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Analyzing an Ethical Decision Essay Assignment Discussion examples.

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. Analyzing an Ethical Decision Essay Assignment Discussion examples. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

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Learning Objectives

Students will:

• Analyze salient ethical issues in psychiatric mental health practice

• Compare ethical dilemmas with state health laws and regulations

• Analyze ethical decision-making processes

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.

• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page Analyzing an Ethical Decision Essay Assignment Discussion examples paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).

• Describe the moral and ethical dilemmas surrounding the issue.

• Analyze the ethical issue and compare them to the state health laws and regulations in your state.

• Outline the process of ethical decision making you would use to address this ethical dilemma.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

see
attached

samples.

YMH Boston Vignette 4 Video Questions

Introduction

Comprehensive, integrated psychiatric assessment with adolescents is essential as it provides information that can be utilized in the development of appropriate intervention (AACAP, 2012a). Similarly, the practitioner has the opportunity to learn more about nature, consequences, and correlates the adolescent’s mental health problems using behavior changes (Gajbhare, 2014). Besides, the assessment also provides the practitioner with the extent to which the adolescent’s family can be involved not only in the comprehensive assessment but also in potential subsequent interventions (American Psychiatric Association, 2013). Further, the assessment begins the process of responding creatively to the adolescent’s denial and resistance as in the case of the vignette four video. This phase can be used as the initial stage of treatment experience. As such, is essential to examine the Vignette 4 video to determine the areas in which the practitioner did well and the areas that need improvement. Analyzing an Ethical Decision Essay Assignment Discussion examples.

The Areas the Practitioner Did Well

From the Vignette 4 video on Introduction to a Mental Health Assessment, the practitioner did well in informing the 16-year old boy patient about his rights to confidentiality and privacy which is an essential part of every introductory medical and mental health appointment (YMH Boston., 2013c). Analyzing an Ethical Decision Essay Assignment Discussion examples. He explained to the patient that the information he will provide will be kept confidential and that he will not reveal anything to his parents except when the information indicates that he is likely to cause harm to himself or other people. In an interview with adolescents, it is essential to recognize that confidentiality is the cornerstone of the therapeutic relationship. Without clarification of the limits of confidentiality, the practitioner may likely obtain incorrect or incomplete information during the history taking (YMH Boston, 2013a). Further, the practitioner did well in engaging the patient with open-ended questions about the problems he experiences at home and in school.

Areas that Need Improvement

From the video, it is clear that the practitioner needs to avoid the negative perception of his patients. It was clear that the practitioner’s facial expression and tone indicated that he was having some negative attitudes towards the patient when the teen said that his mother thinks he has anger management problem (American Psychological Association, 2017). Similarly, the practitioner needs to elicit strategies for the patient to communicate with his mother more effectively (YMH Boston., 2013c). Analyzing an Ethical Decision Essay Assignment Discussion examples.

Compelling Concerns

At this point of the clinical interview, there are various compelling concerns arising from the teenage-parent conflict. The patient presents as angry and disinterested (YMH Boston., 2013c). It is clear that the teen is going through a lot of stressful situations in his life. The teen seems to have anger management problem. However, this behavior could as a result of his developmental stage. At this stage, he wants to please his parents but at the same time wants to break away (Sadock, Sadock, & Ruiz, 2014). Similarly, the teen experiences a lot of peer pressure and peers are becoming more important at this stage in his life than his parents. The teen also experiences a lot of physiological and psychological changes in his life that he has to handle (Laureate Education, 2017). All these stressful situations result in a melting pot of teenage emotions which leads to anger. In most cases, the target of those emotions is often directed at parents, which explains why the parent feels that the boy has anger management problem. Similarly, teens often feel uncomfortable opening to their parents and find it awkward and annoying. The teens also do not like it when people push them around. They prefer to be around people who listen to them than those who command or order them around. Analyzing an Ethical Decision Essay Assignment Discussion examples.

In this Analyzing an Ethical Decision Essay Assignment Discussion examples assessment, the next question to ask the boy would be: “How do you get along with your father? It is essential to ask this question because he has spent the entire session talking about his mother and other persons in school. The practitioner needs to know how the patient relates to his family members to determine the appropriate intervention.

 

References

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children. Journal of the American Academy of Child & Adolescent Psychiatry, 51(5), 541–557. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00141-4/pdf

American Psychiatric Association. (2013). 
Diagnostic and statistical manual of mental disorders
 (5th ed.). Washington, DC: Author. Analyzing an Ethical Decision Essay Assignment Discussion examples.

American Psychological Association. (2017). Code of Ethics. Retrieved from http://www.apa.org/ethics/code/

Gajbhare, P. (2014). 
Mental status examination
 [Video file]. Retrieved from https://www.youtube.com/watch?v=VjWVYgf2UcU

Laureate Education (Producer). (2017d). Working with Children and Adolescents [Video file]. Baltimore, MD: Author.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). 
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry 
(11th ed.). Philadelphia, PA: Wolters Kluwer.

YMH Boston. (2013a, May 22). 
Vignette 1 – Introduction to a preventive services visit 
[Video file]. Retrieved from https://www.youtube.com/watch?v=pQy-jwiu7gM

YMH Boston. (2013c, May 22). 
Vignette 4 – Introduction to a mental health assessment
 [Video file]. Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE. Analyzing an Ethical Decision Essay Assignment Discussion examples.

Assignment 1: Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

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Structural Versus Strategic Family Therapies Learning Objectives

Students will:

Compare structural family therapy to strategic family therapy

Create structural family maps

Justify recommendations for family therapy

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies.

Refer to Gerlach (2015) in this week’s Learning Resources for guidance on creating a structural family map.

The Structural Versus Strategic Family Therapies Assignment

In a 2- to 3-page paper, address the following:

Summarize the key points of both structural family therapy and strategic family therapy.

Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.

Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.

Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

Note:Please make sure the paper includes a title page, introduction (including a purpose statement), summary, and references. Lastly, Please follow uploaded rubric.

Assignment 1:
Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

Learning Objectives

Students will:

Compare structural family therapy to strategic family therapy

Create structural family maps

Justify recommendations for family therapy

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies.

Refer to
Gerlach
(2015) in this week’s Learning Resources for guidance on creating a structural family map.

The Assignment

In a 2- to 3-page Structural Versus Strategic Family Therapies paper, address the following:

Summarize the key points of both structural family therapy and strategic family therapy.

Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.

Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.

Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

Note:Please make sure the Structural Versus Strategic Family Therapies paper includes a title page, introduction (including a purpose statement), summary, and references. Lastly, Please follow uploaded rubric.

Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities.

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Please note: there are two parts.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

1.Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

2.Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

3.In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

4.A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

 

Evolving Practice of Nursing and Patient Care Delivery Models

I am a registered nurse and work in medical surgicalmental health unit for more than ten years. I would like to welcome you all in this informal education session. Today, I would like to discuss about the changing role of nurses and concept of continuum of care and the new health care delivery models such as Accountable Care Organizations (ACOs), medical homes, and nurse -managed health clinics. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Evolving practice of Nursing and Health Care Models

Health care system is changing; it is not just focused on the curative care but the disease prevention and wellness. Also, the new healthcare reform has approach to the development of healthcare delivery models with the changes in nursing role from acute care settings to community health care. Patient Protection and Affordable Care Act (PPACA) formed at 2010 support the establishment of ACOs, medical homes and nurse-managed health clinics; also new payment policies. With the formation of Affordable Care Act (ACA), health has transformed from traditional treating approach to the preventive and wellness. Nurse’s role has also changed from front-line caregiver to the care integrators and coordinators and help in providing the health services to the underserved people. All the health models are focused on the concept of continuity of care which is defined as “a concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services spanning all levels of intensity of care” (Evashwick, 1989). It covers the delivery of healthcare over a period of time and for all levels and stages of care. Let’s talk about the three types of health care delivery model. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Accountable Care Organizations (ACOs)

In accordance to the Center for Medicare and Medicaid services, “Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (Cms.gov, n.d.). The ACO is the new unit built by the ACA; the health reform law 2010 which take care of the cost and quality of the care received by the patients. The main aim of ACO is to deliver flawless and high-quality care at the right time to the patients, especially the chronically ill patients. The ACO include the specific group of providers and suppliers assigned by the ACA and they encourage the active participation of nurse practitioners (NPs), clinical nurse specialists (CNSs) etc with physicians and physician assistants. As nursing leadership is encouraged in ACO, registered nurses can lead in quality assurance and develop the improvement initiatives (Nursingworld.org, n.d.). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Medical Home/Health Home

Medical homes (patient-centered medical homes, PCMH), similar to Accountable Care Organizations are primary health care delivery model focused on the deliverance of the primary care that is patient-centered, managed, synchronized, accessible, ample and believe in quality and safety.  “The medical home is not a final destination instead, it is a model for achieving primary care excellence so that care is received in the right place, at the right time, and in the manner that best suits a patient’s needs” (Pcpcc.org, n.d.). This medical health model helps in solving the health care costs problem with the support of primary care providers such as physicians, nurse practitioners and certified nurse-midwives. Nurses being front-line healthcare workers play a vital role in this model as they can actively participate in health promotion and disease prevention, order and interpret laboratory tests and other studies and refer the patients who need specialized care. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Nurse-Managed Health Centers (NMHCs)

NMHC is another initiation developed by ACA to promote the primary care, disease prevention and control of chronic conditions in the medically underserved and rural areas of United States. NMHC’s are managed by the nurses that include all the nurse practitioners, clinical nurse specialists, nurse midwives, and public health nurses. They provide many health services especially in the needed communities such as diagnosis and prescription to illness, pre- and post- natal care and referral to specialists (About Nurse-Managed Care, n.d.). This care model maintain the nurse managed clinics with the aim of enhancing access to primary care in the communities of medically underserved and/ or vulnerable populations, boost up the nursing practice and leadership for the nursing students by serving as clinical training sites and maintain the patient and workforce data.

To conclude, ACOs, medical homes and NMHCs are the concept of new health care delivery model created by the ACA to minimize the issues of health care cost and easy access of quality health care. These models are mainly patient-centered, competent, accessible and cost effective. The establishment of these types of health care delivery models has changed the role of nursing and set new parameter for the nurses. Nurses have advanced beyond the role of front-line healthcare workers to become care coordinators, efficiency experts and prove to be the backbone of most of these delivery care models. Nurse play as a care integrators and focused on the continuum care from the acute care to the community health settings through these models. Moreover, with the advancement of health technology and health reforms, preventive base health care has taken the priority than the curative care and nurse role is very important towards preventive health care too. Therefore, the opportunities for the nurses are increasing and the demand of the educated, skilled and professional nurses are vital during this changing time of health care system. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Thank you for hearing me and participating in this session. If you have any queries, please feel free to ask. I would look forward to hearing your opinion.

Thanks!

Summary of the Feedback

After this author gave the presentation, all the nurse colleagues took part in discussion session about the benefits and changes that new health reforms and the health care models brought in health care system of the country. This paper will summarize the feedback received from three colleague nurses and forecast the role of nursing.

Nurses who took the active participation in the discussion have their own point of view regarding the healthcare reforms and change of nursing role. However, majority of the number have similar point of view about my presentation and support the new healthcare reform. They also appreciate the new health care delivery models and the role of nursing in these care models. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

‘Nurse A’, BSN nurse graduated from Bangladesh and working here in United States at recent times, talked about her experience she had as a nurse back in Bangladesh. She expressed that it was totally different; nurses are the front-line caregivers and are not allowed to take any decision; only follow the orders of the doctors. The role of nurse in health care system differs according the location and time. The emergence of importance of community health is providing the opportunities to the nurses in developed countries like the USA and this new health reform is being following by many developing countries as well. She is very happy and ambitious with this new healthcare reforms and healthcare models. Moreover, the role of nursing has been changing from the front-line caregiver to the care integrators and from acute care settings to the community. Nurses’ role in community settings is the major advancement in healthcare system such as NMHCs. Nurses can work as a leader of the organization in the community setting with self directed, critical thinking, and independent decision making qualities. She focused on NMHCs, where nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in health policy, planning, and provision. Therefore, new healthcare reforms help to provide nursing role a new perspective and lead to an innovation healthcare system. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

‘Nurse B’ was also very excited about the healthcare reform as it believes on the potential of nurses for the transformation of US health care system. She focused on importance of the new health reform because of increasing chronic disease and cost and also taking on preventive care over the curative care. The new healthcare delivery models (ACOs, NMHCS, medical homes) will enhance the preventive care services leading the management of the chronic diseases in the community settings. This will help in reducing the problem of rising the cost of health services and can make aware about the disease prevention and health promotion. Moreover, preventive care services will require huge number of educated nurse workforce and leadership to improve the community’s health care. She further added up that the nurses are the fundamental to the patient-centered care delivery model. The nurses have the capability of building a strong relationship and coordination with the patients and the health care providers’ team and lead in organizing and functioning of different health care models. According to her, the concept of the new health care delivery model of providing the facilities to the underserved people is commendable. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

‘Nurse C’ has different point of view regarding the healthcare reforms and healthcare models. She expressed her anxiety about the quality of the services provided by the hospitals and healthcare models when large number of people will be flooded into it for the treatment. She explained that Affordable Care Act (ACA) will benefit large number of people causing the crowd that will definitely affect the hospitals and health systems to take care of the influx of the new patients. That is increase in administrative cost, much more paper work, disease and care management, over-seeing and time dealing with Medicare for the millions of newly insured patients. She added that increase in number of patient will imply to the must increase in number of healthcare providers and nurses. If the strong and enough approach are not taken for the fulfillment of the need of nurses and healthcare providers then it will directly affect the quality of care. Moreover, it will affect the status and motivation of the existing nurse workforce. Therefore, she highly looked forward for the high-quality of health services provided to the patient that is she believed in quality rather than quantity.

To conclude, nurses are the major part of health care system and the role of nursing has changed and advanced with the implementation of the health care reform and health care delivery system. These types of reforms and models have transformed the entire health care system of the United States from acute care settings to community and benefitted many underserved people. However, knowledge and information of the health reforms should be given to everyone.

References

About Nurse-Managed Care. (n.d.). Retrieved February 24, 2016, from National Nursing Centers Consortium: 
http://nncc.us/index.php/about-nurse-managed-care

Cms.gov,. (n.d.). Accountable Care Organizations (ACO) – Centers for Medicare & Medicaid Services. Retrieved 23 February 2016, from 
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/

Evashwick, C. (1989). Creating the continuum of care. 
Health matrix, 7
(1), 30-39.

Nursingworld.org,. (n.d.). Accountable Care Organizations. Retrieved 23 February 2016, from 
http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/ACOs

Pcpcc.org,. (n.d.). 
Defining the Medical Home | Patient-Centered Primary Care Collaborative
. Retrieved 24 February 2016, from 
https://www.pcpcc.org/about/medical-home

Researches argue out that healthcare forms a big basis to how a country will develop economically if the overall state of healthcare delivery is good. A streamlined healthcare delivery ensures that the populace receives nursing in time and also reduces health sicknesses and consequently this reflects in the population by less health complications thus a healthy labor force. A healthy labor force reflects to improvement in the country’s economy. The practice of nursing and patient delivery has evolved greatly for the past decade. This has been made possible by the introduction of technology into healthcare which has improved the delivery of care to the patients. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Continuum of care is a conception which involves an incorporated structure of healthcare whereby it directs and trails patient over a spread out time during an inclusive assortment of health services across every level of concentration of care. This concept provides a structure to show day-to-day management/decision making and presenting a structure for delivering of finest healthcare to all the sick citizens. Fundamentally, what this denotes is that this system consents to an individual like a sick person to have his or her healthcare administered efficiently from indispensable care, for instance making appointments and prescriptions, to further highly developed care, resembling the critical care and in-hospital (Spath, n.d.).

The complete concept of continuum of care in the setting of healthcare is described to be inclusive of rehabilitation, Alzheimer’s care, skilled nursing care, assisted living, and also independent living. This model generates a medical community whereby the ancillary staff together with doctors who are involved in a patient treatment all converse concerning their treatments, procedures, and diagnoses. It connects all the patient services and evades replicating them. Thus patient primary care commands tests that the health professionals don’t replicate. The model enables everybody to see the whole thing and hence allowing for improvedtreatments (Spath, n.d.).

An Accountable Care Organization commonly denoted ACO is a health care delivery organization which is described by a care delivery and payment model that look to bind provider repayments in order to value metrics and lessening in the whole price of healthcare for an allotted populace of patients. Groupings of coordinated care suppliers create an ACO, then they offer healthcare to a collection of patients. The ACO makes use of a variety of imbursement models ranging from symmetric/asymmetric shared savings, fee for service, or even capitation. The ACO model is entirely responsible to the sick people with the 3
rd
 party financier for the efficiency, appropriateness, and quality of the healthiness care supplier (Gold, 2011). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

The ACO concept has the planning around flexibility, and its build amid three sub-concepts. First of all, it brings out healthcare providers who have a strong stand of prime care and are jointly responsible for worth and full per capita charges transversely through the whole continuum of healthcare for a specified populace of patients. Secondly, the care payments are coupled with the quality improvements of the healthcare and this minimizes the overall costs in healthcare. Also, the concept revolves around dependable and increasingly more stylish performance dimension, to maintain enhancement and offer assurance that savings are realized in the course of improvements in healthcare (Gold, 2011).

The medical home model was first introduced into the country in 1967 by the American Academic of Pediatrics (AAP) with the aim of creating a core of children medical records. The prime aim of this concept was to give care to children with special concern needs. With time the concept evolved to capture every child’s medical and non-healthcare. In fact, currently the model has changed to even cover adults’ needs. The medical home has cultured affiliation amongst the primary provider, family, together with the patient in collaboration with professionals and support frrom the society. The focal point surrounding this model is the family and patient, and this concept of medical home is put up about this center (Fiore, 2012). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

The medical home is defined through several principles or rather called sub-concepts. For instance, every sick person has his/her personal physician where they have an association together with the aim of the doctor providing comprehensive and continuous care, together with giving first contact. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU. The care delivery is integrated and coordinated all through the multifaceted healthcare system. The safety and quality of health care makes the features of the medical home model. Decision making is guided by medical decision support and evidence based medication. A medical home is an imperative method for connecting the several sections of a child’s healthcare, as well as oral and behavioral health, in order to achieve these objectives (Fiore, 2012).

A nurse managed health clinic gives healthcare examinations in regions which are medically underserved especially in countryside and town locales in the U.S. where care accessibility is limited. This model of care delivery strongly puts lots of emphasizes on supervision of persistent illnesses like diabetes, hypertension, and asthma, disease prevention, and wellness promotion. The nurses in these care centers have equal practice scope as primary care doctors in terms of prescription privileges. These clinics have evolved considerable over time as they are generally allied with independent non-profit groups, universities, or even nursing institutions (Turton et al., 2010).

Nurse managed health clinics are well known for offering care at a considerably lesser cost in comparison to those of physician’s workplace or an imperative healthcare facility. This model has extensively improved the nursing and patient care delivery with its cost effective strategy. It has also improved the accessibility of primary care especially in regions where there are shortages of primary care givers (Turton et al., 2010). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Implementation of the IOM future of nursing report essay assignment paper example

In a formal paper of 800-900 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM ”Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states. implementation of the IOM future of nursing report essay assignment paper example.

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

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In a paper of 1,000-1,250 words:

1.Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.”

2.Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. implementation of the IOM future of nursing report essay assignment paper example.

3.What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment. implementation of the IOM future of nursing report essay assignment paper example.

Prepare this assignment according to the guidelines found in the APA Style Guide

 

Implementation of the IOM Future of Nursing Report one

A). Role of the Robert Wood Johnson Foundation Committee

In 2008, the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) launched a 2-year initiative in response to the need to evaluate and transform the United States’ nursing practice (IOM, 2010). The Institute of Medicine instituted a committee on the Robert Wood Johnson Foundation Initiative on the future of nursing. The committee would be based at IOM and charged with a mandate of developing report comprising recommendations on the future of nursing. The report was generated based on assessment of the nursing situation at the time. The report provides an action-based blue-print for the transformation of the future nursing practice.

A number of barriers prevent the nursing practice from being able to respond effectively to dynamic changes in the healthcare environment and a constantly evolving system of health care. The obstacles must be overcome so that practicing nurses are well positioned lead transformation and advance health.  This rationale is a gap that led to the formation and the design of function of the committee. The committee examined the nursing situation in hospitals, war zones, homes, schools, community, long-term care facilities, public health centers, and retail health clinics. Nurses practicing in these settings have varying competency levels and educational qualification. Nursing professionals vary ranging from licensed nurses working in nursing homes, to scientists conducting nursing research in patient care and health promotion. The committee made considerations of nurses cutting across settings, roles, and education levels with an aim of envisioning the future of the nursing profession characterized by improved quality of care and the practice of nursing to the full extent. The general aim is that nurses should obtain higher education and training through an advanced system of education. implementation of the IOM future of nursing report essay assignment paper example.

B). Significance of the IOM “Future of Nursing” Report

Nursing profession comprises over 3 million practitioners making it the largest segment of the United States’ health care delivery workforce (IOM, 2010). Nurses work on the front-line in health care system and contribute a direct impact on patient care. The proximity to patients and scientific knowledge of processes across the continuum of care, make nurses the most potent healthcare staff in effecting significant transformation in the health care delivery system.  Implementation of the provisions of the report would enable nurses to be better equipped for leadership, diversity of patient needs, and scientific research capacity. implementation of the IOM future of nursing report essay assignment paper example.

The report designed four key messages that guided the formulation of recommendations significant to the nursing practice. First, nursing should be practiced to the full scope of training and education (Rubenfeld & Scheffer, 2010). This provision requires the redesign of the state and national regulations outlining the scope-of-practice for nurses. This will guide policy reform across all states so as to ensure that nurses perform duties that make total use of the full extent of education qualification. Secondly, nurse should obtain greater levels of training and education through an enhanced system of education. Through higher education, nurses can be able to deliver care that is patient centered and safe, across various settings of nursing practice.

Thirdly, nurses should partner with other health practitioners to redesign health care delivery system in the United States.  Promoting leadership capacities and opportunities for nurses will enable nurses to move forward in this partnership role. The fourth outline of need is that effective policy making and workforce planning require better data handling and information infrastructure.  This facilitates transformation in education and deployment of the nursing staff. The four key messages guided the development of far-reaching recommendations for reforms in the nursing practice. The recommendations aim to increase to 80% population of nurses with baccalaureate degrees and double the number of holders of doctorate qualification by 2020. The committee also recommended the implementation of the nurse residency programs. The final recommendation was to ensure that institutions and educators facilitate nursing programs that promote lifelong learning.  implementation of the IOM future of nursing report essay assignment paper example.

C). The Future of Nursing: Campaign for Action

The campaign is an initiative that was founded to facilitate the implementation of the IOM report by promoting collaborations across states (RWJF, 2011). The ultimate aim of the campaign is to enable all American citizens to have access to patient-centered and high-quality care with the participation of nurses to the full extent. The campaign utilizes action coalitions that comprise health, consumer, business and other leaders nationwide. Campaign for action is working at every level in every state to create sustainable change in order to improve health care for all people. The campaign actively engages all individuals, states, and national institutions from the government, health, philanthropic, education, and business sectors. The focus areas for the campaign include: strengthening education and training in nursing, enabling professional practice of nurses to the full extent, ensuring advanced inter-professional collaboration and coordination in patient care delivery, expansion of nursing leadership capacity and participation in health care management, and improvement of health care work force data collection and processing. The future of nursing: campaign for action is implemented by the Center to Champion Nursing in America (CCNA), an initiative of the AARP, the AARP Foundation, and the RWJF. It comprises 48 action coalitions, some health care organizations, policy makers, consumer advocates, academic, business, and philanthropic institutions and communities.

D). Rationale for state-based action coalitions

Health programs and state laws and regulations are unique to every state Rubenfeld, & Scheffer, 2010). The rationale in implementing action coalitions at the state level was to ensure greater participation and initiative ownership by state individual citizens, state government, and private health organizations. It does this while ensuring delivery of uniform health care programs through guidelines by CCNA and RWJF. Policies and legislation regarding health vary to a great extent across states. The RWJF and CCNA have the role of provision of planning tools and assistance, campaign and information resources, communication assistance, and facilitation of inter-State knowledge sharing and exchange. implementation of the IOM future of nursing report essay assignment paper example.

E). Texas Action Coalition

The State of Texas in collaboration with nursing leaders is advancing a plan that enables 106 nursing schools in the state to adopt a common menu of essential course modules. Institutions in nursing education are engaged in discussions that will integrate the various classes from various institutions. The 
Advancing Nursing Education Team
 will conduct consultations develop a common course structure for the various levels of nursing education across schools in Texas (RWJF, 2011). The second initiative relates to the practice of nursing to the full extent. The 
Advancing Nursing Practice Team
 is working on a program to define the roles of nurses in health care delivery.

References

Institute of Medicine. (2010). “The future of nursing: leading change, advancing health”. 
Report

Brief, Oct. 2010
. NW, Washington DC: National Academy of Sciences

Rubenfeld, M. & Scheffer, B. (2010). “Critical thinking tactics for nurses: achieving the IOM

Competencies” Sudbury, MA: Jones & Bartlett

RWJF. (2011). “Future of Nursing: Campaign for Action”. NW, Washington DC: Author

implementation of the IOM future of nursing report essay assignment paper example

 

Implementation of the IOM Future of Nursing Report two

“The Future of Nursing Leading Change, Advancing Health”

In 2008 The Institute of Medicine (IOM) and Robert Wood Johnson Foundation (RWJF) joined forces to develop a report to address the important issues facing nursing and healthcare in the future. “The Future of Nursing Leading Change, Advancing Health” was the product of this partnership and made several recommendations intended to shape the future of nursing to meet the current and future health care needs of the United States The report made several recommendations which include: nurses beginning to practice at the level of their education background, nurses should seek higher levels of education, and nurses should be partners in healthcare working together with physicians and health care providers to redesign healthcare to meet the needs of the future.

The IOM Report and the Nursing Shortage

The United states is currently facing significant nursing shortage in the several years and with this ongoing and expected shortage the effects of healthcare are far reaching. From 2008- 2020 Over 50% the nursing workforce are expected to leave the profession at time when healthcare demands increase with the aging population of the baby boomers (US Nursing Workforce, 2013).

With so many of the nursing workforce expected to retire and many new nurses leaving the workforce prematurely the IOM report is recommending ways to better prepare these nurses for to function in the role and possible decrease burn out and possible early exit from the nursing workforce. One of these recommendations includes a nurse residency programs. Not unlike physicians that complete residency programs to prepare them for practice and nurse residence program could better prepare and nurse to transition from school life to actual practice, better preparing highly skilled nurses to meet the more intensive demands in health care (Institute of Medicine 2011).

Nursing functioning at the Level of their Education

With the aging population and more people having access to healthcare largely due to the Affordable Health Care Act and a focus on prevention and wellness more and more people are seeking care and nursing must respond to that need. Nursing practice must change to help meet future demands. The IOM report in alignment with the recommendation that the entry level of RN increases to BSN level but also that all nurse must continue their education beyond the BSN and that nurses must be able to function at the level of their education. At this time many state legislatures do not allow for Advanced Practice Nurses and Certified Nurse Midwifes to function at their level of education. Adjusting legislature and the nursing scope of practice in these states will increase the number of primary care providers available to care for this increased population needs (IOM,2010). implementation of the IOM future of nursing report essay assignment paper example.

To this end several suggestions were made to state governments to make these recommendations a reality. Nursing boards should adjust scope of practice to allow nurses to practice at a level of their education, this would be especially important for Advanced Practice Nurses in allowing them to take an active part in the primary care of the state’s population. The IOM report also suggest that the entry level of education should be of Baccalaureate trained nurse. The report recommends that at least 80% of the American nurse’s workforce should be made up of bachelor’s degree or higher nurses by 2020. (Creating a More Qualified, 2015).

Nurses as Leaders

The IOM report states “Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States” (IOM 2010). Throughout history nurses have played key roles in advocating for patients and carrying out the orders of physicians. With the ever increasing complexity and demands of health care nurses need to work as a full partner with other multidisciplinary teams to create policies and programs to continue to provide safe healthcare in this increasingly demanding healthcare environment. implementation of the IOM future of nursing report essay assignment paper example.

State Based Efforts to Support Future of Nursing: Campaign for Action

Many states are striving to make changes to do their part in advancing nursing goals. These coalitions are critical to make changes in nursing practice and meet the needs of future healthcare. New Mexico not unlike many states in the United States face critical nursing shortages now and increasing in the future. The New Mexico Center for Nursing Excellence (NMCNE) was established in 2002. Their main goal is to advocate for nursing profession to better meet the healthcare needs of New Mexico Residents and achieve the recommendations of the IOM report.

One of the projects to help support the implementation of IOM recommendations in the states is working with the University of New Mexico to better understand the effects of nursing shortage on the State of New Mexico. The NMCNE has initiated a study to examine the current and future projected needs of the nursing workforce in the state as more and more of the workforce plans to retire and needs of healthcare increases. Current Studies reveal that the increase in entrants to nursing profession trend should cover the number of nurses retiring and will help to maintain an even number of registered nurses. While the number of nurses remain stable the current number of nurses still will not meet the future needs of an aging population. Problems are noted with not having enough qualified nursing instructors to continue to train new nurses. As nursing wages have increased it was noted that the pay of nursing instructors has not. This imbalance leads to not having enough qualified nursing instructors therefore limiting the number of new nurses allowed into the programs throughout the state.

In 2010 the New Mexico Board of Nursing and the New Mexico Center for Nursing Excellence sponsored a report to the House that prescribed a statewide plans for nursing education. This plan identified the need for more instructors to teach and nursing schools in response to the shortage of qualified instructors. This plan also included the need to increase the number of Baccalaureate trained nurses in the state which support the IOM recommendations of having at least 80% of Nurses with BSN or higher in the workforce. The New Mexico Center for Nursing Excellence (NMCNE) has worked to developed partnerships with community colleges and four year universities to develop a curriculum that supports the BSN trained Registered Nurse. implementation of the IOM future of nursing report essay assignment paper example.

New Mexico Nursing Education Consortium (NMNEC) has worked to develop a curriculum which has 2 tracks. One track starts with an Associate Degree program and the other is in 4 year universities. Unlike many where many nurses complete a 2 year ADN program then end with licensing as a registered nurse at which time the nurse has the option to go back for higher learning at a later date. The NMNEC curriculum provides a continued progression toward the BSN without leaving the community college and community they reside in. Unlike many 2 year plus 2 year programs the student works simultaneously for their ADN and BSN program but attends school at the 2 years college in their home area. This is accomplished by attending bachelor level courses that are taught in the community college. This has far reaching goals of offering BSN programs where no 4-year university exist, allowing more students to study and graduate that do not reside in big metropolitan cities. Currently the programs are available in the Santa Fe Community College, New Mexico Junior College, San Juan College. The Goal is that by fall of 2017 this curriculum will be available in all public institutions. These programs aims to increase the number of BSN trained Registered nurses in the state which is one of the IOM report recommendations (Evans-Prior, Morton, & Brady, 2014).

Conclusion

Overall the IOM report recommendations have the ability to completely change the landscape of nursing in the United States. These changes are needed for the nursing community to keep up with allow healthcare in the united states to thrive. Increasing the level of education and training while allowing nurses to work at their educational potential will only help healthcare in a time when healthcare and the lives of Americans is at stake. Nurses play a key role as leaders in making these changes a reality. implementation of the IOM future of nursing report essay assignment paper example.

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References

Department of Health and Human Services: The US Nursing Workforce: Trend is Supply and

Education (2013). Retrieved from http://bhpr.hrsa.gov/healthworkforce/supplydemand/ nursing/nursingworkforce/nursingworkforcefullreport.pdf

Evans-Prior, D., Morton, N., & Brady, D. (2014).

New Mexico nursing education consortium (NMNEC ).
 New Mexico Nurse, 59
(2), 6-10. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=104056254&site=eds-live&scope=site

Institute of Medicine (2010). The Future of Nursing: Leading Change,

Advancing Health. Washington DC: Author.

Institute of Medicine (2011). About the IOM. Retrieved from

http://www.iom.edu/About-IOM.aspx

Robert Wood Johnson Foundation (2011). About RWJF.

Retrieved from: http://www.rwjf.org/about/

In a formal implementation of the IOM future of nursing report essay assignment paper example of 800-900 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM ”Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action? implementation of the IOM future of nursing report essay assignment paper example.

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

1.Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.”

2.Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.

3.What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers? implementation of the IOM future of nursing report essay assignment paper example.

A minimum of three scholarly references are required for this assignment.

Prepare this implementation of the IOM future of nursing report essay assignment paper example according to the guidelines found in the APA Style Guide

Child and Adolescent Diagnostic Assessment Worksheet

IDENTIFYING INFORMATION: (age, gender, and ethnicity of client; parents)

COLLATORAL INFORMANTS
:

CHIEF COMPLAINT: (in the client’s own words
)

Other informants:

HISTORY OF PRESENT ILLNESS
:
(this should create the timeline and details of the child/adolescent symptoms so that it leads to the clinical assessment and formulation)
­­­­­­­­­­­­

 

PAST PSYCHIATRIC HISTORY/PREVIOUS PSYCHIATRIC VISITS/HOSPITALIZATIONS:­­­­­­­­­­

 

PAST MEDICAL HISTORY
:

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PAST SURGICAL HISTORY
:

 

CURRENT MEDICATIONS (INCLUDING COMPLIANCE):

 

ALLERGIES
:

 

PSYCHOSOCIAL

HISTORY: (who the child lives with, relevant cultural information, school, grade, teacher, friends)

 

Sexual Orientation/Gender Identity (if unknown, evidence of gender dysphoria):

 

­­­­­­­­­­­­­­­­­­(NOTE: If LGBT, elicit “out” status, family dynamics): _________________________________

History of physical/emotional/sexual abuse: __________ History of bullying: _________Religion: ________

FAMILY HISTORY OF PSYCHIATRIC ILLNESS:

 

History of Family Suicide Attempts/Completed Suicides:

SUBSTANCE ABUSE HISTORY:

Smoker: _____History of alcohol, marijuana, meth use/abuse:  ____________________________________

 

REVIEW OF SYMPTOMS:

 

 

 

GENERAL WELL BEING:

(Example:

-Child/parent reports that (she/he) is sleeping (well, poorly, fair). States that (she/he) has trouble (falling asleep, staying asleep, or waking up feeling as if she/he had not slept at all). Child and Adolescent Diagnostic Assessment Worksheet.

 

-Further, reports (low, fair, good) energy throughout the day.

 

-Child/parent acknowledges (poor, fair, good) appetite (if fair/poor, indicate how long this has persisted for). Any significant weight loss/gain.

 

 

MENTAL STATUS EXAMINATION
:
(see
Kaplan & Sadock’s Synopsis of Psychiatry: Behavior Sciences/Clinical Psychiatry
for Child MSE)

 

=============================================================================

 

CLINICAL FORMULATION: (Discuss diagnostic reasoning here.) ­­­­­­­­­­­­­­­­­­­­­­

 

 

 

DIAGNOSIS USING DSM-5:

 

(Begin with psychiatric diagnosis that the patient is being treated for; then, in order of relevance/importance/significance to the overall clinical picture, list the diagnoses.
DSM-5 combines the first three DSM-IV-TR axes into one list that contains all mental disorders, including personality disorders and intellectual disability, as well as other medical diagnoses. Other conditions that are a focus of the current visit or help to explain the need for a treatment or test may also be coded.) Child and Adolescent Diagnostic Assessment Worksheet.

 

DIAGNOSIS:

 

 
USW1_NURS_6660_week01_childAdolescentDiagnosticAssessmentWorksheet

PLAN OF TREATMENT: 

Child and Adolescent Diagnostic Assessment Worksheet

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.  Assignment: Practicum Journal Entry: Analyzing an Ethical Decision.

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision Learning Objectives

Students will:

Analyze salient ethical issues in psychiatric mental health practice

Compare ethical dilemmas with state health laws and regulations

Analyze ethical decision-making processes

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To prepare:

Review literature for moral/ethical issues encountered by a PMHNP.

Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write
 a 2-page Assignment: Practicum Journal Entry: Analyzing an Ethical Decision paper 
in which you do the following:

Summarize the moral/ethical issue in the article (no more than 1 paragraph).

Describe the moral and ethical dilemmas surrounding the issue.

Analyze the ethical issue and compare them to the state health laws and regulations in your state.

Outline the process of ethical decision making you would use to address this ethical dilemma.

Note:
 Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. Assignment: Practicum Journal Entry: Analyzing an Ethical Decision. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. Assignment: Practicum Journal Entry: Analyzing an Ethical Decision. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision Learning Objectives

Students will:

Analyze salient ethical issues in psychiatric mental health practice

Compare ethical dilemmas with state health laws and regulations

Analyze ethical decision-making processes

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

To prepare:

Review literature for moral/ethical issues encountered by a PMHNP.

Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write
 a 2-page paper 
in which you do the following:

Summarize the moral/ethical issue in the article (no more than 1 paragraph).

Describe the moral and ethical dilemmas surrounding the issue.

Analyze the ethical issue and compare them to the state health laws and regulations in your state.

Outline the process of ethical decision making you would use to address this ethical dilemma.

Note:
 Be sure to use the Practicum Journal Template, located in this week’s Learning Resources. Assignment: Practicum Journal Entry: Analyzing an Ethical Decision.

Discussion: Comprehensive Integrated Psychiatric Assessment

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

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In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

Discussion: Comprehensive Integrated Psychiatric Assessment Learning Objectives

Students will:

Evaluate comprehensive integrated psychiatric assessment techniques

Recommend assessment questions

To Prepare for the Discussion:

Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

Watch the 
Mental Status Examination 
video.

Watch the two YMH Bostonvideos.

Note: 
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking 
Submit
!

By Day 3

Based on the YMH Boston
 Vignette 4 
video
, post answers to the following questions:

What did the practitioner do well?

In what areas can the practitioner improve?

At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

What would be your 
next
 question, and why? Discussion: Comprehensive Integrated Psychiatric Assessment.

By Day 6

Respond
 to at least 
two
 of your colleagues by offering additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those.

Submission and Grading Information

Name: NURS_6660_Week1_Discussion_Rubric

Outstanding Performance

Excellent Performance

Competent Performance

Proficient Performance

Room for Improvement

Main Posting: Response to the discussion question is reflective with critical analysis and synthesis representive of knowledge gained from the course readings for the module and current credible sources.

44 
(44%)
 – 44 
(44%)

“* Thoroughly responds to the discussion question(s) * Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources * Supported by at least 3 current, credible sources “

40 
(40%)
 – 43 
(43%)

“* Responds to the discussion question(s) * Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. * 75% of post has exceptional depth and breadth * Supported by at least three credible references”

35 
(35%)
 – 39 
(39%)

“* Responds to most of the discussion question(s) * Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module * 50% of post has exceptional depth and breadth * Supported by at least three credible references”

31 
(31%)
 – 34 
(34%)

“* Responds to some of the discussion question(s) * One to two criteria are not addressed or are superficially addressed * Is somewhat lacking reflection and critical analysis and synthesis * Somewhat represents knowledge gained from the course readings for the module. * Post is cited with fewer than two credible references”

0 
(0%)
 – 30 
(30%)

“* Does not respond to the discussion question(s) * Lacks depth or superficially addresses criteria * Lacks reflection and critical analysis and synthesis * Does not represent knowledge gained from the course readings for the module * Contains only one or no credible references”

Main Posting: Writing

6 
(6%)
 – 6 
(6%)

“* Written clearly and concisely * Contains no grammatical or spelling errors * Fully adheres to current APA manual writing rules and style”

5.5 
(5.5%)
 – 5.5 
(5.5%)

“* Written clearly and concisely * May contain one or no grammatical or spelling errors * Adheres to current APA manual writing rules and style”

5 
(5%)
 – 5 
(5%)

“* Written concisely * May contain one to two grammatical or spelling errors * Adheres to current APA manual writing rules and style”

4.5 
(4.5%)
 – 4.5 
(4.5%)

“* Written somewhat concisely * May contain more than two spelling or grammatical errors * Contains some APA formatting errors”

0 
(0%)
 – 4 
(4%)

“* Not written clearly or concisely * Contains more than two spelling or grammatical errors * Does not adhere to current APA manual writing rules and style”

Main Posting: Timely and full participation

10 
(10%)
 – 10 
(10%)

“* Meets requirements for timely and full participation * Posts main discussion by due date”

0 
(0%)
 – 0 
(0%). Discussion: Comprehensive Integrated Psychiatric Assessment

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 6 
(6%)

* Does not meet requirement for full participation

First Response: Post to colleague’s main post that is reflective and justified with credible sources.

9 
(9%)
 – 9 
(9%)

“* Response exhibits critical thinking and application to practice settings * Responds to questions posed by faculty * The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives”

8.5 
(8.5%)
 – 8.5 
(8.5%)

* Response exhibits critical thinking and application to practice settings

7.5 
(7.5%)
 – 8 
(8%)

* Response has some depth and may exhibit critical thinking or application to practice setting

6.5 
(6.5%)
 – 7 
(7%)

* Response is on topic and may have some depth. Discussion: Comprehensive Integrated Psychiatric Assessment

0 
(0%)
 – 6 
(6%)

* Response may not be on topic and lacks depth. Discussion: Comprehensive Integrated Psychiatric Assessment

First Response: Writing

6 
(6%)
 – 6 
(6%)

“* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in standard edited English”

5.5 
(5.5%)
 – 5.5 
(5.5%)

“* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in standard edited English”

5 
(5%)
 – 5 
(5%)

“* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in standard edited English”

4.5 
(4.5%)
 – 4.5 
(4.5%)

“* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited “

0 
(0%)
 – 4 
(4%)

“* Responses posted in the discussion lack effective professional communication * Response to faculty questions are missing * No credible sources are cited”

First Response: Timely and full participation

5 
(5%)
 – 5 
(5%)

“* Meets requirements for timely and full participation * Posts by due date”

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

* Does not meet requirements for full participation

Second Response: Post to colleague’s main post that is reflective and justified with credible sources. Discussion: Comprehensive Integrated Psychiatric Assessment

9 
(9%)
 – 9 
(9%)

“* Response exhibits critical thinking and application to practice settings * Responds to questions posed by faculty * The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives”

8.5 
(8.5%)
 – 8.5 
(8.5%)

* Response exhibits critical thinking and application to practice settings

7.5 
(7.5%)
 – 8 
(8%)

* Response has some depth and may exhibit critical thinking or application to practice setting

6.5 
(6.5%)
 – 7 
(7%)

* Response is on topic, may have some depth

0 
(0%)
 – 6 
(6%)

* Response may not be on topic, lacks depth. Discussion: Comprehensive Integrated Psychiatric Assessment

Second Response: Writing

6 
(6%)
 – 6 
(6%)

“* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in standard edited English”

5.5 
(5.5%)
 – 5.5 
(5.5%)

“* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in standard edited English”

5 
(5%)
 – 5 
(5%)

“* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in standard edited English”

4.5 
(4.5%)
 – 4.5 
(4.5%)

“* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited “

0 
(0%)
 – 4 
(4%)

“* Responses posted in the discussion lack effective professional communication * Response to faculty questions are missing * No credible sources are cited”

Second Response: Timely and full participation

5 
(5%)
 – 5 
(5%)

“* Meets requirements for timely and full participation * Posts by due date”

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

* Does not meet requirement for full participation

Discussion: Comprehensive Integrated Psychiatric Assessment

Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660

Week 1: Comprehensive Integrated Psychiatric Assessment

“We adopted Maria from an orphanage in Guatemala when she was 4 years old. We were hoping she would love us as much as we love her, but she is always so distant and will not let us get close. She continually bumps her head on the wall and screams when we try to make her stop. She is now 5, and we have tried everything to help her understand that we just want to love her and have her be part of our family.”

Jessica and Jason, Parents of 5-year-old Maria

The delicate dance—engagement and empathy.

Laureate Education (Producer). (2017d). Working with Children and Adolescents [Video file]. Baltimore, MD: Author.

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Note:
The approximate length of this media piece is 2 minutes.

 

The comprehensive integrated psychiatric assessment is one of the most important elements of the psychiatric-mental health nurse practitioner’s (PMHNP) skill set to understand, diagnose, and develop a treatment plan for Maria. The psychiatric interview is a craft by which one human being becomes acquainted with another’s deepest thoughts, fears, emotions, and behavior. “This task is not unlike exploring a darkened room in an old Victorian house” (Shea, p. 3) with only a candle for illumination. As the PMHNP sees more of the client’s life unfold, the picture becomes clearer. Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

This week, you explore in depth the elements of the comprehensive integrated psychiatric assessment and diagnostic process.

Photo Credit: sbrogan / iStock / Getty Images Plus

Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660 Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

American Nurses Association. (2014).
Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.)
. Washington, DC: Author.

Standard 5D “Prescriptive Authority and Treatment” (page 58)

Note:
Throughout the program you will be reading excerpts from the ANA’s Scope & Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners that you know the scope of practice of the advanced practice psychiatric/mental health nurse. You should also be able to differentiate between the generalist RN role in psychiatric/mental health nursing and the advanced practice nurse role.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 5, “Examination and Diagnosis of the Psychiatric Patient” (pp. 192–289)

Chapter 31, “Child Psychiatry” (pp. 1082–1107)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

“Introduction”

“Use of the Manual”

“Cultural Formulation”

Note:
You will access this book from the Walden Library databases.

Kaplan, C. (2017). Ethical dilemmas.
Advanced Healthcare Network.
Retrieved from https://web.archive.org/web/20160416180027/http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Ethical-Dilemmas-2.aspx

Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., . . .  Smith, J. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice.
Journal of the American Academy of Child & Adolescent Psychiatry
,
52
(10), 1101–1115. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00479-6/pdf

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children.
Journal of the American Academy of Child & Adolescent Psychiatry
,
51
(5), 541–557. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00141-4/pdf

American Psychological Association. (2017).
Code of Ethics
. Retrieved from http://www.apa.org/ethics/code/

Document:
Child and Adolescent Diagnostic Assessment Worksheet (Word document)

Document:
Practicum Journal Template (Word document). Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

Required Media

Gajbhare, P. (2014, March 8).
Mental status examination
[Video file]
.
Retrieved from https://www.youtube.com/watch?v=VjWVYgf2UcU

 

Note:
The approximate length of this media piece is 36 minutes.

YMH Boston. (2013a, May 22).
Vignette 1 – Introduction to a preventive services visit
[Video file]
.
Retrieved from https://www.youtube.com/watch?v=pQy-jwiu7gM

 

Note:
The approximate length of this media piece is 3 minutes.

YMH Boston. (2013c, May 22).
Vignette 4 – Introduction to a mental health assessment
[Video file]
.
Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE

 

Note:
The approximate length of this media piece is 4 minutes.

Optional Resources

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Neural Sciences” (pp. 1–92)

Chapter 31.2, “Assessment, Examination, and Psychological testing” (pp. 1107–1118)

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
Rutter’s child and adolescent psychiatry
(6th ed.). Hoboken, NJ: Wiley Blackwell.

Discussion: Comprehensive Integrated Psychiatric Assessment

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child. Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660 Learning Objectives

Students will:

Evaluate comprehensive integrated psychiatric assessment techniques

Recommend assessment questions

To Prepare for the Discussion:

Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

Watch the 
Mental Status Examination 
video.

Watch the two YMH Bostonvideos.

Note: 
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking 
Submit
!

By Day 3

Based on the YMH Boston
 Vignette 4 
video
, post answers to the following questions:

What did the practitioner do well?

In what areas can the practitioner improve?

At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

What would be your 
next
 question, and why?

By Day 6

Respond
 to at least 
two
 of your colleagues by offering additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those. Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 1 Discussion

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state. Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660 Learning Objectives

Students will:

Analyze salient ethical issues in psychiatric mental health practice

Compare ethical dilemmas with state health laws and regulations

Analyze ethical decision-making processes

To prepare:

Review literature for moral/ethical issues encountered by a PMHNP.

Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write
 a 2-page paper 
in which you do the following:

Summarize the moral/ethical issue in the article (no more than 1 paragraph).

Describe the moral and ethical dilemmas surrounding the issue.

Analyze the ethical issue and compare them to the state health laws and regulations in your state.

Outline the process of ethical decision making you would use to address this ethical dilemma.Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660

Note:
 Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

By Day 7 of Week 4

Submit
 your Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660  Assignment.

Making Connections

This week, you explored in depth the elements of the comprehensive integrated psychiatric assessment and diagnostic process.

Next week, you explore the many different psychiatric assessment tools and begin to explore treatment options. You also begin developing your resume and portfolio.

Looking Ahead 1: Didactic Assignments

Week 3:
 You will work in a group to develop a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

Week 5:
 You will assess one of the clients in your practicum who you do not think is adequately progressing according to expected clinical outcomes.

Week 6: 
You will use one of your adult clients who had a psychiatric emergency as an example as you compare how you would assess a child or adolescent client who had a psychiatric emergency.

Week 7: 
You will work in a group to develop a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

Week 10: 
You will work in a group to develop a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660

Looking Ahead 2: Practicum Assignments

Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for Weeks 2–11 before 
Day 7
 of 
Week 1
. This will give you time to meet with your preceptor so that you can fulfill the requirements of each practicum assignment.

Week 2: 
You begin working on your cover letter, resume, and portfolio. (Assignment to be submitted by 
Day 7
 of 
Week 10
.)

Week 3: 
You will complete a Decision Tree including the diagnosis and treatment of a pediatric client. (Assignment to be submitted by 
Day 7
 of 
Week 4
.)

Week 5:
 You will complete a Decision Tree including the diagnosis and treatment of a pediatric client. (Assignment to be submitted by 
Day 7
 of 
Week 7
.) Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

Week 6:
  You will write a reflection on your practicum experiences involving group therapy sessions. (Assignment to be submitted by 
Day 7
 of 
Week 7
.)

Week 7:
 You will write a journal entry concerning voluntary and involuntary commitment. (Assignment to be submitted by 
Day 7
 of 
Week 7
.)

Week 9:
  You will complete a Decision Tree including the diagnosis and treatment of a pediatric client. (Assignment to be submitted by 
Day 7
 of 
Week 10
.)

Week 10:
  You will write about two clients you observed or counseled during a group therapy session for children and adolescents. (Assignment to be submitted by 
Day 7
 of 
Week 10
.)

Week 10:
 You will complete and submit your cover letter, resume, and portfolio. (Assignment to be submitted by 
Day 7
 of 
Week 10
.). Comprehensive Integrated Psychiatric Assessment Essay – NURS 6660.

Assessment in Child and Adolescent Psychiatry Essay – NURS 6660

Week 2: Assessment in Child and Adolescent Psychiatry

Kathryn Barnard was a nurse first and second an early developmental specialist with a PhD in early ecological development. Dr. Barnard, with her nursing background, was instrumental in developing assessment tools and interventions to promote infant mental health. A center is named after her at the University of Washington, aptly named the Kathryn Barnard Center for Infant Mental Health and Development. Dr. Barnard reminds us that mental health is lifelong. Proper treatment of children from their earliest moments is instrumental to their development. One of her sayings was “infants can’t wait” (Weber, 2015).

ORDER A PLAGIARISM-FREE PAPER HERE

All diagnosis, from infancy to adulthood, begins with an examination. While an organic basis for most medical disorders can be determined through the use of diagnostic testing, the field of psychiatry is different in that patients cannot be sent to the lab for blood tests to determine the degree of depression. Similarly, patients cannot be sent to the radiology department for a “scan” to determine how severe their bipolar disorder is. Instead, the field of psychiatry must use psychiatric assessments such as the comprehensive integrated physical exam, diagnostic interviews, and questionnaires to make diagnoses. These tools must be specialized to address the needs of children and adolescents. Assessment in Child and Adolescent Psychiatry Essay – NURS 6660.

Diagnostic assessment of the child and adolescent is a specialized area of expertise. Some of the diagnostic and clinical features will be like your assessment of the adult. However, the PMHNP will be seeing children who have been to the PCP. Many PCPs are comfortable handling ADHD and other straightforward childhood disorders. That means that the PMHNP and those in his or her office will be seeing the more complicated patients.

This week, you explore the many different psychiatric assessment tools and begin to explore treatment options. You also begin developing your resume and portfolio. Assessment in Child and Adolescent Psychiatry Essay – NURS 6660.

Photo Credit: JGI/ Jamie Grill / Blend Images / Getty Images

Assessment in Child and Adolescent Psychiatry Essay – NURS 6660 Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
(11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 2, “Contributions of the Psychosocial Sciences” (pp. 93–130)

Chapter 6, “Classification in Psychiatry” (pp. 290–299)

Chapter 31, “Child Psychiatry” (pp. 1107–1152)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.

“Neurodevelopmental Disorders”

“Intellectual Disabilities”

“Communication Disorders”

Note:
You will access this book from the Walden Library databases.

Resume, Portfolio, and Cover Letter Resources

CoverLetter.us. (2017).
Nurse practitioner cover letter sample 1
. Retrieved from http://www.coverletter.us/nurse-practitioner-cover-letter/

Dahring, R. (2013). Cover letter caveats
.
Retrieved from https://web.archive.org/web/20161117160433/http://nurse-practitioners-and-physician-assistants.advanceweb.com:80/Columns/Career-Coach/Cover-Letter-Caveats.aspx. Assessment in Child and Adolescent Psychiatry Essay – NURS 6660.

Porche, D. J., & Danna, D. (2015). Cover letter & resume preparation: Every detail is important when applying for a job.
Advance Healthcare Network for NPs & PAs.
Retrieved from https://web.archive.org/web/20160818183515/http://nurse-practitioners-and-physician-assistants.advanceweb.com:80/Features/Articles/Cover-Letter-Resume-Preparation.aspx

Walden University Career Services Center. (2017).
Resumes & CVs: Home
. Retrieved from http://academicguides.waldenu.edu/careerservices/resumesandcvs

Document:
Cover Letter, Resume, and Portfolio Assignment Guide (PDF)

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
Rutter’s child and adolescent psychiatry
(6th ed.). Hoboken, NJ: Wiley Blackwell.

Chapter 2, “Diagnosis, Diagnostic Formulations, and Classification” (pp. 17–30)

Discussion: Working With Children and Adolescents Versus Adults

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Assessment in Child and Adolescent Psychiatry Essay – NURS 6660.Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents. Assessment in Child and Adolescent Psychiatry Essay – NURS 6660.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Learning Objectives

Students will:

Analyze the importance of developmental assessments

Analyze assessment instruments used for evaluating children and adolescents

Analyze treatment options used for children and adolescents

Analyze roles parents play in assessment and treatment

To Prepare for the Discussion

Review the Learning Resources concerning psychiatric assessments and assessment tools.

Note: 
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking 
Submit
!

By Day 3

Post your answers to the following:

Explain why a developmental assessment of children and adolescents is important.

Describe two assessment instruments and explain why they are used for children and adolescents but not adults.

Describe two treatment options for children and adolescents that may not be used when treating adults.

Explain the role parents play in assessment and treatment.

By Day 6

Respond
 to at least 
two
 of your colleagues by offering additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 2 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 2 Discussion

Assignment: Practicum: Cover Letter, Resume, and Portfolio

For this Assignment, you create a professional cover letter, resume, and portfolio that you can use as you pursue your next professional role.

Learning Objectives

Students will:

Create professional cover letters, resumes, and portfolios

To Prepare for the Assignment:

Review the Learning Resources concerning developing your professional cover letter, resume, and portfolio.

Review the Cover Letter, Resume, and Portfolio Assignment Guide

Refer to the Walden University Career Center website for resources to develop your cover letter and resume. With the assistance of the Walden University Career Center website, you can make your cover letter, resume, and portfolio accessible online to your faculty and potential employers.

Your professional cover letter, resume, and portfolio are due by 
Day 7 
of
 Week 10
. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable. The following checklists outline all of the items you should include in your cover letter, resume, and portfolio. Assessment in Child and Adolescent Psychiatry Essay – NURS 6660.

Checklist for Cover Letter (S/U grade)

Your cover letter should be:

Presented and formatted in a professional business manner

Addressed properly

Clear and concise and include:

Content Introduction

Content Body

Content Conclusion

Written in a professional style and include:

Correct spelling, punctuation, and grammar

Clear and accurate sentence structure

Assessment in Child and Adolescent Psychiatry Essay – NURS 6660

Checklist for Resume (S/U) 

Your Resume should be clear, concise, and well-organized and it should also include your:

Name, address, business phone number, and e-mail address (top center of resume)

Profile: 2–3 sentences describing goal and positive attributes/characteristics

Certifications and licensure

Education

Professional experience

Honors/awards

References

Checklist for Portfolio (S/U)

Your Portfolio should be clear, concise, and well-organized and it should also include your:

Personal philosophy statement

Self-assessment

Personal goals (short term and long term)

Achievements

Cover letter

Resume

Diplomas for formal education

Letters of recommendation

References (list names, affiliation, and contact information)

Certifications

Certificates of attendance for continuing education

Transcripts

Publications

Oral presentations and/or poster presentations

By Day 7 of Week 10

Submit
 your Assignment.

Making Connections

This week, you explored the many different psychiatric assessment tools and began to explore treatment options. You also began developing your resume and portfolio.

Next week, you begin exploring disorders that occur early in the life course by working with your group to develop a Parent Guide. You also examine a case and determine a differential diagnosis and treatment plan that incorporates both psychotherapy and psychopharmacology.

Looking Ahead

You will be working with other colleagues within a wiki format to create Parent Guides in Weeks 3, 7, and 10. Your instructor will assign your group by 
Day 1
 of 
Week 2
. Assessment in Child and Adolescent Psychiatry Essay – NURS 6660.

Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam

Walden has selected the Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam to provide you with an opportunity to take practice exams and complete sample test questions. While passing your certification exam is not guaranteed, FHEA suggests that a score of 85% or higher is predictive of success on your NP board examination. The FHEA PMHNP 150 University Exit Comprehensive Exam is used in this course as an assessment in Week 3. Each exam is worth 100 points and 10% of your grade. Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam