Category: Nursing

Anxiety Disorders in Childhood and Adolescence Essay Assignment papers

Week 5: Anxiety Disorders in Childhood and Adolescence

“I don’t know why everyone is worried that I don’t want to go out with my friends anymore. I just like to stay home. There is nothing wrong with that. I go to school and get good grades, but I don’t know what to say to those other girls in my class. They ask why I can’t go to the mall with them on the weekend and I get all embarrassed. They don’t understand that I don’t know what to say to them. When I do say something, it is always wrong, or they laugh. I can just stay home and read my books.”

Emma, age 15

Anxiety disorders that plague many individuals in adulthood often have their origins in childhood and adolescence. By identifying those children and adolescents with anxiety disorders, the PMHNP can intervene and teach skills that the client can use to control anxiety throughout his or her life.

This week, you analyze case studies to determine the diagnosis and treatment of anxiety disorders. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

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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 31, “Child Psychiatry” (pp. 1253–1268)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

“Anxiety Disorders”

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

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder.
Journal of the American Academy of Child & Adolescent Psychiatry
,
51
(1), 98–113. Retrieved from http://www.jaacap.com/article/S0890-8567(11)00882-3/pdf

McClelland, M., Crombez, M-M., Crombez, C., Wenz, C., Lisius, M., Mattia, A., & Marku, S. (2015). Implications for advanced practice nurses when pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is suspected: A qualitative study.
Journal of Pediatric Health Care
,
29
(5), 442–452. doi:10.1016/j.pedhc.2015.03.005. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

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

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

Note:
All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Review the following medications:

Generalized anxiety disorder

Social anxiety disorder

alprazolam

citalopram

desvenlafaxine

duloxetine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

paroxetine

pregabalin

sertraline

tiagabine (adjunct)

venlafaxine

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

moclobemide

paroxetine

phenelzine

pregabalin

sertraline

tranylcypromine

venlafaxine

Obsessive-compulsive disorder

Panic disorder

citalopram

clomipramine

escitalopram

fluoxetine

fluvoxamine

paroxetine

sertraline

venlafaxine

vilazodone

alprazolam

citalopram

clonazepam

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

lorazepam

mirtazapine

nefazodone

paroxetine

phenelzine

pregabalin

reboxetine

sertraline

tranylcypromine

venlafaxine

Note:
Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.” Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Required Media

YMH Boston. (2013b, May 22).
Vignette 3 – Asking about depression in a preventive services visit
[Video file]. Retrieved from https://www.youtube.com/watch?v=TO8aITpMG5E

 

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

YMH Boston. (2013b, May 22).
Vignette 5 – Assessing for depression in a mental health appointment
[Video file]. Retrieved from https://www.youtube.com/watch?v=Gm3FLGxb2ZU

 

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

Laureate Education (Producer). (2017c).
Anxiety disorder, ODC, or something else?
[Multimedia file]. Baltimore, MD: Author.

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 60, “Anxiety Disorders” (pp. 822–840)

Chapter 61, “Obsessive Compulsive Disorder” (pp. 841–857)

Discussion: Clinical Supervision

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Learning Objectives

Students will:

Analyze clients presenting for treatment of anxiety disorders

Evaluate effectiveness of therapeutic approaches for clients diagnosed with an anxiety disorder

To Prepare
:

Review this week’s Learning Resources concerning treating patients with anxiety disorders.

Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.

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
!  Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

By Day 3

Post
a 3- to 5-minute Kaltura video in which you do the following:

Describe the client.
Note:
Do not use the client’s actual name.

Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.

Identify any additional information about this client that may potentially impact expected outcomes.

Note:
Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View
a selection of your colleagues’ responses.

By Day 6

Respond
to at least
two
of your colleagues by suggesting an alternate therapeutic approach. Support your feedback with evidence-based literature and/or your own experiences with clients. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 5 Discussion

Assignment 1: Practicum: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine
Case 2:
You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

Why did you select this Decision? Support your response with evidence and references to the Learning Resources. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

Decision #3: Treatment Plan for Psychopharmacology

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

Note:
Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

By Day 7 of Week 7

Submit your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you analyzed case studies to determine the diagnosis and treatment of anxiety disorders.

Next week, you examine psychiatric emergencies that arise during childhood and adolescence and compare how those emergencies are assessed and treated to those of adult clients. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers

Week 4: Trauma and Stressor-Related Disorders in Childhood

“He was drunk again, so I should have known better. I should have stayed away from the house, but that would have made him madder. He has done this before, but not nearly this bad. He broke my wrist as I was protecting my mom. The neighbor heard the screaming and called the cops. They hauled him away, but I know he will be back. She always lets him come back.”

Avery, age 14

In August of 2005, thousands of children lost their homes in Hurricane Katrina. On December 14, 2012, the students at Sandy Hook Elementary School experienced the death of 20 of their classmates and six of their teachers. Every day, children experience physical and sexual abuse and neglect by their parents or caregivers. These types of trauma have a lifelong impact on the children involved and those witnessing the events. As much as we try to prevent unwanted childhood trauma and stressors, the phenomena are present in our culture. Childhood trauma is a significant contributor to both physical and mental health problems in children and adults.

This week, you examine several cases of child abuse and neglect, and you recommend strategies for assessing for abuse. You analyze influences of media and social media on mental health and evaluate the need for mandatory reporting of abuse. You also submit your Practicum Journal and Assignments. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

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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 31, “Child Psychiatry” (pp. 1216–1226)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

“Trauma- and Stressor-related Disorders”

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

Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness.
Journal of the American Academy of Child & Adolescent Psychiatry
,
52
(11), 1224–1238. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00550-9/pdf

American Psychiatric Nurses Association. (2017).
Childhood and adolescent trauma.
Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageID=4545. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Document:
Childhood Abuse Case Study (PDF)

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

Note:
All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Review the following medications:

Posttraumatic stress disorder

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

nefazodone

paroxetine

prazosin (nightmares)

propranolol (prophylactic)

sertraline

venlafaxine

Note:
Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.” NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

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 50, “Provision of Intensive Treatment: Intensive Outreach, Day Units, and In-Patient Units” (pp. 648–664)

Chapter 58, “Disorders of Attachment and Social Engagement Related to Deprivation” (pp. 795–805)

Chapter 59, “Post Traumatic Stress Disorder” (pp. 806–821)

Chapter 64, “Suicidal Behavior and Self-Harm” (pp. 893–912)

Discussion: Treating Childhood Abuse

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Learning Objectives

Students will:

Recommend strategies for assessing for abuse

Analyze influences of media and social media on mental health

Evaluate the need for mandatory reporting of abuse

To Prepare

for this Discussion:

Read the Learning Resources concerning treating childhood abuse.

Read the Child Abuse Case Study in the Learning Resources.

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
! NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

By Day 3

Post:

What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

How might exposure to the media and/or social media affect the patient?

What type of mandatory reporting (if any) is required in this case? Why?

By Day 6

Respond
to at least
two
of your colleagues by providing at least two ways that their strategies may be expanded or improved. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 4 Discussion

Assignment 1: Practicum: Week 1 Practicum Journal

By Day 7

Submit
 your Assignment. Refer to Week 1 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn1+last name+first initial.(extension)” as the name.

Click the
Week 4 Assignment 1 Rubric
to review the Grading Criteria for the Assignment.

Click the
Week 4 Assignment 1
link. You will also be able to “View Rubric” for grading criteria from this area. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Next, from the Attach File area, click on the
Browse My Computer
button. Find the document you saved as “WK4Assgn1+last name+first initial.(extension)” and click
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for
I agree to submit my paper(s) to the Global Reference Database
.

Click on the
Submit
button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 1

Assignment 2: Practicum: Week 3 Decision Tree

By Day 7

Submit
 your Assignment. Refer to Week 3 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn2+last name+first initial.(extension)” as the name. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Click the
Week 4 Assignment 2 Rubric
to review the Grading Criteria for the Assignment.

Click the
Week 4 Assignment 2
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the
Browse My Computer
button. Find the document you saved as “WK4Assgn2+last name+first initial.(extension)” and click
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for
I agree to submit my paper(s) to the Global Reference Database
.

Click on the
Submit
button to complete your submission. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Grading Criteria

To access your rubric:

Week 4 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 2

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Practicum Reminder

Time Logs

You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Making Connections

This week, you examined several cases of child abuse and neglect and recommended strategies for assessing for abuse. You analyzed influences of media and social media on mental health and evaluated the need for mandatory reporting of abuse. You also submitted your Practicum Journal and Assignments.

Next week, you analyze case studies to determine the diagnosis and treatment of anxiety disorders. NURS – 6660 – Trauma and Stressor-Related Disorders in Childhood Essay Assignment Papers.

Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660

Week 3: Autism Spectrum Disorder, ADHD, ODD, and ICD

“I can’t believe I am sitting here talking to this lady. Mom thinks I am nuts just because I will not do what she asks. She does not care about me. She only cares about my little brother and that man that keeps coming around. I don’t care anything about her. That is why I throw things and won’t do what she asks. I don’t care about anyone. Those kids at school who used to be my friends don’t know anything. I am so much smarter than they are.

Jacob, age 11”

There are many mental disorders that occur early in the life course. The DSM-5 describes neurodevelopmental disorders such as autism spectrum disorder and ADHD and disruptive, impulse-control, and conduct disorders, such as oppositional defiant disorder and conduct disorder. These disorders are examined together with a particular emphasis on comparing and contrasting presenting features. Diagnosis of these various conditions can rarely be made in a single office setting and often require a comprehensive approach involving multiple stakeholders, including the child, as well as his or her parents, teachers, and other significant figures in the child’s life and mental health professionals, such as psychologists who can conduct comprehensive neuropsychological testing.

The PMHNP must coordinate and integrate several sources of information to arrive at an accurate diagnosis of these disorders. Early and accurate diagnosis is essential to developing an effective treatment plan, which will have the potential to minimize the impact of these disorders on the child’s developmental trajectory. When one considers appropriate diagnosis from this perspective, the importance of diagnostic accuracy becomes quite apparent.

This 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 to determine a differential diagnosis and treatment plan that incorporates both psychotherapy and psychopharmacology.

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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 3, “Contributions of the Sociocultural Sciences” (pp. 131–150)

Chapter 31, “Child Psychiatry” (pp. 1152–1181, 1244–1253)

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

“Neurodevelopmental Disorders”

“Intellectual Disabilities”

“Communication Disorders”

“Disruptive, Impulse-Control, and Conduct Disorders”

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

Volkmar, F., Siegel, M., Woodbury-Smith, M., King, B., McCracken, J., & State, M. (2014). Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder.
Journal of the American Academy of Child & Adolescent Psychiatry
,
53
(2), 237–257. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00819-8/pdf

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

 

Note:
All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Review the following medications:

Irritability in autism

Attention-deficit/hyperactivity disorder

aripiprazole

risperidone

armodafinil

amphetamine (d)

amphetamine (d,l)

atomoxetine

bupropion

chlorpromazine (hyperactivity)

clonidine

guanfacine

haloperidol (hyperactivity)

lisdexamfetamine

methylphenidate (d)

methylphenidate (d,l)

modafinil

reboxetine

Note:
Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.”

Required Media

Laureate Education (Producer). (2017b).
A young girl with difficulties in school
[Multimedia file]. Baltimore, MD: Author. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

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 51, “Autism Spectrum Disorder” (pp. 665–682)

Discussion: Parent Guide

Note:
You and your group will use the wiki function to develop three Parent Guides (one in Week 3, one in Week 7, and one in Week 10). A wiki is a site that allows collaborative editing by all users. Each group will have its own place to communicate and collaborate on the assignments. Once your group has completed each assignment, one member should transfer the information to its final format and submit it through the group submission link in the Discussion. Do not delete the assignment from the wiki format, as your Instructor will review this area to determine each member’s participation.

Collaboration is essential to accurate diagnosis of the conditions under consideration in this week. For this week’s Discussion, you practice collaboration by working in a group on developing a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

It is recommended that you make your project as attractive as possible and consider using the finished product as teaching tools for families that you will work with in your own practices. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

Learning Objectives

Students will:

Analyze signs and symptoms of neurodevelopmental disorders

Analyze the pathophysiology of neurodevelopmental disorders

Analyze diagnosis and treatment methods for neurodevelopmental disorders

Evaluate Parent Guides

To Prepare for this Discussion:

Your Instructor will assign you to a group and a disorder by Day 1 of Week 2.

Review the resources concerning your assigned disorder.

Review the Blackboard Help website concerning wikis.

Use your group’s Discussion Board to design and develop the Parent Guide before posting to the group wiki. For further guidance, refer to the
Accessing Group Discussions
instructions below. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660

Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:

Signs and symptoms

Pathophysiology

How the disorder is diagnosed

Treatment options

Provide a minimum of three academic references.

By Day 5

One designated group member
should post the completed Parent Guide to the Discussion.

By Day 7

Respond
to at least
two
other groups’ wikis by providing at least two contributions for improving or including in their Parent Guide and at least two things that you like about their guide.

Submission and Grading Information

Accessing Group Discussions and Wikis

To access your group’s discussion
, click on the
Parent Guide Groups
link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page. Select
Group Discussion Board
under the Group Tools menu to work on your participate in your group’s discussion.

To access your group’s wiki
, click on the
Parent Guide Groups
link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

Creating a Wiki Page

Create the first wiki topic page by entering the group’s wiki area and selecting
Create Wiki Page
. Use the group’s assigned disorder as the name of your wiki. Then add your Parent Guide in the Content text box. You can use the editor functions to format the text and include files, images, web links, multimedia, and mashups. Select
Submit
when you have completed the wiki page.

Grading Criteria

To access your rubric:

Week 3 Parent Guide Discussion Rubric

To access your group discussion / wiki:

Parent Guide Groups

Post to Discussion by Day 5 and Respond by Day 7

To participate in this Discussion:

Parent Guide Groups – Week 3

Assignment 1: Practicum: Decision Tree

For this Assignment, you examine the client case study in this week’s Learning Resources. Consider how you might assess and treat pediatric clients presenting with symptoms noted in the case. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

Note:
This Assignment is the first of three assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine
Case 1.
You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?

Why did you select this Decision? Support your response with evidence and references to the Learning Resources. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

Decision #3: Treatment Plan for Psychopharmacology

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients and their families. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

Note:
Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

By Day 7 of Week 4

Submit
your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you began exploring disorders that occur early in the life course by working with your group to develop a Parent Guide. You also examined a case to determine a differential diagnosis and treatment plan, which incorporates both psychotherapy and psychopharmacology. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

Next week, you examine several cases of child abuse and neglect and recommend strategies for assessing for abuse. You analyze influences of media and social media on mental health and evaluate the need for mandatory reporting of abuse. You also submit your Practicum Journal and Assignments. Autism Spectrum Disorder, ADHD, ODD, and ICD Essay Assignment Papers – NURS – 6660.

Assessment in Child and Adolescent Psychiatry Essay Assignment papers – 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). Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660.

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.

ORDER A CUSTOM-WRITTEN PAPER NOW

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. Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660

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

 

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. Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660.

“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

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. Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660.

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. 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 Assignment papers – 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.

Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660 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
! Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660

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. Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660

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 1: 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.

Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660

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 Assignment papers – 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

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.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

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. Assessment in Child and Adolescent Psychiatry Essay Assignment papers – NURS – 6660.

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 Assignment papers – NURS – 6660.

NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams

Week 1 Discussion

To complete this
week
, after reading chapter one in Melnyk and reviewing the lectures you need to consider the topic of interest to you. List a ONE to two-word topic that you want to explore further and why you are interested in this topic. This topic encompasses the question that you have been generating throughout your program.

As an example I may choose the topic of depression, as I am interested in all of the depression I am seeing in the primary care office. Next week I will explore the background of this topic and this will lead to my PICOT question.

ORDER A CUSTOM-WRITTEN PAPER NOW

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area. 
Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 2 Discussion

 

Post your background question and your strategy for getting a comprehensive understanding of the clinical issue. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week
 
comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

0

0

Week 3 Discussion

 

State your PICOT question.

Indicate in parentheses after each segment, what part of PICOT the preceding words represent.

For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T).

Provide feedback to your classmates that focuses on:

The use of correct PICOT format for the question to guide the literature search.

Does the question reflect a clinical issue and one appropriate for an evidence-based practice project?

Provide feedback to your classmates that focuses on:

The use of correct PICOT format for the question to guide the literature search.

Does the question reflect a clinical issue and one appropriate for an evidence-based practice project?

Support a minimum of one and challenge a minimum of one.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By
 
the due date assigned
 comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

Week 4 Discussion

 

Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Exploring the Literature

Picot Question: 

 Research Tool

 Search Tips

 Search Terms &  Limits

 Findings

 Features

CINAHL

CINAHL is an 
SU subscription-only
resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to 
full-text
. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

Look at the Major Subject Heading in the Full Record

Use the Limits Feature:

Example: Publication Type=Systematic Review

Try the CINAHL Heading search:

 

Keyword search:

Limits:

CINAHL Heading search:

Limits:

PubMed

PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.

 

Look at MeSH Terms in Full Record

Use the Limits Feature:

Examples: Article Type=Meta-Analysis; Age=All Adult

Look for the open access Free articles!

 

Keyword search:

Limits:

 

MESH search:

Limits:

 

Cochrane Library

Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has 
full-text
access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

Use the Simple Search and the Advance Search Features

Allows you to search with MeSH Terms

Check out the New Reviews

 Browse reviews by topic

Keyword search:

 

Limits:

MESH search:

Limits:

 

Dynamed

 

Use the Simple Search and the Advance Search Features

Allows you to search with MeSH Terms

Check out the New Reviews

Browse reviews by topic

Keyword search:

 

Also browse by:

 

TRIP Database

TRIP is a clinical search engine to locate publicly available clinical evidence.

 

Limit to:

Systematic Reviews

Guidelines-US

 

Keyword search:

Limits
:

SU Library Search

Library Search is setup just like an EBSCO

The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option

 

Other Databases:

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Be sure to spend some time in Library Search it is setup just like an EBSCO database and gives you the experience of learning how to navigates databases, and provides you with a larger pool of information within which to search. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
 You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

0

0

Week 5 Discussion

 

We will be reviewing a “keeper study” this week—evaluate an article by working through the following 7 question

Again, keeper studies can be identified using handy Rapid Critical Appraisal checklists consisting of a set of simple but important questions. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it’s important to note that qualitative evidence, if it’s relevant to the clinical question, should not be dismissed):

Why was the study done?
 Make sure the study is directly relevant to the clinical question.

What is the sample size?
 Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial.The answer to this question alone should not remove a study from the appraisal process.

Are instruments of the variables in the study clearly defined and reliable?
Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure.

How was the data analyzed?
Make sure that any statistics are relevant to the clinical question.

Were there any unusual events during the study?
 If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study.

How do the results fit in with previous research in this area?
 Make sure the study builds on other studies of a similar nature.

What are the implications of the research for clinical practice? 
Ask whether the study addresses a relevant and important clinical issue. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 6 Discussion

 

On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements 
without separately 
reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
due date assigned 
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this
 Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

Week 7 Discussion

 

This week you will be creating an Implementation Plan that will be attached to your final EBP.  For the discussion board this week—outline your implementation steps 1-2-3.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By
 
the due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week , comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 8 Discussion

 

This week you will be working on an evaluation plan that will be attached to your EBP in 
Week 9
.  Submit your Evaluation Plan to the DB –listed as 1-2-3…

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights.
 By due date assigned
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week , comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 9 Discussion

 

Post your Presentation of your EBP on Discussion Board for feedback before final submission in 
Week 10
.

Provide Feedback to 2 Peers–

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By due date assigned 
, go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Supporting one—Challenging one.

By the end of the week , comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

Week 10 Midweek Assignment

 

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned,
 go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams.

0

0

Week 10 Discussion

 

Post Final EBP presentation to DB. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. 
By the due date assigned,
 go to the 
Discussion Area
 and post responses to the discussion question. All responses should be posted to the appropriate topic in this 
Discussion Area
. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by 
supporting a minimum of one post and challenging a minimum of one post.
  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this 
Discussion Area
. Please only start a new thread with your original post. Hit reply to respond to a peer.

. NSG6999 Graduate Project in Nursing SU01 Discussions and Essay Assignment Papers & Exams

NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers

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.” NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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.

 

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

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. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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

Photo Credit: sbrogan / iStock / Getty Images Plus

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 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.

“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/. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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

Document:
Practicum Journal Template (Word document)

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. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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.

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
! NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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.

By Day 7 of Week 4

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

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. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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. NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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
.) NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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
.)

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
.) NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

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
.) NURS – 6660 – Comprehensive Integrated Psychiatric Assessment Essay Assignment Papers.

Mid-range Theories – Nursing Essay Assignment Papers

Search current nursing journals for examples of the development, analysis, or use of mid-range theories in the discipline of nursing. Debate trends in the development and use of mid-range theories in nursing research with colleagues. Mid-range Theories – Nursing Essay Assignment Papers.

Mid-range Theories

Introduction

Fig. 17: Nursing Theorists

Middle range, or mid-range, nursing theories lie between the most abstract theories, such as grand nursing theories, models, or conceptual frameworks, and more circumscribed, concrete theories, such as practice theories. Compared to grand theories, mid-range theories are more specific, have fewer concepts, and encompass a more limited aspect of the real world. Concepts are relatively concrete and can be operationally defined.

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Nursing has appeared to recognize mid-range theory as the latest step in knowledge development, and there is broad acceptance of the need to develop mid-range theories to support nursing practice. Mid-range theories are also increasingly used in nursing research studies. Many researchers prefer to work with mid-range theories rather than grand theories or conceptual frameworks because they provide a better basis for generating testable hypotheses and addressing particular client populations. A review of nursing research journals and dissertation abstracts indicates that nursing research is currently being used in the development and testing of a number of mid-range theories, and mid-range theories are frequently being used as frameworks for investigation. Mid-range Theories – Nursing Essay Assignment Papers.

Students will consider the relationship between nursing knowledge and nursing practice, with emphasis on the relationship of mid-range theories to aspects of nursing practice, research, education, and administration. Mid-range Theories – Nursing Essay Assignment Papers.

Several methods for development of mid-range theories have been identified in the nursing literature. Mid-range theories emerge from combining research and practice and building on the work of others. Sources used to generate mid-range theory include literature reviews, qualitative research, field studies, conceptual models, nursing practice, clinical practice guidelines, theories from other disciplines, and statistical analysis of empirical data. Liehr and Smith identified five approaches for mid-range theory generation. The purpose of this module is to examine the purposes, characteristics, and concepts of mid-range theory and to describe the source and development process of mid-range theories from these five approaches.

Outcomes

Upon completion of the module, students will be able to:

understand the purposes of mid-range theories.

discuss the characteristics and concepts of mid-range theories.

describe the sources and development of mid-range theories.

develop a concept of interest into a preliminary mid-range theory.

Topics Index

The following topics are covered in this module.

Purposes of Mid-range Theory

Characteristics of Mid-range Theory

Concepts and Relationships for Mid-range Theories

Theories from Research and Practice

Theories from a Grand Theory

Combining Theories

Theories from Non-Nursing Disciplines

Theories from Practice Guidelines

These topics are designed to direct your readings, assist you in the development of assignments, and prepare you for module discussions.
  

1. Purposes of Mid-range Theory

Nursing theories vary in scope, or the level of abstraction. Theories that are broader in scope are called
grand range theories
. These theories are abstract and give broad perspective to the goals and structures of nursing practice. They are not testable, rather, they are viewed as knowledge-generated models from which hypotheses can be derived and tested, and they are useful as a theoretical framework for the development of mid-range theories. 
Middle range theories
 are limited in scope and contain a limited number of variables; they involve abstractions that are close enough to observed data to be incorporated in propositions that permit empirical testing. Thus, they can easily be taken to the operational level. They are theories that describe, explain, and predict phenomena of concern to nursing as well as prescribe actions in response to those phenomena. Mid-range Theories – Nursing Essay Assignment Papers.

Both grand and mid-range theories are important for knowledge development in the discipline of nursing. Grand theories are important to provide a larger picture of the phenomena. However, a deeper understanding about the relationships among those phenomena is provided by mid-range theories. Thus, the discipline of nursing has been concentrating its efforts in developing more mid-range theories, which are able to direct research and practice as well as strengthen the linkage among areas of theory, research, and practice.

Mid-range theories were first suggested in the discipline of sociology in the 1960s, and were introduced to nursing in 1974. At that time, mid-range theories were useful for emerging disciplines because they were more readily operationalized and addressed through research than grand theories. However, more than fifteen years elapsed before there was a collaborative call for mid-range theory development in nursing.

Development of mid-range theories is supported by the frequent critique of the abstract nature of grand theories and the difficulty of their application to practice and research. The purpose of mid-range theories is to describe, explain, or predict phenomena, and unlike grand theory, they must be explicit and testable. Therefore, they are easier to apply in practice situations and as frameworks for research studies. In addition, mid-range theories have the potential to guide nursing interventions and change conditions of a situation to enhance nursing care. A major role of mid-range theory is to define or refine the substantive component of nursing science and practice.

Each mid-range theory addresses relatively concrete and specific phenomena by stating what the phenomena are, why they occur, and how they occur. In addition, mid-range theories can provide structure for the interpretation of behavior, situations, and events. They support understanding of the connections between diagnosis and outcomes, and understanding of the connections between interventions and outcomes. Mid-range Theories – Nursing Essay Assignment Papers.

Overall, mid-range theories:

are more useful in research than grand theories because of their low level of abstraction and ease of operationalization

tend to support prediction better than grand theories due to circumscribed range and specificity of the concepts

are more likely to be adopted in practice because their relative simplicity eases the process of developing interventions for identified health problems.

Like theory in general, mid-range theory has three functions in nursing knowledge development:

Mid-range theories are used as theoretical frameworks for research studies.

Mid-range theories are open to use in practice and should be tested by research.

Mid-range theories can be the scientific end product that expresses nursing knowledge.

2. Characteristic of Mid-range Theory

Several characteristics identify nursing theories as mid-range. First, the principal ideas of mid-range theories are relatively simple, straightforward, and general, Second, mid-range theories consider a limited number of variables or concepts; they have a particular focus and consider a limited aspect of reality. In addition, they are receptive to empirical testing and can be consolidated into more wide-ranging theories. Third, mid-range theories focus primarily on client problems and outcomes, as well as the effects of nursing interventions on client outcomes. Finally, mid-range theories are specific to nursing and may specify an area of practice, age range of the client, nursing actions or interventions, and proposed outcomes. Mid-range Theories – Nursing Essay Assignment Papers.

The more frequently cited mid-range theories tend to be those that are clearly stated, easy to understand, internally consistent, and coherent. They deal with current nursing perspectives and address socially relevant topics that solve meaningful and persistent problems. Overall, mid-range theories for nursing combine proposed relationships between specific, well-defined concepts with the ability to measure or objectively code concepts. Therefore, mid-range theories contain concepts and statements from which hypotheses may be logically derived and empirically tested, and easily adopted to guide nursing practice. Mid-range Theories – Nursing Essay Assignment Papers.

The characteristics of middle range nursing theory are:

not comprehensive, but not narrowly focused

some generalizations across settings and specialties

limited number of concepts

clearly stated propositions

may generate testable hypotheses.

3. Concepts and Relationships for Mid-range Theories

Mid-range theories consist of two or more concepts and a specified relationship between the concepts. They address concepts that are toward the middle of the continuum with the metaparadigm concepts (nursing, person, health, and environment) at one end and specific concrete actions or events (i.e., medications, preoperative teaching, and electrolyte management) at the other. The concepts should be discrete, observable, and sufficiently abstract to be applied across multiple settings and used with clients with differing problems. Examples from the nursing literature include theories describing health promotion, comfort, coping, resilience, uncertainty, pain, grief, fatigue, self-care, adaptation, self-transcendence, and transitions. Mid-range Theories – Nursing Essay Assignment Papers.

Mid-range theories link discrete and observable phenomena or concepts in relationship statements. In mid-range theory, relationships are explicitly stated and, preferably, they are unidirectional. Relationships can be of several types. The most common are causal relationships that state a change in the value of one variable or concept is associated with a change in the value of another variable or concept.

4. Theories from Research and Practice

The current emphasis of nursing theory development focuses on efforts to construct, test, refine, and evaluate mid-range theories. To help advance the discipline, nurses are encouraged to write and publish articles that describe mid-range theories and report research studies in which a mid-range theory was used. This process of mid-range theory generation and refinement may further develop the discipline’s knowledge base. Therefore, nurses in all settings need to strive to learn about existing or emerging mid-range theories, or seek to develop and describe theories that will explain phenomena they observe in practice. Mid-range Theories – Nursing Essay Assignment Papers.

Nursing has the knowledge, skills, manpower, and resources to move beyond delineation of conceptual models and domain concepts to emphasize development and application of mid-range theory. Mid-range theory holds much promise for the evolution of the discipline’s science and practice. But, as Liehr and Smith point out, the challenge is developing mid-range theories that are empirically sound, coherent, meaningful, useful, and illuminating.

In order to develop mid-range theories, one needs to be aware of the sources for the process of mid-range theory development. Liehr and Smith (1999) identified five approaches for mid-range theory generation. The five approaches are:

Induction through research and practice.

Deduction from research and practice or application of grand theories.

Combination of existing nursing and non-nursing mid-range theories.

Derivation from theories of other disciplines that relate to nursing.

Derivation from practice guidelines and standards rooted in research.

This module is an overview of the five approaches for mid-range theory generation.

One of the most common sources for development of mid-range theories is nursing research or nursing practice. Qualitative research methods are frequently noted as sources for mid-range theory development. Variations in the idea of mid-range theory development from research are fairly common. Theorists often combine qualitative research with literature review, concept analysis, concept synthesis, and other techniques in the process of developing a mid-range theory. For example, Eakes, Burke, and Hainsworth developed the mid-range theory 
Theory of Chronic Sorrow
 from an extensive review of the literature, and data gathered through ten qualitative research studies. Mid-range Theories – Nursing Essay Assignment Papers.

Identification of mid-range theories and models derived primarily from practice is more difficult. One example is the 
Theory of Unpleasant Symptoms
, which was reportedly developed by integrating existing practice and research information about a variety of symptoms. Some models that describe areas of specialty nursing practice were developed from combination of practice and another source, typically research or practice standards.

5. Theories from a Grand Theory

Many nursing theorists and scholars found grand theories difficult to apply in research and practice and suggested the development of mid-range theories derived from the grand theories. During the past decade or so, a number of theories developed from grand theories have been published in nursing literature. Several mid-range theories were developed from Roy’s Adaptation Model. One example is Whittemore and Roy’s concept syntheses to integrate concepts and assumptions in order to theoretically describe “adapting to diabetes mellitus” (Whittemore & Roy, 2002, p. 311-317).  Mid-range Theories – Nursing Essay Assignment Papers.

Exemplar of a mid-range theory derived from a grand theory:

Jirovec, Jenkins, Isenberg, and Baiardi  (1999) detailed their work substructing 
The
 
Urine Control Theory
from Roy’s Adaptation Model. In this case, the theory was used as a framework for addressing problems of urine control.

Theory development process
: To develop the Theory of Urine Control, the theorists first described elements of Roy’s Adaptation Model (input stimuli, coping mechanism and adaptive modes), then inserted the variables affecting urinary tract functioning into each of the elements. For example, bladder distention was identified as a component of “focal stimuli”, accessible facilities were seen as “contextual stimuli,” and socialization of sanitary habits was described as “residual stimuli” (Figure 2). Mid-range Theories – Nursing Essay Assignment Papers.

Following development of the model, a research program was developed to decrease incontinence in 119 elders. The intervention was to manipulate contextual stimuli to compensate for the elder’s memory impairment. Variables were measured in the study and several relationships outlined. For example, the researchers looked at the relationship between urine control and mobility, and urine control and accessible facilities by manipulating elements of the residents’ environment to improve accessibility. They determined that cognitive abilities may be compensated for by changes in contextual stimuli. Also, when cognitive ability or mobility is decreased, environmental manipulations can be increased to compensate. It was noted that the derived mid-range theory supported Roy’s work. Mid-range Theories – Nursing Essay Assignment Papers.

Fig. 18: Conceptual Model of Urine Control.

6. Combining Theories

Combining concepts or elements of multiple theories is very common in mid-range theory development. In many cases found in recent literature, the author(s) of a mid-range theory reported that they derived their theory from both nursing and non-nursing theories. For example, Ulbrich developed the 
Theory of Exercise
 
as Self-Care
 through “triangulation of Orem’s self-care deficit theory of nursing, the trans-theoretical model of exercise, behavior, and characteristics of a population at risk for cardiovascular disease” (Ulbrich,1999, p. 65-70).

Exemplar of a mid-range theory combining existing nursing and non-nursing theories:

Dunn provided an excellent example of combining existing nursing and non-nursing theories in development of a mid-range 
Theory of Adaptation to Chronic
 
Pain
. The theorist’s intention was to describe coping and pain control in elders with the purpose of maintaining their quality of life and functional ability.

Theory development process
: Dunn wrote that the first step in developing her theory was to review and synthesize the theoretical knowledge related to pain in elders, coping with pain, religious coping, and spirituality. She reported identification of three theoretical models that addressed concepts related to pain and coping in elders. There were: Melzak & Wall’s gate control theory of pain, Lazarus & Folman’s stress and coping theory, and Wallace, Benson, and Wilson relaxation response. To ensure that the final model was applicable to nursing, Dunn selected the Roy Adaptation Model to guide the theory development process. Mid-range Theories – Nursing Essay Assignment Papers.

Dunn reports that the second step is to define assumptions for the theory that are based on assumptions from the four models. To lay the theoretical foundation, Dunn took concepts, relational statements, and propositions from the existing theories, and arranged them into a diagram to represent the theoretical and operational systems. Finally, the concepts from the Adaptation to Chronic Pain model were linked to empirical indicators to provide a logical and consistent connection.

7. Theories from Non-Nursing Disciplines

A significant number of mid-range nursing theories are developed from one-or-more non-nursing theories. Non-nursing theories, including those from the behavioral sciences, sociology, and physiology, appear to be the most common source for theory development. For example, Kolcaba’s 
Theory of Comfort
 was reportedly derived from a review of literature from medicine, psychiatry, ergonomics, and psychology, as well as from nursing literature and history. Benner explained that the Dreyfus model of skill acquisition, developed by a mathematician and a philosopher, was the primary source for her work. Mishel and Clayton’s 
Uncertainty in Illness
 
Theory
 incorporated elements of chaos theory. In addition, several mid-range nursing theories have been derived from theories or models of behavioral change. Frequently cited are: Becker’s 
Health Belief Model
, Pender’s 
Health
 
Promotion Model
, and Bandura’s 
Social Learning and Social Cognitive Theory
. Mid-range Theories – Nursing Essay Assignment Papers.

8. Theories from Practice Guidelines

Practice guidelines or standards of care appear to be the least common source for the development of mid-range theories, as only a few examples could be found. In one example, the Public Health Nursing Practice Model was developed by “melding of nationally recognized components” (Smith & Bazini-Barakat, 2003, p. 44) of public health nursing practice (PHN). The identified components were the Standards of PHN practice, the 10 Essential Services of Public Health, Healthy People 2010’s 10 Leading Health Indicators, and Minnesota’s Public Health Interventions Model.

Another example is Ruland and Moore’s use of the standards of care to develop the 
Theory of the Peaceful End of Life 
from standards of care for terminally ill patients. In this work, the theorists observed the relational statements of the standards needed to be more specifically defined to make them applicable for empirical testing. Because the standards were too specific, they were too detailed to illustrate the major themes succinctly. Mid-range Theories – Nursing Essay Assignment Papers.

The first step in Ruland and Moore’s theory development process was to define the theory’s assumptions based on the standards of care. The second step was to perform a “statement synthesis,” whereby they developed five outcome criteria that contributed to a peaceful end of life (not being in pain, experiencing comfort, experiencing dignity and respect, being at peace and closeness to significant others or another caring person). In the third step, conceptual definitions for each of the outcome indicators were determined, and the fourth step involved defining relational statements between the outcome indicators and the nursing interventions. In this step, all the process criteria from the standard were examined and combined into “prescriptors” to facilitate the desired outcome. The process of theory synthesis was then used to combine the relational statements into an integrated structure or theory. The final step was to draw a diagram of the relationships as a model (Figure 3). Mid-range Theories – Nursing Essay Assignment Papers.

Fig. 19: Theory of Peaceful End of Life: Relationships Between the Concepts of the Theory.

Mid-range Theories – Nursing Essay Assignment Papers Assignments

Post a response to the following question and respond to one of your classmate’s postings for each question. Your initial response and responses to others should be 100-200 words. Respond to your classmate’s requests for feedback. In addition, follow the guidelines provided in the Grading Rubric for Online Discussions-500 Level.

 

Module IX

 

Readings

Chinn & Kramer, Review Chapters 2, 7

Walker & Avant, Review Chapters 1, 2

Chinn, P. L. (1997). 
Why middle range theory?
 
Advances in Nursing Science,
 
19
(3), viii.

Kolcaba, K. (2001). 
Evolution of the middle range theory of comfort for outcomes research
. 
Nursing Outlook, 49
, 86-92.

Liehr, P., & Smith, M. J. (1999). 
Middle range theory: Spinning research and practice to create knowledge for the new millennium
. 
Advances in Nursing Science, 21
, 81-91.

Ruland, C. M., & Moore, S. M. (1998). 
Theory construction based on standards of care: A proposed theory of the peaceful end of life
.
Nursing Outlook, 46
, 169-175.

Discussion 1

.

Review one of the studies obtained from the reading list provided in the reading section of the module. Describe the theoretical framework in the study. Post your description and discuss your findings with your colleagues. Mid-range Theories – Nursing Essay Assignment Papers.

Module IX: Discussion 1

Discussion 2

Search current nursing journals for examples of the development, analysis, or use of mid-range theories in the discipline of nursing. Debate trends in the development and use of mid-range theories in nursing research with colleagues. Mid-range Theories – Nursing Essay Assignment Papers.

Module IX: Discussion 2

 

Discussion posts should follow criteria for the Rubric for Online Discussions.

NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers

Syllabus

Student Support and Calendar Information

So you have all key information available to you off-line, it is highly recommended that you print the following items for your reference:

This Syllabus, including the Course Schedule that is linked on this page as a PDF

Course Calendar

Student Support

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Credit Hours

5 quarter hours

Walden University assigns credit hours based on the number and type of assignments that enable students to achieve the course learning objectives. In general, each semester credit equals about 42 hours of total student work and each quarter credit equals about 28 hours of total student work. This time requirement represents an approximate average for undergraduate work and the minimum expectations for graduate work. The number and kind of activities estimated to fulfill time requirements will vary by degree level and student learning style, and by student familiarity with the delivery method and course content. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Course Description

Working from a lifespan approach, this course introduces child and adolescent psychiatry. Emphasis is placed on the psychiatric and/or mental health disorders that begin in childhood and adolescence. Topics include psychiatric assessment; differential diagnosis; and application of diagnostic criteria, appropriate diagnostic testing, and diagnostic formulation. The learner will select a combination of psychotherapeutic modalities coupled with psychopharmacologic approaches to treat common psychiatric mental health conditions of children and adolescents. The focus of the practicum experience is on application of didactic concepts to actual patient care situations. Legal and ethical considerations for working with children and adolescents will be addressed.

Course Prerequisites

NURS 6630:
Psychopharmacologic Approaches to Treatment of Psychopathology

NURS 6640:
Psychotherapy With Individuals

NURS 6650:
Psychotherapy With Groups and Families

Course Outcomes

Evaluate clients using comprehensive integrated psychiatric assessments

Apply appropriate diagnostic criteria to psychiatric and mental health disorders in children and adolescents

Evaluate efficacy of treatment approaches to psychiatric and mental health disorders in children and adolescents

Analyze roles of professional development in the field of psychiatric mental health

Evaluate the ethical and legal issues concerning the treatment of mental health disorders among children and adolescents

Implement evidence-based treatment approaches for psychiatric and mental health disorders among children and adolescents

Assess knowledge of concepts and principles related to treatment of children and adolescents with mental health disorders. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

To access the Outcomes and Alignment Chart for this course, please click on the following link:

To access the Outcomes and Alignment Chart:

Document:
Outcomes and Alignment Chart (PDF)

Course Materials

Please visit the university bookstore via your Walden student portal to ensure you are obtaining the correct version of any course texts and/or materials noted in the following section. When you receive your materials, make sure that all required items are included.

Course Text

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.

Note:
If the print edition of this book is referenced here, electronic versions also may be available and may be acceptable for use in this course. If an electronic version is listed, no print version is available. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Course Text

The Course Readings List contains all of the required Walden Library resources for this course. Please click on the following link to access the list:
NURS 6660 Course Readings List

Media

Assigned course media elements may be found in one or more weeks of the course and are available via a streaming media player or a hyperlink to the individual item. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Dedicated Support for Course Media

You may use the following e-mail address and toll-free number for any questions or concerns you have about media in the course. E-mail: mediasupport@waldenu.edu

Course Assignments

Online Discussion and Clinical Supervision

The exchange of ideas between colleagues engaged in scholarly inquiry is a key aspect of graduate-level learning and is a requisite activity in this course.

Requirements
: You are expected to participate 
at least two
 separate days a week in the weekly Discussion area. Discussion topics/questions are provided in the Discussion area. In addition, you are expected to respond to your fellow students’ postings. To count as participation, responses need to be thoughtful; that is, they must refer to the week’s readings, relevant issues in the news, information obtained from other sources, and/or ideas expressed in other class members’ postings. Where appropriate, you should use references to support your position. The Discussion questions require a response to one other student’s posting; it should be no more than two paragraphs long. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

All Discussion postings need to be made in each week’s 
Discussion
 area of the course, unless otherwise stated. Please do not e-mail postings to the Instructor or other students. Refer to the 
Discussion
 area for specific instructions.

Discussions will be graded according to the Discussion Rubric found in the 
Course Information
 area.

Assignments and Projects

An Assignment or Project often is a writing assignment submitted to the Instructor for evaluation. Complete Assignment or Project directions are in the 
Assignments
 or 
Projects
 areas, including how and where to submit the Assignment or Project and the due date. Please note that you should keep copies of your Assignments and Projects on your computer in case of any technical difficulties. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Information on scholarly writing may be found in the APA manual and at the Walden Writing Center website.

Please refer to the APA Guide or visit the Walden University Online Writing Center at
http://writingcenter.waldenu.edu/
.

Walden University expects you to act with integrity and honesty in your academic courses. Refer to the 
Guidelines and Policies
 and 
Academic Integrity
 areas for more details.

Check the 
Course Information
 area for any rubrics relating to the Assignments and Projects.

All assignments must be completed to pass the course. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Practicum Activities

The practicum experience in this course will assist your transition from the role of learner to that of scholar-practitioner. To achieve this transition, you will engage in a relationship with a clinical instructor and preceptor, focusing on roles and role functions and the achievement of individualized learning objectives. The primary objective of your practicum is to provide you with the basic skills necessary to serve as a mid-level provider of primary care to selected populations and prepare you to take the appropriate national certification exam.

The practicum component of the course will be graded as Satisfactory or Unsatisfactory. In order to pass the course, you must earn a grade of Satisfactory on all required practicum activities including journal entries and time logs.

At the end of the course, you must also ensure that your practicum preceptor submits an online evaluation of your performance. You will also complete an online evaluation of your practicum experience at the end of the course. These evaluations will not only provide information about the progress of individual students, but also help program leadership to continuously work on the course review and improvements. You will receive an Incomplete (I) as a grade if any of the above evaluations are not received by the posted deadlines. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Time Logs:
 Students are required to keep a log of the time spent related to their practicum experience and enter every patient they see each day. Students can access their time log from the Welcome Page in their Meditrek account. Students will track time individually for each patient they work with. Students are required to continuously input their hours throughout the term. Logs are reviewed by instructors in Weeks 4, 7, and 10. Please print and keep your completed Meditrek Log at the end of your clinical experiences for future use as a component of your portfolio. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Course Schedule

For full assignment details and directions, refer to each week of the course.

All assignments are due by 11:59 p.m. Mountain Time (MT) on the day assigned (which is 1:59 a.m. Eastern Time [ET] the next day). The time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone. As long as your submission time stamp is no later than 1:59 a.m. Eastern Time (ET), you have submitted on time. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers

Course Calendar

A printable course calendar is located in the Term Calendar area of the course navigation menu.

Course Evaluation and Grading

Course grades will be based on participation (postings) and completion of assignments as listed below.

Note:
All assignments must be completed to pass the course.

Letter grades will be assigned as follows:

90%–100% = A

80%–89% = B

70%–79% = C

70% or below = F

Please see below for the policy on Incomplete (I) grades.

Important Note:
 This course contains weighted grading. Assignments are weighted differently depending on their type. The total points achieved for each assignment will be weighted based on the percentage values noted in the 
Weighted Total (%)
 column of the table that follows. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Assignment

Total Points

Percentage

Discussions

Weeks 1, 2, 4, 6, 8, 11

Participation in Discussions **

6 @ 100 points each

600

20%

Parent Guide

Weeks 3, 7, 10

3 @ 100 points each

300

21%

Assignments

Week 9

1 @ 100 points each

100

5%

Exams

Week 6 Midterm Exam (75 points)

Week 11 Final Exam (75 points)

150

44%

Board Vitals

10 @ 20 points each

200

10%

Clinical Supervision

Participation in Clinical Supervisions **

Week 5

1 @ 100 points each

S/U

Practicum Journal Entries

Submitted in Weeks 4, 7

S/U

Practicum Cover Letter, Resume, and Portfolio

Submitted in Week 10

S/U

Decision Trees

Submitted in Weeks 4, 7, 10

S/U

Total

1,350

100%

* Note:
 Each Discussion requires that you make one initial posting and
at least two
response postings to colleagues. See the Formative Evaluative Criteria for Discussion Board Assignments for posting details.

** Note: 
All assignments must be completed in order to receive a grade for the course.

Feedback Schedule

The Instructor will log into the course at least 3–4 times during the week to monitor the weekly 
Discussion
 area. Feedback will be provided via the 
Discussion
 area and/or the 
Announcements
 page. Requests for more specific feedback may be made in the 
Discussion
 area or in the 
Contact the Instructor
 thread.

The Instructor will respond to at least one main post each week but will usually not respond to all posts.

Timely Review and Return of Student Work
. As a guideline, faculty members are expected to review and return graded student work for all coursework within 10 calendar days.

Each Instructor has a unique way of providing feedback. If you think that you are not getting enough feedback, you are strongly encouraged to contact your Instructor and ask for more. Contact information for your Instructor can be found under the 
Contact the Instructor
 area. For more information on Instructor feedback, go to the Faculty Accessibility section of Faculty and Student Guidelines for Online Courses, located in the 
Guidelines and Policies
 area.

Preferred Methods for Delivering Assignments

Submitting Course Postings to the Weekly Discussion Areas

Be sure that you post to the correct 
Discussion
 area each week. Do not e-mail postings to the Instructor. For all initial Discussion postings, make sure that the first sentence of your posting reads 
Main Question Post
. For your responses to others’ postings, make sure that the first sentence of your response reads 
Response
. These actions will ensure easily identifiable subject lines for your postings and responses. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Submitting Assignments and Projects

Assignments and Projects are submitted according to the instructions in the 
Assignments
 or 
Projects
 areas and are named according to the week in which the Assignment or Project is submitted. Directions for naming each Assignment or Project are included in each week’s 
Assignment
 or 
Project
 area.

E-mailing Your Instructor

When e-mailing the Instructor, please use the following heading for your e-mail subject line: 
last name + your first initial + course number
 (e.g., RideSNURS6660) so that your Instructor will recognize and read your e-mail.

Policies on Late Assignments

Discussion and Assignment Postings

No credit will be given for Discussion and Assignment postings made after the week in which they are due unless prior arrangements are made with the Instructor. Exceptions will be made only for those rare situations that legitimately prevent a student from posting on time. Points will be deducted from late postings.

Assignments

Assignments are due by 
Day 7
 of the week in which they are assigned unless otherwise noted. Failure to meet the deadline without prior approval will result in at least a 3-point deduction per day. Any Assignment submitted after 
Day 4
 of the week following that in which it is assigned will receive zero points. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Keeping Your Coursework

You will have access to the course and your coursework from the course start date until 60 days after the course ends. After this time, you will no longer be able to access the course or related materials. 
For this reason, we strongly recommend that you retain copies of your completed assignments and any documents you wish to keep
. The University is not responsible for lost or missing coursework.

Instructor Feedback Schedule

The Instructor will log in to the course during the week to monitor the weekly Discussion area. Feedback will be provided via the comments in the My Grades area, the Discussion area, and/or the Announcements page.

You can expect your weekly assignment grades to be posted within 10 calendar days of a due date. Instructor feedback and explanation are provided whenever full credit is not achieved. Depending on the nature of the feedback, Instructor responses may be posted to the Discussion area or included in the My Grades area. The goal of your Instructor is to act as a discussion and learning facilitator rather than a lecturer. The Instructor will not respond to every posting by every individual, so please feel free to ask your Instructor if you would like some personal feedback on a particular assignment posting or any time you have any questions regarding your assignments or your grade.

Students With Disabilities

Students in this course who have a disability that might prevent them from fully demonstrating their abilities should contact the director of disability services at
disability@waldenu.edu
or at 1-800-925-3368, ext. 312-1205 and +1-612-925-3368 or
https://www.waldenu.edu/contact
for international toll-free numbers as soon as possible to initiate disability verification and discuss accommodations that may be necessary to ensure full participation in the successful completion of course requirements.

Classroom Participation

In accordance with U.S. Department of Education guidance regarding class participation, Walden University requires that all students submit at least one of their required Week 1 assignments (which includes posting to the Discussion Board) within each course(s) during the first 7 calendar days of class. For courses with two-week units, posting to the Discussion Board by Day 7 meets this requirement. The first calendar day of class is the official start date of the course as posted on your myWalden academic page.

Assignments submitted prior to the official start date
will not
count toward your participation.

Financial Aid cannot be released without class participation as defined above.

Students who
are taking their first class with Walden
and do not submit at least one of their required Week 1 assignments (or at least one Discussion post) by the end of the 7th day will be administratively withdrawn from the university. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

Students who have already taken and successfully completed
at least one
or more class(es) with Walden, and who
do not participate
within the first 7 days, will be dropped from that class.

If you have any questions about your assignments, or you are unable to complete your assignments, please contact your Faculty Member.

Checklist

The weekly course checklist below outlines the assignments due for the course.

For full assignment details and directions, refer to each week of the course. All assignments are due by 11:59 p.m. Mountain Time (MT) on the day assigned (which is 1:59 a.m. Eastern Time (ET) the next day). The time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone. As long as your submission time stamp is no later than 1:59 a.m. Eastern Time (ET), you have submitted on time. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers.

To view the Course Calendar:

Course Calendar

To View a Printable Course Schedule

For full assignment details and directions, refer to each week of the course.

Click on the
NURS 6660 Course Schedule (PDF)
link to access the Course Schedule.

Document:
NURS 6660 Course Schedule (PDF)

Checklist

Module

Assignment

Title

Week 1

Comprehensive Integrated Psychiatric Assessment

Learning Resources

Required Readings

Required Media

Optional Resources

Discussion

Comprehensive Integrated Psychiatric Assessment

Assignment

Practicum Journal Entry: Analyzing an Ethical Decision

Making Connections

Looking Ahead

Didactic Assignments

Practicum Assignments

Week 2

Assessment in Child and Adolescent Psychiatry

Learning Resources

Required Readings

Optional Resources

Discussion

Working With Children and Adolescents Versus Adults

Assignment 1

Practicum: Cover Letter, Resume, and Portfolio

Assignment 2

Board Vitals

Making Connections

Looking Ahead

Week 3

Autism Spectrum Disorder, ADHD, ODD, and ICD

Learning Resources

Required Readings

Required Media

Optional Resources

Discussion

Parent Guide

Assignment 1

Practicum: Decision Tree

Assignment 2

Board Vitals

Making Connections

Week 4

Trauma and Stressor-Related Disorders in Childhood

Learning Resources

Required Readings

Optional Resources

Discussion

Treating Childhood Abuse

Assignment 1

Practicum: Week 1 Practicum Journal

Assignment 2

Practicum: Week 3 Decision Tree

Assignment 3

Board Vitals

Practicum Reminder

Making Connections

Week 5

Anxiety Disorders in Childhood and Adolescence

Learning Resources

Required Readings

Required Media

Optional Resources

Discussion

Clinical Supervision

Assignment 1

Practicum: Decision Tree

Assignment 2

Board Vitals

Making Connections

Looking Ahead

Week 6

Emergency Psychiatric Care in Childhood and Adolescence

Learning Resources

Required Readings

Optional Resources

Discussion

Treatment of Psychiatric Emergencies in Children Versus Adults

Assignment 1

Midterm Exam

Assignment 2

Board Vitals

Making Connections

Looking Ahead

Week 7

Learning and Motor Disorders in Childhood

Learning Resources

Required Readings

Optional Resources

Discussion

Parent Guide

Assignment 1

Practicum Journal: Voluntary and Involuntary Commitment

Assignment 2

Practicum: Week 5 Decision Tree

Assignment 3

Board Vitals

Practicum Reminder

Time Logs

Making Connections

Week 8

Mood Disorders

Learning Resources

Required Readings

Optional Resources

Discussion

Pediatric Bipolar Depression Disorder Debate

Assignment

Board Vitals

Making Connections

Looking Ahead

Week 9

Early-Onset Schizophrenia

Learning Resources

Required Readings

Required Media

Optional Resources

Assignment 1

Early Onset Schizophrenia

Assignment 2

Practicum: Decision Tree

Assignment 3

Board Vitals

Making Connections

Week 10

Feeding, Eating, and Elimination Disorders in Childhood

Learning Resources

Required Readings

Optional Resources

Discussion

Parent Guide

Assignment 1

Practicum: Week 2 Cover Letter, Resume, and Portfolio

Assignment 2

Practicum: Week 9 Decision Tree

Assignment 3

Board Vitals

Practicum Reminder

Time Logs

Making Connections

Week 11

Special Topics in Child and Adolescent Psychiatry

Learning Resources

Required Readings

Optional Resources

Discussion

Special Topics in Child and Adolescent Psychiatry

Assignment 1

Final Exam

Assignment 2

Board Vitals

Making Connections

Bibliography

The bibliography contains the references for all learning materials in the course. For your convenience, a link has been provided to download and save the bibliography. NURS – 6660 PMH Nurse Practitioner Role I: Child and Adolescent – Essay Assignment Papers and exams questions and answers

Psychiatric Nursing essay assignment paper

Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in the field. For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders. Psychiatric Nursing essay assignment paper

Learning Objectives

ORDER A PLAGIARISM-FREE PAPER HERE

Students will:

Assess client factors and history to develop personalized plans of antidepressant therapy for adult and geriatric clients

Analyze factors that influence pharmacokinetic and pharmacodynamic processes in adult and geriatric clients requiring antidepressant therapy

Evaluate efficacy of treatment plans

Analyze ethical and legal implications related to prescribing antidepressant therapy to adult and geriatric clients. Psychiatric Nursing essay assignment paper

Examine
Case Study: An Elderly Hispanic Man With Major Depressive Disorder
. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

Decision #1

Which decision did you select?

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

Decision #2

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3

Why did you select this decision? Support your response with evidence and references to the Learning Resources. Psychiatric Nursing essay assignment paper.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note:

Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

 

Review the following medications:

amitriptyline

bupropion

citalopram

clomipramine

desipramine

desvenlafaxine

doxepin

duloxetine

escitalopram

fluoxetine

fluvoxamine

imipramine

ketamine

mirtazapine

nortriptyline

paroxetine

selegiline

sertraline

trazodone

venlafaxine

vilazodone

vortioxetine

you can edit my work bellow, add more information  , and use same medication therapy. Plagiarism must be less than 15 %

Introduction

Improving depression care for depressed older men is a public health priority because older men are less likely than older women to receive depression treatment and are also more likely to commit suicide .Depressive disorder causes a continuous feeling of worthlessness , hopelessness and unhappiness to the victim and loss of interest in what they used to enjoy doing, also call major depressive disorder (MDD) or clinical depression (Unützer & Park, 2012).
3 Depression is one of the most common mental health problem leading to disabling in older men (Unützer & Park, 2012).
A Late-life depression (LLD), is referring to depression that recurs in old age (having begun earlier in life) and again late in life; this negatively affect patients cognitive impairment, functional impairment, and development of Alzheimer’s disease and vascular dementia (Diniz & Reynolds, 2014).

3 Late-life depression (LLD is associated with burden of medical illnesses (especially cardiovascular and cerebrovascular) and risk of death.
Patients assessment for depression should be using a standard rating scale, and initiate effective treatment such as antidepressant medications or evidence-based psychotherapies and psychiatric follow up.
Electroconvulsive therapy (ECT) (Unützer & Park, 2012) can be an alternative for patients who are not improving.
Antidepressants reduce the consequences of depression.
3 It is important to note that depressed adults may be at increased risk for antidepressant adverse effects.
(Diniz & Reynolds, C.
F. (2014).
3 This week paper focuses the identifying and trPsychiatric Nursing essay assignment papereatment of late-life depression of an Elderly Hispanic Man with history of Major Depressive Disorder (MDD) 

Decision #1

1 Will start with Zoloft 25 mg orally daily

Reason for the Selection:

3 Assessment tool used is Montgomery–Åsberg Depression Rating Scale (MADRS), patient score 52, which is an indication of severe depression.
When choosing an antidepressant my treatment option is based on the best side effect profile and lowest risk of drug-drug interactions Wiese, (2011).
Wellbutrin is an antidepressant, but can cause seizures and Effexor may increase blood pressure Wiese, (2011).
Zoloft is one of the most effective and safest medication for the treatment of severe depression in adults (Flint & Rifat, 2013.
My best option is Zoloft 25mg which is best choice because of harmless to the elder (Flint & Rifat, 2013).
Antidepressant use in the elderly are thought to be due to changes in hepatic metabolism with aging, concurrent medical conditions, and drug-drug interactions (Wiese, B.
2011).
3 (Flint & Rifat, 2013).

Expected Results

The patient should be able to improve within two weeks. Some signs should might be am improve in his work, exercise, hobbies, intellectual pursuits, as well improve sleep.
3When using Zoloft, the level of awareness should improve.
It must be noted that the patient is back on track with motivation to follow his normal activities and relate well with associates (Flint & Rifat, 2013).

1 Differences between Expected Results and Actual Results

3 Expected outcome after the use of Zoloft 25mg is the patient will see improvement in his mental capability and importantly that there was no side effect of the medication.
The patient revisited after four weeks on his follow up appointment and reported of a decrease in the symptoms, but with a complain of sexual dysfunction and insomnia.
The difference in the expected result and the outcome may be reason out that the body of the patient is trying to adjust to the medication while solving the problem of MDD (National Alliance on Mental Illness, 2017).

1 Decision Point Two

Selected Decision:
1 Augmenting agent such as Wellbutrin XL 100 mg in morning

Reason for Selection

3 The added augmenting agent such as Wellbutrin XL150mg in morning was because the patient has some complain of having decrease sex drive, impotence, or difficulty in having an orgasm and sleep problem (insomnia).
Bupropion is an antidepressant with excellent tolerability in elderly person improve depression, insomnia, somatic symptoms, work functioning, and certain quality-of-life measures in elderly depressed subjects with medical disorders (American Psychiatric Association, 2013).
Though, patient verbalized decrease in the depression symptoms because of using Zoloft, but because of decrease sex drive and insomnia, Zoloft will be decrease to 12.5mg orally every day and continue to watch for side effects, like suicidal tendency in the elderly, and complain about ejaculatory and sexual dysfunction (American Psychiatric Association, 2013).

Expected Results

3 With the combination of using Wellbutrin and Zoloft, it is still expected to see the patient to continue to experience reduction in depression symptom.
The therapeutic effect should be observable which will motivate and encourage the patient.

1 Differences between Expected Results and Actual Results

3 The expected outcome after four weeks visitation is that the therapeutic effect of the medication will be clear and no more report of adverse reaction, that shows patient is tolerating the medications as agree.
The actual result was that the patient report that there was more reduction in the MDD symptom and improved in the side effect which is insomnia and sexual dysfunction.

Decision Selected. Psychiatric Nursing essay assignment paper

1 Decision Point Three

3 Selected Decision I will discontinue Zoloft 12.5mg orally daily and increase the dosage of Wellbutrin to 150mg XL every morning.

1 Reason for Selection

3 The desire result was not obtained in the second stage though the patient observe reduction in the symptom of MDD, but the resulting side effect is not reducing or eliminated.
Wellbutrin XL can help to reduce depression and remove most of the side effect of Zoloft (Mangoni, & Jackson, 2004), also this will help attain therapeutic effect with his symptoms until his next appointment to evaluate response to therapy (Mangoni, & Jackson, 2004).
The patient will have to be monitor closely because of the medication adjustment side effect, the suicidal tendency (Mangoni, & Jackson, 2004).

Expected Results

3 At this point the patient is anticipated to experience close to zero symptom of major depressive disorder without any side effect, the sleeping problem or insomnia, sexual dysfunction.
He is also expected to have good interaction with neighbor and friends.  Psychiatric Nursing essay assignment paper

1 Differences between Expected Results and Actual Results

Wellbutrin 150mg XL, there is a solution in the treatment of the patient with MDD, (Laureate Education, 2016).
3 When the medication is working well with no side effect, patient will continue with Wellbutrin XL 150mg orally daily dose and will be re-evaluated during the next appointment, medication can be increase if there is a reduction in symptoms to achieved desired maximum therapeutic effect.
The actual result from the patient is that the medication is achieving the therapeutic effect that is nePsychiatric Nursing essay assignment papereded by the patient (Mangoni, & Jackson, 2004).

1 Impact of Ethical Considerations on Treatment Plan 

3 Ethical Considerations on treatment plan of a psychiatry patients can be complicated which can arise from plan therapy.
Addressing the side effects of medications should be the most important in the plan of this therapy which include suicidal tendencies, dosage adjustment and close monitoring for effects (Flint & Rifat, 2013.
Some drugs can cause patients to have suicidal tendencies (Flint & Rifat, 2013.
Ethically there are sometimes practitioner are being influence by the health insurance of the patient, that is it easier to have a claim for drug treatment than physical therapy, therefore the health professional will choose to go the route of drug treatment.
In all consideration the beneficence and no maleficence principles must be observe, the best treatment and best drug that sooth the patient must be administered.

Conclusion

When treating patients, we must understand that some drugs are good for a patient but the side effect on the patient might be grave. A careful treatment and monitoring of patients is important for total healing (NAMI National Alliance on Mental Illness, 2017). Psychiatric Nursing essay assignment paper

References

4 American Psychiatric Association.
(2013).
3 Diagnostic and statistical manual of mental

disorders (5th ed.). Washington, DC: Author. Note:
3 Retrieved from Walden Library databases.

Diniz, B.
3 S., & Reynolds, C.
F. (2014).
3 Major Depressive Disorder in Older Adults:

Benefits and Hazards of Prolonged Treatment.
Drugs & Aging, 31(9), 661–669.
http://doi.org/10.1007/s40266-014-0196-y

Flint, A.
3 J., & Rifat, S.
L. (2013).
5 The effect of sequential antidepressant treatment on

geriatric depression.
3 Journal of affective disorders, 36(3), 95-105.

Laureate Education. (2016g). Case study:
1 An elderly Hispanic man with major depressive

disorder [Interactive media file]. Baltimore, MD: Author.Psychiatric Nursing essay assignment paper

Mangoni, A.
3 A., & Jackson, S.
H. D. (2004).
3 Age-related changes in pharmacokinetics and

pharmacodynamics:
3 basic principles and practical applications.
British Journal of Clinical Pharmacology, 57(1), 6–14.
Retrieved from:
3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884408/

6 National Alliance on Mental Illness.
(2017).
3 What Is Sertraline and What Does It

Treat? Retrieved from:
7 https://www.nami.org/learn-more/treatment/mental-health-medications/sertraline-(Zoloft)

Unützer, J., & Park, M. (2012).
3 Older Adults with Severe, Treatment-Resistant

Psychiatric Nursing essay assignment paper

Psychotherapy with Groups and Families – NURS – 6650 Walden university

Syllabus

Student Support and Calendar Information

So you have all key information available to you off-line, it is highly recommended that you print the following items for your reference:

This Syllabus, including the Course Schedule that is linked on this page as a PDF

Course Calendar

Student Support

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Credit Hours

5 quarter hours in 11 weeks

Walden University assigns credit hours based on the number and type of assignments that enable students to achieve the course learning objectives. In general, each semester credit equals about 42 hours of total student work and each quarter credit equals about 28 hours of total student work. This time requirement represents an approximate average for undergraduate work and the minimum expectations for graduate work. The number and kind of activities estimated to fulfill time requirements will vary by degree level and student learning style, and by student familiarity with the delivery method and course content. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Course Description

This course emphasizes the concept of treatment of groups and families. Group and family dynamics and benefits associated with group and family therapy are also emphasized along with introducing the learner to techniques that can be used in group and family therapy settings. Practicum experiences focus on the treatment of the family unit as well as the provision of group psychotherapy. Managed care has ushered in a new era of effective mental health services. To that end, the psychiatric mental health nurse practitioner must know how to optimize not only his or her time, but also the treatment benefits associated with family and group therapy.

Note:
This course requires a minimum of 144 practicum hours.

Course Prerequisites

NURS 6640:
Psychotherapy With Individuals

Course Outcomes

By the end of this course, students will:

Evaluate evidence-based psychotherapeutic counseling theories for groups and families

Apply psychotherapeutic counseling techniques and methods for groups and families

Assess clients presenting for group and family psychotherapy

Develop psychiatric diagnoses for clients across the lifespan

Analyze ethical and legal implications of counseling clients presenting for group and family psychotherapy

Click on the following link to view the Outcomes/Alignment map for NURS 6640:

Document:
NURS 6650 SON Alignment of Learner Outcomes (PDF)

Course Materials

Please visit the university bookstore via your Walden student portal to ensure you are obtaining the correct version of any course texts and/or materials noted in the following section. When you receive your materials, make sure that all required items are included. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Course Texts

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Note: The course text will be used in additional courses in the program; therefore, you should keep it for addition reference.

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Note:
The course text was used in NURS 6640.

Note:
If the print editions of these books are referenced here, electronic versions also may be available and may be acceptable for use in this course. If electronic versions are listed, no print versions are available.

Other readings (journal articles, websites, book excerpts, etc.) are assigned throughout the course and may be found within each week. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Course Readings List

The Course Readings List contains all of the required Walden Library resources for this course. Please click on the following link to access the list:

NURS 6650 Course Readings List

Media

Assigned course media elements are found within the weekly Learning Resources pages and are available via a streaming media player or a hyperlink to the individual item.

Dedicated Support for Course Media

You may use the following e-mail address and toll-free number for any questions or concerns you have about media in the course. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Course Assignments

Online Discussion and Clinical Supervision

The exchange of ideas between colleagues engaged in scholarly inquiry is a key aspect of graduate-level learning and is a requisite activity in this course.

Requirements
: You are expected to participate
at least two
separate days a week in the weekly Discussion area. Discussion topics/questions are provided in the Discussion area. In addition, you are expected to respond to your fellow students’ postings. To count as participation, responses need to be thoughtful; that is, they must refer to the week’s readings, relevant issues in the news, information obtained from other sources, and/or ideas expressed in other class members’ postings. Where appropriate, you should use references to support your position. The Discussion questions require a response to one other student’s posting; it should be no more than two paragraphs long. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

All Discussion postings need to be made in each week’s
Discussion
area of the course, unless otherwise stated. Please do not e-mail postings to the Instructor or other students. Refer to the
Discussion
area for specific instructions.

Discussions will be graded according to the Discussion Rubric found in the
Course Information
area.

Assignments and Projects

An Assignment or Project often is a writing assignment submitted to the Instructor for evaluation. Complete Assignment or Project directions are in the
Assignments
or
Projects
areas, including how and where to submit the Assignment or Project and the due date. Please note that you should keep copies of your Assignments and Projects on your computer in case of any technical difficulties.

Information on scholarly writing may be found in the APA manual and at the Walden Writing Center website.

Please refer to the APA Guide or visit the Walden University Online Writing Center at

Writing Center

Walden University expects you to act with integrity and honesty in your academic courses. Refer to the
Guidelines and Policies
and
Academic Integrity
areas for more details.

Check the
Course Information
area for any rubrics relating to the Assignments and Projects.

All assignments must be completed to pass the course.

Practicum Activities

The practicum experience in this course will assist your transition from the role of learner to that of scholar-practitioner. To achieve this transition, you will engage in a relationship with a clinical instructor and preceptor, focusing on roles and role functions and the achievement of individualized learning objectives. The primary objective of your practicum is to provide you with the basic skills necessary to serve as a mid-level provider of primary care to selected populations and prepare you to take the appropriate national certification exam.

The practicum component of the course will be graded as Satisfactory or Unsatisfactory. In order to pass the course, you must earn a grade of Satisfactory on all required practicum activities including journal entries and time logs. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

At the end of the course, you must also ensure that your practicum preceptor submits an online evaluation of your performance. You will also complete an online evaluation of your practicum experience at the end of the course. These evaluations will not only provide information about the progress of individual students, but also help program leadership to continuously work on the course review and improvements. You will receive an Incomplete (I) as a grade if any of the above evaluations are not received by the posted deadlines.

Time Logs:
Students are required to keep a log of the time spent related to their practicum experience and enter every patient they see each day. Students can access their time log from the Welcome Page in their Meditrek account. Students will track time individually for each patient they work with. Students are required to continuously input their hours throughout the term. Logs are reviewed by instructors in Weeks 4, 7, and 10. Please print and keep your completed Meditrek Log at the end of your clinical experiences for future use as a component of your portfolio.

Grading Criteria and Total Components of a Grade

Course grades will be based on participation (postings) and completion of assignments as listed below. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Note:
All assignments must be completed to pass the course.

Grading Scale

Letter grades will be assigned as follows:

90%–100% = A

80%–89% = B

70%–79% = C

70% or below = F

Please see below for the policy on Incomplete (I) grades.

Important Note:
This course contains weighted grading. Assignments are weighted differently depending on their type. The total points achieved for each assignment will be weighted based on the percentage values noted in the
Weighted Total (%)
column of the table that follows.

 

Assignment

Total Points

Percentage

Discussions

Participation in Discussions **

4 @ 100 points each

400

20%

Clinical Supervision

Participation in Clinical Supervisions **

2 @ 100 points each

200

10%

Assignments

Weeks 2, 4, 6, 7 and 9

5 @ 100 points each

500

26%

Exams

Week 6 Midterm Exam (75 points)

Week 11 Final Exam (75 points)

150

44%

Practicum Journal Entries

Submitted in Weeks 4, 7, 10

S/U

Practicum Assignments

Submitted in Weeks 4, 7, 10

S/U

Total

1,250

100%

* Note:
Each Discussion requires that you make one initial posting and
at least two
response postings to colleagues. See the Formative Evaluative Criteria for Discussion Board Assignments for posting details.

** Note:
All assignments must be completed in order to receive a grade for the course. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Feedback Schedule

The Instructor will log into the course at least 3–4 times during the week to monitor the weekly
Discussion
area. Feedback will be provided via the
Discussion
area and/or the
Announcements
page. Requests for more specific feedback may be made in the
Discussion
area or in the
Contact the Instructor
thread.

The Instructor will respond to at least one main post each week but will usually not respond to all posts.

Timely Review and Return of Student Work:

Feedback on all assignments will be provided no later than 7 business days following the due date of the assignment. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Each Instructor has a unique way of providing feedback. If you think that you are not getting enough feedback, you are strongly encouraged to contact your Instructor and ask for more. Contact information for your Instructor can be found under the
Contact the Instructor
area. For more information on Instructor feedback, go to the Faculty Accessibility section of Faculty and Student Guidelines for Online Courses, located in the
Guidelines and Policies
area.

Preferred Methods for Delivering Assignments

Submitting Course Postings to the Weekly Discussion Areas

Be sure that you post to the correct
Discussion
area each week. Do not e-mail postings to the Instructor. For all initial Discussion postings, make sure that the first sentence of your posting reads
Main Question Post
. For your responses to others’ postings, make sure that the first sentence of your response reads
Response
. These actions will ensure easily identifiable subject lines for your postings and responses. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Submitting Assignments and Projects

Assignments and Projects are submitted according to the instructions in the
Assignments
or
Projects
areas and are named according to the week in which the Assignment or Project is submitted. Directions for naming each Assignment or Project are included in each week’s
Assignment
or
Project
area.

E-mailing Your Instructor

When e-mailing the Instructor, please use the following heading for your e-mail subject line:
last name + your first initial + course number
(e.g., RideSNURS6640) so that your Instructor will recognize and read your e-mail.

Policies on Late Assignments

Discussion and Assignment Postings

No credit will be given for Discussion and Assignment postings made after the week in which they are due unless prior arrangements are made with the Instructor. Exceptions will be made only for those rare situations that legitimately prevent a student from posting on time. Points will be deducted from late postings. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Assignments

Assignments are due by
Day 7
of the week in which they are assigned unless otherwise noted. Failure to meet the deadline without prior approval will result in at least a 3-point deduction per day. Any Assignment submitted after
Day 4
of the week following that in which it is assigned will receive zero points.

Keeping Your Coursework

You will have access to the course and your coursework from the course start date until 60 days after the course ends. After this time, you will no longer be able to access the course or related materials.
For this reason, we strongly recommend that you retain copies of your completed assignments and any documents you wish to keep
. The University is not responsible for lost or missing coursework. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Instructor Feedback Schedule

The Instructor will log in to the course during the week to monitor the weekly Discussion area. Feedback will be provided via the comments in the My Grades area, the Discussion area, and/or the Announcements page.

You can expect your weekly assignment grades to be posted within 10 calendar days of a due date. Instructor feedback and explanation are provided whenever full credit is not achieved. Depending on the nature of the feedback, Instructor responses may be posted to the Discussion area or included in the My Grades area. The goal of your Instructor is to act as a discussion and learning facilitator rather than a lecturer. The Instructor will not respond to every posting by every individual, so please feel free to ask your Instructor if you would like some personal feedback on a particular assignment posting or any time you have any questions regarding your assignments or your grade.

Students With Disabilities

Students in this course who have a disability that might prevent them from fully demonstrating their abilities should contact the director of disability services at
disability@waldenu.edu
or at 1-800-925-3368, ext. 312-1205 and +1-612-925-3368 or
https://www.waldenu.edu/contact
for international toll-free numbers as soon as possible to initiate disability verification and discuss accommodations that may be necessary to ensure full participation in the successful completion of course requirements. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Classroom Participation

In accordance with U.S. Department of Education guidance regarding class participation, Walden University requires that all students submit at least one of their required Week 1 assignments (which includes posting to the Discussion Board) within each course(s) during the first 7 calendar days of class. For courses with two-week units, posting to the Discussion Board by Day 7 meets this requirement. The first calendar day of class is the official start date of the course as posted on your myWalden academic page.

Assignments submitted prior to the official start date
will not
count toward your participation.

Financial Aid cannot be released without class participation as defined above.

Students who
are taking their first class with Walden
and do not submit at least one of their required Week 1 assignments (or at least one Discussion post) by the end of the 7th day will be administratively withdrawn from the university.

Students who have already taken and successfully completed
at least one
or more class(es) with Walden, and who
do not participate
within the first 7 days, will be dropped from that class.

If you have any questions about your assignments, or you are unable to complete your assignments, please contact your Faculty Member. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

Checklist

The weekly course checklist below outlines the assignments due for the course.

For full assignment details and directions, refer to each week of the course. All assignments are due by 11:59 p.m. Mountain Time (MT) on the day assigned (which is 1:59 a.m. Eastern Time (ET) the next day). The time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone. As long as your submission time stamp is no later than 1:59 a.m. Eastern Time (ET), you have submitted on time. Psychotherapy with Groups and Families – NURS – 6650 Walden university.

To view the Course Calendar:

Course Calendar

To View a Printable Course Schedule

For full assignment details and directions, refer to each week of the course.

Click on the
NURS 6650 Course Schedule (PDF)
link to access the Course Schedule.

Document:
NURS 6650 Course Schedule (PDF)

Checklist

Module

Assignment

Title

Week 1

Legal and Ethical Considerations for Group and Family Therapy

Learning Resources

Required Readings

Required Media

Optional Resources

Discussion

Legal and Ethical Considerations for Group and Family Therapy

Assignment 1

Practicum – Week 1 Journal Entry

Assignment 2

Board Vitals

Making Connections

Looking Ahead

Didactic Assignments

Practicum Assignments

Week 2

Family Assessment and Phases of Family Therapy

Learning Resources

Required Readings

Required Media

Assignment 1

Hernandez Family Assessment

Assignment 2

Practicum – Week 2 Journal Entry

Assignment 3

Board Vitals

Making Connections

Looking Ahead

Week 3 Clinical Supervision Discussion

Week 3 Videos

Week 3

Experiential and Narrative Family Therapy

Learning Resources

Required Readings

Required Media

Optional Resources

Discussion

Clinical Supervision

Assignment 1

Practicum – Assessing Client Families

Assignment 2

Board Vitals

Making Connections

Looking Ahead

Week 4 Videos

Week 4

Structural and Strategic Family Therapy

Learning Resources

Required Readings

Required Media

Optional Resources

Assignment 1

Structural Versus Strategic Family Therapies

Assignment 2

Practicum – Week 1 Journal Entry

Assignment 3

Practicum – Week 2 Journal Entry

Assignment 4

Practicum – Week 3 Assessing Client Families

Assignment 5

Board Vitals

Practicum Reminder

Making Connections

Week 5

Solution-Focused and Cognitive Behavioral Family Therapy

Learning Resources

Required Readings

Required Media

Discussion

Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

Assignment 1

Practicum – Week 5 Journal Entry

Assignment 2

Board Vitals

Making Connections

Week 6

Foundations of Group Work and Types of Groups

Learning Resources

Required Readings

Assignment 1

Applying Current Literature to Clinical Practice

Assignment 2

Board Vitals

Midterm Exam

Making Connections

Looking Ahead

Week 7 Video

Week 7

Group Processes

Learning Resources

Required Readings

Required Media

Optional Resources

Assignment 1

Group Processes and Stages of Formation

Assignment 2

Practicum – Assessing Client Family Progress

Assignment 3

Practicum – Week 5 Journal Entry

Assignment 4

Board Vitals

Practicum Reminder

Making Connections

Week 8

Cognitive Behavioral Therapy for Groups

Learning Resources

Required Readings

Discussion

Cognitive Behavioral Therapy: Group Settings Versus Family Settings

Assignment 1

Practicum – Week 8 Journal Entry

Assignment 2

Board Vitals

Making Connections

Week 9

Group Therapy for Addiction

Learning Resources

Required Readings

Required Media

Optional Resources

Assignment 1

Psychotherapeutic Approaches to Group Therapy for Addiction

Assignment 2

Board Vitals

Making Connections

Looking Ahead

Week 10 Clinical Supervision Discussion

Week 10 Videos

Week 10

Group Therapy With Children and Adolescents

Learning Resources

Required Readings

Required Media

Optional Resources

Discussion

Clinical Supervision

Assignment 1

Practicum – Client Termination Summary

Assignment 2

Practicum – Week 10 Journal Entry

Assignment 3

Practicum – Week 8 Journal Entry

Assignment 4

Board Vitals

Practicum Reminder

Making Connections

Looking Ahead

Week 11 Discussion

Week 11

Group Therapy With Older Adults

Learning Resources

Required Readings

Discussion

Group Therapy with Older Adults

Assignment

Board Vitals

Final Exam

Bibliography

The bibliography contains the references for all learning materials in the course. For your convenience, a link has been provided to download and save the bibliography.

To access the Bibliography:

Document:
NURS 6650 Bibliography (PDF). Psychotherapy with Groups and Families – NURS – 6650 Walden university.