Category: Nursing

NSG6430 Women’s Health Case Study assignment

Week 7 assignment case study

Women’s Health Case Study

General Guidelines for Comprehensive Case Study – the due date assigned

You will complete the iHuman case, “Nancy Campbell”. NSG6430 Women’s Health Case Study assignment.

After completing the iHuman case, you will present the case and supporting evidence in a PowerPoint presentation with the following components:

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Slide 1: Title, Student Name, Course, Date

Slide 2: Summary or synopsis of Ms. Campbell’s case

Slide 3: HPI

Slide 4: Medical History

Slide 5: Family History

Slide 6: Social History

Slide 7: ROS

Slide 8: Examination

Slide 9: Labs (In-house)

Slide 10: Primary Diagnosis and 3 Differential Diagnoses – ranked in priority

Primary Diagnosis should be supported by data in the patient’s history and exam

Slide 11: Management Plan: medication (dose, route, frequency), non-medication treatment, tests ordered, education, follow-up/referral. NSG6430 Women’s Health Case Study assignment.

Slide 12-17: An evaluation of 5 evidence-based articles applicable to Ms. Campbell’s case: evaluate 1 article per slide

Include title, author, and year of article

Brief summary / purpose of the study

How did the study support Ms. Campbell’s case?

Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, i.e. Medscape, UptoDate, etc. NSG6430 Women’s Health Case Study assignment.

Slide 18: Reference List

You will submit the PowerPoint presentation in the Submissions Area by the due date assignbedName your Case Study Presentation SU_NSG6430_W7_A2_lastname_firstinitial.doc. NSG6430 Women’s Health Case Study assignment.

Cervicitis PowerPoint presentation

SUMMARY

Sexually transmitted infections (STIs) continue to present major health, social, and economic problems in the developing world. Gonococcal infections and their complications are amongst the most frequent communicable diseases in many countries (Muthusamy & Elangovan, 2017). This presentation narrated a clinical presentation of a young female,  who is seeking medical care with urinary symptomatology. The presentation relevant physical exam findings, differential diagnosis, laboratory test, definitive diagnosis,  management and patient education.

HPI

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Chief Complaint: “Pain with urination”

HPI: Ms. Campbell is a 25-year-old woman who presents with a 3-day history of dysuria, increases urinary frequency and yellow, kind of creamy vaginal discharge. She is sexually active, with recent, unprotected vaginal intercourse, and multiples sexual partners. Her past medical history is remarkable for urinary tract infection and candidiasis last year. Physical exam demonstrated cervical friability and discharge from the os; with a normal bimanual exam. Cervicitis PowerPoint presentation.

MEDICAL HISTORY

Medications:

Ibuprofen OTC for menstrual pain and headache.

Past Medical History (PMH)

Allergies
: None

Medication Intolerance
: None

Chronic health problems
: None

Major traumas
:  None

Hospitalizations/Surgeries:
None

Family history

SOCIAL HISTORY

ROS

R.O.S

Physical Exam

Physical Exam

Lab Tests

Lab Tests

Human Immunodeficiency virus (HIV) antibody: Negative

Human Chorionic Gonadotropin (hCG), plasma: Negative

Cervicitis

Chlamydia culture
.: Negative

Neisseria gonorrhea culture: Positive

Cervical swab/Gram stain

Amine/whiff test

Urinary tract infection :

Urine culture: no bacterial growth.

Urinalysis: positive

PRIMARY DIAGNOSIS

CERVICITIS:
supported by the presence of recent history of dysuria, increases urinary frequency and yellow, kind of creamy vaginal discharge. Physical examination revealed a mucopurulent discharge from os cervix with a normal bimanual exam. Laboratory test confirmation. Cervicitis PowerPoint presentation.

DIFFERENTIAL DIAGNOSIS
:

1. URINARY TRACT INFECTION

2. PELVIC INFLMATORY DISEASE

3. BACTERIAL VAGINOSIS.

u
MANAGEMENT/PLAN

Medication:

Ceftriaxone 250 mg IM x 1 dose

Azithromycin 1000 mg orally x 1 dose

Non-medication treatment

Avoid sexual activity during the treatment. Use condom on the future.

tests ordered: No further test needed.

Education: Contact and treatment of recent sexual partners, Counseling regarding use of barrier protection and risk of STIs, recommend pap smears per current guidelines, Recommend HIV, Hep B, and syphilis screening, and recommend HPV vaccination, as this patient is less than 26 years old. Cervicitis PowerPoint presentation.

Follow-up/: in 2 weeks to evaluate medication effectiveness.

Referral: None

Evidence-based articles

Title, author, and year of article:
Update on treatment options for gonococcal infections. Lancaster, J. W., Mahoney, M. V., Mandal, S., & Lawrence, K. R. (2015). Cervicitis PowerPoint presentation.

Brief summary / purpose of the study
: The incidence of 
Neisseria gonorrhoeae
 infections in the United States has grown over the past decade. The most recent data provided by the Centers for Disease Control and Prevention (CDC) indicate that reported cases have increased by almost 10% over the last 5 years. In conjunction with this rise, the presence of multidrug-resistant strains of 
N. gonorrhoeae
 has also emerged. The 2015 CDC guidelines recommend dual therapy with intramuscular ceftriaxone and oral azithromycin as first-line treatment, although components of this regimen are met with a high level of resistance. Although ceftriaxone resistance has not yet been reported in the United States, it is only a matter of time before such isolates are detected, thus ushering in a new era of difficult-to-manage uncomplicated gonococcal infection. The potential public health crisis and patient-associated sequelae (e.g., pelvic inflammatory disease, epididymitis, and human immunodeficiency virus infection) linked with untreatable gonorrhea are cause for great concern. To try to stem this tide, a number of new agents targeted against 
N. gonorrhoeae
 are being investigated in clinical trials. This article, we review the various agents, both currently available and under clinical investigation, and provide recommendations for the management of gonococcal infections. Cervicitis PowerPoint presentation.

How did the study support Ms. Campbell’s case: This study is a good resource to create a plan of treatment for Ms. Campbell.

Evidence-based articles

Title, author, and year of article:
A systematic review and appraisal of the quality of practice guidelines for the management of Neisseria gonorrhoeae infections. Dickson, C., Arnason, T., Friedman, D. S., Metz, G., & Grimshaw, J. M. (2017). Cervicitis PowerPoint presentation.

Brief summary / purpose of the study
:  Clinical guidelines help ensure consistent care informed by current evidence. As shifts in antimicrobial resistance continue to influence first-line treatment, up-to-date guidelines are important for preventing treatment failure. This study was conducted to assess the quality of current gonorrhea guidelines’ development processes. Multiple databases was used. As a result, the author identified 10 guidelines meeting the inclusion criteria. The quality of the gonorrhea treatment guidelines varied. The 
WHO Guidelines for the Treatment of Neisseria gonorrhoeae
 and 
UK National Guideline for the Management of Gonorrhea in Adults
 scored the highest on 
Rigour of Development
. Methods to address conflicts of interest were often not described in the materials reviewed. By limiting the study to English-language guidelines, a small number of guidelines we identified were excluded. The author concluded that Gonorrhoea treatment guidelines may slow antimicrobial resistance. Many current guidelines are not in line with the current guideline development best practices; this might undermine the perceived trustworthiness of guidelines. By identifying current limitations, this study can help improve the quality of future guidelines. Cervicitis PowerPoint presentation.

How did the study support Ms. Campbell’s case: This study is a good resource to create a plan of treatment for Ms. Campbell.

Evidence-based articles

Title, author, and year of article:
Gonorrhea treatment practices in the STD Surveillance Network, 2010–2012. Kerani, R. P., Stenger, M. R., Weinstock, H., Bernstein, K. T., Reed, M., Schumacher, C., … & Golden, M. (2015).

Brief summary / purpose of the study
:
Neisseria
 
gonorrhoeae
 has retained antimicrobial resistance to drugs previously recommended for first-line empiric treatment of gonorrhea, and resistance to ceftriaxone, the last option for monotherapy, is evolving. Crucial actions to combat this developing situation include implementing response plans; considering use of dual antimicrobial regimens; enhancing surveillance of gonorrhea, gonococcal antimicrobial resistance, treatment failures and antimicrobial use/misuse and improving prevention, early diagnosis, contact tracing and treatment. The ways forward also include an intensified research to identify novel antimicrobial resistance determinants and develop and evaluate appropriate use of molecular antimicrobial resistance testing, ideally point-of-care and with simultaneous detection of gonococci, to supplement culture-based methods and ideally guide tailored treatment. Cervicitis PowerPoint presentation. Replacing oral treatments with ceftriaxone is a central component of public health efforts to slow the emergence of cephalosporin-resistant 
Neisseria gonorrhoeae
 in the United States. Six city and state health departments contributed data on all gonorrhea cases reported in 101 counties and independent cities. Treatment data were obtained through local public health surveillance and interviews with a random sample of patients. Cases were weighted to adjust for site-specific sample fractions and for differential nonresponse by age, sex, and provider type. From 2010 to 2012, 135,984 gonorrhea cases were reported in participating areas, 15,246 (11.2%) of which were randomly sampled. Of these, 7,851 (51.5%) patients were interviewed. Among patients with complete treatment data, 76.8% received ceftriaxone, 16.4% received an oral cephalosporin, and 6.9% did not receive a cephalosporin; 51.9% of persons were treated with a regimen containing ceftriaxone and either doxycycline or azithromycin. Ceftriaxone treatment increased significantly by year (64.1% of patients in 2010, 79.3% in 2011, 85.4% in 2012; 
P
 = 0.0001). Ceftriaxone use varied widely by STD Surveillance Network site (from 44.6% to 95.1% in 2012). Most persons diagnosed as having gonorrhea between 2010 and 2012 in the United States received ceftriaxone, and its use has increased since the release of the 2010 Centers for Disease Control and Prevention STD Treatment Guidelines. Cervicitis PowerPoint presentation.

How did the study support Ms. Campbell’s case: This study is a good resource to create a plan of treatment for Ms. Campbell
.

uEvidence-based articles

Title, author, and year of article:
Cervicitis: a prospective observational study of empiric azithromycin treatment in women with cervicitis and non-specific cervicitis. Lusk, M. J., Garden, F. L., Cumming, R. G., Rawlinson, W. D., Naing, Z. W., & Konecny, P. (2017).Cervicitis PowerPoint presentation.

Brief summary / purpose of the study
: Treatment with 1 G azithromycin was observed prospectively in 130 women with cervicitis enrolled in a cervicitis etiology study of 558 women at three sexually transmitted infection clinics in Sydney, Australia. Two overlapping groups of women with cervicitis were considered: ‘cervicitis group 1’ (n = 116) excluded women with 
Trichomonas vaginalis
 and a subgroup of this, ‘cervicitis group 2’ (non-specific cervicitis) (n = 96) further excluded women with 
Neisseria
gonorrhoea
, 
Chlamydia trachomatis
 and 
Mycoplasma genitalium
 at enrolment. Testing for 
Chlamydia trachomatis
, 
Mycoplasma genitalium
 and 
Trichomonas vaginalis
 was by PCR and 
Neisseria
gonorrhoea
 by PCR and culture. Treatment outcomes were cervicitis or vaginal symptoms at follow-up. Effect on cervicitis at follow-up was also assessed after additional reported partner treatment. In ‘cervicitis group 1’ where prevalence of 
Mycoplasma genitalium
 and/or 
Chlamydia trachomatis
 was 23/116 (19.8%), azithromycin reduced cervicitis at follow-up (RR = 0.62 (95% CI 0.39–0.97) 
p
 = 0.035), but there was no significant effect in non-specific cervicitis (‘cervicitis group 2’) (RR = 0.60 (95% CI 0.35–1.01) 
p
 = 0.056).  Empiric treatment did not reduce vaginal symptoms at follow-up in either group. No effect of empiric partner treatment was seen. The conclusion was that empiric azithromycin treatment of cervicitis reduces cervicitis at follow-up in populations with high prevalence of 
Chlamydia trachomatis
 and/or 
Mycoplasma genitalium
. There are no benefits of empiric azithromycin for non-specific cervicitis or empiric partner treatment. Cervicitis PowerPoint presentation.

.
How did the study support Ms. Campbell’s case: This study is a good resource to follow appropriate treatment for Ms. Campbell.

uEvidence-based articles

Title, author, and year of article:
Screening for gonorrhea and chlamydia: an update for the US Preventive Services Task Force. Zakher, B., Cantor, A. G., Pappas, M., Daegas, M., & Nelson, H. D. (2014).

Brief summary / purpose of the study
: Objective: Observational studies about screening effectiveness, test accuracy, and screening harms was conducted to update the 2005 and 2007 systematic reviews for the U.S. Preventive Services Task Force on screening for gonorrhea and chlamydia in men and women, including pregnant women and adolescents. Data Sources revised included MEDLINE, and Cochrane databases, including only randomized, controlled trials (RCTs) and controlled observational studies. In 10 new studies of asymptomatic patients, nucleic acid amplification tests demonstrated sensitivity of 86% or greater and specificity of 97% or greater for diagnosing gonorrhea and chlamydia, regardless of specimen type or test. The target populations included asymptomatic, sexually active men and women, including pregnant women and adolescents. There were few relevant studies of screening benefits and harms. Only screening tests and methods cleared by the U.S. Food and Drug Administration for current clinical practice were included to determine diagnostic accuracy. As a conclusion, Chlamydia screening in young women may reduce the incidence of pelvic inflammatory disease. Nucleic acid amplification tests are accurate for diagnosing gonorrhea and chlamydia in asymptomatic persons.  Gonorrhea Tests for women included 4 studies testing endocervical specimens using transcription-mediated amplification (TMA); polymerase chain reaction (PCR), including a new rapid test (27); or strand displacement amplification (SDA) reported sensitivities ranging from 90.0% to 100.0%. Sensitivity using self-collected vaginal specimens obtained in a clinician’s office was 98.0% by TMA (26) and 100% by PCR (27). Results of female urine specimens using TMA, PCR, or SDA ranged from 78.6% to 100% (24, 25, 27). However, the study reporting the lowest sensitivities for urine used urine volumes larger than recommended by the manufacturer of the screening test. Chlamydia Tests Among 5 studies of endocervical specimens, sensitivity of TMA was 89.0% to 97.1%, SDA was 86.4% to 96.2%, and PCR was 86.4% to 95.8% (24, 27, 28, 30, 31). Clinician-collected vaginal swabs tested with TMA and PCR provided sensitivities of 89.9% and 98.8% (28), and self-collected vaginal swabs from clinical settings provided sensitivities of 97.0% with TMA (31) and 90.7% (28) and 98.0% (27) with PCR. Cervicitis PowerPoint presentation.

How did the study support Ms. Campbell’s case: This study is a good resource to order the right laboratory test to confirm diagnosis in  Ms. Campbell.

Cervicitis PowerPoint presentation

References

Dickson, C., Arnason, T., Friedman, D. S., Metz, G., & Grimshaw, J. M. (2017). A systematic review and appraisal of the quality of practice guidelines for the management of Neisseria gonorrhoeae infections. 
Sex
Transm
Infect
, sextrans-2016

uKerani, R. P., Stenger, M. R., Weinstock, H., Bernstein, K. T., Reed, M., Schumacher, C., … & Golden, M. (2015). Gonorrhea treatment practices in the STD Surveillance Network, 2010–2012. 
Sexually transmitted diseases
, 
42
(1), 6-12. Cervicitis PowerPoint presentation.

uLancaster, J. W., Mahoney, M. V., Mandal, S., & Lawrence, K. R. (2015). Update on treatment options for gonococcal infections. 
Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy
, 
35
(9), 856-868.

u  Lusk, M. J., Garden, F. L., Cumming, R. G., Rawlinson, W. D., Naing, Z. W., & Konecny, P. (2017). Cervicitis: a prospective observational study of empiric azithromycin treatment in women with cervicitis and non-specific cervicitis. Cervicitis PowerPoint presentation.

uMuthusamy, S., & Elangovan, S. (2017). A study on prevalence and antibiotic sensitivity testing methods for Neisseria gonorrhoeae isolates among female outpatients of sexually transmitted infection clinic. 
International Journal of Health & Allied Sciences
, 
6
(1), 11.

uZakher, B., Cantor, A. G., Pappas, M., Daegas, M., & Nelson, H. D. (2014). Screening for gonorrhea and chlamydia: an update for the US Preventive Services Task Force. 
Ann Intern Med
, 
23
. Cervicitis PowerPoint presentation.

NR 601 Discussion

B.J., a 70-year-old black female has been seen in the clinic several times. The last time she was in for a check-up was 6 months ago to get her prescriptions refilled. She has returned to the clinic today because she “ran out of blood pressure medicine” and would like to get her prescriptions renewed. She has not taken any prescription medicine in approximately 6 months

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Background:

The patient indicates that she has noticed shortness of breath, especially when she is playing with her grandchildren. But, it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also tells you that “I noticed over the last week that my legs and ankles have been swollen”. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest. NR 601 Discussion.

PMH:

Hypertension

Previous history of MI in 2010

Current medications:

Coreg 6.25 mg PO BID

Colace 100 mg PO BID

K-dur 20 mEq PO QD

Furosemide 40 mg PO QD

Surgeries:

2010-Left Anterior Descending (LAD) cardiac stent placement

Allergies
: Amoxicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Has never had a Pneumovax

Has not had a Td in over 20 years

Has not had the herpes zoster vaccine

Other:

Last colorectal screening was 11 years ago

Last mammogram was 5 years ago

Has never had a DEXA/Bone Density Test

Last dilated eye exam was 4 years ago

Labs from last year’s visit: Hgb 12.2, Hct 37%, K+ 4.2,

Na+140 Cholesterol 186, Triglycerides 188, HDL 37, LDL 190, TSH 3.7

Blood pressure on day of visit: 150/90

Social history:

She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her son lives in another state,

Family history:

Both parents are deceased. Father died of a heart attack; mother died of natural causes. She had one brother who died of a heart attack 20 years ago at the age of 52. NR 601 Discussion.

Habits:

She drinks one 4-ounce glass of red wine daily. She is a former smoker that stopped 20 years ago.

Discussion Part One:

• Summarize the important data from the patient’s history and reason for the visit today.

• Provide a minimum of three differential diagnoses (DD) with rationale for the chief complaint.

• Include OLDCARTS and additional ROS questions needed to develop DD. NR 601 Discussion.

• Based on the LDL level above, indicate if you need to order a statin for this patient? Provide a rationale for your decision based on evidence based clinical guidelines.

• What other patient risk factors put the patient at risk for arteriosclerotic coronary vascular disease (ASCVD)? Reference the guidelines in your response.

• Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools. NR 601 Discussion.

Physical Exam

Vital signs
: BP 138/88; HR 88 (regular), RR 18, T 98.8 height 5’7″, weight 175 pounds

General appearance:
Thin and mildly dyspneic

Lungs
: Mild end-expiratory wheezing. Pursed-lip breathing noted and has a prolonged expiratory phase. Heart: S1 and S2 RRR with distant heart tones. No murmurs

Abdomen:
Soft, non-tender with positive bowel sounds. No abdominal bruits

Extremities:
Full ROM of all extremities. No edema. All pulses 2+

Labs/diagnostics:
Chest x-ray shows pulmonary hyperinflation, flattening of the diaphragm; Pulmonary function test:

Prebronchodilation:
FEV1/FVC ratio 53%, FEV1 50% of predicted value

Postbronchodilation
with 2 puffs albuterol—FEV1/FVC ratio 0.60, FEV1 60% of predicted value

Discussion Questions Part Two:

Post your SOAP note for this patient’s encounter.

Review the SOAP note format for the course. Summarize the history and results of the physical exam. Include one evidence-based journal article that supports your rationale for all diagnoses with ICD 10 codes and include a complete treatment plan that include medications, further diagnostics, patient education, referral and plan for follow-up. Each step of the plan must include an in-text citation to a scholarly source. Review the Reference Guidelines document in Course Resources. NR 601 Discussion.

Occupational Health And Safety Policies In Saudi Arabia

Answer the following questions and write a paper (4 pages) about the problem of the impact of occupational health and safety (OHS) policies on dentists’ performance in Saudi Arabia. This paper will be from an administrative point of view.

· Introduction

· Literature review

(Conduct a literature review using at least 7 articles on that topic)

· Why we need to fix this problem? Occupational Health And Safety Policies In Saudi Arabia

(After the literature review formulate a problem statement that would represent a research area that you would like to find a solution to)

· How to study this problem?

· What is the significant of the problem?

· What are the consequences of solving this problem?

· Theoretical background of the impact of OHS policies on dentists’ performance.

· Conclusion

– Avoid Plagiarism

– 4 page  not including the cover page and the references.

– follow APA style.

– provide
in-text citation 7 references not late than 2013

Kindly stick to your price if you change I will dispute Saudi Arabia

 

Occupational Health And Safety Policies In Saudi Arabia

Answer the following questions and write a paper (4 pages) about the problem of the impact of occupational health and safety (OHS) policies on dentists’ performance in Saudi Arabia. This paper will be from an administrative point of view. Occupational Health And Safety Policies In Saudi Arabia.

· Introduction

· Literature review

(Conduct a literature review using at least 7 articles on that topic)

· Why we need to fix this problem?

(After the literature review formulate a problem statement that would represent a research area that you would like to find a solution to)

· How to study this problem?

· What is the significant of the problem?

· What are the consequences of solving this problem?

· Theoretical background of the impact of OHS policies on dentists’ performance.

· Conclusion

– Avoid Plagiarism

– 4 page  not including the cover page and the references.

– follow APA style.

– provide
in-text citation 7 references not late than 2013

Kindly stick to your price if you change I will dispute Saudi Arabia

Occupational Health And Safety Policies In Saudi Arabia

NSG 6999 Graduate Project in Nursing

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. NSG 6999 Graduate Project in Nursing.

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.

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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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

Week 2 discussion

Post your background question and your strategy for getting a comprehensive understanding of the clinical issue. NSG 6999 Graduate Project in Nursing. 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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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—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.

Exploring the Literature

Picot Question:

Research Tool

Search Tips

Search Terms & Limits

Findings

Features

CINAHL

CINAHL is an SSU 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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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:

National Guidelines

Clearinghouse

The National Guideline Clearinghouse™ (NGC) is a public resource for evidence- based clinical practice guidelines.

Detailed search provides limits and advance search features

Browse by Disease/Condition or Treatment/Intervention

Add guidelines to “My Collection” and select Compare Guidelines to view side-by-side comparisons of principle data

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:

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. NSG 6999 Graduate Project in Nursing.

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 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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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.

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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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. NSG 6999 Graduate Project in Nursing.

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 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. NSG 6999 Graduate Project in Nursing.

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 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. NSG 6999 Graduate Project in Nursing.

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 3 Project

To complete this week, after reading chapter two in Melnyk and reviewing the lectures you submit a 2-3 page paper that explores the background of your issue. For this paper #1 you will be defining this issue or disease using the literature. It will end with the PICOT question. The parts of your paper should include:NSG 6999 Graduate Project in Nursing.

Introduction

Definition

Epidemiology

Clinical Presentation

Complications

Diagnosis

Conclusion with PICOT Question

If you are not on a clinical tract (NP) you will explore the issue extensively to define the problem or issue you are interested in.

Submission Details: Submit your document to the Submissions Area by the due date assigned. NSG 6999 Graduate Project in Nursing.

Week 6 Project

Complete Evidence Table as described in the Evidence Table Worksheet. Include Week 4 worksheet with completed Evidence Table.

Evidence Table Worksheet

I. PICOT Question:

plus

1. Will you have a comparison group or will subjects be their own controls?

2. Is a ‘time’ appropriate with your question—why or why not?

II. Evidence Synthesis

(database) ex: Study #1

Study #2

Study #3

Study #4

Study #5

Synthesis

Cochran

(p) Population

(i)

Intervention

(c)

Comparison

(o) Outcome

(t)time

III. Evaluation Table

Citation

Design

Sample size:

Major

Study

Level of

Evidence

Adequate?

Variables:

findings:

evidence

Synthesis

Strengths and

Independent

weaknesses

Dependent

Week 9 Project

Submit EBP project with Implementation Plan and Evaluation Plan. Note EBP plan should resemble plan on page 248 of the Melnyx text. NSG 6999 Graduate Project in Nursing.

Week 10 Project

Post EBP Presentation to Discussion Board and Project. NSG 6999 Graduate Project in Nursing.

Sleep/Wake Disorders and Parasomnias Essay Assignment Paper

Week 10: Sleep/Wake Disorders and Parasomnias

Tick, tock, and here we go again. I have been in bed trying to go to sleep for three hours now. I have not gotten more than a few hours of sleep a night in months. My work is being affected and so is my relationship with my wife. She’s over there sleeping like a baby and cannot understand why I can’t sleep. ‘Just close your eyes and relax’, she says. When I close my eyes, all I see is all the work I have to do.

Riley, age 34

Sleep is essential for a healthy mind and body, and lack of quality sleep can cause distress during the daytime. Sleep disorders can involve difficulties with quality, timing, and amount of sleep and frequently accompany other disorders, especially depression, anxiety, and PTSD. Obtaining a good sleep history is essential to diagnosing sleep disorders, prescribing a treatment plan, and monitoring the plan’s effectiveness. Understanding and managing sleep problems frequently leads to improvement in other mental health disorders that the patient is experiencing. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

This week, you will analyze the diagnostic criteria and treatment options of insomnia, hypersomnolence, narcolepsy, sleep apnea, non-rapid eye movement, nightmare disorder, sleep behavior disorder, and other DSM-5 sleep and parasomnic disorders.

Photo Credit: [riskms]/[iStock / Getty Images Plus]/Getty Images

Sleep/Wake Disorders and Parasomnias Essay Assignment Paper 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. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

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 13, “Psychosomatic Medicine” (pp. 465–503)

Chapter 16, “Normal Sleep and Sleep-Wake Disorders” (pp. 533–563)

Note
: This is review from the Learning Resource in Week 3.

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 36, “Sleep-Wake Disorders”

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

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

“Sleep-Wake Disorders”

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

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. 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 specific medications, click on
The Prescriber’s Guide, 5
th
Ed.
tab on the Stahl Online website and select the appropriate medication.

Excessive sleepiness in narcolepsy, obstructive sleep apnea/hypopnea syndrome, shift work sleep disorder

Insomnia

Narcolepsy

Restless leg syndrome

armodafinil

modafinil

sodium oxybate (in narcolepsy only)

agomelatine

alprazolam

amitriptyline

amoxapine

clomipramine

clonazepam

desipramine

diazepam

dothiepin

doxepin

estazolam

eszopiclone

flunitrazepam

flurazepam

hydroxyzine

imipramine

lofepramine

lorazepam

maprotiline

mianserin

nortriptyline

quazepam

ramelteon

temazepam

trazodone

triazolam

trimipramine

zaleplon

zolpidem

zopiclone

amphetamine (d)

amphetamine (d,l)

lisdexamfetamine

methylphenidate (d)

methylphenidate (d,l)

modafinil

sodium oxybate

gabapentin ER

Optional Resources

Bélanger, L., Harvey, A. G., Fortier-Brochu, É., Beaulieu-Bonneau, S., Eidelman, P., Talbot, L., . . . Morin, C. M. (2016). Impact of comorbid anxiety and depressive disorders on treatment response to cognitive behavior therapy for insomnia.
Journal of Consulting and Clinical Psychology
,
84
(8), 659–667. doi:10.1037/ccp0000084

Olaithe, M., Nanthakumar, S., Eastwood, P. R., & Bucks, R. S. (2015). Cognitive and mood dysfunction in adult obstructive sleep apnoea (OSA): Implications for psychological research and practice.
Translational Issues in Psychological Science
,
1
(1), 67–78. doi:10.1037/tps0000021. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Discussion: Treatment of Sleep/Wake Disorders

The power of sleep to heal the body cannot be underestimated. Most research indicates that 7–8 hours of sleep are a minimum that people need to stay healthy. Clients who come to the PMHNP’s office frequently complain of sleep problems. It is estimated that 10–20% of patients report some type of sleeping problem. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

In this Discussion, you will analyze the diagnostic criteria and evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders.

Learning Objectives

Students will:

Analyze diagnostic criteria for sleep/wake disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders

Analyze criteria for referring clients to primary care physicians for treatment of sleep/wake disorders

Compare differential diagnostic features of sleep/wake disorders

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
! Sleep/Wake Disorders and Parasomnias Essay Assignment Paper

To prepare for this Discussion:

By Day 5 of Week 9, your Instructor will have assigned you a sleep/wake disorder, which will be the focus of your original post for this Discussion. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Review the Learning Resources.

By Day 3

Post:

Explain the diagnostic criteria for your assigned sleep/wake disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned sleep/wake disorder. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.

Support your rationale with references to the Learning Resources or other academic resource. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

By Day 6

Respond 
to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 10 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 10 Discussion

Assignment 1:

Week 10 Practicum Journal: Checkpoint for Certification Plan

Learning Objectives

Students will:

Evaluate progress on certification plans

Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4.

What have you done to prepare for your certification?

Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule? Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

By Day 7

Submit
 your Assignment.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK10Assgn1+last name+first initial.(extension)” as the name. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click the 
Week 10 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 10 Assignment 1 
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 “WK10Assgn1+last name+first initial.(extension)” and click 
Open
. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

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. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Grading Criteria

To access your rubric:

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Week 10 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 10 Assignment 1

Assignment 2:

Week 8 Practicum: Decision Tree

By Day 7

Submit
 your Assignment. Refer to Week 8 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 “WK10Assgn2+last name+first initial.(extension)” as the name. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click the 
Week 10 Assignment 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 10 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 “WK10Assgn2+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
. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 10 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 2 draft and review the originality report. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 10 Assignment 2

Assignment 3:

Week 9 Practicum Journal: State Practice Agreements

By Day 7

Submit
 your Assignment. Refer to Week 9 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 “WK10Assgn3+last name+first initial.(extension)” as the name. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click the 
Week 10 Assignment 3 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 10 Assignment 3 
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 “WK10Assgn3+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
. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 10 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 3 draft and review the originality report. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 10 Assignment 3

Sleep/Wake Disorders and Parasomnias Essay Assignment Paper Assignment 4: 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.

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 will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Making Connections

This week, you analyzed the diagnostic criteria and treatment options of insomnia, hypersomnolence, narcolepsy, sleep apnea, non-rapid eye movement, nightmare disorder, sleep behavior disorder, and other DSM-5 sleep and parasomnic disorders.

Next week, you will analyze how to assess and care for individuals with sexual disorders. You also will analyze the concept of gender dysphoria and how to guide individuals through the process of establishing their sexual identity and preferred sexual orientation. Sleep/Wake Disorders and Parasomnias Essay Assignment Paper.

Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project

Week 9: Schizophrenia Spectrum and Other Psychotic Disorders

I am being followed. They are even in my home. I am crouched in the corner of my apartment, but they know I am here and are just waiting to get me. I have a secret and they are trying to get it. The secret is hidden in my brain and they are going to open my skull to get it out. I have to block them from getting into my brain. Hiding in the closet, behind all the clothes, they will not see me….

Jamie, age 26

There are many disorders that result in the development of “positive” symptoms, such as hallucinations and delusions, but not all of these conditions represent schizophrenia. When treating schizophrenia spectrum and other psychotic disorders, emphasis should be placed not only on treating the positive symptoms but the negative and residual symptoms as well.

This week, you will explore a wide variety of disorders along the schizophrenia spectrum as you become “captain of the ship” once again. You also will analyze issues involved with state practice agreements.

Photo Credit: [riskms]/[iStock / Getty Images Plus]/Getty Images

Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project 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 7, “Schizophrenia Spectrum and other Psychotic Disorders” (pp. 300–346)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Chapter 8, “Early-Stage Schizophrenia”

Chapter 9, “Toward a Dimensional Understanding of Psychosis and Its Treatment”

Chapter 10, “Psychosocial Treatments for Chronic Psychosis”

Chapter 11, “Pharmacological Treatment of Psychosis”

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

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

“Schizophrenia Spectrum and other Psychotic Disorders”

Note
: You will access this book 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 below. 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. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

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

Psychosis

Schizoaffective disorder

alprazolam (adjunct)

amisulpride

aripiprazole

asenapine

blonanserin

carbamazepine (adjunct)

chlorpromazine

clonazepam (adjunct)

clozapine

cyamemazine

flupenthixol

fluphenazine

haloperidol

iloperidone

lamotrigine (adjunct)

lorazepam (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pimozide

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

amisulpride

aripiprazole

asenapine

carbamazepine (adjunct)

chlorpromazine

clozapine

cyamemazine

flupenthixol

haloperidol

iloperidone

lamotrigine (adjunct)

l-methylfolate (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

Schizophrenia

Cataplexy syndrome

Catatonia

Extrapyramidal side effects

amisulpride

aripiprazole

asenapine

carbamazepine (adjunct)

chlorpromazine

clozapine

cyamemazine

flupenthixol

haloperidol

iloperidone

lamotrigine (adjunct)

l-methylfolate (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

Seasonal affective disorder

bupropion

Sedation-induction

hydroxyzine

midazolam

clomipramine

imipramine

sodium oxybate

alprazolam

chlordiazepoxide

clonazepam

clorazepate

diazepam

estazolam

flunitrazepam

flurazepam

loflazepate

lorazepam

midazolam

oxazepam

quazepam

temazepam

triazolam

benztropine

diphenhydramine

trihexyphenidyl

Ferreira, C. D., de Souza, M. G. D., Fernández-Calvo, B., Machado-de-Sousa, J. P., Cecilio Hallak, J. E., & Torro-Alves, N. (2016). Neurocognitive functions in schizophrenia: A systematic review of the effects of typical and atypical antipsychotic drugs.
Psychology & Neuroscience, 9
(1), 12–31. doi:10.1037/pne0000045. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

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

Granholm, E., Holden, J., Link, P. C., & McQuaid, J. R. (2014). Randomized clinical trial of cognitive behavioral social skills training for schizophrenia: Improvement in functioning and experiential negative symptoms.
Journal of Consulting and Clinical Psychology, 82
(6), 1173–1185. doi:10.1037/a0037098

Note
: You will access this article through the Walden Library databases. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Required Media

Murphy, L. (2011, July 21).
Types of schizophrenia – A day in the life (scary)
[Video file]. Retrieved from https://www.youtube.com/watch?v=LWYwckFrksg

Assignment 1: “Captain of the Ship” Project – Schizophrenia Spectrum and Other Psychotic Disorders

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” once again as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a schizophrenia spectrum/other psychotic disorder. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Learning Objectives

Students will:

Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders

Recommend psychotherapy based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Identify medical management needs for clients with schizophrenia spectrum and other psychotic disorders

Identify community support resources for clients with schizophrenia spectrum and other psychotic disorders

Recommend follow-up plans for clients with schizophrenia spectrum and other psychotic disorders. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

To prepare for this Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project Assignment:

Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

By Day 7

Submit
 your Assignment.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK9Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 9 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 9 Assignment 1 
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 “WK9Assgn1+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. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Grading Criteria

To access your rubric:

Week 9 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 9 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 9 Assignment 1

Assignment 2:

Week 9 Practicum Journal: State Practice Agreements

In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

In this Practicum Journal Assignment, you will examine the requirements of your own state in order to prepare yourself for the realities of practice upon graduation. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

Learning Objectives

Students will:

Analyze state PMHNP practice agreements

Analyze physician collaboration issues

Analyze barriers to PMHNP independent practice

Create plans for addressing state PMHNP practice issues

**Assigned in Week 9 and submitted in Week 10

To Prepare for this Practicum Journal:

Review practice agreements in your state.

Identify at least two physician collaboration issues in your state.

For this Practicum Journal:

Briefly describe the practice agreements for PMHNPs in your state.

Explain the two physician collaboration issues that you identified.

Explain what you think are the barriers to PMHNPs practicing independently in your state.

Outline a plan for how you might address PMHNP practice issues in your state.

By Day 7 of Week 10

Submit
 your Practicum Journal.

Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project 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.

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 a wide variety of disorders along the schizophrenia spectrum as you became “captain of the ship” once again. You also analyzed issues involved with state practice agreements.

Next week, you will analyze the diagnostic criteria and treatment options of insomnia, hypersomnolence, narcolepsy, sleep apnea, non-rapid eye movement, nightmare disorder, sleep behavior disorder, and other DSM-5 sleep and parasomnic disorders. Schizophrenia Spectrum and Other Psychotic Disorders Assignment: “Captain of the Ship” Project.

NURS 6670 Discussion: Treatment of Neurocognitive Disorders

Week 8: Neurocognitive Disorders

My mother used to be a teacher—an elementary school teacher. We were all so proud of her when she completed her PhD when she was 50. Now she is 75 and has begun to have times when she does not know what day it is. We found her wandering around the neighborhood because she could not find her way home. Once, she forgot where she parked her car at the grocery store. She thought someone had stolen it. The manager was so kind to drive her around the parking lot until she recognized her car. We are afraid she might get hurt or lost.

Gary, age 50, son of Dorothy, age 75

The neurocognitive disorders are unique among the other psychiatric disorders you have studied in that the diseases that are to blame for the neurocognitive manifestations that have been extensively studied. Additionally, these conditions are also acquired and represent a decline from a previous level of functioning. The neurocognitive disorders present a diagnostic challenge to the PMHNP in that many of the signs and symptoms overlap.

This week, you will explore evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You will complete your final Decision Tree as you rationalize and justify your diagnosis and treatment of a patient with a mental health disorder. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

NURS 6670 Discussion: Treatment of Neurocognitive Disorders Learning Resources

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 21, “Neurocognitive Disorders” (pp. 694–741)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 63, “Delirium”

Chapter 64, “Neurocognitive Disorder Due to Alzheimer’s Disease”

Chapter 65, “Frontotemporal Neurocognitive Disorder”

Chapter 66, “Vascular Neurocognitive Disorder”

Chapter 67, “Neurocognitive Disorder Due to Parkinson’s Disease”

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

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

“Neurocognitive Disorders”

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

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. 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. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

To access information on specific medications, click on
The Prescriber’s Guide, 5th Ed
. tab on the Stahl Online website and select the appropriate medication. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

 

Alzheimer disease

Delirium

Dementia

Parkinson’s disease dementia

caprylidene

donepezil

galantamine

memantine

rivastigmine

haloperidol (adjunct)

lorazepam (adjunct)

donepezil

galantamine

memantine

rivastigmine

rivastigmine

pimavanserin

Note:
 For more information on Pimavanserin, see:

Acadia Pharmaceuticals. (2017).
Transform the treatment of Parkinson’s disease psychosis with NUPLAZID
. Retrieved from https://www.nuplazidhcp.com/?gclid=CIHS5auvwtMCFQkaaQodrU0FGQ

U.S. Food and Drug Administration. (n. d.). Highlights of prescribing information: Nuplazid. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207318lbl.pdf

Hopkins, S. A., & Chan, D. (2016). Key emerging issues in frontotemporal dementia.
Journal of Neurology, 263
(2), 407–413. doi:10.1007/s00415-015-7880-7

 

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

Walker, Z., Possin, K. L., Boeve, B. F., & Aarsland, D. (2015). Lewy body dementias. The Lancet, 386(10004), 1683-1697.

 

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

Required Media

Laureate Education (Producer). (2017a).
A gentleman with a neurocognitive disorder
[Multimedia file]. Baltimore, MD: Author. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

 

Bolin, P. (2015, December 31).
Neurocognitive disorders – CRASH! Medical review series
[Video file]. Retrieved from https://www.youtube.com/watch?v=bQXOPITY9XM

 

Note:
The approximate length of this media piece is 57 minutes.

Optional Resources

Kota, L. N., Bharath, S., Purushottam, M., Moily, N. S., Sivakumar, P. T., Varghese, M., . . . Jain, S. (2015). Reduced telomere length in neurodegenerative disorders may suggest shared biology.
The Journal of Neuropsychiatry and Clinical Neurosciences, 27
(2), e92–e96. doi:10.1176/appi.neuropsych.13100240

Lepkowsky, C. M. (2016). Neurocognitive disorder with Lewy bodies: Evidence-based diagnosis and treatment.
Practice Innovations, 1
(4), 234–242. doi:10.1037/pri0000031

Oltra-Cucarella, J., Pérez-Elvira, R., Espert, R., & Sohn McCormick, A. (2016). Are cognitive interventions effective in Alzheimer’s disease? A controlled meta-analysis of the effects of bias.
Neuropsychology, 30
(5), 631–652. doi:10.1037/neu0000283

Discussion: Treatment of Neurocognitive Disorders

Neurocognitive disorders (NCD) such as delirium, dementia, and amnestic disorders are more prevalent in older adults. As the population ages and as life expectancy in the United States continues to increase, the incidence of these disorders will continue to increase. Cognitive functioning such as memory, language, orientation, judgment, and problem solving are affected in clients with NCDs. Caring for someone with a neurocognitive disorder is not only challenging for the clinician, but also stressful for the family. The PMHNP needs to consider not only the client but also the “family as client.” Collaboration with primary care providers and specialty providers is essential. Anticipatory guidance also becomes extremely important.

In this Discussion, you will integrate several sources of knowledge specific to NCDs as you discuss evidenced-based therapies used to treat these disorders. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

NURS 6670 Discussion: Treatment of Neurocognitive Disorders Learning Objectives

Students will:

Analyze diagnostic criteria for neurocognitive disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders

Evaluate benefits and risks of neurocognitive therapies

Compare differential diagnostic features of neurocognitive disorders

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 6670 Discussion: Treatment of Neurocognitive Disorders.

To prepare for this Discussion:

By Day 5 of Week 7, your Instructor will have assigned you a neurocognitive disorder, which will be the focus for your initial post for this Discussion.

Review the Learning Resources.

By Day 3

Post:

Explain the diagnostic criteria for your assigned neurocognitive disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder. NURS 6670 Discussion: Treatment of Neurocognitive Disorders

Identify the risks of different types of therapy and explain how the benefits of the therapy that might be achieved might outweigh the risks.

Support your rationale with references to the Learning Resources or other academic resource. NURS 6670 Discussion: Treatment of Neurocognitive Disorders

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 8 Discussion. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

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 adult and older adult clients presenting symptoms of a mental health disorder.

The Assignment:

NURS 6670 Discussion: Treatment of Neurocognitive Disorders 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

Examine Case 3
: 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.

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?

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 family.

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 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.

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 6670 Discussion: Treatment of Neurocognitive Disorders/

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 evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You completed your final Decision Tree as you rationalized and justified your diagnosis and treatment of a patient with a mental health disorder.

Next week, you will explore a wide variety of disorders along the schizophrenia spectrum as you become “captain of the ship” once again. You also will analyze issues involved with state practice agreements. NURS 6670 Discussion: Treatment of Neurocognitive Disorders.

“Captain of the Ship” Project – Obsessive-Compulsive Disorders

Week 7: Obsessive-Compulsive Disorders

It is getting embarrassing to go to my hair stylist. She always comments on the bald patches on my head. They keep getting bigger as I continue to pull out one strand of hair at a time. I even do it in my sleep. I can’t help myself. It all started when I was in high school when I would pull just from the back. Now I have to wear my hair a specific way so the bald patches don’t show. I don’t even color my hair anymore. I don’t want anyone to notice me. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Michelle, age 27

Although actual statistics vary, obsessive-compulsive disorder impacts approximately 1.2% of the population in the United States (APA, 2013, p. 239). It is characterized by the presence of obsessive thoughts, which are manifested as persistent thoughts, images, or even “urges.” The only way that the individual can disperse the anxiety of these persistent thoughts/images or urges is to perform a behavior (the compulsion). The compulsion could be checking things, counting, reciting a silent prayer, or repeating a number of phrases. The disorder becomes so pervasive that the person can spend a significant amount of time each day attending to the compulsion in order to relieve the anxiety caused by the obsession.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

This week, you will, once again, become “captain of the ship” as you take full responsibility for a client with an obsessive-compulsive disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. You also will evaluate your progress in completing your certification plan. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Photo Credit: Mixmike / E+ / Getty Images

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Learning Resources

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 10, “Obsessive-Compulsive and Related Disorders” (pp. 418–436)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 21, “Obsessive-Compulsive Disorder”

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

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

“Obsessive-Compulsive and Related Disorders”

Note:
You will access this book 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 below. 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. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

To access information on specific medications, click on
The Prescriber’s Guide, 5th Ed
. tab on the Stahl Online website and select the appropriate medication. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

 

Obsessive-compulsive disorder

citalopram

clomipramine

escitalopram

fluoxetine

fluvoxamine

paroxetine

sertraline

venlafaxine

vilazodone

Thompson-Hollands, J., Edson, A., Tompson, M. C., & Comer, J. S. (2014). Family involvement in the psychological treatment of obsessive-compulsive disorder: A meta-analysis.
Journal of Family Psychology, 28
(3), 287–298. doi:10.1037/a0036709

 

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

Required Media

Bruce, T. & Jongsma, A. (Producers). (n.d.)
Evidence-based treatment planning for obsessive compulsive disorder
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
The approximate length of this media piece is 64 minutes. You will access this video from the Walden Library databases. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Optional Resources

Himle, J. A., Chatters, L. M., Taylor, R. J., & Nguyen, A. (2013). The relationship between obsessive-compulsive disorder and religious faith: Clinical characteristics and implications for treatment.
Spirituality in Clinical Practice, 1
(S), 53–70. doi:10.1037/2326-4500.1.S.53

Wheaton, M. G., Rosenfield, D., Foa, E. B., & Simpson, H. B. (2015). Augmenting serotonin reuptake inhibitors in obsessive–compulsive disorder:
What moderates improvement? Journal of Consulting and Clinical Psychology, 83
(5), 926–937. doi:10.1037/ccp0000025

Assignment 1: “Captain of the Ship” Project – Obsessive-Compulsive Disorders

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder.

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Learning Objectives

Students will:

Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with obsessive-compulsive disorders

Recommend psychotherapy based on therapeutic endpoints for clients with obsessive-compulsive disorders

Identify medical management needs for clients with obsessive-compulsive disorders

“Captain of the Ship” Project – Obsessive-Compulsive Disorders

Identify community support resources for clients with obsessive-compulsive disorders

Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

By Day 7

Submit
 your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment.

Submission and Grading Information

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

Please save your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment using the naming convention “WK7Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 1 
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 “WK7Assgn1+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 “Captain of the Ship” Project – Obsessive-Compulsive Disorders submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment:

Week 7 Assignment 1

Assignment 2:

Week 7 Practicum Journal: Checkpoint for Certification Plan

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Learning Objectives

Students will:

Evaluate progress on certification plans

Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4.

What have you done to prepare for your certification?

Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule?

By Day 7

Submit
 your Assignment.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK7Assgn2+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 2 
link. You will also be able to “View Rubric” for grading criteria from this area. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn2+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 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment draft for authenticity:

Submit your Week 7 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 2

Assignment 3: Week 5 Practicum: Decision Tree

By Day 7

Submit
 your Assignment. Refer to Week 5 for additional guidance.

Submission and Grading Information

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

Please save your “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment using the naming convention “WK7Assgn3+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 3 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 3 
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 “WK7Assgn3+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 7 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment 3 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 3

Assignment 4: Week 6 Practicum Journal – Reimbursement Rates

By Day 7

Submit
 your Assignment. Refer to Week 6 for additional guidance.

Submission and Grading Information

To submit your completed “Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn4+last name+first initial.(extension)” as the name.

Click the 
Week 7 Assignment 4 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 7 Assignment 4 
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 “WK7Assgn4+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 7 Assignment 4 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 4 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 4

“Captain of the Ship” Project – Obsessive-Compulsive Disorders Assignment 5: 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.

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 will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Making Connections

This week, you, once again, became “captain of the ship” as you took full responsibility for a client with an obsessive-compulsive disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Next week, you will explore evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You will complete your final Decision Tree as you rationalize and justify your diagnosis and treatment of a patient with a mental health disorder. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Treatment of Anxiety Disorders Discussion – NURS 6670

Week 6: Anxiety Disorders, PTSD, and Related Disorders

Oh no! It is happening again. I am having a heart attack… I know it. My heart is racing, I can’t breathe, and I am shaking all over. I can’t go to the ER again. They will say what they always say… I am not having a heart attack. It is all in my head.

Barbara, age 68

The anxiety disorders provide us a good opportunity to take a close look at the nature/nurture debate as well as the gene/environment interactions that influence the nervous system and neurochemistry. A significant part of most of Sigmund Freud’s theories, the concept of anxiety has been debated and discussed over many years in the psychiatric literature. While Freud’s theories focused on the “mind” and the unconscious, another way to look at anxiety is with Hans Selye’s concept of “fight or flight” in which the sympathetic nervous system is activated as a response to stress. As you explore the concept of anxiety, you will notice that no two cases of anxiety are the same.

This week, you will explore evidence-based treatment methods for clients with anxiety disorders. You will complete a midterm exam and analyze reimbursement rates for treatment of mental health disorders. Treatment of Anxiety Disorders Discussion – NURS 6670.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Resources

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 9, “Anxiety Disorders” (pp. 387–417)

Chapter 11, “Trauma- and Stressor-Related Disorders” (pp. 437–451)

Gabbard, G. O. (2014).
Gabbard’s treatment of psychiatric disorders
(5th ed.). Washington, DC: American Psychiatric Publications. Treatment of Anxiety Disorders Discussion – NURS 6670.

Chapter 16, “Panic Disorder”

Chapter 18, “Social Anxiety Disorder (Social Phobia)”

Chapter 19, “Generalized Anxiety Disorder”

Chapter 20, “Specific Phobia”

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

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Treatment of Anxiety Disorders Discussion – NURS 6670.

“Anxiety Disorders”

“Trauma- and Stressor-Related Disorders”

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

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. Treatment of Anxiety Disorders Discussion – NURS 6670.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. 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. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

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

 

Anxiety

Generalized anxiety disorder

Panic disorder

alprazolam

amitriptyline

amoxapine

buspirone

chlordiazepoxide

citalopram

clomipramine

clonazepam

clonidine

clorazepate

cyamemazine

desipramine

diazepam

dothiepin

doxepin

duloxetine

escitalopram

fluoxetine

fluvoxamine

gabapentin (adjunct)

hydroxyzine

imipramine

isocarboxazid

lofepramine

loflazepate

lorazepam

maprotiline

mianserin

mirtazapine

moclobemide

nefazodone

nortriptyline

oxazepam

paroxetine

phenelzine

pregabalin

reboxetine

sertraline

tiagabine

tianeptine

tranylcypromine

trazodone

trifluoperazine

trimipramine

venlafaxine

vilazodone

alprazolam

citalopram

desvenlafaxine

duloxetine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

paroxetine

pregabalin

sertraline

tiagabine (adjunct)

venlafaxine

alprazolam

citalopram

clonazepam

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

lorazepam

mirtazapine

nefazodone

paroxetine

phenelzine

pregabalin

reboxetine

sertraline

tranylcypromine

venlafaxine

Posttraumatic stress disorder

Reversal of benzodiazepine effects

Social anxiety disorder

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

nefazodone

paroxetine

prazosin (nightmares)

propranolol (prophylactic)

sertraline

venlafaxine

flumazenil

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

moclobemide

paroxetine

phenelzine

pregabalin

sertraline

tranylcypromine

venlafaxine

Maples-Keller, J. L., Price, M., Rauch, S., Gerardi, M., & Rothbaum, B. O. (2017). Investigating relationships between PTSD symptom clusters within virtual reality exposure therapy for OEF/OIF veterans.
Behavior Therapy, 48
(2), 147–155. doi:10.1016/j.beth.2016.02.011

 

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

Hayes, J. P., Logue, M. W., Reagan, A., Salat, D., Wolf, E. J., Sadeh, N., & … Miller, M. W. (2017). COMT Val158Met polymorphism moderates the association between PTSD symptom severity and hippocampal volume.
Journal of Psychiatry & Neuroscience: JPN, 42
(2), 95–102. doi:10.1503/jpn.150339

Note:
You will access this article from the Walden Library databases. Treatment of Anxiety Disorders Discussion – NURS 6670.

Quinn, B. L., & Peters, A. (2017). Strategies to reduce nursing student test anxiety: A literature review.
Journal of Nursing Education, 56
(3), 145–151. doi:10.3928/01484834-20170222-05. Treatment of Anxiety Disorders Discussion – NURS 6670.

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

Document:
Reimbursement Rate Template (Word document)

Required Media

Wolpe, J. (Producer). (n.d.).
Joseph Wolpe on systematic desensitization
[Video file]. Mill Valley, CA: Psychotherapy.net

Note:
The approximate length of this media piece is 59 minutes. You will access this video from the Walden Library databases. Treatment of Anxiety Disorders Discussion – NURS 6670.

Optional Resources

Acosta, M. C., Possemato, K., Maisto, S. A., Marsch, L. A., Barrie, K., Lantinga, L., . . . Rosenblum, A. (2017). Web-delivered CBT reduces heavy drinking in OEF-OIF veterans in primary care with symptomatic substance use and PTSD. Behavior Therapy, 48(2), 262-–276. doi:10.1016/j.beth.2016.09.001

Substance Abuse and Mental Health Services Association (SAMHSA). (2014).
TIP 57: Trauma-informed care in behavioral health services
. Retrieved from: http://store.samhsa.gov/product/TIP-57-Trauma-Informed-Care-in-Behavioral-Health-Services/SMA14-4816

Note:
This document is available as a free download. Treatment of Anxiety Disorders Discussion – NURS 6670.

Discussion: Treatment of Anxiety Disorders

Anxiety disorders are common in both primary care and psychiatric practice. Clients with anxiety disorders including generalized anxiety disorders, agoraphobia, and other specific phobias will present to the PMHNP’s office with a significant level of distress. Successful recognition and treatment of anxiety disorders includes an accurate diagnostic assessment with a treatment plan that includes a combination of psychopharmacology and psychotherapy. Although psychoanalytic theories are based on the concept of anxiety, the more recent standard of care is with the cognitive-behavioral therapies. Treatment of Anxiety Disorders Discussion – NURS 6670.

In this Discussion, you will analyze evidence-based treatment plans for clients with anxiety disorders.

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Objectives

Students will:

Analyze differences between adjustments disorders and anxiety disorders

Analyze diagnostic criteria for anxiety disorders. Treatment of Anxiety Disorders Discussion – NURS 6670

Analyze evidence-based psychotherapy and psychopharmacologic treatment for anxiety disorders

Compare differential diagnostic features of anxiety disorders

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! Treatment of Anxiety Disorders Discussion – NURS 6670

To prepare for this Discussion:

By Day 5 of Week 5, your Instructor will have assigned you an anxiety disorder, which will be your focus for your initial post for this Discussion.

Review the Learning Resources.

By Day 3

Post:

Explain the difference between an adjustment disorder and anxiety disorder. Provide examples to illustrate your rationale. Treatment of Anxiety Disorders Discussion – NURS 6670.

Explain the diagnostic criteria for your assigned anxiety disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned anxiety disorder.

Support your rationale with references to the Learning Resources or other academic resource.

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion

Assignment 1: Midterm Exam

This exam is designed to assess how well you have synthesized the information from all your PMHNP courses. It draws upon the material from all the textbooks from NURS 6630, NURS 6640, NURS 6670, NURS 6660, and NURS 6670. It is very similar to what you will experience in your certification exam.

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Objectives

Students will:

Assess knowledge of adult and older adult psychotherapy concepts and principles

This exam will cover the following topics:

Psychiatric Assessment of the Adult and Older Adult

Depressive Disorders

Personality Disorders

Substance-Related and Addictive Disorders

Bipolar Disorders

Anxiety Disorders, PTSD, & Related Disorders

By Day 7

Complete the Midterm Exam. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 75-question exam. You may only attempt this exam once. Treatment of Anxiety Disorders Discussion – NURS 6670.

This exam is a test of your knowledge in preparation for your certification exam. 
No outside resources
 including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to 
comply with Walden University’s Code of Conduct
.

By Day 7

Submit
 your Exam.

Submission and Grading Information

Submit Your Exam by Day 7

To submit your Exam:

Week 6 Midterm Exam

Assignment 2:

Week 6 Practicum Journal: Reimbursement Rates

Reimbursement rates and medical coding can be almost as complicated as treating some mental illnesses. As a PMHNP, you will be faced with varying rates that may be different than other health care providers you may work with. Treatment of Anxiety Disorders Discussion – NURS 6670.

In this Practicum Journal Assignment, you will analyze reimbursement rates for mental health treatments you will likely use in your practice and compare those rates to other provider rates.

Learning Objectives

Students will:

Analyze reimbursement rates for mental health treatments

Treatment of Anxiety Disorders Discussion – NURS 6670

To prepare for this Practicum Journal:

Research reimbursement rates for various treatment modalities.

Compare NP rates to other provider rates.

For this Practicum Journal:

Complete the Reimbursement Rate Template in your Learning Resources using the five types of services you are likely to use in your practice. Treatment of Anxiety Disorders Discussion – NURS 6670.

By Day 7 of Week 7

Submit
 your Assignment.

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. Treatment of Anxiety Disorders Discussion – NURS 6670.

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 evidence-based treatment methods for clients with anxiety disorders. You completed a midterm exam and analyzed reimbursement rates for treatment of mental health disorders.

Next week, you will, once again, become “captain of the ship” as you take full responsibility for a client with an obsessive-compulsive disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. Treatment of Anxiety Disorders Discussion – NURS 6670.