Tag: Clinical-Nursing

  • Therapy / Assessing and Treating Clients With ADHD Discussion Assignment

    Therapy / Assessing and Treating Clients With ADHD Discussion Assignment

    Week 9: Therapy for Clients with ADHD

    Tyler, a 9-year-old third grader, had always been an energetic child with a short attention span. For years, his mother attributed his behaviors to him being “all boy” and assumed it would improve as he grew older. Instead, daily tasks like chores and homework became increasingly overwhelming for Tyler, resulting in disruptive behaviors at home and school. After being evaluated by his healthcare provider, Tyler was diagnosed with and treated for attention deficit hyperactivity disorder (ADHD).

    ADHD is a prevalent disorder for clients across the lifespan, as more than 6 million children (CDC, 2016) and 8 million adults (ADAA, 2016) have been diagnosed with the disorder. Like Tyler, individuals of all ages find that symptoms of ADHD can make life challenging. However, when properly diagnosed and treated, clients often respond well to therapies and have positive health outcomes.

    This week, as you study ADHD therapies, you examine the assessment and treatment of clients with ADHD. You also explore ethical and legal implications of these therapies.

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    Discussion: Presentations of ADHD

    Although ADHD is often associated with children, this disorder is diagnosed in clients across the lifespan. While many individuals are properly diagnosed and treated during childhood, some individuals who have ADHD only present with subsyndromal evidence of the disorder. These individuals are often undiagnosed until they reach adulthood and struggle to cope with competing demands of running a household, caring for children, and maintaining employment. For this Discussion, you consider how you might assess and treat individuals presenting with ADHD.

    Learning Objectives

    Students will:

    Assess client factors and history to develop personalized therapy plans for clients with ADHD

    Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD

    Evaluate efficacy of treatment plans

    Apply knowledge of providing care to adult and geriatric clients presenting for antidepressant therapy

    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

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

    Clancy, C.M., Change, S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity disorder: Effectiveness of treatment in at-risk preschoolers; long-term effectiveness in all ages; and variability in prevalence, diagnosis, and treatment. Table B. KQ2: Long-term(>1 year) effectiveness of interventions for ADHD in people 6 years and older.

    Stahl, S. M. (2013).
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
    (4th ed.). New York, NY: Cambridge University Press.

     

    To access the following chapters, click on the
    Essential Psychopharmacology, 4th ed
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

    Chapter 12, “Attention Deficit Hyperactivity Disorder and Its Treatment”

    Stahl, S. M., & Mignon, L. (2012).
    Stahl’s illustrated attention deficit hyperactivity disorder.
    New York, NY: Cambridge University Press.

     

    To access the following chapter, click on the Illustrated Guides tab and then the ADHD tab.

    Chapter 4, “ADHD Treatments”

    Stahl, S. M. (2014b).
    The prescriber’s guide
    (5th ed.). New York, NY: Cambridge University Press.

     

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

     

    Review the following medications:

    For ADHD

    armodafinil

    amphetamine (d)

    amphetamine (d,l)

    atomoxetine

    bupropion

    chlorpromazine

    clonidine

    guanfacine

    haloperidol

    lisdexamfetamine

    methylphenidate (d)

    methylphenidate (d,l)

    modafinil

    reboxetine

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

    Note:
    Retrieved from Walden Library databases.

    Optional Resources

    Hodgkins, P., Shaw, M., McCarthy, S., & Sallee, F. R. (2012). The pharmacology and clinical outcomes of amphetamines to treat ADHD: Does composition matter? CNS Drugs, 26(3), 245–268. doi:10.2165/11599630-000000000-00000

    Psychiatric Times. (2016). A 5-question quiz on ADHD. Retrieved from http://www.psychiatrictimes.com/adhd/5-question-quiz-adhd?GUID=AA46068B-C6FF-4020-8933-087041A0B140&rememberme=1&ts=22072016

    To prepare for this Discussion:

    Note:
     By Day 1 of this week, your Instructor will have assigned you to one of the following case studies to review for this Discussion. To access the following case studies, click on the 
    Case Studies
     tab on the Stahl Online website and select the appropriate volume and case number.

    Case 1:
     Volume 1, Case #13: The 8-year-old girl who was naughty

    Case 2:
     Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter

    Case 3:
     Volume 2, Case #21: Hindsight is always 20/20, or attention deficit hyperactivity disorder

    Review this week’s Learning Resources and reflect on the insights they provide.

    Go to the Stahl Online website and examine the case study you were assigned.

    Take the pretest for the case study.

    Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.

    Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

    Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

    Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

    Review the patient’s past and current medications. Refer to Stahl’s 
    Prescriber’s Guide
     and consider medications you might select for this patient.

    Review the posttest for the case study.

    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 on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on 
    Submit
    !

    By Day 3

    Post
     a response to the following:

    Provide the case number in the subject line of the Discussion.

    List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.

    Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.

    Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

    List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

    List two pharmacologic agents and their dosing that would be appropriate for the patient’s ADHD therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

    If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.

    Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.

    Read
     a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues who were assigned to a different case than you. For example, if you were assigned to Case Study 1, respond to one colleague assigned to Case Study 2 and one colleague assigned to Case Study 3. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 9 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 9 Discussion

    Assignment: Assessing and Treating Clients With ADHD

    Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. They may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric mental health nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for clients across the lifespan. For this Assignment, you consider how you might assess and treat clients presenting with ADHD.

    Learning Objectives

    Students will:

    Assess client factors and history to develop personalized therapy plans for clients with ADHD

    Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD

    Evaluate efficacy of treatment plans

    Evaluate ethical and legal implications related to prescribing therapy for clients with ADHD

    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

    Note: 
    Review all materials from the Discussion.

    Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity.
    Journal of Abnormal Child Psychology, 26
    , 279-291.

    Note:
    Retrieved from Walden Library databases.

    Required Media

    Laureate Education (2016d).
    Case study: A young Caucasian girl with ADHD
    [Interactive media file]. Baltimore, MD: Author

    Note:
    This case study will serve as the foundation for this week’s Assignment.

    To prepare for this Assignment:

    This case study will serve as the foundation for this week’s Assignment.

    The Assignment

    Examine 
    Case Study: A Young Caucasian Girl With ADHD
     You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

    At each decision point stop to complete the following:

    Decision #1

    Which decision did you select?

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

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

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

    Decision #2

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

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

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

    Decision #3

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

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

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

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

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

    Submission and Grading Information

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

    Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.

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

    Click the 
    Week 9 Assignment 
    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 “WK7Assgn+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 9 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

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

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 9 Assignment

    Making Connections

    Now that you have:

    Assessed clients presenting with ADHD

    Developed personalized plans of therapy for clients with ADHD

    Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD

    Explored ethical and legal implications of prescribing therapy to clients with ADHD

    Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for impulsivity, compulsivity, and addiction. Therapy / Assessing and Treating Clients With ADHD Discussion Assignment.

  • Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers

    Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers

    Week 8: Therapy for Clients With Impulsivity, Compulsivity, and Addiction

    Impulsivity and compulsivity have a wide range of clinical presentations and often overlap with many other psychiatric disorders. Some individuals act without forethought and have difficulty saying “no” to certain things such as using illicit drugs or spending money, whereas other individuals engage in compulsive behaviors with undesirable consequences. In some cases, these impulsive and compulsive behaviors also fuel issues with addiction. To effectively assess and treat clients, you must understand how these disorders differ, as well as how their symptoms impact clients and their families.

    This week, as you examine therapies for individuals with impulsivity, compulsivity, and addiction, you explore the assessment and treatment of clients with these disorders. You also consider ethical and legal implications of these therapies. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    Assignment: Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction

    Impulsivity, compulsivity, and addiction are challenging disorders for clients across the lifespan. These disorders often manifest as negative behaviors, resulting in adverse outcomes for clients. In your role as the psychiatric mental health nurse practitioner, you have the opportunity to help clients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.

    Learning Objectives

    Students will:

    ORDER A PLAGIARISM-FREE PAPER HERE

    Assess client factors and history to develop personalized therapy plans for clients with impulsivity, compulsivity, and addiction

    Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    Evaluate efficacy of treatment plans

    Analyze ethical and legal implications related to prescribing therapy for clients with impulsivity, compulsivity, and addiction

    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

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

    Stahl, S. M. (2013).
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
    (4th ed.). New York, NY: Cambridge University Press. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    To access the following chapters, click on the
    Essential Psychopharmacology, 4th ed
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

    Chapter 14, “Impulsivity, Compulsivity, and Addiction”

    Stahl, S. M., & Grady, M. (2012).
    Stahl’s illustrated substance use and impulsive disorder
    New York, NY: Cambridge University Press. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    To access the following chapter, click on the
    Illustrated Guides
    tab and then the
    Substance Use and Impulsive Disorders
    tab.

    Chapter 10, “Disorders of Impulsivity and Compulsivity”

    Stahl, S. M. (2014b).
    The prescriber’s guide
    (5th ed.). New York, NY: Cambridge University Press.

     

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

     

    Review the following medications:

    For insomnia

    For obsessive-compulsive disorder

    Citalopram

    clomipramine

    escitalopram

    fluoxetine

    fluvoxamine

    paroxetine

    sertraline

    venlafaxine

    vilazodone

    For alcohol withdrawal

    chlordiazepoxide

    clonidine

    clorazepate

    diazepam

    lorazepam

    oxazepam

    For bulimia nervosa and binge eating

    fluoxetine

    topiramate

    zonisamide

    For alcohol abstinence

    acamprosate

    disulfiram

    For alcohol dependence

    nalmefene

    naltrexone

    For opioid dependence

    buprenorphine

    naltrexone

    For nicotine addiction

    bupropion

    varenicline

    Book Excerpt:
    Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders.
    Treatment Improvement Protocol Series, No. 32
    . Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64350/

    Chapter 1, “Substance Use Among Adolescents”

    Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”

    Chapter 7, “Youths with Distinctive Treatment Needs”

    University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control in adulthood, study finds. Retrieved from https://www.sciencedaily.com/releases/2016/01/160120201324.htm

    Note:
    Retrieved from Walden Library databases.

    Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling.
    British Journal of Clinical Pharmacology, 77
    (2), 375–381. doi:10.1111/j.1365-2125.2012.04457.x. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    Note:
    Retrieved from Walden Library databases.

    Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges.
    Journal of Gerontological Nursing, 42
    (4), 10–15. doi:10.3928/00989134-20160314-04

    Note:
    Retrieved from Walden Library databases.

    Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature.
    Journal of Dual Diagnosis, 8
    (1), 74–84. doi:10.1080/15504263.2012.648439

    Note:
    Retrieved from Walden Library databases.

    Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., & … Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents.
    Comprehensive Psychiatry, 55
    (6), 1337–1341. doi:10.1016/j.comppsych.2014.04.018

    Note:
    Retrieved from Walden Library databases. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    Required Media

    Laureate Education (2016c).
    Case study: A Puerto Rican woman with comorbid addiction
    [Interactive media file]. Baltimore, MD: Author

    Note:
    This case study will serve as the foundation for this week’s Assignment.

    To prepare for this Assignment:

    Review this week’s Learning Resources. Consider how to assess and treat adolescent clients requiring therapy for impulsivity, compulsivity, and addiction.

    The Assignment

    Examine 
    Case Study: A Puerto Rican Woman With Comorbid Addiction
    . You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    At each decision point stop to complete the following:

    Decision #1

    Which decision did you select?

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

    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

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

    Decision #2

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

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

    Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    Decision #3

    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? Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    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.

    Submission and Grading Information

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

    Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

    Click the 
    Week 8 Assignment Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 8 Assignment 
    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 “WK8Assgn+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. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    Grading Criteria

    To access your rubric:

    Week 8 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 8 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 8 Assignment

    Making Connections

    Now that you have:

    Assessed clients presenting with impulsivity, compulsivity, and addiction

    Developed personalized plans of therapy for clients with impulsivity, compulsivity, and addiction

    Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction

    Explored ethical and legal implications of prescribing therapy to clients with impulsivity, compulsivity, and addiction. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers.

    Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for ADHD. Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction Essay Assignment Papers

  • NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders

    NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders

    Discussion: Sleep/Wake Disorders

    It is not uncommon to experience a night or two of disrupted sleep when there is something major going on in your life. However, sleep/wake disorders are much more than an occasional night of disrupted sleep. A recent report from the Centers for Disease Control and Prevention estimated that between 50 and 70 million American have problems with sleep/wake disorders (CDC, 2015). Although the vast majority of Americans will visit their primary care provider for treatment of these disorders, many providers will refer patients for further evaluation. For this Discussion, you consider how you might assess and treat the individuals based on the provided client factors. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Learning Objectives

    ORDER A PLAGIARISM-FREE PAPER HERE

    Students will:

    Assess client factors and history to develop personalized therapy plans for clients with sleep/wake disorders

    Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for sleep/wake disorders

    Evaluate efficacy of treatment plans for clients presenting for sleep/wake therapy

    Apply knowledge of providing care to adult and geriatric clients presenting for sleep/wake disorders

    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

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

    Stahl, S. M. (2013).
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
    (4th ed.). New York, NY: Cambridge University Press. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

     

    To access the following chapters, click on the
    Essential Psychopharmacology, 4th ed
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

    Chapter 11, “Disorders of Sleep and Wakefulness and Their Treatment”

    Stahl, S. M. (2014b).
    The prescriber’s guide
    (5th ed.). New York, NY: Cambridge University Press.

     

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

     

    Review the following medications:

    For insomnia

    alprazolam

    amitriptyline

    amoxapine

    clomipramine

    clonazepam

    desipramine

    diazepam

    doxepin

    flunitrazepam

    flurazepam

    hydroxyzine

    imipramine

    lorazepam

    nortriptyline

    ramelteon

    temazepam

    trazodone

    triazolam

    trimipramine

    zaleplon

    zolpidem

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

    Note:
    Retrieved from Walden Library databases.

    Davidson, J. (2016). Pharmacotherapy of post-traumatic stress disorder: Going beyond the guidelines.
    British Journal of Psychiatry
    , 2(6), e16-e18. doi:10.1192/bjpo.bp.116.003707. Retrieved from http://bjpo.rcpsych.org/content/2/6/e16. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    To prepare for this Discussion:

    Note:
     By Day 1 of this week, your Instructor will have assigned you to one of the following case studies to review for this Discussion. To access the following case studies, click on the 
    Case Studies
     tab on the Stahl Online website and select the appropriate volume and case number.

    Case 1:
     Volume 2, Case #16: The woman who liked late-night TV

    Case 2:
     Volume 2, Case #11: The figment of a man who looked upon the lady

    Case 3:
     Volume 1, Case #5: The sleepy woman with anxiety

    Review this week’s Learning Resources and reflect on the insights they provide.

    Go to the Stahl Online website and examine the case study you were assigned.

    Take the pretest for the case study.

    Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.

    Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

    Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

    Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Review the patient’s past and current medications. Refer to Stahl’s 
    Prescriber’s Guide
     and consider medications you might select for this patient.

    Review the posttest for the case study.

    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 on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on 
    Submit
    ! NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders

    By Day 3

    Post
     a response to the following:

    Provide the case number in the subject line of the Discussion.

    List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.

    Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.

    Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

    List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

    List two pharmacologic agents and their dosing that would be appropriate for the patient’s sleep/wake therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.

    Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Read
     a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues who were assigned to a different case than you. For example, if you were assigned to Case Study 1, respond to one colleague assigned to Case Study 2 and one colleague assigned to Case Study 3. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 7 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 7 Discussion

    Assignment: Assessing and Treating Clients With Pain

    Pain can greatly influence an individual’s quality of life, as uncontrolled pain negatively impacts mood, concentration, and the overall physical and mental well-being of clients. Although pain can often be controlled with medications, the process of assessing and treating clients can be challenging because pain is such a subjective experience. Only the person experiencing the pain truly knows the intensity of the pain and whether there is a need for medication therapies. Sometimes, beliefs about pain and treatments for pain can have an adverse effect on the provider-client relationship. For this Assignment, as you examine the interactive case study consider how you might assess and treat clients presenting with pain. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Learning Objectives

    Students will:

    Assess client factors and history to develop personalized therapy plans for clients with pain

    Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for pain

    Evaluate efficacy of treatment plans for clients presenting for pain therapy

    Analyze ethical and legal implications related to prescribing therapy for clients with pain. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    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

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

    Stahl, S. M. (2013).
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
    (4th ed.). New York, NY: Cambridge University Press. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    To access the following chapters, click on the
    Essential Psychopharmacology, 4th ed
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

    Chapter 10, “Chronic Pain and Its Treatment”

    Stahl, S. M., & Ball, S. (2009a).
    Stahl’s illustrated chronic pain and fibromyalgia.
    New York, NY: Cambridge University Press. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    To access the following chapter, click on the
    Illustrated Guides
    tab and then the
    Chronic Pain and Fibromyalgia
    tab.

    Chapter 5, “Pain Drugs”

    Stahl, S. M. (2014b).
    The prescriber’s guide
    (5th ed.). New York, NY: Cambridge University Press.

     

    To access information on the following medications, click on
    The Prescriber’s Guide, 5th ed
    tab on the Stahl Online website and select the appropriate medication. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Review the following medications:

    For insomnia

    amitriptyline

    amoxapine

    carbamazepine

    clomipramine

    clonidine (adjunct)

    desipramine

    dothiepin

    doxepin

    duloxetine

    gabapentin

    imipramine

    lamotrigine

    levetiracetam

    lofepramine

    maprotiline

    memantine

    milnacipran

    nortriptyline

    pregabalin

    tiagabine

    topiramate

    trimipramine

    valproate (divalproex)

    zonisamide

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

    Note:
    Retrieved from Walden Library databases.

    National Institute of Neurological Disorders and Stroke. (2016).
    Pain: Hope through research
    . Retrieved from http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm#3084_2

    Required Media

    Laureate Education (2016a).
    Case study: A Caucasian man with hip pain
    [Interactive media file]. Baltimore, MD: Author

    Note:
    This case study will serve as the foundation for this week’s Assignment.

    To prepare for this Assignment:

    Review this week’s Learning Resources. Consider how to assess and treat clients requiring therapy for pain and sleep/wake disorders. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    The Assignment

    Examine 
    Case Study: A Caucasian Man With Hip Pain.
     You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

    At each decision point stop to complete the following:

    Decision #1

    Which decision did you select?

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

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

    Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Decision #2

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

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

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

    Decision #3

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

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

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

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

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

    Submission and Grading Information

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

    Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.

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

    Click the 
    Week 7 Assignment 
    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 “WK7Assgn+last name+first initial.(extension)” and click 
    Open
    .

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

    Click on the 
    Submit
     button to complete your submission. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Grading Criteria

    To access your rubric:

    Week 7 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

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

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 7 Assignment

    Making Connections

    Now that you have:

    Assessed clients presenting with pain and sleep/wake disorders

    Developed personalized plans of therapy for clients with pain and sleep/wake disorders

    Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for pain and sleep/wake disorders. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    Explored ethical and legal implications of prescribing therapy to clients with pain and sleep/wake disorders

    Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for impulsivity, compulsivity, and addiction.

    Week 7: Therapy for Clients With Pain and Sleep/Wake Disorders

    From negative changes in mood to problems concentrating, pain and sleep/wake disorders can have a tremendous impact on clients’ lives. When clients suffer from these disorders, they often seek medical care with the intent of receiving medications to manage symptoms. However, many of the medications used to treat pain and sleep/wake disorders may be addictive, making thorough client assessments and close follow-up care essential. To prescribe appropriate therapies with client safety in mind, you must understand not only the pathophysiology of these disorders, but also the pharmacologic agents used to treat them. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders.

    This week, as you study therapies for individuals with pain and sleep/wake disorders, you examine the assessment and treatment of clients with these disorders. You also explore ethical and legal implications of these therapies. NURS 6630: Therapy for Clients With Pain and Sleep/Wake Disorders

  • Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers

    Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers

    Week 6: Antipsychotic Therapy

    According to the National Alliance on Mental Illness, approximately 100,000 people experience psychosis in the United States each year (NAMI, 2016). In practice, clients may present with delusions, hallucinations, disorganized thinking, disorganized or abnormal motor behavior, as well as other negative symptoms that can be disabling for these individuals. Not only are these symptoms one of the most challenging symptom clusters you will encounter, many are associated with other disorders such as depression, bipolar disorder, and disorders on the schizophrenia spectrum. As a psychiatric mental health nurse practitioner, you must understand the underlying neurobiology of these symptoms to select appropriate therapies and improve outcomes for clients. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    This week, as you examine antipsychotic therapies, you explore the assessment and treatment of clients with psychosis and schizophrenia. You also consider ethical and legal implications of these therapies.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Assignment: Assessing and Treating Clients With Psychosis and Schizophrenia

    Psychosis and schizophrenia greatly impact the brain’s normal processes, which interferes with the ability to think clearly. When symptoms of these disorders are uncontrolled, clients may struggle to function in daily life. However, clients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with psychosis and schizophrenia.

    Learning Objectives

    Students will:

    Assess client factors and history to develop personalized plans of antipsychotic therapy for clients

    Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic therapy

    Evaluate efficacy of treatment plans. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Analyze ethical and legal implications related to prescribing antipsychotic therapy to clients across the lifespan

    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. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Required Readings

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

    Stahl, S. M. (2013).
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
    (4th ed.). New York, NY: Cambridge University Press.

     

    To access the following chapters, click on the
    Essential Psychopharmacology, 4th ed
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Chapter 4, “Psychosis and Schizophrenia”

    Chapter 5, “Antipsychotic Agents”

    Stahl, S. M. (2014b).
    The prescriber’s guide
    (5th ed.). New York, NY: Cambridge University Press.

     

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

     

    Review the following medications:

    amisulpride

    aripiprazole

    asenapine

    chlorpromazine

    clozapine

    flupenthixol

    fluphenazine

    haloperidol

    iloperidone

    loxapine

    lurasidone

    olanzapine

    paliperidone

    perphenazine

    quetiapine

    risperidone

    sulpiride

    thioridazine

    thiothixene

    trifluoperazine

    ziprasidone

    Naber, D., & Lambert, M. (2009). The CATIE and CUtLASS studies in schizophrenia: Results and implications for clinicians.
    CNS Drugs, 23
    (8), 649-659. doi:10.2165/00023210-200923080-00002

    Note:
    Retrieved from Walden Library databases. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Document:
    Midterm Exam Study Guide (PDF)

    Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261-276.

    Note:
    Retrieved from Walden Library databases.

    Clozapine REMS. (2015). Clozapine REMS: The single shared system for clozapine. Retrieved from https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf

    Walden University. (2016). ASC success strategies: Studying for and taking a test. Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Required Media

    Laureate Education. (2016j).
    Case study: Pakistani woman with delusional thought processes
    [Interactive media file]. Baltimore, MD: Author

     

    Note:
    This case study will serve as the foundation for this week’s Assignment.

    Optional Resources

    Chakos, M., Patel, J. K., Rosenheck, R., Glick, I. D., Hammer, M. B., Tapp, A., & … Miller, D. (2011). Concomitant psychotropic medication use during treatment of schizophrenia patients: Longitudinal results from the CATIE study.
    Clinical Schizophrenia & Related Psychoses, 5
    (3), 124-134. doi:10.3371/CSRP.5.3.2. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Fangfang, S., Stock, E. M., Copeland, L. A., Zeber, J. E., Ahmedani, B. K., & Morissette, S. B. (2014). Polypharmacy with antipsychotic drugs in patients with schizophrenia: Trends in multiple health care systems.
    American Journal of Health-System Pharmacy, 71
    (9), 728-738. doi:10.2146/ajhp130471

    Lin, L. A., Rosenheck, R., Sugar, C., & Zbrozek, A. (2015). Comparing antipsychotic treatments for schizophrenia: A health state approach.
    The Psychiatric Quarterly, 86
    (1), 107-121. doi:10.1007/s11126-014-9326-2. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    To prepare for this Assignment:

    Review this week’s Learning Resources. Consider how to assess and treat clients requiring anxiolytic therapy.

    The Assignment

    Examine Case Study: Pakistani Woman with Delusional Thought Processes.
     You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

    At each decision point stop to complete the following:

    Decision #1

    Which decision did you select?

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

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

    Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Decision #2

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

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

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

    Decision #3

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

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

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

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

    Note:
     Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Submission and Grading Information

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

    Save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.

    Click on the Assignment Rubric to review the Grading Criteria for the Assignment.

    Click on the 
    Week 6 Assignment
     link. Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click on 
    Open
    .

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

    Grading Criteria

    To access your rubric:

    Week 6 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 6 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 6 Assignment

    Midterm Exam

    Learning Objectives

    Students will:

    Assess psychopharmacologic approaches to treatment for clients across the lifespan

    This exam will cover the following topics, which relate to psychopharmacologic approaches to treatment for clients across the lifespan: Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Introduction to neuroscience

    Therapy for pediatric patients with mood disorders

    Adult and geriatric antidepressant therapy

    Bipolar therapy

    Anxiolytic therapy

    Antipsychotic therapy

    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 76-question exam. You may only attempt this exam once.

    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
    .

    Submission and Grading Information

    Submit Your Midterm Exam by Day 7

    To submit your Midterm Exam:

    Week 6 Midterm Exam

    Making Connections

    Now that you have:

    Assessed clients presenting with psychosis and schizophrenia

    Developed personalized plans of antipsychotic therapy for clients

    Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic therapy

    Explored ethical and legal implications of prescribing antipsychotic therapy to clients. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers.

    Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for pain and sleep/wake disorders. Assessing and Treating Clients With Psychosis and Schizophrenia Essay Assignment Papers

  • Assessing and Treating Adult and Geriatric Clients With Mood Disorders Essay Assignment Paper

    Assessing and Treating Adult and Geriatric Clients With Mood Disorders Essay Assignment Paper

    Week 3: Adult and Geriatric Antidepressant Therapy

    The National Institute of Mental Health estimates that approximately 15.7 million adults in the United States have depression (NIMH, 2014), making depression one of the most common disorders you will treat in practice. Although this disorder is so prevalent, antidepressant therapy must be as unique as each individual you treat. There are dozens of antidepressant medications on the market, and you must be able to identify which medication or combinations of medications will result in the best outcomes for your clients.

    This week, as you study antidepressant therapies, you examine the assessment and treatment of clients with mood disorders. You also explore ethical and legal implications of these therapies.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Discussion: The Impact of Ethnicity on Antidepressant Therapy

    Major depressive disorder is one of the most prevalent disorders you will see in clinical practice. Treatment for this disorder, however, can vary greatly depending on client factors, such as ethnicity and culture. As a psychiatric mental health professional, you must understand the influence of these factors to select appropriate psychopharmacologic interventions. For this Discussion, consider how you might assess and treat the individuals in the case studies based on the provided client factors, including ethnicity and culture.

    Learning Objectives

    Students will:

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

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

    Analyze the impact of ethnicity on antidepressant therapy

    Evaluate efficacy of treatment plans

    Apply knowledge of providing care to adult and geriatric clients presenting for antidepressant therapy

    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

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

    Stahl, S. M. (2013).
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
    (4th ed.). New York, NY: Cambridge University Press.

     

    Note:
    To access the following chapters, click on the
    Essential Psychopharmacology, 4th ed
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

    Chapter 7, “Antidepressants”

    Stahl, S. M. (2014b).
    The prescriber’s guide
    (5th ed.). New York, NY: Cambridge University Press.

     

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

     

    Review the following medications:

    amitriptyline

    bupropion

    citalopram

    clomipramine

    desipramine

    desvenlafaxine

    doxepin

    duloxetine

    escitalopram

    fluoxetine

    fluvoxamine

    imipramine

    ketamine

    mirtazapine

    nortriptyline

    paroxetine

    selegiline

    sertraline

    trazodone

    venlafaxine

    vilazodone

    vortioxetine

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

    Note:
    Retrieved from Walden Library databases.

    Howland, R. H. (2008a). Sequenced treatment alternatives to relieve depression (STAR*D). Part 1: Study design.
    Journal of Psychosocial Nursing and Mental Health Services, 46
    (9), 21–24. doi:10.3928/02793695-20080901-06

    Note:
    Retrieved from Walden Library databases.

    Howland, R. H. (2008a). Sequenced treatment alternatives to relieve depression (STAR*D). Part 2: Study outcomes.
    Journal of Psychosocial Nursing and Mental Health Services, 46
    (19), 21–24. doi:10.3928/02793695-20081001-05

    Note:
    Retrieved from Walden Library databases.

    Yasuda, S.U., Zhang, L. & Huang, S.-M. (2008). The role of ethnicity in variability in response to drugs: Focus on clinical pharmacology studies.
    Clinical Pharmacology & Therapeutics, 84
    (3), 417–423. Retrieved from https://web.archive.org/web/20170809004704/https://www.fda.gov/downloads/Drugs/ScienceResearch/…/UCM085502.pdf

    To prepare for this Discussion:

    Note: 
    By Day 1 of this week, your Instructor will have assigned you to one of the following case studies to review for this Discussion. To access the following case studies, click on the Case Studies tab on the Stahl Online website and select the appropriate volume and case number.

    Case 1: 
    Volume 1, Case #1: The man whose antidepressants stopped working

    Case 2: 
    Volume 1, Case #7: The case of physician do not heal thyself

    Case 3: 
    Volume 1, Case #29: The depressed man who thought he was out of options

    Review this week’s Learning Resources and reflect on the insights they provide.

    Go to the Stahl Online website and examine the case study you were assigned.

    Take the pretest for the case study.

    Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.

    Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

    Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

    Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

    Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.

    Review the posttest for the case study.

    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 on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on 
    Submit!

    By Day 3

    Post
     a response to the following:

    Provide the case number in the subject line of the Discussion thread.

    List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.

    Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.

    Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

    List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

    List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

    For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?

    If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.

    Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations

    Read 
    a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues who were assigned to a different case than you. For example, if you were assigned to Case Study 1, respond to one colleague assigned to Case Study 2 and one colleague assigned to Case Study 3. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

    If your colleagues’ posts influenced your understanding of these concepts, be sure to share how and why. Include additional insights you gained.

    If you think your colleagues might have misunderstood these concepts, offer your alternative perspective and be sure to provide an explanation for them. Include resources to support your perspective.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 3 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 3 Discussion

    Assignment: Assessing and Treating Adult and Geriatric Clients With Mood Disorders

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

    Learning Objectives

    Students will:

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

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

    Evaluate efficacy of treatment plans

    Analyze ethical and legal implications related to prescribing antidepressant therapy to adult and geriatric clients

    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

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

    Stahl, S. M. (2013).
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
    (4th ed.). New York, NY: Cambridge University Press.

     

    Note:
    To access the following chapters, click on the
    Essential Psychopharmacology, 4th ed
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

    Chapter 6, “Mood Disorders”

    Stahl, S. M. (2014b).
    The prescriber’s guide
    (5th ed.). New York, NY: Cambridge University Press.

     

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

     

    Review the following medications:

    amitriptyline

    bupropion

    citalopram

    clomipramine

    desipramine

    desvenlafaxine

    doxepin

    duloxetine

    escitalopram

    fluoxetine

    fluvoxamine

    imipramine

    ketamine

    mirtazapine

    nortriptyline

    paroxetine

    selegiline

    sertraline

    trazodone

    venlafaxine

    vilazodone

    vortioxetine

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

    Note:
    Retrieved from Walden Library databases.

    Montgomery, S. A., & Asberg, M. (1979).
    A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134
    , 382-389. Retrieved from https://www.researchgate.net/profile/Marie_Asberg/publication/22697065_A_New_Depression_Scale_Designed_to_be_Sensitive_to_Change/links/09e41513f85c708fee000000.pdf

    Required Media

    Laureate Education. (2016g).
    Case study: An elderly Hispanic man with major depressive disorder
    [Interactive media file]. Baltimore, MD: Author.

     

    Note:
    This case study will serve as the foundation for this week’s Assignment.

    To prepare for this Assignment:

    Review this week’s Learning Resources. Consider how to assess and treat adult and geriatric clients requiring antidepressant therapy.

    The Assignment

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

    At each decision point stop to complete the following:

    Decision #1

    Which decision did you select?

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

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

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

    Decision #2

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

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

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

    Decision #3

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

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

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

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

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

    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 “WK3Assgn+last name+first initial.(extension)” as the name.

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

    Click the 
    Week 3 Assignment 
    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 “WK3Assgn+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 3 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 3 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 3 Assignment

    Making Connections

    Now that you have:

    Assessed adult and geriatric clients presenting with mood disorders

    Developed personalized plans of antidepressant therapy for adult and geriatric clients

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

    Explored ethical and legal implications of prescribing antidepressant therapy to adult and geriatric clients

    Next week, you will build on your assessment and treatment skills as you examine clients presenting for bipolar therapy.

    Assessing and Treating Adult and Geriatric Clients With Mood Disorders Essay Assignment Paper

  • Autism Spectrum Disorder, ADHD, ODD, and ICD

    Autism Spectrum Disorder, ADHD, ODD, and ICD

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

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

    Jacob, age 11”

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

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

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

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Learning Resources

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

    Required Readings

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

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

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

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

    “Neurodevelopmental Disorders”

    “Intellectual Disabilities”

    “Communication Disorders”

    “Disruptive, Impulse-Control, and Conduct Disorders”

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

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

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

     

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

     

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

    Review the following medications:

    Irritability in autism

    Attention-deficit/hyperactivity disorder

    aripiprazole

    risperidone

    armodafinil

    amphetamine (d)

    amphetamine (d,l)

    atomoxetine

    bupropion

    chlorpromazine (hyperactivity)

    clonidine

    guanfacine

    haloperidol (hyperactivity)

    lisdexamfetamine

    methylphenidate (d)

    methylphenidate (d,l)

    modafinil

    reboxetine

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

    Required Media

    Laureate Education (Producer). (2017b).
    A young girl with difficulties in school
    [Multimedia file]. Baltimore, MD: Author.

    Optional Resources

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

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

    Discussion: Parent Guide

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

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

    It is recommended that you make your project as attractive as possible and consider using the finished product as teaching tools for families that you will work with in your own practices.

    Learning Objectives

    Students will:

    Analyze signs and symptoms of neurodevelopmental disorders

    Analyze the pathophysiology of neurodevelopmental disorders

    Analyze diagnosis and treatment methods for neurodevelopmental disorders

    Evaluate Parent Guides

    To Prepare for this Discussion:

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

    Review the resources concerning your assigned disorder.

    Review the Blackboard Help website concerning wikis.

    Use your group’s Discussion Board to design and develop the Parent Guide before posting to the group wiki. For further guidance, refer to the
    Accessing Group Discussions
    instructions below.

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

    Signs and symptoms

    Pathophysiology

    How the disorder is diagnosed

    Treatment options

    Provide a minimum of three academic references.

    By Day 5

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

    By Day 7

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

    Submission and Grading Information

    Accessing Group Discussions and Wikis

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

    To access your group’s wiki
    , click on the
    Parent Guide Groups
    link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page.

    Creating a Wiki Page

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

    Grading Criteria

    To access your rubric:

    Week 3 Parent Guide Discussion Rubric

    To access your group discussion / wiki:

    Parent Guide Groups

    Post to Discussion by Day 5 and Respond by Day 7

    To participate in this Discussion:

    Parent Guide Groups – Week 3

    Assignment 1: Practicum: Decision Tree

    For this Assignment, you examine the client case study in this week’s Learning Resources. Consider how you might assess and treat pediatric clients presenting with symptoms noted in the case.

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

    Learning Objectives

    Students will:

    Evaluate clients for treatment of mental health disorders

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

    The Assignment:

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

    At each Decision Point, stop to complete the following:

    Decision #1: Differential Diagnosis

    Which Decision did you select?

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

    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 families.

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

    By Day 7 of Week 4

    Submit
    your Assignment.

    Assignment 2: Board Vitals

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

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

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

    https://www.boardvitals.com/

    By Day 7

    Complete the Board Vitals questions.

    Making Connections

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

    Next week, you examine several cases of child abuse and neglect and recommend strategies for assessing for abuse. You analyze influences of media and social media on mental health and evaluate the need for mandatory reporting of abuse. You also submit your Practicum Journal and Assignments.

    Autism Spectrum Disorder, ADHD, ODD, and ICD

  • Health insurance accessibility or flu pandemics

    Health insurance accessibility or flu pandemics

    How do you think public health professionals and policy decision makers can work together more effectively to prepare for complex public health issues, such as health insurance accessibility or flu pandemics?

    What leadership skills do you think are necessary when working in emergency public health situations?

    Give reasons and examples in support of your responses. Be sure to cite any relevant resources.

    Write your initial response in approximately 300 words. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources. Health insurance accessibility or flu pandemics.

  • NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

    NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

    Week 2: Assessment in Child and Adolescent Psychiatry

    Kathryn Barnard was a nurse first and second an early developmental specialist with a PhD in early ecological development. Dr. Barnard, with her nursing background, was instrumental in developing assessment tools and interventions to promote infant mental health. A center is named after her at the University of Washington, aptly named the Kathryn Barnard Center for Infant Mental Health and Development. Dr. Barnard reminds us that mental health is lifelong. Proper treatment of children from their earliest moments is instrumental to their development. One of her sayings was “infants can’t wait” (Weber, 2015). NURS 6660 Discussion: Working With Children and Adolescents Versus Adults.

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

    Diagnostic assessment of the child and adolescent is a specialized area of expertise. Some of the diagnostic and clinical features will be like your assessment of the adult. However, the PMHNP will be seeing children who have been to the PCP. Many PCPs are comfortable handling ADHD and other straightforward childhood disorders. That means that the PMHNP and those in his or her office will be seeing the more complicated patients. NURS 6660 Discussion: Working With Children and Adolescents Versus Adults.

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

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Learning Resources

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

    Required Readings

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

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

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

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

    American Psychiatric Association. (2013).
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author. NURS 6660 Discussion: Working With Children and Adolescents Versus Adults.

    “Neurodevelopmental Disorders”

    “Intellectual Disabilities”

    “Communication Disorders”

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

    Resume, Portfolio, and Cover Letter Resources

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

    Dahring, R. (2013). Cover letter caveats
    .
    Retrieved from https://web.archive.org/web/20161117160433/http://nurse-practitioners-and-physician-assistants.advanceweb.com:80/Columns/Career-Coach/Cover-Letter-Caveats.aspx

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

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

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

    Optional Resources

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

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

    Discussion: Working With Children and Adolescents Versus Adults

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

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

    Learning Objectives

    Students will:

    Analyze the importance of developmental assessments

    Analyze assessment instruments used for evaluating children and adolescents

    Analyze treatment options used for children and adolescents

    Analyze roles parents play in assessment and treatment

    NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

    To Prepare for the Discussion

    Review the Learning Resources concerning psychiatric assessments and assessment tools.

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

    By Day 3

    Post your answers to the following:

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

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

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

    Explain the role parents play in assessment and treatment.

    By Day 6

    Respond
    to at least
    two
    of your colleagues by offering additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those. NURS 6660 Discussion: Working With Children and Adolescents Versus Adults.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 2 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 2 Discussion

    Assignment 1: Practicum: Cover Letter, Resume, and Portfolio

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

    Learning Objectives

    Students will:

    Create professional cover letters, resumes, and portfolios

    To Prepare for the Assignment:

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

    Review the Cover Letter, Resume, and Portfolio Assignment Guide

    Refer to the Walden University Career Center website for resources to develop your cover letter and resume. With the assistance of the Walden University Career Center website, you can make your cover letter, resume, and portfolio accessible online to your faculty and potential employers. NURS 6660 Discussion: Working With Children and Adolescents Versus Adults.

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

    Checklist for Cover Letter (S/U grade)

    Your cover letter should be:

    Presented and formatted in a professional business manner

    Addressed properly

    Clear and concise and include:

    Content Introduction

    Content Body

    Content Conclusion

    Written in a professional style and include:

    Correct spelling, punctuation, and grammar

    Clear and accurate sentence structure

    NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

    Checklist for Resume (S/U)

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

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

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

    Certifications and licensure

    Education

    Professional experience

    Honors/awards

    References

    Checklist for Portfolio (S/U)

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

    Personal philosophy statement

    Self-assessment

    Personal goals (short term and long term)

    Achievements

    Cover letter

    Resume

    Diplomas for formal education

    Letters of recommendation

    References (list names, affiliation, and contact information)

    Certifications

    Certificates of attendance for continuing education

    Transcripts

    Publications

    Oral presentations and/or poster presentations

    By Day 7 of Week 10

    Submit
    your Assignment.

    Assignment 2: Board Vitals

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

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

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

    https://www.boardvitals.com/

    By Day 7

    Complete the Board Vitals questions.

    Making Connections

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

    Next week, you begin exploring disorders that occur early in the life course by working with your group to develop a Parent Guide. You also examine a case and determine a differential diagnosis and treatment plan that incorporates both psychotherapy and psychopharmacology. NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

    Looking Ahead

    You will be working with other colleagues within a wiki format to create Parent Guides in Weeks 3, 7, and 10. Your instructor will assign your group by
    Day 1
    of
    Week 2
    . NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

  • NSG6340 Practicum III: Adult Health – Primary Care

    NSG6340 Practicum III: Adult Health – Primary Care Week 1 Discussion

    The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

    For this assignment, post a response to one question in the 
    Discussion Area
     by 
    the due date assigned
    . You may respond to your classmates’ postings for either question.

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week. NSG6340 Practicum III: Adult Health – Primary Care.

    You are an adult gerontology nurse practitioner working in a community health center. You are seeing a 14-year-old adolescent patent for an annual visit. The patient’s mother is also present during the visit and notes that the patient’s grades in school have been declining. Her son is also hanging out with a group of kids that she has concerns about. The mother has concerns for what is going on with her son. Answer the following questions using course resources (texts) and two other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5 year time frame).

    What are the components of an annual exam for an adolescent patient?

    Is the mother required to be present during your exam?

    Describe 1 health promotion idea that you would discuss with your middle adolescence patient. Why is this idea important?

    What are some screening tools that might be of importance in this situation? (hint: do you suspect drug or alcohol abuse here?)

    NSG6340 Practicum III: Adult Health – Primary Care Week 1 Project

    Instructions

    APEA Prepredictor Examination

    Submission Details:

    Please submit your proof of completion of the APEA prepredictor exam to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W1_Project1_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 1 Project 2

    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com. NSG6340 Practicum III: Adult Health – Primary Care

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    Antibiotics

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W1_Project2_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 1 Project 3

    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_Project3_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 2 Discussion

    This week you learned about common conditions in the adolescent client.  Please review the following case study and answer the following questions.

    A fifteen-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema, and her father has high blood pressure. She is the only child. She denies smoking and illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs.

    What is the chief complaint?

    Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?

    What treatment plan would you consider utilizing current evidence based practice guidelines?

    Submission Details:

    Post your response to the 
    Discussion Area
     by 
    the due date assigned
    . Respond to at least two posts by the end of the week.

    NSG6340 Practicum III: Adult Health – Primary Care Week 2 Project

    Instructions

    ORDER A CUSTOM-WRITTEN PAPER NOW

    iHuman Case Study

    For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence based primary care curriculum. Throughout your nurse practitioner program you will use iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence based practice.

    The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases will be present in the weekly quizzes, and mid-term and final exams. You must have all iHuman assignments completed in order to successfully pass the course.

    Please access the iHuman tab on the left-hand side of your screen under the Course Home page for log-in instructions. Please follow the instructions located on the start page of your case.

    Click 
    here
     for information on how to access and navigate iHuman.

    This week, complete the case titled “
    Susan White V3
    ”

    Submission Details:

    Once you complete your case, click “
    Submit
    “

    iHuman case studies are assessed on the following areas: History Taking, Physical Exam and Differential Diagnoses

    Your instructor will review your completion of the iHuman case study to determine your points earned

    Complete the 
    Week 3 Project
     iHuman case study by 
    the due date assigned
    .

    NSG6340 Practicum III: Adult Health – Primary Care Week 2 Project 2

    Instructions

    APEA Review

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week. NSG6340 Practicum III: Adult Health – Primary Care.

    HEENT modules

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W2_Project2_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 2 Project 3

    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W2_Project3_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 2 Project 4

    Instructions

    SOAP Note and CORE Entries

    Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this 
    SOAP_NoteDocument_Revised Template
     . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the 
    Submissions Area
    . When submitting your note, be sure to include the reference number from CORE.

    Submission Details:

    By
     
    the due date assigned
    , enter your patient encounters into CORE and complete at least one SOAP note in the template provided.

    Name your SOAP note document SU_NSG6340_W2_SOAPLastName_FirstInitial.doc.

    Include the reference number from CORE in your document.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned.

    NSG6340 Practicum III: Adult Health – Primary Care Week 3 Discussion

    Previous
     
    Next
     

    In 
    Week 3
     you learned about other common adolescent health conditions.  Review the following case study and answer the following questions:

    An 18 year old white female presents to your clinic today with a 2 week history of intermittent abdominal pain.  She also is positive for periodic cramping and diarrhea as well as low grade fever.  She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease.  Based on the information provided answer the following questions:

    What are the top 3 differentials you would consider with the presumptive final diagnosis listed first?

    What focused physical exam findings would be beneficial to know?

    What diagnostic testing needs completed if any to confirm diagnosis?

    Using evidence based treatment guidelines note a treatment plan.

    Submission Details:

    Post your response to the 
    Discussion Area
     by 
    the due date assigned
    . Respond to at least two posts by the end of the week.

    Week 3 Midweek Assignment

     

    Previous
     
    Next
     

    Instructions

    iHuman Case Study

    For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence based primary care curriculum. Throughout your nurse practitioner program you will use iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence based practice.

    The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases will be present in the weekly quizzes, and mid-term and final exams. You must have all iHuman assignments completed in order to successfully pass the course.

    Please access the iHuman tab on the left-hand side of your screen under the Course Home page for log-in instructions. Please follow the instructions located on the start page of your case.

    Click 
    here
     for information on how to access and navigate iHuman.

    This week, complete the case titled “
    Chana Kumar V3 PC
    ”

    Submission Details:

    Once you complete your case, click “
    Submit
    “

    iHuman case studies are assessed on the following areas: History Taking, Physical Exam and Differential Diagnoses

    Your instructor will review your completion of the iHuman case study to determine your points earned

    Complete the 
    Week 3 Project
     iHuman case study by 
    the due date assigned
    .

    NSG6340 Practicum III: Adult Health – Primary Care Week 3 Project

     

    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week. NSG6340 Practicum III: Adult Health – Primary Care.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Hematology modules

    – GI modules

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W3_Project1_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 3 Project 2

    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W3_Project2_LastName_FirstInitial.doc.

    Week 4 Discussion

    This week’s content addressed common chronic diseases.  Please review the case study below and answer the following questions:

    A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can’t do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able to breathe comfortably. She denies any chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke, and her father died from prostate cancer. She denies any recent upper respiratory illness, and she has had no other symptoms. On examination, she is in no acute distress. Her blood pressure is 160/100, and her pulse is 100. She is afebrile, and her respiratory rate is 16. With auscultation, she has distant air sounds and she has late inspiratory crackles in both lower lobes. On cardiac examination, the S1 and S2 are distant and an S3 is heard over the apex.

    What is the chief complaint?

    Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?

    What treatment plan would you consider utilizing current evidence based practice guidelines?

    Submission Details:

    Post your response to the 
    Discussion Area
     by 
    the due date assigned
    . Respond to at least two posts by the end of the week.

    Week 4 Project

     

    Previous
     
    Next
     

    Instructions

    Aquifer

    For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence based primary care curriculum. Throughout your nurse practitioner program you will use Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence based practice.

    After you complete the Aquifer case study for the week, print out the summary of your case session and submit as a PDF file to the 
    Submissions Area
    . Note that the summary of your case session has your name on the top right hand corner. You need to submit this document as evidence that you have completed the case.

    The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases will be present in the weekly quizzes, and mid-term and final exams. You must have all Aquifer assignments completed in order to successfully pass the course.

    This week, complete the case titled HVC 04: 80-year old woman – Mrs. Miller: Medications and Value.

    Please review log instructions in course home.

    Submission Details:

    Name your document SU_NSG6340_W4_Project1_LastName_FirstInitial.pdf.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned

    Week 4 Project 2

     

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Previous
     
    Next
     

    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Cardiology Modules

    – Pulmonology Modules

    – Endocrine Modules

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W4_Project2_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 4 Project 3

     

    Previous
     
    Next
     

    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Week 4 Project 4

     

    Previous
     
    Next
     

    Instructions

    SOAP Note and CORE Entries

    Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this 
    SOAP_Note Document_Revised
    template
     . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the 
    Submissions Area
    . When submitting your note, be sure to include the reference number from CORE.

    Submission Details:

    By
     
    the due date assigned
     enter your patient encounters into CORE and complete at least one SOAP note in the template provided.

    Name your SOAP note document SU_NSG6340_W4_SOAPLastName_FirstInitial.doc.

    Include the reference number from CORE in your document.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned.

    NSG6340 Practicum III: Adult Health – Primary Care Week 5 Discussion

     

    Previous
     
    Next
     

    The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

    For this assignment, go to the 
    Discussion Area
     and post a response to 
    one
     question in the 
    Discussion Area
     by 
    the due date assigned
    . You may respond to your classmates’ posts for either question.

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

    As an adult gerontology nurse practitioner you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes in complaining of having a difficulty concentrating in school. On exam you also note that the patient is very thin and frail in appearance and is asking you for diet pills.

    What are some initial areas for concern? What screening tools can help lead you closer to your diagnosis?

    Describe 1 health promotion strategy you can discuss with the patient.

    Be sure to address the following in your plan of care: pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referral/s.

    Your work should integrate course resources (text/s) as well as a minimum of two (2) other evidence-based guidelines and/or articles published within 3-5 years.

    Centers for Disease Control and Prevention. (2013). 
    Youth risk behavior surveillance

    system (YRBSS)
    . Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/

    index.htm

    Week 5 Midterm Exam – Requires Respondus LockDown Browser + Webcam

    Summary

    Quiz Details

    Introduction

    After you have completed the assigned readings and reviewed the lecture material for this week, complete your quiz to assess your learning.

    Before you begin the quiz, please review the quiz details below.

    Testing time is 1.2 minutes per question.

    Only one question will appears on the computer screen at a time. You must answer each question to move onto the next question.

    You cannot go back to previously answered questions to change an answer

    You must complete each quiz or exam in one sitting.

    Note: For security purposes, you will not be able to review your quiz/test questions or answers after completion. If you have specific questions, please reach out to your instructor.

    Academic Integrity Policy

    As a student of South University, I am acquainted with the Academic Integrity Policy. By taking this exam, I signify that I am the individual who is taking the exam, the answers are my own, that I have not received outside help on this exam. I will engage in fair and honorable behavior. I will not cheat or help others to cheat. I will not take screenshots or pictures of the exam. I will promptly report any activity that is suspicious of cheating. I acknowledge that if I am caught of cheating I will receive a zero on the quiz/exam.

    Submission Details:

    Complete the Quiz by 
    the due date assigned
    .

    Click “
    Start Quiz
    !” to get started.

    Instructions

    Note:
    You cannot move backwards once you leave a page. Ensure you completely answer all questions on a page before proceeding.

    You can “Save” your response to each question as you work through the quiz. When you navigate to the Next Page or Previous Page, all your responses on the current page will be automatically saved.

    Once the allocated time period that was set for this quiz expires, you are required to submit your quiz responses.

    Note:
     Any responses that you have not saved before the time limit expires will not be submitted.

    When you have finished reviewing these instructions, click on “Start Quiz” to begin Attempt 1.

    Note: 
    Your quiz may take a few minutes to be set up.

    The timer will not begin until after the set up process is finished.

    Quiz Requirements

    You must use the Respondus LockDown Browser to take this quiz.

    NSG6340 Practicum III: Adult Health – Primary CareWeek 5 Project

     

    Previous
     
    Next
     

    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Neurological Modules

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W5_Project1_LastName_FirstInitial.doc.

    Week 5 Project 2

     

    Previous
     
    Next
     

    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W5_Project2_LastName_FirstInitial.doc.

    Week 6 Discussion

     

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    This week’s content discussed common psychiatric disorders in the Adult and Older Adult client.  Often times a secondary diagnosis is masked due to their psychiatric disorder.  Review the following case study and answer the following questions.

    Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.

    Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).

    What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?

    What additional testing should you consider if any?

    What are treatment options to consider with this patient?

    Submission Details:

    Post your response to the 
    Discussion Area
     by 
    the due date assigned
    . Respond to at least two posts by the end of the week.

    Week 6 Project

     

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    Instructions

    iHuman Case Study

    For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence based primary care curriculum. Throughout your nurse practitioner program you will use iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence based practice.

    The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases will be present in the weekly quizzes, and mid-term and final exams. You must have all iHuman assignments completed in order to successfully pass the course.

    Please access the iHuman tab on the left-hand side of your screen under the Course Home page for log-in instructions. Please follow the instructions located on the start page of your case.

    Click 
    here
     for information on how to access and navigate iHuman.

    This week, complete the case titled “
    Janet Riley V3.1 PC – K
    .”

    Submission Details:

    Once you complete your case, click “
    Submit
    “

    iHuman case studies are assessed on the following areas: History Taking, Physical Exam and Differential Diagnoses

    Your instructor will review your completion of the iHuman case study to determine your points earned

    Complete the 
    Week 6 Project
     iHuman case study by 
    the due date assigned
    .

    Week 6 Project 2

     

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    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Mood Disorders

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W6_Project2_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 6 Project 3

     

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    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W6_Project3_LastName_FirstInitial.doc.

    Week 6 Project 4

     

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    Instructions

    SOAP Note and CORE Entries

    Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this 
    template
     . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the
     Submissions Area
    . When submitting your note, be sure to include the reference number from CORE.

    Submission Details:

    By
     
    the due date assigend
     enter your patient encounters into CORE and complete at least one SOAP note in the template provided.

    Name your SOAP note document SU_NSG6340_W6_SOAPLastName_FirstInitial.doc.

    Include the reference number from CORE in your document.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned
    .

    Week 7 Discussion

     

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    This week’s content addressed common techniques and testing that can be prescribed by the Nurse Practitioner.  Review ONE of the following videos and post for the class what you have learned this week:

    Watch the following video on suturing

    Suture Skills Course

    Watch the following video on EKG rhythms

    ecg-simulator

    Submission Details:

    Post your response to the 
    Discussion Area
     by 
    the due date assigned
    . Respond to at least two posts by the end of the week.

    Week 7 Quiz – Requires Respondus LockDown Browser + Webcam

    Introduction

    After you have completed the assigned readings and reviewed the lecture material for this week, complete your quiz to assess your learning.

    Before you begin the quiz, please review the quiz details below.

    Testing time is 1.2 minutes per question.

    Only one question will appears on the computer screen at a time. You must answer each question to move onto the next question. NSG6340 Practicum III: Adult Health – Primary Care.

    You cannot go back to previously answered questions to change an answer

    You must complete each quiz or exam in one sitting.

    Note: For security purposes, you will not be able to review your quiz/test questions or answers after completion. If you have specific questions, please reach out to your instructor.

    Academic Integrity Policy

    As a student of South University, I am acquainted with the Academic Integrity Policy. By taking this exam, I signify that I am the individual who is taking the exam, the answers are my own, that I have not received outside help on this exam. I will engage in fair and honorable behavior. I will not cheat or help others to cheat. I will not take screenshots or pictures of the exam. I will promptly report any activity that is suspicious of cheating. I acknowledge that if I am caught of cheating I will receive a zero on the quiz/exam.

    Submission Details:

    Complete the Quiz by 
    the due date assigned
    .

    Click “
    Start Quiz
    !” to get started.

    Instructions

    Note:
     
    You cannot move backwards once you leave a page. Ensure you completely answer all questions on a page before proceeding.

    You can “Save” your response to each question as you work through the quiz. When you navigate to the Next Page or Previous Page, all your responses on the current page will be automatically saved.

    Once the allocated time period that was set for this quiz expires, you are required to submit your quiz responses.

    Note:
     Any responses that you have not saved before the time limit expires will not be submitted. NSG6340 Practicum III: Adult Health – Primary Care.

    When you have finished reviewing these instructions, click on “Start Quiz” to begin Attempt 1.

    Note: 
    Your quiz may take a few minutes to be set up.

    The timer will not begin until after the set up process is finished.

    Quiz Requirements

    You must use the Respondus LockDown Browser to take this quiz.

    NSG6340 Practicum III: Adult Health – Primary Care Week 7 Project

     

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    Instructions

    iHuman Case Study

    For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence based primary care curriculum. Throughout your nurse practitioner program you will use iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence based practice.

    The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases will be present in the weekly quizzes, and mid-term and final exams. You must have all iHuman assignments completed in order to successfully pass the course. NSG6340 Practicum III: Adult Health – Primary Care.

    Please access the iHuman tab on the left-hand side of your screen under the Course Home page for log-in instructions. Please follow the instructions located on the start page of your case.

    Click 
    here
     for information on how to access and navigate iHuman.

    This week, complete the case titled “
    Rand Hall VE V2
    .”

    Submission Details:

    Once you complete your case, click “
    Submit
    “

    iHuman case studies are assessed on the following areas: History Taking, Physical Exam and Differential Diagnoses

    Your instructor will review your completion of the iHuman case study to determine your points earned

    Complete the 
    Week 7 Project
     iHuman case study by 
    the due date assigned
    .

    NSG6340 Practicum III: Adult Health – Primary Care Week 7 Project 2

     

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    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week. NSG6340 Practicum III: Adult Health – Primary Care.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Hematology modules

    – GI modules

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W7_Project2_LastName_FirstInitial.doc.

    Week 7 Project 3

     

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    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression. NSG6340 Practicum III: Adult Health – Primary Care.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W7_Project3_LastName_FirstInitial.doc.

    Table of Contents

    Week 8

    Week 8 Discussion

    NSG6340 Practicum III: Adult Health – Primary Care Week 8 Discussion

     

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    This week’s content discussed in part barriers to health care.  Health literacy is a common barrier to health care.  Please review the following utube videos on health literacy and answer the following questions:

    IOM health literacy video. (2002). Retrieved from https://www.youtube.com/watch?v=39A9oU-gOOA

    Health Literacy: A Prescription to End Confusion – Patients 
    Health Literacy

    What are your initial thoughts after viewing these videos?

    What are some strategies you can incorporate in every day practice to assist with health literacy?

    Submission Details:

    Post your response to the 
    Discussion Area
     by 
    the due date assigned
    . Respond to at least two posts by the end of the week.

    NSG6340 Practicum III: Adult Health – Primary Care Week 8 Project

     

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    Instructions

    Aquifer

    For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

    After you complete the Aquifer case study for the week, please print out the summary of your case session and submit as a PDF file to the 
    Submissions Area
    . Note that the summary of your case session has your name in the top-right corner. You need to submit this document as evidence that you have completed the case.

    The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all Aquifer assignments completed in order to successfully pass the course. NSG6340 Practicum III: Adult Health – Primary Care.

    This week, complete the case entitled “
    HVC 03: 65-year old woman – Ms. Jacobsen: Adult Preventive Care and Value
    ”

    Submission Details:

    Name your document SU_NSG6340_W8_Project1_LastName_FirstInitial.pdf.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned
    .

    NSG6340 Practicum III: Adult Health – Primary Care Week 8 Project 2

     

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    Next
     

    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress. NSG6340 Practicum III: Adult Health – Primary Care.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Orthopedic modules

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W8_Project2_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 8 Project 3

     

    Previous
     
    Next
     

    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit. NSG6340 Practicum III: Adult Health – Primary Care.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W8_Project3_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 8 Project 4

     

    Previous
     
    Next
     

    Instructions

    SOAP Note and CORE Entries

    Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this 
    template
     . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the 
    Submissions Area
    . When submitting your note, be sure to include the reference number from CORE. NSG6340 Practicum III: Adult Health – Primary Care.

    Submission Details:

    By
     
    the due date assigned
    , enter your patient encounters into CORE and complete at least one SOAP note in the template provided.

    Name your SOAP note document SU_NSG6340_W8_SOAPLastName_FirstInitial.doc.

    Include the reference number from CORE in your document.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned
    .

    Remediation Case

     

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    Instructions

    Aquifer and Ihuman Assignments:

    Students have an opportunity each week (except week 10) to complete a Aquifer or ihuman case study completion based on the content for that week if you did not receive 100% on a selected assignment. This does not count for discussion or SOAP note assignments. This plan is designed to help you increase your knowledge in topic/concepts you missed during the week. Submission must be completed by 
    the due date assigned
     of the following week in order to receive any credit. Grades will be averaged together from the original submission and resubmission but will not exceed 80%. If points are awarded they will be added to your previous weeks Aquifer or Ihuman assignment.

    Complete one of the following for Remediation in Aquifer: HVC 02: 25-year old woman – Ms. Rollo: Making Diagnostic Testing Count

    Complete by 
    the due date assigned

    NSG6340 Practicum III: Adult Health – Primary Care Week 9 Discussion

     

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    This week’s content addressed professional and legal issues, state boards of nursing, advanced practice licensure, regulations, scope of practice, and national certification as an advanced practice nurse. It is your responsibility to look at your individual board of nursing and remain up to date with the changes that are carried out in your state.  For this week’s discussion review your states scope of practice and address 3 areas that you were not aware you can do as a licensed provider in your state.

    Submission Details:

    Post your response to the 
    Discussion Area
     by 
    the due date assigned
    . Respond to at least two posts by the end of the week.

    Week 9 Quiz – Requires Respondus LockDown Browser + Webcam

    Introduction

    After you have completed the assigned readings and reviewed the lecture material for this week, complete your quiz to assess your learning.

    Before you begin the quiz, please review the quiz details below.

    Testing time is 1.2 minutes per question.

    Only one question will appears on the computer screen at a time. You must answer each question to move onto the next question.

    You cannot go back to previously answered questions to change an answer

    You must complete each quiz or exam in one sitting.

    Note: For security purposes, you will not be able to review your quiz/test questions or answers after completion. If you have specific questions, please reach out to your instructor.

    Academic Integrity Policy

    As a student of South University, I am acquainted with the Academic Integrity Policy. By taking this exam, I signify that I am the individual who is taking the exam, the answers are my own, that I have not received outside help on this exam. I will engage in fair and honorable behavior. I will not cheat or help others to cheat. I will not take screenshots or pictures of the exam. I will promptly report any activity that is suspicious of cheating. I acknowledge that if I am caught of cheating I will receive a zero on the quiz/exam.

    Submission Details:

    Complete the Quiz by 
    the due date assigned
    .

    Click “
    Start Quiz
    !” to get started.

    Instructions

    Note:
    You cannot move backwards once you leave a page. Ensure you completely answer all questions on a page before proceeding.

    You can “Save” your response to each question as you work through the quiz. When you navigate to the Next Page or Previous Page, all your responses on the current page will be automatically saved.

    Once the allocated time period that was set for this quiz expires, you are required to submit your quiz responses.

    Note:
     Any responses that you have not saved before the time limit expires will not be submitted.

    When you have finished reviewing these instructions, click on “Start Quiz” to begin Attempt 1.

    Note: 
    Your quiz may take a few minutes to be set up.

    The timer will not begin until after the set up process is finished.

    Quiz Requirements

    You must use the Respondus LockDown Browser to take this quiz.

    NSG6340 Practicum III: Adult Health – Primary Care Week 9 Project

     

    ORDER A CUSTOM-WRITTEN PAPER NOW

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    Instructions

    APEA Postpredictor Examination

    Please submit your proof of completion of the APEA postpredictor exam to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W9_Project1_LastName_FirstInitial.doc.

    This is a required assignment.

    Week 9 Project 2

     

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    Instructions

    Aquifer

    For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

    After you complete the Aquifer case study for the week, please print out the summary of your case session and submit as a PDF file to the 
    Submissions Area
    . Note that the summary of your case session has your name in the top-right corner. You need to submit this document as evidence that you have completed the case.

    The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all Aquifer assignments completed in order to successfully pass the course.

    This week, complete the case entitled “HVC 01: 45-year old man – Mr. Eastman: HVC and the Importance of Clinical Reasoning”

    Submission Details:

    Name your document SU_NSG6340_W9_Project2_LastName_FirstInitial.pdf.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned
    .

    NSG6340 Practicum III: Adult Health – Primary Care Week 9 Project 3

     

    Previous
     
    Next
     

    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week. NSG6340 Practicum III: Adult Health – Primary Care.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Dermatology Modules

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W9_Project3_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 9 Project 4

     

    Previous
     
    Next
     

    Instructions

    APEA myqbank

    For the purposes of this course, you will be responsible for completing 150 practice questions weekly from the 
    Patient Management Bank
    . Upon accessing My Q-Bank, you will see that the questions are separated into categories, such as cardiovascular, women’s health, geriatrics, etc. Students should use the Tutor Mode which provides the correct answer with rationales in order to obtain the highest benefit.

    You need to complete the 150 questions by the end of each week that are related to the content for each week and/or your weaker areas from the APEA Pre predictor examination in Patient Management Bank. This is a required assignment
    . You must submit proof of completion to the assigned 
    Submissions Area
    . Failure to complete these practice questions will result in a 0 for the assignment and an incomplete in this course, which may delay your progression.

    The communication regarding your login information for My Q-Bank comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know. NSG6340 Practicum III: Adult Health – Primary Care.

    Please submit your proof of completion of at least 150 of the My Q-Bank practice questions weekly to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W9_Project4_LastName_FirstInitial.doc.

    NSG6340 Practicum III: Adult Health – Primary Care Week 10 Discussion

     

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    Evidence-Based Clinical Intervention

    By
     
    the due date assigned
    , submit your Evidence-Based Clinical Intervention to the 
    Discussion Area
    .

    Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:

    The medical problem/diagnosis/disease.

    Typical presenting signs and symptoms including:

    Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected

    Concomitant disease states associated with the diagnosis

    The pathophysiology of the problem.

    Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.

    Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.

    The expected outcomes of the intervention.

    Algorithms if available.

    A typical clinical note in SOAP format.

    Respond to at least two of your classmates’ Evidence-Based Clinical Interventions using the lessons and vocabulary found in the reading. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

    Week 10 Project

     

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    Instructions

    Aquifer

    For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

    After you complete the Aquifer case study for the week, please print out the summary of your case session and submit as a PDF file to the 
    Submissions Area
    . Note that the summary of your case session has your name in the top-right corner. You need to submit this document as evidence that you have completed the case.

    The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all Aquifer assignments completed in order to successfully pass the course.

    This week, complete the case entitled “HVC 09: 66-year old woman – Ms. Everett: Redefining Value at End of Life”

    Submission Details:

    Name your document SU_NSG6340_W10_Project1_LastName_FirstInitial.pdf.

    Submit your document to the 
    Submissions Area
     by 
    the due date assigned
    .

    Week 10 Final Exam – Requires Respondus LockDown Browser + Webcam

    Instructions

    Note:
    You cannot move backwards once you leave a page. Ensure you completely answer all questions on a page before proceeding.

    You can “Save” your response to each question as you work through the quiz. When you navigate to the Next Page or Previous Page, all your responses on the current page will be automatically saved.

    Once the allocated time period that was set for this quiz expires, you are required to submit your quiz responses.

    Note:
     Any responses that you have not saved before the time limit expires will not be submitted.

    When you have finished reviewing these instructions, click on “Start Quiz” to begin Attempt 1.

    Note: 
    Your quiz may take a few minutes to be set up.

    The timer will not begin until after the set up process is finished.

    Quiz Requirements

    You must use the Respondus LockDown Browser to take this quiz.

    NSG6340 Practicum III: Adult Health – Primary Care  Week 10 Project 2

     

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    Instructions

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    – Healthy Aging, Prescribing for Elders, Pathology of Aging

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    NSG6340 Practicum III: Adult Health – Primary Care Week 10 Project 3

     

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    Next
     

    Instructions

    APEA Review Course Submission

    Please submit your proof of completion of the APEA review course to the 
    Submissions Area
     by 
    the due date assigned
    .

    NSG6340 Practicum III: Adult Health – Primary Care Week 10 Project 4

     

    ORDER A PLAGIARISM-FREE PAPER HERE

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    Instructions

    SOAP Note and CORE Entries

    Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this 
    template
     . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the 
    Submissions Area
    . When submitting your note, be sure to include the reference number from CORE. NSG6340 Practicum III: Adult Health – Primary Care.

    Submission Details:

    By
     
    the due date assigned
     enter your patient encounters into CORE and complete at least one SOAP note in the template provided.

    Name your SOAP note document SU_NSG6340_W10_SOAPLastName_FirstInitial.doc.

    Include the reference number from CORE in your document.

    Submit your document to the Submissions Area by the due date assigned. NSG6340 Practicum III: Adult Health – Primary Care

  • NURS 6660 Discussion: Comprehensive Integrated Psychiatric Assessment

    NURS 6660 Discussion: Comprehensive Integrated Psychiatric Assessment

    Week 1: Comprehensive Integrated Psychiatric Assessment

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

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

    The delicate dance—engagement and empathy.

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

     

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

     

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

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

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Learning Resources

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

    Required Readings

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

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

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

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

    “Introduction”

    “Use of the Manual”

    “Cultural Formulation”

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

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

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

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

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

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

    Document: Practicum Journal Template (Word document)

     

    Required Media

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

     

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

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

     

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

    YMH Boston. (2013c, May 22).
    Vignette 4 – Introduction to a mental health assessment
    [Video file]
    .
    NURS 6660 Discussion: Comprehensive Integrated Psychiatric AssessmentRetrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE. 

     

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

     

    Optional Resources

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

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

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

    Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
    Rutter’s child and adolescent psychiatry
    (6th ed.). Hoboken, NJ: Wiley Blackwell. NURS 6660 Discussion: Comprehensive Integrated Psychiatric Assessment

    Discussion: Comprehensive Integrated Psychiatric Assessment

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

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

    Learning Objectives

    Students will:

    Evaluate comprehensive integrated psychiatric assessment techniques

    Recommend assessment questions

    To Prepare for the Discussion:

    Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

    Watch the
    Mental Status Examination
    video.

    Watch the two YMH Bostonvideos. 
    NURS 6660
    Discussion: Comprehensive Integrated Psychiatric Assessment

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

    By Day 3

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

    What did the practitioner do well?

    In what areas can the practitioner improve?

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

    What would be your
    next
    question, and why?

    By Day 6

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

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 1 Discussion Rubric

     

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 1 Discussion

     

    Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

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

    Learning Objectives

    Students will:

    Analyze salient ethical issues in psychiatric mental health practice

    Compare ethical dilemmas with state health laws and regulations

    Analyze ethical decision-making processes

    To prepare:

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

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

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

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

    Describe the moral and ethical dilemmas surrounding the issue.

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

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

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

    By Day 7 of Week 4

    Submit
    your Assignment.

    Making Connections

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

    Next week, you explore the many different psychiatric assessment tools and begin to explore treatment options. You also begin developing your resume and portfolio. NURS 6660 Discussion: Comprehensive Integrated Psychiatric Assessment

    Looking Ahead 1: Didactic Assignments

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

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

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

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

    Week 10:
    You will work in a group to develop a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder. NURS 6660 Discussion: Comprehensive Integrated Psychiatric Assessment.

    Looking Ahead 2: Practicum Assignments

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

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

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

    Week 5:
    You will complete a Decision Tree including the diagnosis and treatment of a pediatric client. (Assignment to be submitted by
    Day 7
    of
    Week 7
    .)

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

    Week 7:
    You will write a journal entry concerning voluntary and involuntary commitment. (Assignment to be submitted by
    Day 7
    of
    Week 7
    .). 
    NURS 6660
    Discussion: Comprehensive Integrated Psychiatric Assessment.

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

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

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