FOCUSED SOAP NOTE FOR SCHIZOPHRENIA SPECTRUM, OTHER PSYCHOTIC, AND MEDICATION-INDUCED MOVEMENT DISORDERS Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. P

NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template

Week (enter week #): (Enter assignment title)

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6675: PMHNP Care Across the Lifespan II

Faculty Name

Assignment Due Date

Subjective:

CC (chief complaint):

HPI:

Substance Current Use:

Medical History:

• Current Medications:

• Allergies:

• Reproductive Hx:

ROS:

• GENERAL:

• HEENT:

• SKIN:

• CARDIOVASCULAR:

• RESPIRATORY:

• GASTROINTESTINAL:

• GENITOURINARY:

• NEUROLOGICAL:

• MUSCULOSKELETAL:

• HEMATOLOGIC:

• LYMPHATICS:

• ENDOCRINOLOGIC:

Objective:

Diagnostic results:

Assessment:

Mental Status Examination:

Diagnostic Impression:

Reflections:

Case Formulation and Treatment Plan: 

References

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