Patient scenario The patient is 26 years

Patient scenario The patient is 26 years old, went to the emergency department last week because (HERE IS HIS EXPERIENCE) I was feeling like I was dying from a heart attack, and they did one of those, what do you call it? Ah, an EKG. And it was normal. But I was sweating, and I was having trouble catching my own breath. And my heart was pounding really, hard, and I just felt like my heart was going to explode out of my chest. Fifteen minutes went by, and the feeling went away. The next day, the same thing happened when I was making coffee I felt tightness in my chest, I was sweating and my heart was pounding, the same exact feeling Almost like my mother, I remember she would get the same thing probably three or four times a week. It is just sheer panic for no reason at all. Complete a Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis. Incorporate the Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). SCIENCE HEALTH SCIENCE NURSING NRNP 6635

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