Tag: Clinical-Nursing

Argosy University – PSY210 assignment quiz

1. Question : Identify each of the following as examples of nominal, ordinal, interval, or ratio scales of measurement. (4 points each)

1. A poll of registered voters in Florida asking which candidate they support

2. The length of time required for a wound to heal when using a new medicine

3. The number of telephone calls arriving at a switchboard per five-minute period

4. The distance first-year college football players can kick a ball

5. Mental health diagnoses present in an elderly population

6. The rankings of employees on their job performance

2. Question : Two hundred raffle tickets are sold. Your friend has five people in her family who each bought two raffle tickets. What is the probability that someone from her family will win the raffle? Argosy University – PSY210 assignment quiz.

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3. Question : Jolie has 45 minutes to do her statistics homework. If the mean is 38 minutes and the standard deviation is 3, calculate Jolie’s z score. Once calculated, interpret your findings in terms of Jolie’s performance.

(HINT: use the normal distribution and the probability that other students performed better or worse.)Argosy University – PSY210 assignment quiz.

4. Question : A psychologist measures units of change for a memory test after students are given an opportunity to sleep only four hours. The following change units were obtained: 7, -12, 4, -7, 3, -10. Find the a) mean, b) median, c) mode, d) standard deviation, e) range, and f) variance.

5. Question : A student scored 81 on a chemistry test and 75 on a history test. For the chemistry test, the mean was 70 and the standard deviation was 20. For the history test, the mean was 65 and the standard deviation was 8. Did the student do better on the chemistry test or the history test? Explain your answer. Argosy University – PSY210 assignment quiz.

6. Question : Suppose you want to figure out what to do with your degree in psychology. You ask some fellow students from your psychology program who recently graduated to find out what they are doing with their degree and how much it pays. What type of sampling is this? What are the limitations of this sampling approach? Argosy University – PSY210 assignment quiz,

7. Question : Variables in which the values are categories are known as

Student Answer: Interval variables

Nominal variables

Ordinal variables

Ratio variables

8. Question : Before the researcher can conduct a statistical test, the research question must be translated into

Student Answer: A testable hypothesis

Additional observations

Mathematical symbols

Numbers

9. Question : The hypothesis stating that there are no differences, effects, or relationships is

Student Answer: The alternative hypothesis. Argosy University – PSY210 assignment quiz.

The baseline hypothesis

The null hypothesis

The reasonable hypothesis

Points Received: 4 of 4

Comments:

10. Question : A group of students made the following scores on a 10-item quiz in psychological statistics: {5, 6, 7, 7, 7, 8, 8, 9, 9, 10, 10} What is the mean score? Argosy University – PSY210 assignment quiz.

Student Answer: 6.6

7.2

7.8

8.7

Points Received: 4 of 4

Comments:

11. Question : A group of students made the following scores on a 10-item quiz in psychological statistics: {5, 6, 7, 7, 7, 8, 8, 9, 9, 10, 10} What is the median score?

Student Answer: 6

7

8

9

Points Received: 4 of 4

Comments:

12. Question : A group of students made the following scores on a 10-item quiz in psychological statistics: {5, 6, 7, 7, 7, 8, 8, 9, 9, 10, 10} What is the mode? Argosy University – PSY210 assignment quiz.

Student Answer: 5

7

8

9

Points Received: 4 of 4

Comments:

13. Question : A group of students made the following scores on a 10-item quiz in psychological statistics: {5, 6, 7, 7, 7, 8, 8, 9, 9, 10, 10} What is the range of scores?

Student Answer: 5

6

7

11

Points Received: 4 of 4

Comments:

14. Question : A group of students made the following scores on a 10-item quiz in psychological statistics: {5, 6, 7, 7, 7, 8, 8, 9, 9, 10, 10} What is the variance, treating these scores as a sample? Argosy University – PSY210 assignment quiz.

Student Answer: 1.53

1.60

2.33

2.56

Points Received: 4 of 4

Comments:

15. Question : The standard normal distribution has all the following properties EXCEPT:

Student Answer: The mean, mode, and median are all equal

The total area under the curve equals 1

The curve is specified by two parameters, the mean and the standard deviation

The curve extends to + and – 3 standard deviations from the mean

Points Received: 4 of 4

Comments:

16. Question : According to the Empirical Rule, approximately _______% of the data in a normal distribution will fall within ±1 standard deviation of the mean.

Student Answer: 34

68

95

99.7

Points Received: 4 of 4

Comments:

17. Question : In statistical computations, the number of values that are free to vary is known as

Student Answer: Degrees of freedom. Argosy University – PSY210 assignment quiz.

Freedom factor

Variability index

Variation quotient

Points Received: 4 of 4

Comments:

18. Question : Which of the following reflects a Type I error?

Student Answer: Rejecting the null hypothesis when in reality the null hypothesis is true

Rejecting the null hypothesis when in reality the null hypothesis is false

Accepting the null hypothesis when in reality the null hypothesis is true

Accepting the null hypothesis when in reality the null hypothesis is false

Points Received: 4 of 4

Comments:

19. Question : Which type of sampling is used when the experimenter asks 5 area doctors to refer pregnant women to his study and accepts all women who offer to be in his study? Argosy University – PSY210 assignment quiz.

Student Answer: purposive sampling

convenience sampling

cluster sampling

stratified sampling

Points Received: 4 of 4

Comments:

20. Question : In our statistics equations, n refers to:

Student Answer: mean

standard deviation

normal distribution

number of subjects

Points Received: 4 of 4

Comments:

21. Question : Which of the following is true regarding alpha?

Student Answer: it is also known as the level of significance

value is set by the researcher,

value is equal to the probability of a type I error

all of the above are true

Points Received: 4 of 4

Comments:

22. Question : Macy proposes that boys who play sports are viewed as more attractive than boys who do not play sports. What is her null hypothesis?

Student Answer: Boys who play sports are not viewed as more attractive than boys who do not play sports

Playing sports will influence how attractively boys are viewed

Boys who play sports are more attractive than girls who play sports

There can be no null hypothesis

Points Received: 0 of 4

Comments: the answer is a

23. Question : You calculate a t of 2.38 and note that the tabled value for .01 is 3.22 and for .05 is 2.19. You would conclude that the null hypothesis can be: Argosy University – PSY210 assignment quiz.

Student Answer: Accepted at the .05 level

Rejected at the .01 level

Rejected at the .05 level

None of the above

Points Received: 4 of 4

Comments:

24. Question : A researcher is studying political conservatism among 11 engineering students and 11 humanities students. The number of degrees of freedom for a t test is:

Student Answer: 22

20

11

10

Points Received: 4 of 4

Comments:

25. Question : A t test for dependent groups should be used instead of a t test for independent samples:

Student Answer: If each participant is measured twice

Whenever there are equal numbers of subjects in each group

Whenever there are only two groups

All of the above

Points Received: 0 of 4

Comments: the answer is a

26. Question : In a normal distribution, what percent of the population falls within one and two standard deviations of the mean? Argosy University – PSY210 assignment quiz.

Student Answer: 34%

68%

95%

cannot tell from the information given

Points Received: 4 of 4

Comments:

27. Question : Which of the following is more affected by extreme scores?

Student Answer: Mode

Mean

Median

None of the above are affected

Points Received: 4 of 4

Comments:

28. Question : On a histogram, what does the vertical (y) axis refer to?

Student Answer: Individual scores

Frequencies

Means

Deviation scores

Points Received: 4 of 4

Comments:

29. Question : Which statistic refers to the average amount by which the scores in the sample deviate from the mean?

Student Answer: Range

Standard deviation

Median

Mode

Points Received: 4 of 4

Comments:

30. Question : Assume a normal distribution for N = 300. How many cases would one expect to find between +1 and -1 standard deviations around the mean? Argosy University – PSY210 assignment quiz.

Student Answer: 102

285

150

204

Points Received: 4 of 4

Comments:

31. Question : A z score of zero tells us that the score is at the________of the distribution.

Student Answer: Mean

Very top

Very bottom

None of the above since z cannot be zero

Points Received: 4 of 4

Comments:

32. Question : In a unit normal curve, what goes on the x axis?

Student Answer: Frequencies

Observed scores

z scores

Area

Points Received: 0 of 4

Comments: the answer is c

33. Question : Which of the following is a measure of variability?

Student Answer: Mean

Range

Interval

All of the above

Points Received: 4 of 4

Comments:

34. Question : The only measure of central tendency that can be found for nominal data is the

Student Answer: Mean

Median

Mode

Midrange

Points Received: 4 of 4

Comments:

35. Question : If the probability of event A is 0.45 and the probability of event B is 0.35 and the probability of A and B occurring together is 0.25, then the probability of A OR B is: Argosy University – PSY210 assignment quiz.

Student Answer: 0.8

1.8

0.1575

0.55

Points Received: 4 of 4

Comments:

36. Question : A researcher knows that the average distance commuting students live from campus was previously 8.2 miles. Because of the rising prices of gasoline, the research wants to test the claim that commuting students now live closer to campus. What is the correct alternative hypothesis?

Student Answer: The new mean distance is 8.2 miles.

The new mean distance is less than or equal to 8.2 miles.

The new mean distance is less than 8.2 miles.

The new mean distance is greater than or equal to 8.2 miles.

Points Received: 4 of 4

Comments:

* Times are displayed in (GMT-07:00) Mountain Time (US & Canada). Argosy University – PSY210 assignment quiz.

Aging Population and Clinical Implications Essay

Learning Objectives:

Understand the clinical challenges associated with an aging population.

Comprehend the challenge of a caregiver shortage when we are older.

Define how children and parents see the same illness.

Recognize that the medical students tend to not gravitate towards geriatrics.

Comprehend the varied and interrelated costs associated either directly or indirectly with healthcare employees. Aging Population and Clinical Implications Essay.

 

Readings

Articles:

BRACING FOR THE SILVER TSUNAMI.

LONGITUDINAL ASSESSMENT OF MEDICAL STUDENTS ATTITUDES TOWARD OLDER PEOPLE.

OLDER ADULTS INFLUENCE IN FAMILY CARE.

REASONS WHY OLDER AMERICANS USE COMPLEMENTARY AND ALTERNATIVE MEDICINE.

THE ESSENTIAL COMPONENTS OF QUALITY GERIATRIC CARE.

THE GERIATRICS WORKFORCE ENHANCEMENT INITIATIVE.

SQUARING TO THE CHALLENGE: WHO WILL BE TOMORROW’S CAREGIVERS?

 
Assignments:

These assignments are due on .

Write a 4-page paper speaking to the challenge of ensuring a sufficient number of caregivers exist for our aging population in all disciplines. Why does this issue exist? How will you resolve this projected issue? Aging Population and Clinical Implications Essay

Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers

Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3–5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

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The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.

This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.

Competency 2: Develop change strategies for improving the care environment.

Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.

Justify the specific change strategies used to achieve desired outcomes.

Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.

Explain how change strategies will lead to quality improvement with regard to safety and equitable care.

Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.

Communicate change plan in a way that makes the data and rationale easily understood and compelling.

Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

One area in health care that it is necessary to consider is the environment in which the nurse works. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, disease recovery rates, or another relevant metric or outcome. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

The assessment will be based on one or more outcomes that you would like to see improve. Think about experiences you have had working on setting goals for outcomes or using data to identify areas of need. Part of achieving your goal will be your ability to implement change in pursuit of improving outcomes. The Vila Health: Using Evidence to Drive Improvement simulation may be helpful in this regard.

Where do you look for resources and evidence to help you get started when treating a specific condition?

Where do you look for resources and evidence to help you get started when setting clinical goals?

When there are no guidelines or policies for setting clinical goals, where do you look for resources and evidence to help you get started? Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

How do you use these resources and evidence to begin constructing evidence-based treatment, or developing evidence-based goals?

What data do you plan to use as a basis for setting improved outcome goals?

What care environment do you envision using as the context of your assessment?

How would change models, strategies, or theories need to be applied to help ensure achievement of your outcome goals?

Which change models, strategies, or theories seem to be the best fit for your goals and environments. Why?

Scenario

Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.

For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)

After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

Potential topics for this assessment could be:

Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, ”What could be changed to facilitate safety and minimize risks of infection?”

Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, ”How could the care environment be changed to enhance coping?”

Once you determine the change you would like to make, consider the following:

What data will you use to justify the change?

How can the team achieve this change with a reasonable cost?

What are the effects on the workplace?

What other implementation considerations do you need to consider to ensure that the change strategy is successful?

How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?

Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met? Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

Instructions

Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.

Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.

Justify the specific change strategies used to achieve desired outcomes.

Explain how change strategies will lead to quality improvement with regard to safety and equitable care.

Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.

Communicate the change plan in a way that makes the data and rationale easily understood and compelling.

Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Additional Requirements

Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.

Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

APA formatting: Use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. No abstract is required.

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6021 – Biopsychosocial Concepts for Advanced Nursing Practice I Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

Assessment

Komenan, K., Elidjé, E. J., Ildevert, G. P., Yao, K. I., Kanga, K., Kouamé, K. A., . . . Kanga, J. (2013). Multifocal buruli ulcer associated with secondary infection in HIV positive patient. Case Reports in Medicine, 2013, 1–4. Retrieved from https://www.hindawi.com/journals/crim/2013/348628/

Biopsychosocial

Scaramuzzo, L. A., Gordils-Perez, J., & Cullen, P. M., (2014). Getting patients active: Using national data to drive practice. Clinical Journal of Oncology Nursing, 18, 41–43.

Change

Eads, V., & Maruzzella, G. (2016). The clinical nurse as an agent of change. Medsurg Nursing, 25(3), 173–175.

Heinig, M. J. (2010). Using data to drive and shape change. Journal of Human Lactation, 26(4), 359–361.

Nundy, S., Mishra, A., Hogan, P., Lee, S. M., Solomon, M. C., & Peek, M. E. (2014). How do mobile phone diabetes programs drive behavior change? Evidence from a mixed methods observational cohort study. The Diabetes Educator, 40(6), 806–819.

Evidence and Goal Setting

Ahrens, S., & Johnson, C. S. (2013). Finding the way to evidence-based practice. Nursing Management, 44(5), 15–19.

Taylor, M. V., Priefer, B. A., & Alt-White, A. C. (2016). Evidence-based practice: Embracing integration. Nursing Outlook, 64(6), 575–582. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

View the simulation Vila Health: Using Evidence to Drive Improvement | Transcript.

Pathophysiology

Li, Y., Lu, Z., Zhang, X., Yu, H., Kirkwood, K. L., Lopes-Virella, M. F., & Huang, Y. (2015). Metabolic syndrome exacerbates inflammation and bone loss in periodontitis. Journal of Dental Research, 94(2), 362–370.

Mocan Hognogi, L. D., & Simiti, L. V. (2016). The cardiovascular impact of visfatin – An inflammation predictor biomarker in metabolic syndrome. Clujul Medical, 89(3), 322–326. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

Pharmacology

Sharmila, V., & Babu, T. (2015). Oral contraceptive pills induced hemichorea in an adolescent female with polycystic ovarian disease. Indian Journal of Pharmacology, 47(2), 232–233. Biopsychosocial Concepts for Advanced Nursing Practice Essay Assignment Papers.

Major healthcare organization purchase essay

For this Critical Thinking assignment, imagine that you are tasked with evaluating a major purchase by your healthcare organization.

You have been asked to share the process steps of your purchase evaluation with the board of directors.

For this project, the actual product you are purchasing is secondary to the steps used to evaluate the capability of your organization to afford such a purchase.

However, to assist you with the constructs of this paper, you may select a product to focus on.
A recommended product may be a new MRI-machine
.

Be sure to highlight the time value of money as one of your considerations.

Major healthcare organization purchase essay

structural requirements:

4 pages.

Provide support for your statements with in-text citations from a minimum of 6 scholarly articles (within last 5 years).

Follow APA format.

Has introduction and conclusion.

Major healthcare organization purchase essay

Psychotherapy With Personality Disorders Essay

Since personality represents who someone is at the deepest level, it is understandable that many people with personality disorders resist the idea that they have a fundamental dysfunction with their personality. Even when clients acknowledge that their personality problems are at the heart of their interpersonal problems, they often find it difficult to change. As the mental health professional, how do you overcome this challenge and effectively counsel these clients?

This week, as you explore psychotherapy with personality disorders, you examine therapeutic approaches to treating clients with personality and interpersonal problems. You also develop a client termination summary for a client who may be ready to complete therapy.

Photo Credit: [Tempura]/[E+]/Getty Images

Psychotherapy With Personality Disorders Essay Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
(2nd ed.). New York, NY: Springer Publishing Company.

Chapter 20, “Termination and Outcome Evaluation” (Review pp. 693–712)

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

 

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

Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011).
Psychotherapy for personality disorders. International Review of Psychiatry, 23
(3), 282–302. doi:10.3109/09540261.2011.586992

 

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

Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A. (2015). Personality disorder moderates outcome in short- and long-term group analytic psychotherapy: A randomized clinical trial.
British Journal of Clinical Psychology, 54
(2), 129–146. doi:10.1111/bjc.12065

 

Note:
You will access this text from the Walden Library databases. Psychotherapy With Personality Disorders Essay.

Paris, J. (2004). Personality disorders over time: Implications for psychotherapy.
American Journal of Psychotherapy, 58
(4), 420–429. PMID: 15807086

 

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

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In
Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes
(pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002

 

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

Optional Resources

Dorr, D. (1999). Approaching psychotherapy of the personality disorders from the Millon perspective.
Journal of Personality Assessment
, 72(3), 407–425. PMID: 10491846

Bach, B., Lee, C., Mortensen, E. L., & Simonsen, E. (2016). How do DSM-5 personality traits align with schema therapy constructs?
Journal of Personality Disorders, 30
(4), 502–529. doi:10.1521/pedi_2015_29_212

Walden University. (2016).
ASC success strategies: Studying for and taking a test
. Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting

Psychotherapy With Personality Disorders Essay Discussion: Therapy for Clients With Personality Disorders

Clients with personality disorders often find it difficult to overcome their problems and function in daily life. Even when these clients are aware that they have a dysfunction with their personality and are open to counseling, treatment can be challenging for both the client and the therapist. For this Discussion, as you examine personality disorders, consider therapeutic approaches you might use with clients. Psychotherapy With Personality Disorders Essay.

Learning Objectives

Students will:

Analyze therapeutic approaches to treating clients with personality disorders

To prepare:

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

Select one of the personality disorders from the DSM-5.

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
 a description of the personality disorder you selected. Explain a therapeutic approach (including psychotropic medications if appropriate) you might use to treat a client presenting with this disorder, including how you would share your diagnosis of this disorder to the client in order to avoid damaging the therapeutic relationship. Support your approach with evidence-based literature. Psychotherapy With Personality Disorders Essay.

Read
 a selection of your colleagues’ responses.

By Day 6

Respond
 to at least 
two
 of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 11 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 11 Discussion

Psychotherapy With Personality Disorders Essay Assignment: 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. Psychotherapy With Personality Disorders Essay.

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.

Exam: Final Exam

Learning Objectives

Students will:

Assess knowledge of concepts, principles, and theories related to the psychotherapy of individuals

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. Psychotherapy With Personality Disorders Essay.

This exam will cover the following topics from the Wheeler textbook, which relate to psychotherapy of individuals:

Supportive and Psychodynamic Psychotherapy

Interpersonal Psychotherapy

Humanistic-Existential and Solution-Focused Approaches to Psychotherapy

Psychotherapy With Children

Psychotherapy With Older Adults

Termination and Outcome Evaluation

By Day 7

Complete
 the Final 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. Psychotherapy With Personality Disorders Essay.

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

Week 7: Obsessive-Compulsive Disorders

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

Michelle, age 27

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

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

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

Photo Credit: Mixmike / E+ / Getty Images

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

Required Readings

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

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

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

Chapter 21, “Obsessive-Compulsive Disorder”

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

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

“Obsessive-Compulsive and Related Disorders”

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

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

 

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

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

 

Obsessive-compulsive disorder

citalopram

clomipramine

escitalopram

fluoxetine

fluvoxamine

paroxetine

sertraline

venlafaxine

vilazodone

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

 

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

Required Media

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

 

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

Optional Resources

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

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

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

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

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

Students will:

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

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

Identify medical management needs for clients with obsessive-compulsive disorders

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

Identify community support resources for clients with obsessive-compulsive disorders

Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

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

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

Describe the HPI and clinical impression for the client.

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

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

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

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

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

By Day 7

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

Submission and Grading Information

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

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

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

Click the 
Week 7 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn1+last name+first initial.(extension)” and click 
Open
.

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

Click on the 
Submit
 button to complete your “Captain of the Ship” Project – Obsessive-Compulsive Disorders submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

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

Submit Your Assignment by Day 7

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

Week 7 Assignment 1

Assignment 2:

Week 7 Practicum Journal: Checkpoint for Certification Plan

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

Students will:

Evaluate progress on certification plans

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

What have you done to prepare for your certification?

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

By Day 7

Submit
 your Assignment.

Submission and Grading Information

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

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

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

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

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn2+last name+first initial.(extension)” and click 
Open
.

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

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

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

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

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 2

Assignment 3: Week 5 Practicum: Decision Tree

By Day 7

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

Submission and Grading Information

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

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

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

Click the 
Week 7 Assignment 3 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn3+last name+first initial.(extension)” and click 
Open
.

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

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

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

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 3

Assignment 4: Week 6 Practicum Journal – Reimbursement Rates

By Day 7

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

Submission and Grading Information

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

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

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

Click the 
Week 7 Assignment 4 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK7Assgn4+last name+first initial.(extension)” and click 
Open
.

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

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 4 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

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

Submit Your Assignment by Day 7

To submit your Assignment:

Week 7 Assignment 4

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

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

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

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

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Practicum Reminder

Time Logs:
 You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.

Making Connections

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

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

Treatment of Anxiety Disorders Discussion – NURS 6670

Week 6: Anxiety Disorders, PTSD, and Related Disorders

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

Barbara, age 68

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

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

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Resources

Required Readings

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

Chapter 9, “Anxiety Disorders” (pp. 387–417)

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

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

Chapter 16, “Panic Disorder”

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

Chapter 19, “Generalized Anxiety Disorder”

Chapter 20, “Specific Phobia”

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

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

“Anxiety Disorders”

“Trauma- and Stressor-Related Disorders”

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

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

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

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

 

Anxiety

Generalized anxiety disorder

Panic disorder

alprazolam

amitriptyline

amoxapine

buspirone

chlordiazepoxide

citalopram

clomipramine

clonazepam

clonidine

clorazepate

cyamemazine

desipramine

diazepam

dothiepin

doxepin

duloxetine

escitalopram

fluoxetine

fluvoxamine

gabapentin (adjunct)

hydroxyzine

imipramine

isocarboxazid

lofepramine

loflazepate

lorazepam

maprotiline

mianserin

mirtazapine

moclobemide

nefazodone

nortriptyline

oxazepam

paroxetine

phenelzine

pregabalin

reboxetine

sertraline

tiagabine

tianeptine

tranylcypromine

trazodone

trifluoperazine

trimipramine

venlafaxine

vilazodone

alprazolam

citalopram

desvenlafaxine

duloxetine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

paroxetine

pregabalin

sertraline

tiagabine (adjunct)

venlafaxine

alprazolam

citalopram

clonazepam

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

lorazepam

mirtazapine

nefazodone

paroxetine

phenelzine

pregabalin

reboxetine

sertraline

tranylcypromine

venlafaxine

Posttraumatic stress disorder

Reversal of benzodiazepine effects

Social anxiety disorder

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

mirtazapine

nefazodone

paroxetine

prazosin (nightmares)

propranolol (prophylactic)

sertraline

venlafaxine

flumazenil

citalopram

clonidine

desvenlafaxine

escitalopram

fluoxetine

fluvoxamine

isocarboxazid

moclobemide

paroxetine

phenelzine

pregabalin

sertraline

tranylcypromine

venlafaxine

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

 

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

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

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

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

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

Document:
Reimbursement Rate Template (Word document)

Required Media

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

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

Optional Resources

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

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

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

Discussion: Treatment of Anxiety Disorders

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

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

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Objectives

Students will:

Analyze differences between adjustments disorders and anxiety disorders

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

Analyze evidence-based psychotherapy and psychopharmacologic treatment for anxiety disorders

Compare differential diagnostic features of anxiety disorders

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit! Treatment of Anxiety Disorders Discussion – NURS 6670

To prepare for this Discussion:

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

Review the Learning Resources.

By Day 3

Post:

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

Explain the diagnostic criteria for your assigned anxiety disorder.

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

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

By Day 6

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

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion

Assignment 1: Midterm Exam

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

Treatment of Anxiety Disorders Discussion – NURS 6670 Learning Objectives

Students will:

Assess knowledge of adult and older adult psychotherapy concepts and principles

This exam will cover the following topics:

Psychiatric Assessment of the Adult and Older Adult

Depressive Disorders

Personality Disorders

Substance-Related and Addictive Disorders

Bipolar Disorders

Anxiety Disorders, PTSD, & Related Disorders

By Day 7

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

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

By Day 7

Submit
 your Exam.

Submission and Grading Information

Submit Your Exam by Day 7

To submit your Exam:

Week 6 Midterm Exam

Assignment 2:

Week 6 Practicum Journal: Reimbursement Rates

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

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

Learning Objectives

Students will:

Analyze reimbursement rates for mental health treatments

Treatment of Anxiety Disorders Discussion – NURS 6670

To prepare for this Practicum Journal:

Research reimbursement rates for various treatment modalities.

Compare NP rates to other provider rates.

For this Practicum Journal:

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

By Day 7 of Week 7

Submit
 your Assignment.

Assignment 3: Board Vitals

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

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Treatment of Anxiety Disorders Discussion – NURS 6670.

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

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

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

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

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment

Week 5: Bipolar Disorders

I am finally doing everything right. I stayed up all night studying for my final exams and even managed to clean out my closet and order a whole new bedroom from the Internet. I know I will ace all my exams. Nothing can go wrong like they did a few months ago. I was so low and was sleeping all the time. I did not think I would ever be happy again, but now I know I can do anything. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Jessica, age 22

Bipolar disorder is relatively rare with around only 3% of the population diagnosed with one of them. Although being relatively rare in terms of lifetime prevalence, bipolar disorder is burdensome to the individual and health care system because of its early onset, severity, and chronic nature. The average age of onset is around 25 and affects men and women equally. The importance of evidence-based intervention for treatment in persons with bipolar disorder cannot be underestimated. Unstable mood can result in repeat chronic hospitalizations. Developing a good rapport and relationship with the client can make a difference in the course, symptom management, and stability of the person with bipolar disorder.

This week, you will once again become “cCaptain of the Sship” as you take full responsibility for a client with a bipolar disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. You will use the decision tree format to justify your rationale for diagnosis, pharmacological treatment, and psychotherapy of a patient with a mental illness. You also will evaluate the results of your Fitzgerald University Exit Comprehensive Exam and, based on those results, develop a plan of action to prepare for the certification exam. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment Learning Resources

Required Readings

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

Chapter 8, “Mood Disorders” (pp. 347–386)

Note:
This is review from the Learning Resource in Week 2.

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

Chapter 13, “Acute and Maintenance Treatment of Bipolar and Related Disorders”

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

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

“Bipolar and Related Disorders”

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

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

 

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

 

Bipolar depression

Bipolar disorder

Bipolar maintenance

Mania

amoxapine

aripiprazole

armodafinil

asenapine

bupropion

carbamazepine

fluoxetine

iloperidone

lamotrigine

lithium

lurasidone

modafinil

olanzapine

olanzapine-fluoxetine combination

quetiapine

risperidone

sertindole

valproate (divalproex)

ziprasidone

alprazolam (adjunct)

amoxapine

aripiprazole

asenapine

bupropion

carbamazepine

chlorpromazine

clonazepam (adjunct)

cyamemazine

doxepin

fluoxetine

flupenthixol

fluphenazine

gabapentin (adjunct)

haloperidol

iloperidone

lamotrigine

levetiracetam

lithium

lorazepam (adjunct)

loxapine

lurasidone

molindone

olanzapine

olanzapine-fluoxetine combination

oxcarbazepine

paliperidone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

thiothixene

topiramate (adjunct)

trifluoperazine

valproate (divalproex)

ziprasidone

zonisamide

zotepine

zuclopenthixol

aripiprazole

asenapine

carbamazepine

iloperidone

lamotrigine

lithium

lurasidone

olanzapine

olanzapine-fluoxetine combination

quetiapine

risperidone (injectable)

sertindole

valproate (divalproex)

ziprasidone

alprazolam (adjunct)

aripiprazole

asenapine

carbamazepine

chlorpromazine

clonazepam (adjunct)

iloperidone

lamotrigine

levetiracetam

lithium

lorazepam (adjunct)

lurasidone

olanzapine

quetiapine

risperidone

sertindole

valproate (divalproex)

ziprasidone

zotepine

Marsee, K., & Gross, A. F. (2013). Bipolar disorder or something else?
Current Psychiatry, 12
(2), 43–49. Retrieved from http://www.mdedge.com/currentpsychiatry/article/66320/bipolar-disorder/bipolar-disorder-or-something-else

Miller, L. J., Ghadiali, N. Y., Larusso, E. M., Wahlen, K. J., Avni-Barron, O., Mittal, L., & Greene, J. A. (2015). Bipolar disorder in women.
Health Care for Women International, 36
(4), 475–498. doi:10.1080/07399332.2014.962138

 

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

Schouws, S. M., Comijs, H. C., Dols, A., Beekman, A. F., & Stek, M. L. (2016). Five-year follow-up of cognitive impairment in older adults with bipolar disorder.
Bipolar Disorders, 18
(2), 148–154. doi:10.1111/bdi.12374. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Ward, I. (2017). Pharmacologic options for bipolar disorder.
Clinical Advisor, 20
(3), 17–25.

 

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

Required Media

Laureate Education (Producer). (2017d).
A young woman with depression
[Multimedia file]. Baltimore, MD: Author.

Redfield Jamison, K. (Producer). (n.d.).
Assessment & psychological treatment of bipolar disorder
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
The approximate length of this media piece is 52 minutes.

 

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

Optional Resources

Malhi, G. S., McAulay, C., Gershon, S., Gessler, D., Fritz, K., Das, P., & Outhred, T. (2016). The lithium battery: Assessing the neurocognitive profile of lithium in bipolar disorder.
Bipolar Disorders, 18
(2), 102–115. doi:10.1111/bdi.12375

Samalin, L., de Chazeron, I., Vieta, E., Bellivier, F., & Llorca, P. (2016). Residual symptoms and specific functional impairments in euthymic patients with bipolar disorder.
Bipolar Disorders, 18
(2), 164–173. doi:10.1111/bdi.12376. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Assignment 1: “Captain of the Ship” Project – Bipolar Disorders

Bipolar disorders are severe disorders of mood that include both depressive episodes and expansive, grandiose, or manic episodes. During these times, the person may engage in activities with little awareness of the consequences because of accompanying psychosis. A diagnosis of bipolar disorder includes periods of mania or hypomania and periods of depression where the mood is down, hopeless, and suicidal. The neurovegetative symptoms of bipolar depression can be incapacitating. It is also important to differentiate the psychosis of bipolar disorder from schizophrenia.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a bipolar disorder.

Learning Objectives

Students will:

Recommend psychopharmacologic treatments based on therapeutic end points for clients with bipolar disorders

Recommend psychotherapy based on therapeutic end points for clients with bipolar disorders

Identify medical management needs for clients with bipolar disorders

Identify community support resources for clients with bipolar disorders

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment

Recommend follow-up plans for clients with bipolar disorders

To prepare for this Assignment:

Select an adult or older adult client with a bipolar disorder that you have seen in your practicum.

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

Describe the HPI and clinical impression for the client.

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

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

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

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

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

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 “WK5Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 5 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 5 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK5Assgn1+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
.

NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 5 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 5 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 5 Assignment 1

Assignment 2: FHEA Exam Follow-up

In Week 3 you completed the Fitzgerald University Exit Comprehensive Exam and you should have received your results. This exam is an example of the certification exam you may be required to take in order to be licensed as a PMHNP in your state. Your results from the exam may reflect how you would do in the actual certification exam.

In this Assignment, you will develop a plan of action to address any areas of the exam where you may have scored less than acceptable.

Learning Objectives

Students will:

Develop plan of action for certification exam preparation

To prepare for this Assignment:

Develop plan of action for certification exam preparation

In 1 page:

Based on your results from the FHEA Exam, develop a plan of action, including an academic study plan, which will help you maintain your areas of strength and address the areas that need improvement, and help you prepare for the Certification Exam. Address each area of the exam including:

Foundations of Advanced Practice Nursing

Independent Practice Competencies

Professional Role and Policy

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 “WK5Assgn2+last name+first initial.(extension)” as the name.

Click the 
Week 5 Assignment 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 5 Assignment 2 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK5Assgn2+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 5 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 5 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 5 Assignment 2

Assignment 3:

Practicum: Decision Tree

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

Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

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

Examine Case 2:
 You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

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. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

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. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

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

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

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

By Day 7 of Week 7

Submit
 your Assignment.

Assignment 4: Board Vitals

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

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

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 once again became “captain of the ship” as you took full responsibility for a client with a bipolar disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs, community support, and recommending follow-up plans. You used the decision tree format to justify your rationale for diagnosis, pharmacological treatment, and psychotherapy of a patient with a mental illness. You also evaluated the results of your Fitzgerald University Exit Comprehensive Exam and, based on those results, developed a plan of action to help you prepare for the certification exam. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

Next week, you will explore evidence-based treatment methods for clients with anxiety disorders. You will complete a midterm exam and analyze reimbursement rates for treatment of mental health disorders. NURS 6670 “Captain of the Ship” Project – Bipolar Disorders Assignment.

NURS 6670 Discussion: Clinical Supervision – Kaltura

Week 4: Substance-Related and Addictive Disorders

I can’t believe that stupid horse lost! My inside man told me it was a sure bet at 20:1 odds. I thought for sure that I would be able to make back the money I lost yesterday. What am I going to tell my wife? That was the money for the mortgage payment…well, the last three mortgage payments. She does not know I have been spending my days at the track. I lost my job at the company because a few hundred dollars went missing. I just need a break. I know this next horse will be my winner! NURS 6670 Discussion: Clinical Supervision – Kaltura.

Michael, age 37

Substance abuse and addiction affects persons in all walks of life; every ethnic and economic group is affected in some way by addiction or substance abuse. In your practice as a PMHNP, you will encounter patients with substance abuse and dependence. Some of the people who present for treatment are at a low point in their lives and want to turn things around. They may present for other conditions such as depression or bipolar disorder, anxiety, PTSD, or personality disorders. One of the most common ways of self-medicating a mental illness is with alcohol and illicit drugs. Marijuana is a common substance used by clients to treat various symptoms. To effectively treat clients with addictive disorders and substance use disorders, the provider needs to examine their own values and thoughts about the use of substances. NURS 6670 Discussion: Clinical Supervision – Kaltura.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

This week, you will analyze clients presenting for treatment of substance-related and addictive disorders and evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders.

Photo Credit: ianmcdonnell / iStock / Getty Images Plus

NURS 6670 Discussion: Clinical Supervision – Kaltura 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 20, “Substance Use and Addictive Disorders” (pp. 616–693)

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

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

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

 

Note:
All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/. NURS 6670 Discussion: Clinical Supervision – Kaltura.

 

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

Alcohol abstinence

Alcohol dependence

Alcohol withdrawal

Nicotine addiction

Opioid dependence

Reversal of benzodiazepine effects

acamprosate

disulfiram

nalmefene

naltrexone

chlordiazepoxide

clonidine

clorazepate

diazepam

lorazepam

oxazepam

bupropin

varenicline

buprenorphine

naltrexone

flumazenil

Note:
 For more information about buprenorphine, see https: //www.samhsa.gov/medication-assisted-treatment/qualify-nps-pas-waivers

Required Media

Ashwood, D. (Producer). (n.d.-a).
Mindfulness-based relapse prevention for addictions: Volume I
[Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
The approximate length of this media piece is 69 minutes. You will access this video through the Walden Library databases.

Ashwood, D. (Producer). (n.d.-b).
Mindfulness-based relapse prevention for addictions: Volume II
[Video file]. Mill Valley, CA: Psycotherapy.net. NURS 6670 Discussion: Clinical Supervision – Kaltura.

 

Note:
The approximate length of this media piece is 126 minutes. You will access this video through the Walden Library databases. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Optional Resources

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

Chapter 46, “Alcohol-Related Disorders”

Chapter 47, “Sedative-, Hypnotic-, or Anxiolytic-Related Disorders”

Chapter 48, “Opioid-Related Disorders: Opioid Detoxification”

Chapter 49, “Opioid-Related Disorders: Antagonist Treatment”

Chapter 50, “Opioid-Related Disorders: Agonist Maintenance Treatment”

Chapter 51, “Hallucinogen-Related Disorders

Chapter 52, “Cannabis-Related Disorders”

Chapter 53, “Club Drug Addiction”

Chapter 54, “Stimulant-Related Disorders”

Chapter 55, “Nicotine-Related Disorders”

Chapter 56, “Individual Therapy for Substance Use Disorders”

Chapter 57, “Cognitive, Behavioral, and Motivational Therapies for Substance Use Disorders”

Chapter 58, “Group Therapy for Substance Use Disorders”

Chapter 59, “Family Therapy in Substance Abuse Treatment”

Chapter 60, “Network Therapy for Substance Use Disorders”

Chapter 61, “Pain and Addiction”

Chapter 62, “Gambling Disorder”

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

Bechtold, J., Simpson, T., White, H. R., & Pardini, D. (2015). Chronic adolescent marijuana use as a risk factor for physical and mental health problems in young adult men. Psychology of Addictive Behaviors, 29(3), 552–563. doi:10.1037/adb0000103

Note:
You will access this article from the Walden Library databases. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Substance Abuse and Mental Health Services Administration (SAMHSA). (2013b).
TIP 48: Managing depressive symptoms in substance abuse clients during early recovery
. Retrieved from http://store.samhsa.gov/product/TIP-48-Managing-Depressive-Symptoms-in-Substance-Abuse-Clients-During-Early-Recovery/SMA13-4353. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Note:
This document is available as free download.

Substance Abuse and Mental Health Services Administration (SAMHSA). (2013b).
TIP 42: Substance abuse treatment for persons with co-occurring disorders
. Retrieved from http://store.samhsa.gov/product/TIP-42-Substance-Abuse-Treatment-for-Persons-With-Co-Occurring-Disorders/SMA13-3992

Note:
This document is available as free download.

Borchardt, D. (2017).
National Academy of Sciences pushes for rescheduling of marijuana. Forbes
. Retrieved from https://www.forbes.com/sites/debraborchardt/2017/01/18/national-academy-of-sciences-suggests-removing-barriers-to-cannabis-research-basically-deschedule/#22269c753f76. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Discussion: Clinical Supervision – Kaltura

Substance use disorders are complicated psychiatric and medical conditions that involve physical addiction as well as psychological or emotional dependence. Substance use disorders are some of the most difficult to treat. It takes a great deal of patience on the part of the provider and the client. It may take several attempts before a client is successfully able to “kick the habit.” Your guidance and patience can help the client to persevere through difficult times during the journey to recovery. NURS 6670 Discussion: Clinical Supervision – Kaltura.

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

Learning Objectives

Students will:

Analyze clients presenting for treatment of substance-related and addictive disorders

Evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders

Recommend treatment plans

Note:
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking
Submit
! NURS 6670 Discussion: Clinical Supervision – Kaltura.

To prepare for this Discussion:

Review this week’s Learning Resources concerning treating patients with substance-related and addictive disorders.

Reflect on a client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with substance-related and addictive disorders. NURS 6670 Discussion: Clinical Supervision – Kaltura.

By Day 3

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

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

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

Identify any additional information about this client that may potentially impact expected outcomes. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Provide specific recommendations for the client to help them in determining why they are not progressing and what your suggested treatment plan consists of. It is useful to consult the Prochaska and DiClement model.

Note:
Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner. NURS 6670 Discussion: Clinical Supervision – Kaltura.

View
 a selection of your colleagues’ responses.

By Day 6

Respond
 to at least 
two
 of your colleagues by suggesting an alternate therapeutic approach. Support your feedback with evidence-based literature and/or your own experiences with clients.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 4 Discussion

Assignment 1: Week 1 Practicum Journal Entry: Certification Plan

By Day 7

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

Submission and Grading Information

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

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

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

Click the 
Week 4 Assignment 1 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK4Assgn1+last name+first initial.(extension)” and click 
Open
. NURS 6670 Discussion: Clinical Supervision – Kaltura.

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

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

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

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 1

Assignment 2: Week 2 Practicum Journal: Safe Prescribing

By Day 7

Submit
 your Assignment. Refer to Week 2 for additional guidance.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK4Assgn2+last name+first initial.(extension)” as the name.

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

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

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

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

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

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 2

Assignment 3: Week 3 Practicum Journal: Decision Tree

By Day 7

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

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK4Assgn3+last name+first initial.(extension)” as the name.

Click the 
Week 4 Assignment 3 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 4 Assignment 3 
link. You will also be able to “View Rubric” for grading criteria from this area. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK4Assgn3+last name+first initial.(extension)” and click 
Open
.

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

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 3 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 3 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 3

Assignment 4: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. NURS 6670 Discussion: Clinical Supervision – Kaltura.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 Discussion: Clinical Supervision – Kaltura.

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

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Practicum Reminder

Time Logs: 
You are required to keep a log of the time you spend related to your practicum experience 
and enter every patient you see each day
. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. NURS 6670 Discussion: Clinical Supervision – Kaltura.

Making Connections

This week, you analyzed clients presenting for treatment of substance-related and addictive disorders and evaluated effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders.

Next week, you will, once again, become “captain of the ship” as you take full responsibility for a client with a bipolar disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans. You will use the decision tree format to justify your rationale for diagnosis, pharmacological treatment, and psychotherapy of a patient with a mental illness. You also will evaluate the results of your Fitzgerald University Exit Comprehensive Exam and, based on those results, develop a plan of action to prepare for the certification exam. NURS 6670 Discussion: Clinical Supervision – Kaltura.

NURS 6670 Discussion: Treatment of Personality Disorders

Week 3: Personality Disorders

I cannot believe these people. Don’t they know who I am? I deserve better treatment than this. That hostess should have seated me immediately, but I had to wait for 10 minutes and then she put me at this table right by the kitchen. I see an empty table right in the middle where I should be. I am just going to get up and move there. I don’t care what the hostess says, rules don’t apply to me.

Ashley, age 25

Personality disorders represent perhaps the most challenging disorders that the psychiatric mental health nurse practitioner will have to address in their professional careers. Personality disorders can co-occur in every mental health disorder and, in some cases, can mask as disorder . Although difficult to treat, the PMHNP must be able to identify personality disorders and endeavor to work with the client to not only recognize the disorder, but to treat a disorder that clients often do not believe they have. NURS 6670 Discussion: Treatment of Personality Disorders.

NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS

This week, you will explore the many personality disorders and use the DSM-5 criteria for diagnosing individuals with specific personality disorders. You will use the Decision Tree format to diagnose and treat a client with a personality disorder. You also will complete the Fitzgerald University Exit Comprehensive Exam to determine your readiness for the certification exam. NURS 6670 Discussion: Treatment of Personality Disorders.

Photo Credit: kaisersosa67 / iStock / Getty Images Plus / Getty Images

NURS 6670 Discussion: Treatment of Personality 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

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 4, “Theories of Personality and Psychopathology” (pp. 151–191)

Chapter 22, “Personality Disorders” (pp. 742–762)

Chapter 13, “Psychosomatic Medicine” (pp. 451–464)

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

Chapter 68, “Paranoid, Schizotypal, and Schizoid Personality Disorders”

Chapter 69, “Antisocial Personality Disorder”

Chapter 70, “Borderline Personality Disorder”

Chapter 71, “Histrionic Personality Disorder”

Chapter 72, “Narcissistic Personality Disorder”

Chapter 73, “Cluster C Personality Disorders

Note:
You will access this book from Walden Library databases. NURS 6670 Discussion: Treatment of Personality Disorders.

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

“Personality Disorders”

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

Perry, J. C., Presniak, M. D., & Olson, T. R. (2013). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders.
Psychiatry: Interpersonal & Biological Processes, 76
(1), 32–52. doi:10.1521/psyc.2013.76.1.32

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

Rees, C. S., & Pritchard, R. (2015).
Brief cognitive therapy for avoidant personality disorder. Psychotherapy, 52
(1), 45–55. doi:10.1037/a0035158

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

Required Media

Laureate Education. (2017a).
A woman with personality disorder
[Interactive media file]. Baltimore, MD: Author.

Kernberg, O. (n.d.).
Psychoanalytic psychotherapy for personality disorders: An Interview with Otto Kernberg
, MD. [Video file]. Mill Valley, CA: Psychotherapy.net

Note:
This video is approximately 94 minutes of length. You will access this article from Walden Library databases.

Discussion: Treatment of Personality Disorders

Personality disorders occur in 10–20% of the population. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research. NURS 6670 Discussion: Treatment of Personality Disorders.

NURS 6670 Discussion: Treatment of Personality Disorders Learning Objectives

Students will:

Analyze diagnostic criteria for personality disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatments for personality disorders

Analyze clinical features of clients with personality disorders

Align clinical features with DSM-5 criteria

Compare differential diagnostic features of personality disorders

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

To prepare for this Discussion:

By Day 5 of Week 2, your Instructor will have assigned you a personality disorder, which will be your focus for your initial post for this Discussion.

Review the Learning Resources. NURS 6670 Discussion: Treatment of Personality Disorders.

By Day 3

Post:

Explain the diagnostic criteria for your assigned personality disorder.

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

Describe clinical features from a client that led you to believe this client had this disorder. Align the clinical features with the DSM-5 criteria. NURS 6670 Discussion: Treatment of Personality Disorders.

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

By Day 6

Respond
 to at least 
two
 of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. What are their similarities and differences? How might you differentiate the two diagnoses? NURS 6670 Discussion: Treatment of Personality Disorders.

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 1: Decision Tree

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

NURS 6670 Discussion: Treatment of Personality Disorders Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

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

** Assigned in Week 3 and submitted in Week 4

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. NURS 6670 Discussion: Treatment of Personality Disorders.

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. NURS 6670 Discussion: Treatment of Personality Disorders.

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? NURS 6670 Discussion: Treatment of Personality Disorders.

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? NURS 6670 Discussion: Treatment of Personality Disorders.

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

Note:
 Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. NURS 6670 Discussion: Treatment of Personality Disorders.

By Day 7

Submit
 by Day 7 of Week 4.

Assignment 2: Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam

In Weeks 1 or 2 of this course, you received an e-mail from Fitzgerald Health Education Associates (FHEA) explaining how to access the Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam. Please follow the directions FHEA provided and complete the exam. You must complete the exam by Day 7 of Week 3 to receive a grade. Each exam is worth 100 points and 10% of your grade. The 3-hour exam is required and will provide you with an overall view of your preparedness for the certification exam.

Note:
 Your Instructor receives the results and will inform you when the results are available. Do not e-mail the Fitzgerald site. NURS 6670 Discussion: Treatment of Personality Disorders.

NURS 6670 Discussion: Treatment of Personality Disorders Assignment 3: Board Vitals

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

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 Discussion: Treatment of Personality Disorders.

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

NURS 6670 Discussion: Treatment of Personality Disorders Making Connections

This week, you explored the many personality disorders and used the DSM-5 criteria for diagnosing individuals with specific personality disorders. You used the Decision Tree format to diagnose and treat a client with a personality disorder. You also completed the Fitzgerald University Exit Comprehensive Exam to determine your readiness for the certification exam. NURS 6670 Discussion: Treatment of Personality Disorders.

Next week, you will analyze clients presenting for treatment of substance-related and addictive disorders and evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders. NURS 6670 Discussion: Treatment of Personality Disorders.