ## EthicalReflection.pdf **## EthicalReflection.pdf** Ethical Reflection Ethical reflection is the thoughtful evaluation of ethical questions and the development of a critical awareness regarding the values that inform the choices all people, including oneself, make whe…
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**files (1)**
– ## EthicalReflection.pdf
**## EthicalReflection.pdf**
Ethical Reflection
Ethical reflection is the thoughtful evaluation of ethical questions and the development
of a critical awareness regarding the values that inform the choices all people, including
oneself, make when confronting such questions.
How do you start a reflection in nursing, reflecting there are a few key things to
consider:
Make time to reflect.
Value the benefits it may bring to your practice.
Use a structure only if you feel comfortable doing so.
Write notes
Chose and identify the potential ethical dilemma you want to base your ethical reflection
paper on. Collect, analyze, and interpret your findings. State the dilemma and how can
the dilemma be resolved by the nurse? Include the code of ethics.
( Ethical dilemmas: Why give needles to injection drug users but not insulin-dependent
individuals)
APA Formatting Required:
Format: 12-point Times New Roman, use 1" margins, double-spaced in Microsoft Word,
in text citations.
Length: 3–4 pages, plus a title page and a references page.
Use correct APA format, including running head, page numbers, and a title page.
Writing should be free of grammar and spelling errors that distract from content.
Must include:
Title Page
Abstract Page: It is a brief summary of the contents of your essay. Typically 150-250
words and must be readable, concise, and well organized.
Reference Page: 3-4 References within the last 5 years using our LIRN library
resources
**## EthicalReflection.pdf**
Ethical Reflection
Ethical reflection is the thoughtful evaluation of ethical questions and the development
of a critical awareness regarding the values that inform the choices all people, including
oneself, make when confronting such questions.
How do you start a reflection in nursing, reflecting there are a few key things to
consider:
Make time to reflect.
Value the benefits it may bring to your practice.
Use a structure only if you feel comfortable doing so.
Write notes
Chose and identify the potential ethical dilemma you want to base your ethical reflection
paper on. Collect, analyze, and interpret your findings. State the dilemma and how can
the dilemma be resolved by the nurse? Include the code of ethics.
( Ethical dilemmas: Why give needles to injection drug users but not insulin-dependent
individuals)
APA Formatting Required:
Format: 12-point Times New Roman, use 1" margins, double-spaced in Microsoft Word,
in text citations.
Length: 3–4 pages, plus a title page and a references page.
Use correct APA format, including running head, page numbers, and a title page.
Writing should be free of grammar and spelling errors that distract from content.
Must include:
Title Page
Abstract Page: It is a brief summary of the contents of your essay. Typically 150-250
words and must be readable, concise, and well organized.
Reference Page: 3-4 References within the last 5 years using our LIRN library
resources
In-depth study guidance and analytical solution covering Education Chapter 9 Assessment of Behavior Research and Application Assignment.
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## Purpose This assignment is intended to help you learn to discuss common workplace issues in nurse management. ## Overview In this discussion, we will look more closely at some of the workplace issues that are commonly seen by nurse managers. You will have an opportunity to select a management iss…
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Order on TutorsGallery →## Purpose
This assignment is intended to help you learn to discuss common workplace issues in nurse management.
## Overview
In this discussion, we will look more closely at some of the workplace issues that are commonly seen by nurse managers. You will have an opportunity to select a management issue that is of interest to you and dialogue with your colleagues about their experiences.
## Action Items
1. Complete the required readings for this module.
2. Select a workplace issue that is important to you. Find at least one scholarly article that addresses this issue.
3. Respond to these prompts:
1. Identify the workplace issue you selected and discuss the role of the nurse manager in addressing it.
2. Identify legal and human resource management issues that are relevant.
3. Discuss the solution(s) that were offered in the article(s) you read.
4. Share an experience from your practice that you have observed or experienced. Discuss the resolution, or failure to achieve resolution, of the issue.
5. Include a reference list. All citations and your reference list must adhere to [APA Guidelines.Links to an external site.](https://guides.franklin.edu/apa)
4. By the due date indicated, create your initial post.
5. By Sunday, respond to at least two of your classmates. In your response, consider the following:
1. Would you respond differently to the workplace issue than your classmate did? If so, how? Suggest additional information or offer a different perspective.
2. Provide a relevant insight or idea that you have drawn from your own professional experience.
– 2 years ago
List strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits: 1. An 18-month-old with an acute upper respiratory infection 2. A 4-year-old with stool withholding and constipation 3. A 9-year-old with chronic…
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Order on TutorsGallery →List strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits:
1. An 18-month-old with an acute upper respiratory infection
2. A 4-year-old with stool withholding and constipation
3. A 9-year-old with chronic headaches
4. A 15-year-old with dysmenorrhea.
**Submission Instructions:**
– Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
– 2 years ago
In-depth study guidance and analytical solution covering de3.
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[>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) Read “Case 13.1 Bluebird Care” in Ch. 13 (p. 477) of _Leadership: Theory and Practice_. Respond in detail to the following case study questions: – Using the roles identified in Chaleff’s follower typology (Fig…
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Read “Case 13.1 Bluebird Care” in Ch. 13 (p. 477) of _Leadership: Theory and Practice_.
Respond in detail to the following case study questions:
– Using the roles identified in Chaleff’s follower typology (Figure 13.4), what roles do Terry, Belinda, Caleb, and James play at the agency?
– Using the “reversing the lens” framework (Figure 13.6), explain how Caleb and James’s characteristics contribute to the followership outcomes at Bluebird Care.
– Terry and Robin have a unique relationship in that they both engage in leading and following. How do you think each of them views leadership and followership? Discuss.
– If you were an organizational consultant, what would you suggest to Robin that could strengthen Bluebird Care? If you were a followership coach, how would you advise Robin?
_Note_:A well-structured scholarly paragraph contains 3–5 sentences. Please refer to the [MEAL Plan](https://multimedia.phoenix.edu/cms/20205378) as a guide. Avoid the use of first-person language. You will be writing this analysis from a third-person perspective.
Incorporate feedback from previous weeks.
Include APA-formatted in-text citations and references.
Format your analysis according to current APA guidelines. Refer to the [Sample Paper for APA 7th Edition](https://multimedia.phoenix.edu/cms/202115142) to ensure the assignment meets APA standards.
_Note_: Remember to proofread your document, including grammar, punctuation, citations, and formatting.
– 2 years ago
Remember, this is your opinion, your personal honest reaction to the production. Do not give a plot or story summation. ****PLEASE FOLLOW THE ATTACHEMENT AND READ IT CAREFULLY****** You will find the play on YouTube under the link below: https://www.youtube.com/watch?v=kz0nCvXkEH8 **Critiq…
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Order on TutorsGallery →Remember, this is your opinion, your personal honest reaction to the production. Do not give a plot or story summation. ****PLEASE FOLLOW THE ATTACHEMENT AND READ IT CAREFULLY******
You will find the play on YouTube under the link below:
https://www.youtube.com/watch?v=kz0nCvXkEH8
**Critique guidelines MUST be followed for full credit and can be found below.**
[CRITIQUE GUIDELINES-1.docx](https://jsums.instructure.com/courses/2322973/files/124730971?wrap=1 "CRITIQUE GUIDELINES-1.docx") [Download CRITIQUE GUIDELINES-1.docx](https://jsums.instructure.com/courses/2322973/files/124730971/download?download_frd=1)
– [\
\
CRITIQUEGUIDELINES-1-1.docx](https://www.sweetstudy.com/files/critiqueguidelines-1-1-docx "CRITIQUEGUIDELINES-1-1.docx")
– 2 years ago
[>Criminal homework help](https://www.sweetstudy.com/fields/law-criminal) – 2 years ago **files (2)** – ## Assignment3.540.docx – ## APATemplatePaper.docx **## Assignment3.540.docx** Watch this video [https://youtu.be/xZUg9rJ0pQ4](https://youtu.be/xZUg9rJ0pQ4) Write a 3 page paper due 3/27/2025 To p…
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– 2 years ago
**files (2)**
– ## Assignment3.540.docx
– ## APATemplatePaper.docx
**## Assignment3.540.docx**
Watch this video
[https://youtu.be/xZUg9rJ0pQ4](https://youtu.be/xZUg9rJ0pQ4)
Write a 3 page paper due 3/27/2025
To plan a program evaluation, we must first understand the program and the needs of the population served. You may use the elements in bold below as headings in your paper. For this assignment, you will compose a 3 page paper (paper MUST be in APA) with the following components:
· Identify and describe a
**criminal justice program** in your community (you may use the program described in Discussion Post #2). The University of Mississippi is the project initiator of the Prison-to-College Pipeline Program (PTCPP)
· What is the
**mission** of the program and the
**specific population served**?
· What
**services** does this program provide?
· In what way does this program address a significant
**need in the community**? Ensure that the relevant information source is cited to support the need for the program.
· In what way(s) would the program
**benefit** from an evaluation?
· What are some
**ethical considerations** in planning and implementing this program evaluation?
· If you were hired as an external evaluator to evaluate this program, what
**initial steps** would you take to plan this evaluation?
**IMPORTANT NOTE: I have attached a sample APA paper exemplar in MS Word with the outline for this assignment. Feel free to download and modify as needed. Please pay particular attention to the level headers, introduction, and conclusion passages.**
**## APATemplatePaper.docx**
6
Running head: PROGRAM OVERVIEW
PROGRAM OVERVIEW
Your Name
Date
CJI 0540
Dr. Hector R. Garcia
**Program Overview**
**Introduction**
Provide passages that preview all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**Criminal Justice Program**
Identify and describe a criminal justice program in your community (you may use the program described in Discussion Post #2).
**Mission & Population Served**
What is the mission of the program?
What is the
**specific population** served?
**Services**
What services does this program provide?
**Community Needs**
In what way does this program address a significant need in the community? Make sure to cite the relevant information source to support the need for the program.
**Evaluation Benefits**
In what way(s) would the program benefit from an evaluation?
**Evaluation Models**
What evaluation model(s) may be appropriate to use in the evaluation of this program and why?
**Ethical Considerations**
What are some ethical considerations in the planning and implementing this program evaluation?
**Initial Steps**
If you were hired as an external evaluator to evaluate this program, what initial steps would you take to plan this evaluation?
**Conclusion**
Provide a passage that recaps all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**References (these are samples – replace with yours)**
Dordevic, B. (2014).
_Employee Commitment in Times of Radical Organizational_
_Changes._ http://facta.junis.ni.ac.yu/facta/eao/eao2004/eao2004-05.pdf
Human Synergistics International Institute. (2020).
_Building Commitment Through_
_Organizational Culture_ (Number 6).
http://www.human-synergistics.com.au/content/articles/research-
results/6.pdf
Meyer, J & Allen, N. (2019).
_Commitment in the Workplace._ Thousand Oaks, CA: Sage
Publications.
Williams, J. (2021).
_Job Satisfaction and Organizational Commitment._
http://www.bc.edu/bc_org/avp/wfnetwork/rft/wfpedia/wfpJSOCent.html
**## APATemplatePaper.docx**
6
Running head: PROGRAM OVERVIEW
PROGRAM OVERVIEW
Your Name
Date
CJI 0540
Dr. Hector R. Garcia
**Program Overview**
**Introduction**
Provide passages that preview all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**Criminal Justice Program**
Identify and describe a criminal justice program in your community (you may use the program described in Discussion Post #2).
**Mission & Population Served**
What is the mission of the program?
What is the
**specific population** served?
**Services**
What services does this program provide?
**Community Needs**
In what way does this program address a significant need in the community? Make sure to cite the relevant information source to support the need for the program.
**Evaluation Benefits**
In what way(s) would the program benefit from an evaluation?
**Evaluation Models**
What evaluation model(s) may be appropriate to use in the evaluation of this program and why?
**Ethical Considerations**
What are some ethical considerations in the planning and implementing this program evaluation?
**Initial Steps**
If you were hired as an external evaluator to evaluate this program, what initial steps would you take to plan this evaluation?
**Conclusion**
Provide a passage that recaps all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**References (these are samples – replace with yours)**
Dordevic, B. (2014).
_Employee Commitment in Times of Radical Organizational_
_Changes._ http://facta.junis.ni.ac.yu/facta/eao/eao2004/eao2004-05.pdf
Human Synergistics International Institute. (2020).
_Building Commitment Through_
_Organizational Culture_ (Number 6).
http://www.human-synergistics.com.au/content/articles/research-
results/6.pdf
Meyer, J & Allen, N. (2019).
_Commitment in the Workplace._ Thousand Oaks, CA: Sage
Publications.
Williams, J. (2021).
_Job Satisfaction and Organizational Commitment._
http://www.bc.edu/bc_org/avp/wfnetwork/rft/wfpedia/wfpJSOCent.html
**## Assignment3.540.docx**
Watch this video
[https://youtu.be/xZUg9rJ0pQ4](https://youtu.be/xZUg9rJ0pQ4)
Write a 3 page paper due 3/27/2025
To plan a program evaluation, we must first understand the program and the needs of the population served. You may use the elements in bold below as headings in your paper. For this assignment, you will compose a 3 page paper (paper MUST be in APA) with the following components:
· Identify and describe a
**criminal justice program** in your community (you may use the program described in Discussion Post #2). The University of Mississippi is the project initiator of the Prison-to-College Pipeline Program (PTCPP)
· What is the
**mission** of the program and the
**specific population served**?
· What
**services** does this program provide?
· In what way does this program address a significant
**need in the community**? Ensure that the relevant information source is cited to support the need for the program.
· In what way(s) would the program
**benefit** from an evaluation?
· What are some
**ethical considerations** in planning and implementing this program evaluation?
· If you were hired as an external evaluator to evaluate this program, what
**initial steps** would you take to plan this evaluation?
**IMPORTANT NOTE: I have attached a sample APA paper exemplar in MS Word with the outline for this assignment. Feel free to download and modify as needed. Please pay particular attention to the level headers, introduction, and conclusion passages.**
**## APATemplatePaper.docx**
6
Running head: PROGRAM OVERVIEW
PROGRAM OVERVIEW
Your Name
Date
CJI 0540
Dr. Hector R. Garcia
**Program Overview**
**Introduction**
Provide passages that preview all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**Criminal Justice Program**
Identify and describe a criminal justice program in your community (you may use the program described in Discussion Post #2).
**Mission & Population Served**
What is the mission of the program?
What is the
**specific population** served?
**Services**
What services does this program provide?
**Community Needs**
In what way does this program address a significant need in the community? Make sure to cite the relevant information source to support the need for the program.
**Evaluation Benefits**
In what way(s) would the program benefit from an evaluation?
**Evaluation Models**
What evaluation model(s) may be appropriate to use in the evaluation of this program and why?
**Ethical Considerations**
What are some ethical considerations in the planning and implementing this program evaluation?
**Initial Steps**
If you were hired as an external evaluator to evaluate this program, what initial steps would you take to plan this evaluation?
**Conclusion**
Provide a passage that recaps all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**References (these are samples – replace with yours)**
Dordevic, B. (2014).
_Employee Commitment in Times of Radical Organizational_
_Changes._ http://facta.junis.ni.ac.yu/facta/eao/eao2004/eao2004-05.pdf
Human Synergistics International Institute. (2020).
_Building Commitment Through_
_Organizational Culture_ (Number 6).
http://www.human-synergistics.com.au/content/articles/research-
results/6.pdf
Meyer, J & Allen, N. (2019).
_Commitment in the Workplace._ Thousand Oaks, CA: Sage
Publications.
Williams, J. (2021).
_Job Satisfaction and Organizational Commitment._
http://www.bc.edu/bc_org/avp/wfnetwork/rft/wfpedia/wfpJSOCent.html
**## Assignment3.540.docx**
Watch this video
[https://youtu.be/xZUg9rJ0pQ4](https://youtu.be/xZUg9rJ0pQ4)
Write a 3 page paper due 3/27/2025
To plan a program evaluation, we must first understand the program and the needs of the population served. You may use the elements in bold below as headings in your paper. For this assignment, you will compose a 3 page paper (paper MUST be in APA) with the following components:
· Identify and describe a
**criminal justice program** in your community (you may use the program described in Discussion Post #2). The University of Mississippi is the project initiator of the Prison-to-College Pipeline Program (PTCPP)
· What is the
**mission** of the program and the
**specific population served**?
· What
**services** does this program provide?
· In what way does this program address a significant
**need in the community**? Ensure that the relevant information source is cited to support the need for the program.
· In what way(s) would the program
**benefit** from an evaluation?
· What are some
**ethical considerations** in planning and implementing this program evaluation?
· If you were hired as an external evaluator to evaluate this program, what
**initial steps** would you take to plan this evaluation?
**IMPORTANT NOTE: I have attached a sample APA paper exemplar in MS Word with the outline for this assignment. Feel free to download and modify as needed. Please pay particular attention to the level headers, introduction, and conclusion passages.**
**## APATemplatePaper.docx**
6
Running head: PROGRAM OVERVIEW
PROGRAM OVERVIEW
Your Name
Date
CJI 0540
Dr. Hector R. Garcia
**Program Overview**
**Introduction**
Provide passages that preview all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**Criminal Justice Program**
Identify and describe a criminal justice program in your community (you may use the program described in Discussion Post #2).
**Mission & Population Served**
What is the mission of the program?
What is the
**specific population** served?
**Services**
What services does this program provide?
**Community Needs**
In what way does this program address a significant need in the community? Make sure to cite the relevant information source to support the need for the program.
**Evaluation Benefits**
In what way(s) would the program benefit from an evaluation?
**Evaluation Models**
What evaluation model(s) may be appropriate to use in the evaluation of this program and why?
**Ethical Considerations**
What are some ethical considerations in the planning and implementing this program evaluation?
**Initial Steps**
If you were hired as an external evaluator to evaluate this program, what initial steps would you take to plan this evaluation?
**Conclusion**
Provide a passage that recaps all of the paper’s major discussion points (all the title headers that are listed in this sample paper).
**References (these are samples – replace with yours)**
Dordevic, B. (2014).
_Employee Commitment in Times of Radical Organizational_
_Changes._ http://facta.junis.ni.ac.yu/facta/eao/eao2004/eao2004-05.pdf
Human Synergistics International Institute. (2020).
_Building Commitment Through_
_Organizational Culture_ (Number 6).
http://www.human-synergistics.com.au/content/articles/research-
results/6.pdf
Meyer, J & Allen, N. (2019).
_Commitment in the Workplace._ Thousand Oaks, CA: Sage
Publications.
Williams, J. (2021).
_Job Satisfaction and Organizational Commitment._
http://www.bc.edu/bc_org/avp/wfnetwork/rft/wfpedia/wfpJSOCent.html
please read rubric – 2 years ago **files (3)** – ## psychotherapycomprehensivepsycheval.docx – Screenshot2025-03-25at08.32.23.png – comprehensivepsychevalrubric.docx **## psychotherapycomprehensivepsycheval.docx** **
– ## psychotherapycomprehensivepsycheval.docx
– Screenshot2025-03-25at08.32.23.png
– comprehensivepsychevalrubric.docx
**## psychotherapycomprehensivepsycheval.docx**
**Comprehensive Psychiatric Evaluation Template**
**With Psychotherapy Note**
Encounter date: ________________________
Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____
Reason for Seeking Health Care: ______________________________________________
**HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
**SI/HI:** _______________________________________________________________________________
**Sleep:**_________________________________________
**Appetite:**\_\_\______________________
**Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________
**Current perception of Health**: Excellent Good Fair Poor
**Psychiatric History:**
**_Inpatient hospitalizations:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_Outpatient psychiatric treatment:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_Detox/Inpatient substance treatment:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________
**Past Medical History**
· Major/Chronic Illnesses____________________________________________________
· Trauma/Injury ___________________________________________________________
· Hospitalizations __________________________________________________________
**Past Surgical History**\_\_\_________________________________________________________
**_Current psychotropic medications:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_Current prescription medications:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_OTC/Nutritionals/Herbal/Complementary therapy:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)
| | | | |
| — | — | — | — |
| **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
| | | | |
| | | | |
| | | | |
| | | | |
**Family Psychiatric History:** _____________________________________________________
**Social History**
**Lives**: Single family House/Condo/ with stairs: ___________
**Marital Status**:________
**Education**:____________________________
**Employment Status**: ______
**Current/Previous occupation type**: _________________
**Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________
**Sexual Orientation:** _______ Sexual Activity: ____
**Contraception Use**: ____________
**Family Composition:** Family/Mother/Father/Alone
**: _____________________________**
**Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**
**\_\_\______________________________________________________________________**
**Health Maintenance**
**Screening Tests (submit with SOAP note): Depression, Anxiety, ADHD, Autism, Psychosis, Dementia**
**Exposures:**
**Immunization HX:**
**Review of Systems (at least 3 areas per system):**
General:
HEENT:
Neck:
Lungs:
Cardiovascular:
Breast:
GI:
Male/female genital:
GU:
Neuro:
Musculoskeletal:
Activity & Exercise:
Psychosocial:
Derm:
Nutrition:
Sleep/Rest:
LMP:
STI Hx:
**Physical Exam**
BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
**percentile**) _____
General:
HEENT:
Neck:
Pulmonary:
Cardiovascular:
Breast:
GI:
Male/female genital:
GU:
Neuro:
Musculoskeletal:
Derm:
Psychosocial:
Misc.
**Mental Status Exam**
Appearance:
Behavior:
Speech:
Mood:
Affect:
Thought Content:
Thought Process:
Cognition/Intelligence:
Clinical Insight:
Clinical Judgment:
| |
| — |
| **Psychotherapy Note** |
| **Therapeutic Technique Used:** |
| **Session Focus and Theme:** |
| **Intervention Strategies Implemented:** |
| **Evidence of Patient Response**: |
**Plan:**
**Differential Diagnoses**
**1.**
**2.**
**Principal Diagnoses**
**1.**
**2.**
**Plan:**
**Diagnosis #1**
**Diagnostic Testing/Screening:**
**Pharmacological Treatment:**
**Non-Pharmacological Treatment:**
**Patient/Family Education:**
**Referrals:**
**Follow-up:**
**Anticipatory Guidance:**
**Diagnosis #2**
**Diagnostic Testing/Screening Tool:**
**Pharmacological Treatment:**
**Non-Pharmacological Treatment:**
**Patient/Family Education:**
**Referrals:**
**Follow-up:**
**Anticipatory Guidance:**
**Signature (with appropriate credentials): __________________________________________**
**Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________**
**DEA#: 101010101 STU Clinic LIC# 10000000**
**Tel: (000) 555-1234 FAX: (000) 555-12222**
Patient Name: (Initials)______________________________ Age ___________
Date: _______________
**RX ______________________________________**
**SIG:**
**Dispense**: ___________
**Refill:** _________________
**No Substitution**
**Signature:** ____________________________________________________________
**Rev. 2272022 LM**
## image1.png
**Screenshot2025-03-25at08.32.23.png**
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**comprehensivepsychevalrubric.docx**
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**comprehensivepsychevalrubric.docx**
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**## psychotherapycomprehensivepsycheval.docx**
**Comprehensive Psychiatric Evaluation Template**
**With Psychotherapy Note**
Encounter date: ________________________
Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____
Reason for Seeking Health Care: ______________________________________________
**HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
**SI/HI:** _______________________________________________________________________________
**Sleep:**_________________________________________
**Appetite:**\_\_\______________________
**Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________
**Current perception of Health**: Excellent Good Fair Poor
**Psychiatric History:**
**_Inpatient hospitalizations:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_Outpatient psychiatric treatment:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_Detox/Inpatient substance treatment:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________
**Past Medical History**
· Major/Chronic Illnesses____________________________________________________
· Trauma/Injury ___________________________________________________________
· Hospitalizations __________________________________________________________
**Past Surgical History**\_\_\_________________________________________________________
**_Current psychotropic medications:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_Current prescription medications:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_OTC/Nutritionals/Herbal/Complementary therapy:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)
| | | | |
| — | — | — | — |
| **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
| | | | |
| | | | |
| | | | |
| | | | |
**Family Psychiatric History:** _____________________________________________________
**Social History**
**Lives**: Single family House/Condo/ with stairs: ___________
**Marital Status**:________
**Education**:____________________________
**Employment Status**: ______
**Current/Previous occupation type**: _________________
**Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________
**Sexual Orientation:** _______ Sexual Activity: ____
**Contraception Use**: ____________
**Family Composition:** Family/Mother/Father/Alone
**: _____________________________**
**Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**
**\_\_\______________________________________________________________________**
**Health Maintenance**
**Screening Tests (submit with SOAP note): Depression, Anxiety, ADHD, Autism, Psychosis, Dementia**
**Exposures:**
**Immunization HX:**
**Review of Systems (at least 3 areas per system):**
General:
HEENT:
Neck:
Lungs:
Cardiovascular:
Breast:
GI:
Male/female genital:
GU:
Neuro:
Musculoskeletal:
Activity & Exercise:
Psychosocial:
Derm:
Nutrition:
Sleep/Rest:
LMP:
STI Hx:
**Physical Exam**
BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
**percentile**) _____
General:
HEENT:
Neck:
Pulmonary:
Cardiovascular:
Breast:
GI:
Male/female genital:
GU:
Neuro:
Musculoskeletal:
Derm:
Psychosocial:
Misc.
**Mental Status Exam**
Appearance:
Behavior:
Speech:
Mood:
Affect:
Thought Content:
Thought Process:
Cognition/Intelligence:
Clinical Insight:
Clinical Judgment:
| |
| — |
| **Psychotherapy Note** |
| **Therapeutic Technique Used:** |
| **Session Focus and Theme:** |
| **Intervention Strategies Implemented:** |
| **Evidence of Patient Response**: |
**Plan:**
**Differential Diagnoses**
**1.**
**2.**
**Principal Diagnoses**
**1.**
**2.**
**Plan:**
**Diagnosis #1**
**Diagnostic Testing/Screening:**
**Pharmacological Treatment:**
**Non-Pharmacological Treatment:**
**Patient/Family Education:**
**Referrals:**
**Follow-up:**
**Anticipatory Guidance:**
**Diagnosis #2**
**Diagnostic Testing/Screening Tool:**
**Pharmacological Treatment:**
**Non-Pharmacological Treatment:**
**Patient/Family Education:**
**Referrals:**
**Follow-up:**
**Anticipatory Guidance:**
**Signature (with appropriate credentials): __________________________________________**
**Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________**
**DEA#: 101010101 STU Clinic LIC# 10000000**
**Tel: (000) 555-1234 FAX: (000) 555-12222**
Patient Name: (Initials)______________________________ Age ___________
Date: _______________
**RX ______________________________________**
**SIG:**
**Dispense**: ___________
**Refill:** _________________
**No Substitution**
**Signature:** ____________________________________________________________
**Rev. 2272022 LM**
## image1.png
**Screenshot2025-03-25at08.32.23.png**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-03-25at08-32-23-png-10238431)
**comprehensivepsychevalrubric.docx**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/comprehensivepsychevalrubric-docx-10238435)
**## psychotherapycomprehensivepsycheval.docx**
**Comprehensive Psychiatric Evaluation Template**
**With Psychotherapy Note**
Encounter date: ________________________
Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____
Reason for Seeking Health Care: ______________________________________________
**HPI**:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
**SI/HI:** _______________________________________________________________________________
**Sleep:**_________________________________________
**Appetite:**\_\_\______________________
**Allergies**(Drug/Food/Latex/Environmental/Herbal): ___________________________________
**Current perception of Health**: Excellent Good Fair Poor
**Psychiatric History:**
**_Inpatient hospitalizations:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_Outpatient psychiatric treatment:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_Detox/Inpatient substance treatment:_**
| | | | |
| — | — | — | — |
| **_Date_** | **_Hospital_** | **_Diagnoses_** | **_Length of Stay_** |
| | | | |
| | | | |
**_History of suicide attempts and/or self injurious behaviors:_**\_\_\__________________________________
**Past Medical History**
· Major/Chronic Illnesses____________________________________________________
· Trauma/Injury ___________________________________________________________
· Hospitalizations __________________________________________________________
**Past Surgical History**\_\_\_________________________________________________________
**_Current psychotropic medications:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_Current prescription medications:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_OTC/Nutritionals/Herbal/Complementary therapy:_**
\_\_\_______________________________________ ________________________________
\_\_\_______________________________________ ________________________________
**_Substance use_** _:_(alcohol, marijuana, cocaine, caffeine, cigarettes)
| | | | |
| — | — | — | — |
| **_Substance_** | **_Amount_** | **_Frequency_** | **_Length of Use_** |
| | | | |
| | | | |
| | | | |
| | | | |
**Family Psychiatric History:** _____________________________________________________
**Social History**
**Lives**: Single family House/Condo/ with stairs: ___________
**Marital Status**:________
**Education**:____________________________
**Employment Status**: ______
**Current/Previous occupation type**: _________________
**Exposure to:** ___Smoke____ ETOH ____Recreational Drug Use: __________________
**Sexual Orientation:** _______ Sexual Activity: ____
**Contraception Use**: ____________
**Family Composition:** Family/Mother/Father/Alone
**: _____________________________**
**Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________**
**\_\_\______________________________________________________________________**
**Health Maintenance**
**Screening Tests (submit with SOAP note): Depression, Anxiety, ADHD, Autism, Psychosis, Dementia**
**Exposures:**
**Immunization HX:**
**Review of Systems (at least 3 areas per system):**
General:
HEENT:
Neck:
Lungs:
Cardiovascular:
Breast:
GI:
Male/female genital:
GU:
Neuro:
Musculoskeletal:
Activity & Exercise:
Psychosocial:
Derm:
Nutrition:
Sleep/Rest:
LMP:
STI Hx:
**Physical Exam**
BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (
**percentile**) _____
General:
HEENT:
Neck:
Pulmonary:
Cardiovascular:
Breast:
GI:
Male/female genital:
GU:
Neuro:
Musculoskeletal:
Derm:
Psychosocial:
Misc.
**Mental Status Exam**
Appearance:
Behavior:
Speech:
Mood:
Affect:
Thought Content:
Thought Process:
Cognition/Intelligence:
Clinical Insight:
Clinical Judgment:
| |
| — |
| **Psychotherapy Note** |
| **Therapeutic Technique Used:** |
| **Session Focus and Theme:** |
| **Intervention Strategies Implemented:** |
| **Evidence of Patient Response**: |
**Plan:**
**Differential Diagnoses**
**1.**
**2.**
**Principal Diagnoses**
**1.**
**2.**
**Plan:**
**Diagnosis #1**
**Diagnostic Testing/Screening:**
**Pharmacological Treatment:**
**Non-Pharmacological Treatment:**
**Patient/Family Education:**
**Referrals:**
**Follow-up:**
**Anticipatory Guidance:**
**Diagnosis #2**
**Diagnostic Testing/Screening Tool:**
**Pharmacological Treatment:**
**Non-Pharmacological Treatment:**
**Patient/Family Education:**
**Referrals:**
**Follow-up:**
**Anticipatory Guidance:**
**Signature (with appropriate credentials): __________________________________________**
**Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________**
**DEA#: 101010101 STU Clinic LIC# 10000000**
**Tel: (000) 555-1234 FAX: (000) 555-12222**
Patient Name: (Initials)______________________________ Age ___________
Date: _______________
**RX ______________________________________**
**SIG:**
**Dispense**: ___________
**Refill:** _________________
**No Substitution**
**Signature:** ____________________________________________________________
**Rev. 2272022 LM**
## image1.png
**Screenshot2025-03-25at08.32.23.png**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-03-25at08-32-23-png-10238431)
**comprehensivepsychevalrubric.docx**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/comprehensivepsychevalrubric-docx-10238435)