Southern New Bipolar Disorder Mental Health Adult Psychosocial Assessment Please use the layout in the rubric attached (not a standard essay just fill in t

Southern New Bipolar Disorder Mental Health Adult Psychosocial Assessment Please use the layout in the rubric attached (not a standard essay just fill in the sections), just plug and chug 🙂

Address the following areas for your Psychosocial Assessment. See Rubric

All assessments will be uploaded into Canvas as a Microsoft Word Document (.docx). No paper care plans will be accepted.
Each section must have a heading to explain what area is being addressed.
Students may also create boxes within the Word document with headings to address the outlined areas. APA formatting is mandatory for citations and references. You may use single spaces between lines of the care. Use double-space and hanging indent for your reference page (APA formatting).
Make sure all submitted documents have your name, care plan number, clinical date, clinical site, class, and level.
No late or incomplete assignments will be accepted regardless of the reason. Late or incomplete assignments will receive a zero.
Students are advised to use all the available resources to check for grammar, spelling, punctuation, and formatting. (Examples: PURDUE OWL, Grammarly, school library) Coping Skills
3 pts
Arousal/Orientation
2 pts
Appearance
2 pts
Behavior/Motor Activity
2 pts
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What hobbies does the patient have?
What is the patient good at?
What brings the patient joy or happiness?
MENTAL STATUS ASSESSMENT
• Alert
• Sleepy
• Attentive
• Unresponsive
• Other
• Well-groomed
• Good eye contact
• Poor eye contact
• Disheveled
• Bizarre
• Poor hygiene
• Inappropriate dress
• Other
______________
• Normal
• Restless
• Agitated
• Lethargic
• Abnormal facial expressions
• Tremors
• Tics
• Other
Mood/Affect
2 pts
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Normal
Depressed
Flat
Euphoric
Anxious
Irritable
Labile
Indifferent
Careless
Inability to sense emotions
Lack of sympathy
Other
Speech
2 pts
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•
Normal
Nonverbal
Slurred
Soft
Loud
Pressured
1/9/20 DD
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Limited
Incoherent
Halting
Rapid
Other
Attitude
2 pts
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Cooperative
Uncooperative
Guarded
Suspicious
Hostile
Other
Thought Process
2 pts
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Intact
Tangential
Concrete thinking
Able to think abstractly
Circumstantial
Neologisms
Racing
Word Salad
Other
Thought Content
2 pts
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Normal
Phobia
Hypochondriasis
Delusions
Obsessive
Preoccupations
Other
Delusions
2 pts
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None
Religious
Persecutory
Grandiose
Somatic
Ideas of reference
Thought broadcasting
Thought insertion
Other
Hallucinations
2 pts
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None
Auditory hallucinations
Visual hallucinations
Command hallucinations
Tactile hallucinations
Other:
1/9/20 DD
Impulse Control
2 pts
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Describe:
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Normal
Partial
Limited
Poor
None
Frequently participates in activities without planning or
thinking about them
Judgment
2 pts
What would you do if there was a fire in a crowded movie theater?
• Normal
• Poor
Cognition/Knowledge
2 pts
Orientation
• Person
• Place
• Time
• Situation
• Confused
Attention
• Can the patient spell W-O-R-L-D backwards?
Memory
• Immediate recall of 3 objects ___/3
• Recall after 5 minutes ___/3
Naming
• Point out three objects. How many can the patient name?
• ___/3
• Comprehends
• Does not comprehend
Insight
2 pts
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Functional Ability
6.0 pts
1/9/20 DD
Normal
Poor
Is the patient able to meet their basic needs (e. g., food, shelter,
medical)
If no, Describe:
Activities of daily living
• Work
• School
• Family relationships
• Social relationships
• Safety
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APA FORMAT,
GRAMMER:
10 pts
1/9/20 DD
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Legal
Cognitive functioning
Physical health
Anger Management
Housing
Impulse control
Social skills
Symptom Management
2 points: Spelling and Grammar – less than 3 errors
2 points: Correct and professional terminology used
2 points: Correct APA formatting, no errors within the document
2 points: All citations are correctly formatted using APA 6th ed.
2 points: Reference page is correctly formatted using APA 6th ed.

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