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    – 2 years ago **files (1)** – ## discussion10.docx **## discussion10.docx** Here are the course learning objectives for your review: **MN668-1:** Construct a consistent approach to the evaluation and management of mental health disorders and conditions for clients across the lifespan presenting in t…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## discussion10.docx

    **## discussion10.docx**

    Here are the course learning objectives for your review:

    **MN668-1:** Construct a consistent approach to the evaluation and management of mental health disorders and conditions for clients across the lifespan presenting in the acute and/or primary care setting.

    **MN668-2:** Design a professional approach to transition to clinical practice in the PMHNP role.

    Provide evidence (citations and references) to support your statements and opinions.

    **Can you read what others have written and rewrite it. It does not have to be lengthy.**

    First response:

    **MN668-1: Construct a consistent approach to the evaluation and management of mental health disorders and conditions for clients across the lifespan presenting in the acute and/or primary care setting**

    **How the Objective Was Met**: This objective was met through various course materials and assignments that emphasized a consistent approach to the evaluation and management of mental health disorders. The course provided numerous resources to enhance our understanding and application of a standardized approach for evaluating and managing mental health disorders across various healthcare settings and throughout the lifespan (Dawood et al., 2024). For example, it utilized contemporary textbooks such as the "Diagnostic and Statistical Manual of Mental Disorders" and "Kaplan & Sadock's Synopsis of Psychiatry" to build a solid foundation of knowledge. Additionally, we were able to translate theoretical knowledge into practical applications through case studies and interactive discussions in the live seminars. By analyzing and discussing these cases in group settings, we developed a systematic and consistent approach to managing mental health disorders. The forum discussions and peer feedback enhanced our evaluation and management techniques and nurtured our critical thinking skills. Moreover, tasks such as creating treatment plans and conducting simulated examinations further reinforced the consistent approach we aimed to establish. Utilizing evidence-based protocols and validated assessment tools, we gained proficiency in assessing mental health disorders and tailoring appropriate interventions (Connors et al., 2020).

    **Examples**:

    1.
    **Weekly Live Seminars**: The live seminars provided an interactive platform to discuss case studies and review new learning content. These seminars encouraged engagement with the instructor and peers, fostering a deeper understanding of how to construct a consistent approach to evaluation and management.

    2.
    **Weekly SOAP Notes**: These assignments required students to document patient encounters, broadening their mindset to investigate differentials and treatment options. This practice was crucial in developing a systematic approach to patient care.

    3.
    **Case Studies**: The case studies during seminars allowed us to develop comprehensive treatment plans for patients. This exercise emphasized the importance of a detailed patient history, accurate diagnosis, and individualized treatment plans.

    Along with lectures, the course materials included case studies and clinical scenarios that required students to apply their knowledge of mental health evaluation and management. These practical exercises allowed students to create individualized treatment plans for clients with different mental health disorders, considering their unique needs and symptoms. Additionally, the course provided evidence-based guidelines and best practices in mental health management, ensuring that students developed a strong foundation for clinical decision-making.

    **MN668-2: Design a professional approach to transition to clinical practice in the PMHNP role**

    **How the Objective Was Met**: The course facilitated the creation of a professional transition plan into the PMHNP role and provided a consistent approach to evaluating and managing mental health disorders across the lifespan in various healthcare settings. By incorporating a variety of engaging assignments, activities, and learning resources, the MN668 course effectively met the majority of its learning objectives. This was achieved through focused weekly topics, practical assignments, and in-person clinical encounters. The course offered opportunities for self-reflection through the weekly reflective videos and soap notes that allowed us to assess our strengths and areas for growth as future PMHNPs. This process enabled us to identify specific learning needs for our transition to clinical practice and develop individualized professional development plans (Owen et al., 2020).

    **Examples**:

    1.
    **Reflective Video Journals**: These assignments encouraged self-reflection on clinical experiences, allowing students to critically evaluate their strengths and areas for improvement. This practice was instrumental in designing a professional approach to clinical practice.

    2.
    **Professional Portfolio**: Creating a professional portfolio helped students outline their steps for entering the clinical practice, including identifying potential employers, networking strategies, and continuing education plans. This structured approach was crucial for a smooth transition into the PMHNP role.

    3.
    **In-Person Clinical Hours**: The 130 hours of clinical encounters provided real-life exposure to a variety of patients, enhancing critical thinking and decision-making skills. This hands-on experience was invaluable in developing confidence and competence in clinical practice.

    In conclusion, the course effectively met the learning objectives by providing a robust framework for evaluating and managing mental health disorders and facilitating a smooth transition to clinical practice. The combination of theoretical knowledge, practical assignments, and reflective exercises equipped students with the necessary skills and confidence to excel as PMHNPs (Cardoso et al., 2021). The integration of diverse course materials allowed for a well-rounded understanding of mental health management across different settings, and I feel equipped to tackle the challenges I will face as a future PMHNP. . However, additional hands-on training in acute and primary care environments could further enhance the achievement of certain learning goals. Overall, the course offered prospective PMHNPs a solid foundation for success in their future clinical practice.

    **Second Response**

    **MN668-1: Construct a consistent approach to the evaluation and management of mental health disorders and conditions for clients across the lifespan presenting in the acute and/or primary care setting.**

    **I feel that I have met this objective, as I can now approach evaluations of mental health disorders systematically, integrate evidence-based interventions, and adapt my approach based on the patient’s needs. The course provided various case studies, and through these, I practiced how to perform comprehensive evaluations of clients presenting with mental health concerns. For example, in an assignment focused on the assessment of a patient with anxiety and depression, I was tasked with completing a full psychiatric evaluation. I used evidence-based tools, such as the PHQ-9 and GAD-7, to assess the severity of the patient’s symptoms, and based on the results, I developed an individualized treatment plan that included pharmacological and non-pharmacological interventions.  (Ford, 2020). This helped me refine my approach to creating a treatment plan that is both systematic and personalized to the patient's needs. Through these experiences, I gained a solid understanding of the importance of comprehensive assessments and the need to consider each patient’s unique context, including age, co-occurring conditions, and social determinants of health.**

    **MN668-2: Design a professional approach to transition to clinical practice in the PMHNP role.**

    **This objective focused on preparing for the transition into clinical practice as a Psychiatric-Mental Health Nurse Practitioner (PMHNP). I believe I made significant strides in meeting this objective through self-reflection, feedback from preceptors, and actively engaging in clinical practice. One of the assignments that helped me with this transition was the professional development plan, which required me to outline goals for my clinical practice, identify strengths, and address areas for growth. (Ruzafa, 2024). This exercise was crucial in helping me assess my current skill set and set a roadmap for further development. The readings and videos on the PMHNP role were particularly helpful in understanding what is expected in clinical practice. For example, the course material prepared me for the complexities of clinical decision-making, confidentiality, and patient advocacy, all of which are crucial in the transition to clinical practice. These materials allowed me to integrate theory with the reality of patient care, especially in the context of the mental health field.**

    **References:**

    **Ford, J., Thomas, F., Byng, R., & McCabe, R. (2020). Use of the Patient Health Questionnaire (PHQ-9) in Practice: Interactions between patients and physicians.**
    **_Qualitative health research_,**
    **_30_(13), 2146–2159.** [**https://doi.org/10.1177/1049732320924625**](https://doi.org/10.1177/1049732320924625)

    **Ruzafa-Martínez, M., Pérez-Muñoz, V., Conesa-Ferrer, M. B., Ramos-Morcillo, A. J., & Molina-Rodríguez, A. (2024). Effectiveness of Training in Evidence-Based Practice on the Development of Communicative Skills in Nursing Students: A Quasi-Experimental Design.**
    **_Healthcare (Basel, Switzerland)_,**
    **_12_(18), 1895.** [**https://doi.org/10.3390/healthcare12181895**](https://doi.org/10.3390/healthcare12181895)

    **THIRD POST**

    **MN668-1**

    **I do believe that the course objectives were met. Throughout this semester, we discussed numerous psychiatric disorders such as somatic disorders and personality disorders while also discussing how to perform an assessment on psychiatric patients. The assessment of psychiatric patients can be tedious as some patients are void of trust and are not always in agreeance with a psychological evaluation. According to Srinath et al., (2019), some patients evade unveiling information as they may feel as if the information disclosed maybe uncomfortable or shameful. Given the avoidance of certain information, it requires careful questioning from numerous sources such as family members or other healthcare providers. The psychiatric interview process was also discussed, including topics on proper documentation of the mental status exam and its significance. According to Rocha Neto et al., (2019), within the domain of mental health practice, the mental status examination serves as a counterpart to the physical exam routinely employed in clinical setting. The mental status exam provides a standardized method for gathering objective data pertaining to the patient’s mental state. Nevertheless, the documentation of the mental status exam should be concise to assist providers in monitoring patient’s behavior and facilitating communication among healthcare professionals. For instance, documenting details such as tattoos or scars is essential especially in patients with a history of self-harm. Scars can serve as a narrative of past significant injuries, resulting from either accidental trauma, inflicted harm by another individual, or self-mutilation (Voss & Das, 2024). Common manifestations of self-inflicted injuries include superficial lacerations, injection sites from intravenous substance use, or remnants of past suicidal attempts (Voss & Das, 2024). This is particularly important in psychiatric emergencies such as suicidal crisis or violent aggressive behaviors which was discussed this semester.**

    **MN 668-2**

    **I do believe that these course objectives were met as I believe that this course provided a professional approach to transitioning into clinical practice as a PMHNP. One of the key elements that was utilized during the coursework was scenario-based questions which allowed students to appropriately diagnose patients. The information that was provided during the seminar not only prepared students for clinical practice but also prepared students for certification boards. Students were also provided with board style questions which allowed critical thinking to appropriately conclude the correct answer.  Throughout this semester we designed age-appropriate treatment plans which allowed us to depict the proper maintenance screening plans for patients. The utilization of tools like the GAD-7 and PHQ-9 is valuable information in clinical practice in aiding with the assessment and therapeutic treatment response of anxiety and depression (Vallath et al., 2024). Comprehensive and continuous management is essential for optimal outcomes in patients with mental health disorders. Measurement-based care, which involves regular assessment of symptom severity and treatment response, is a cornerstone of modern care. Accurate and efficient monitoring tools are crucial for guiding treatment decisions and facilitating early detection of treatment non-response or relapse.**

    **References**

    **Rocha Neto, H. G., Estellita-Lins, C. E., Lessa, J. L. M., & Cavalcanti, M. T. (2019). Mental**

    **State Examination and Its Procedures-Narrative Review of Brazilian Descriptive**

    **Psychopathology.**
    **_Frontiers in psychiatry_,**
    **_10_, 77. https://doi.org/10.3389**

    **/fpsyt.2019.00077**

    **Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical Practice Guidelines for**

    **Assessment of Children and Adolescents.**
    **_Indian journal of psychiatry_,**
    **_61_(Suppl 2), 158–**

    **175. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18**

    **Vallath, A. L., Sivasubramanian, B. P., Ravikumar, D. B., Lalendran, A., Krishnan, S., Samanta,**

    **S., Banerjee, S., Das, T., Kundu, R., Richharia, V., More, R., Khithani, M., Nazimudeen,**

    **S., Gunturu, S., & Dasgupta, I. (2024). The importance of rapid assessment tools in**

    **evaluating mental health in emergency departments among patients with chronic**

    **diseases.**
    **_Frontiers in public health_,**
    **_12_, 1258749. https://doi.org/10.3389**

    **/fpubh.2024.1258749**

    **Voss, M. R., Das, M. J. (2024). Mental Status Examination.**
    **_StatPearls._ https://www.ncbi.nlm**

    **.nih.gov/books/NBK546682/**

    **## discussion10.docx**

    Here are the course learning objectives for your review:

    **MN668-1:** Construct a consistent approach to the evaluation and management of mental health disorders and conditions for clients across the lifespan presenting in the acute and/or primary care setting.

    **MN668-2:** Design a professional approach to transition to clinical practice in the PMHNP role.

    Provide evidence (citations and references) to support your statements and opinions.

    **Can you read what others have written and rewrite it. It does not have to be lengthy.**

    First response:

    **MN668-1: Construct a consistent approach to the evaluation and management of mental health disorders and conditions for clients across the lifespan presenting in the acute and/or primary care setting**

    **How the Objective Was Met**: This objective was met through various course materials and assignments that emphasized a consistent approach to the evaluation and management of mental health disorders. The course provided numerous resources to enhance our understanding and application of a standardized approach for evaluating and managing mental health disorders across various healthcare settings and throughout the lifespan (Dawood et al., 2024). For example, it utilized contemporary textbooks such as the "Diagnostic and Statistical Manual of Mental Disorders" and "Kaplan & Sadock's Synopsis of Psychiatry" to build a solid foundation of knowledge. Additionally, we were able to translate theoretical knowledge into practical applications through case studies and interactive discussions in the live seminars. By analyzing and discussing these cases in group settings, we developed a systematic and consistent approach to managing mental health disorders. The forum discussions and peer feedback enhanced our evaluation and management techniques and nurtured our critical thinking skills. Moreover, tasks such as creating treatment plans and conducting simulated examinations further reinforced the consistent approach we aimed to establish. Utilizing evidence-based protocols and validated assessment tools, we gained proficiency in assessing mental health disorders and tailoring appropriate interventions (Connors et al., 2020).

    **Examples**:

    1.
    **Weekly Live Seminars**: The live seminars provided an interactive platform to discuss case studies and review new learning content. These seminars encouraged engagement with the instructor and peers, fostering a deeper understanding of how to construct a consistent approach to evaluation and management.

    2.
    **Weekly SOAP Notes**: These assignments required students to document patient encounters, broadening their mindset to investigate differentials and treatment options. This practice was crucial in developing a systematic approach to patient care.

    3.
    **Case Studies**: The case studies during seminars allowed us to develop comprehensive treatment plans for patients. This exercise emphasized the importance of a detailed patient history, accurate diagnosis, and individualized treatment plans.

    Along with lectures, the course materials included case studies and clinical scenarios that required students to apply their knowledge of mental health evaluation and management. These practical exercises allowed students to create individualized treatment plans for clients with different mental health disorders, considering their unique needs and symptoms. Additionally, the course provided evidence-based guidelines and best practices in mental health management, ensuring that students developed a strong foundation for clinical decision-making.

    **MN668-2: Design a professional approach to transition to clinical practice in the PMHNP role**

    **How the Objective Was Met**: The course facilitated the creation of a professional transition plan into the PMHNP role and provided a consistent approach to evaluating and managing mental health disorders across the lifespan in various healthcare settings. By incorporating a variety of engaging assignments, activities, and learning resources, the MN668 course effectively met the majority of its learning objectives. This was achieved through focused weekly topics, practical assignments, and in-person clinical encounters. The course offered opportunities for self-reflection through the weekly reflective videos and soap notes that allowed us to assess our strengths and areas for growth as future PMHNPs. This process enabled us to identify specific learning needs for our transition to clinical practice and develop individualized professional development plans (Owen et al., 2020).

    **Examples**:

    1.
    **Reflective Video Journals**: These assignments encouraged self-reflection on clinical experiences, allowing students to critically evaluate their strengths and areas for improvement. This practice was instrumental in designing a professional approach to clinical practice.

    2.
    **Professional Portfolio**: Creating a professional portfolio helped students outline their steps for entering the clinical practice, including identifying potential employers, networking strategies, and continuing education plans. This structured approach was crucial for a smooth transition into the PMHNP role.

    3.
    **In-Person Clinical Hours**: The 130 hours of clinical encounters provided real-life exposure to a variety of patients, enhancing critical thinking and decision-making skills. This hands-on experience was invaluable in developing confidence and competence in clinical practice.

    In conclusion, the course effectively met the learning objectives by providing a robust framework for evaluating and managing mental health disorders and facilitating a smooth transition to clinical practice. The combination of theoretical knowledge, practical assignments, and reflective exercises equipped students with the necessary skills and confidence to excel as PMHNPs (Cardoso et al., 2021). The integration of diverse course materials allowed for a well-rounded understanding of mental health management across different settings, and I feel equipped to tackle the challenges I will face as a future PMHNP. . However, additional hands-on training in acute and primary care environments could further enhance the achievement of certain learning goals. Overall, the course offered prospective PMHNPs a solid foundation for success in their future clinical practice.

    **Second Response**

    **MN668-1: Construct a consistent approach to the evaluation and management of mental health disorders and conditions for clients across the lifespan presenting in the acute and/or primary care setting.**

    **I feel that I have met this objective, as I can now approach evaluations of mental health disorders systematically, integrate evidence-based interventions, and adapt my approach based on the patient’s needs. The course provided various case studies, and through these, I practiced how to perform comprehensive evaluations of clients presenting with mental health concerns. For example, in an assignment focused on the assessment of a patient with anxiety and depression, I was tasked with completing a full psychiatric evaluation. I used evidence-based tools, such as the PHQ-9 and GAD-7, to assess the severity of the patient’s symptoms, and based on the results, I developed an individualized treatment plan that included pharmacological and non-pharmacological interventions.  (Ford, 2020). This helped me refine my approach to creating a treatment plan that is both systematic and personalized to the patient's needs. Through these experiences, I gained a solid understanding of the importance of comprehensive assessments and the need to consider each patient’s unique context, including age, co-occurring conditions, and social determinants of health.**

    **MN668-2: Design a professional approach to transition to clinical practice in the PMHNP role.**

    **This objective focused on preparing for the transition into clinical practice as a Psychiatric-Mental Health Nurse Practitioner (PMHNP). I believe I made significant strides in meeting this objective through self-reflection, feedback from preceptors, and actively engaging in clinical practice. One of the assignments that helped me with this transition was the professional development plan, which required me to outline goals for my clinical practice, identify strengths, and address areas for growth. (Ruzafa, 2024). This exercise was crucial in helping me assess my current skill set and set a roadmap for further development. The readings and videos on the PMHNP role were particularly helpful in understanding what is expected in clinical practice. For example, the course material prepared me for the complexities of clinical decision-making, confidentiality, and patient advocacy, all of which are crucial in the transition to clinical practice. These materials allowed me to integrate theory with the reality of patient care, especially in the context of the mental health field.**

    **References:**

    **Ford, J., Thomas, F., Byng, R., & McCabe, R. (2020). Use of the Patient Health Questionnaire (PHQ-9) in Practice: Interactions between patients and physicians.**
    **_Qualitative health research_,**
    **_30_(13), 2146–2159.** [**https://doi.org/10.1177/1049732320924625**](https://doi.org/10.1177/1049732320924625)

    **Ruzafa-Martínez, M., Pérez-Muñoz, V., Conesa-Ferrer, M. B., Ramos-Morcillo, A. J., & Molina-Rodríguez, A. (2024). Effectiveness of Training in Evidence-Based Practice on the Development of Communicative Skills in Nursing Students: A Quasi-Experimental Design.**
    **_Healthcare (Basel, Switzerland)_,**
    **_12_(18), 1895.** [**https://doi.org/10.3390/healthcare12181895**](https://doi.org/10.3390/healthcare12181895)

    **THIRD POST**

    **MN668-1**

    **I do believe that the course objectives were met. Throughout this semester, we discussed numerous psychiatric disorders such as somatic disorders and personality disorders while also discussing how to perform an assessment on psychiatric patients. The assessment of psychiatric patients can be tedious as some patients are void of trust and are not always in agreeance with a psychological evaluation. According to Srinath et al., (2019), some patients evade unveiling information as they may feel as if the information disclosed maybe uncomfortable or shameful. Given the avoidance of certain information, it requires careful questioning from numerous sources such as family members or other healthcare providers. The psychiatric interview process was also discussed, including topics on proper documentation of the mental status exam and its significance. According to Rocha Neto et al., (2019), within the domain of mental health practice, the mental status examination serves as a counterpart to the physical exam routinely employed in clinical setting. The mental status exam provides a standardized method for gathering objective data pertaining to the patient’s mental state. Nevertheless, the documentation of the mental status exam should be concise to assist providers in monitoring patient’s behavior and facilitating communication among healthcare professionals. For instance, documenting details such as tattoos or scars is essential especially in patients with a history of self-harm. Scars can serve as a narrative of past significant injuries, resulting from either accidental trauma, inflicted harm by another individual, or self-mutilation (Voss & Das, 2024). Common manifestations of self-inflicted injuries include superficial lacerations, injection sites from intravenous substance use, or remnants of past suicidal attempts (Voss & Das, 2024). This is particularly important in psychiatric emergencies such as suicidal crisis or violent aggressive behaviors which was discussed this semester.**

    **MN 668-2**

    **I do believe that these course objectives were met as I believe that this course provided a professional approach to transitioning into clinical practice as a PMHNP. One of the key elements that was utilized during the coursework was scenario-based questions which allowed students to appropriately diagnose patients. The information that was provided during the seminar not only prepared students for clinical practice but also prepared students for certification boards. Students were also provided with board style questions which allowed critical thinking to appropriately conclude the correct answer.  Throughout this semester we designed age-appropriate treatment plans which allowed us to depict the proper maintenance screening plans for patients. The utilization of tools like the GAD-7 and PHQ-9 is valuable information in clinical practice in aiding with the assessment and therapeutic treatment response of anxiety and depression (Vallath et al., 2024). Comprehensive and continuous management is essential for optimal outcomes in patients with mental health disorders. Measurement-based care, which involves regular assessment of symptom severity and treatment response, is a cornerstone of modern care. Accurate and efficient monitoring tools are crucial for guiding treatment decisions and facilitating early detection of treatment non-response or relapse.**

    **References**

    **Rocha Neto, H. G., Estellita-Lins, C. E., Lessa, J. L. M., & Cavalcanti, M. T. (2019). Mental**

    **State Examination and Its Procedures-Narrative Review of Brazilian Descriptive**

    **Psychopathology.**
    **_Frontiers in psychiatry_,**
    **_10_, 77. https://doi.org/10.3389**

    **/fpsyt.2019.00077**

    **Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical Practice Guidelines for**

    **Assessment of Children and Adolescents.**
    **_Indian journal of psychiatry_,**
    **_61_(Suppl 2), 158–**

    **175. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18**

    **Vallath, A. L., Sivasubramanian, B. P., Ravikumar, D. B., Lalendran, A., Krishnan, S., Samanta,**

    **S., Banerjee, S., Das, T., Kundu, R., Richharia, V., More, R., Khithani, M., Nazimudeen,**

    **S., Gunturu, S., & Dasgupta, I. (2024). The importance of rapid assessment tools in**

    **evaluating mental health in emergency departments among patients with chronic**

    **diseases.**
    **_Frontiers in public health_,**
    **_12_, 1258749. https://doi.org/10.3389**

    **/fpubh.2024.1258749**

    **Voss, M. R., Das, M. J. (2024). Mental Status Examination.**
    **_StatPearls._ https://www.ncbi.nlm**

    **.nih.gov/books/NBK546682/**

  • [Solved] Discussion

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (2)** – ## DiscussionBoard.docx – CULTPSY3_Ch08_Motivation.pptx **## DiscussionBoard.docx** **Discussion Board** You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will relate …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (2)**

    – ## DiscussionBoard.docx

    – CULTPSY3_Ch08_Motivation.pptx

    **## DiscussionBoard.docx**

    **Discussion Board**

    You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will relate to assigned course materials. Your responses should incorporate course content assigned during that week and should be approximately 250 words (total, for both prompts).

    Please select and reply to two of the prompts below

    1- Ariana and Misha looked at the music charts. Ariana compared herself to Adelle (Ariana thinks she is worse than Adelle), while Misha compared herself to Mariah (Misha thinks she is better than Mariah). Name and define the processes in which Ariana and Misha engaged, respectively. Then, draw a graph that shows Ariana’s and Misha’s self-esteem before and after they make their comparisons. Assume that Ariana and Misha start out with the same level of self-esteem.

    2- In a political pamphlet being handed out to students on campus, the writer is suggesting that capitalism is a product of the trades and activities of Islamic merchants. According to Weber’s thesis that capitalism grew out of a belief system rooted in cultural ideas of the sixteenth and seventeenth centuries, do you agree or disagree with the pamphlet? Why or why not?

    3- Jessica and Jonathan are best friends. Jessica is very individualistic, while Jonathan is very collectivistic. Based on research regarding primary and secondary control, draw a graph for each person that shows the relationship between the amount of anxiety they would feel based on how much personal control they have in any given situation.

    4- Your school’s counseling department emphasizes the importance of convincing people to gain control by asserting themselves in their environment. Regardless of one’s cultural background, everyone feels a greater sense of power when changing the environment to suit himself or herself. Based on empirical research, do you agree with your counseling department’s perspective? Why or why not?

    5- Xiao Mao is an interdependent Chinese American child in elementary school, and Kitty is an independent Canadian child. They are in the mall with their fathers picking out board games as presents. How would their motivations to play board games compare if they chose the games themselves versus if their fathers chose the games for them?

    **CULTPSY3_Ch08_Motivation.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch08-motivation-pptx)

    **CULTPSY3_Ch08_Motivation.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch08-motivation-pptx)

    **## DiscussionBoard.docx**

    **Discussion Board**

    You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will relate to assigned course materials. Your responses should incorporate course content assigned during that week and should be approximately 250 words (total, for both prompts).

    Please select and reply to two of the prompts below

    1- Ariana and Misha looked at the music charts. Ariana compared herself to Adelle (Ariana thinks she is worse than Adelle), while Misha compared herself to Mariah (Misha thinks she is better than Mariah). Name and define the processes in which Ariana and Misha engaged, respectively. Then, draw a graph that shows Ariana’s and Misha’s self-esteem before and after they make their comparisons. Assume that Ariana and Misha start out with the same level of self-esteem.

    2- In a political pamphlet being handed out to students on campus, the writer is suggesting that capitalism is a product of the trades and activities of Islamic merchants. According to Weber’s thesis that capitalism grew out of a belief system rooted in cultural ideas of the sixteenth and seventeenth centuries, do you agree or disagree with the pamphlet? Why or why not?

    3- Jessica and Jonathan are best friends. Jessica is very individualistic, while Jonathan is very collectivistic. Based on research regarding primary and secondary control, draw a graph for each person that shows the relationship between the amount of anxiety they would feel based on how much personal control they have in any given situation.

    4- Your school’s counseling department emphasizes the importance of convincing people to gain control by asserting themselves in their environment. Regardless of one’s cultural background, everyone feels a greater sense of power when changing the environment to suit himself or herself. Based on empirical research, do you agree with your counseling department’s perspective? Why or why not?

    5- Xiao Mao is an interdependent Chinese American child in elementary school, and Kitty is an independent Canadian child. They are in the mall with their fathers picking out board games as presents. How would their motivations to play board games compare if they chose the games themselves versus if their fathers chose the games for them?

    **CULTPSY3_Ch08_Motivation.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch08-motivation-pptx)

    **## DiscussionBoard.docx**

    **Discussion Board**

    You will be required to participate in the eight discussion prompts posted on the Canvas Discussion Board throughout the course of the semester. These will relate to assigned course materials. Your responses should incorporate course content assigned during that week and should be approximately 250 words (total, for both prompts).

    Please select and reply to two of the prompts below

    1- Ariana and Misha looked at the music charts. Ariana compared herself to Adelle (Ariana thinks she is worse than Adelle), while Misha compared herself to Mariah (Misha thinks she is better than Mariah). Name and define the processes in which Ariana and Misha engaged, respectively. Then, draw a graph that shows Ariana’s and Misha’s self-esteem before and after they make their comparisons. Assume that Ariana and Misha start out with the same level of self-esteem.

    2- In a political pamphlet being handed out to students on campus, the writer is suggesting that capitalism is a product of the trades and activities of Islamic merchants. According to Weber’s thesis that capitalism grew out of a belief system rooted in cultural ideas of the sixteenth and seventeenth centuries, do you agree or disagree with the pamphlet? Why or why not?

    3- Jessica and Jonathan are best friends. Jessica is very individualistic, while Jonathan is very collectivistic. Based on research regarding primary and secondary control, draw a graph for each person that shows the relationship between the amount of anxiety they would feel based on how much personal control they have in any given situation.

    4- Your school’s counseling department emphasizes the importance of convincing people to gain control by asserting themselves in their environment. Regardless of one’s cultural background, everyone feels a greater sense of power when changing the environment to suit himself or herself. Based on empirical research, do you agree with your counseling department’s perspective? Why or why not?

    5- Xiao Mao is an interdependent Chinese American child in elementary school, and Kitty is an independent Canadian child. They are in the mall with their fathers picking out board games as presents. How would their motivations to play board games compare if they chose the games themselves versus if their fathers chose the games for them?

    **CULTPSY3_Ch08_Motivation.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cultpsy3-ch08-motivation-pptx)

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    – 2 years ago **files (1)** – ## U-6soap.docx **## U-6soap.docx** Unit 6-Clinical SOAP Note on schizoaffective disorder. Due 2-15-25. Instructions Each week students will choose one patient encounter to submit a Follow-up SOAP note for review. The focus is on your ability to integrate your subjectiv…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## U-6soap.docx

    **## U-6soap.docx**

    Unit 6-Clinical SOAP Note on schizoaffective disorder. Due 2-15-25.

    Instructions

    Each week students will choose one patient encounter to submit a Follow-up SOAP note for review.

    The focus is on your ability to integrate your subjective and objective information gathering into formulation of diagnoses and development of patient-centered, evidence-based plans of care for patients of all ages with multiple, complex mental health conditions. At the end of this term, your SOAP notes will have demonstrated your knowledge of evidence-based practice, clinical expertise, and patient/family preferences as expected for an independent nurse practitioner incorporating psychotherapy into practice.

    **Note**:
    _Grades of Incomplete on this assignment will result in a clinical failure._

    All work should be original and submitted as a Word document unless otherwise indicated in the assignment instructions. ALL assignments need to be APA 7 format and accompanied title page in APA 7th edition format in order that the work would be properly identified for the student, the course, and the assignment. Work submitted without a title page will receive a grade of 0.

    Upload note to
    **TurnItIn plagiarism checker** for grade submission.

    **Subjective**

    **Patient Verification**

    **Name:** M. D.

    **DOB**: 12/2/2004

    **Demographics:** 20-year-old

    **Gender Identifier Note**: Male

    **Chief Complaint (CC)**: "I’m struggling to stay focused at work and college, and I’m behind on assignments."

    **HPI:** M. D. is a 20-year old male, college student diagnosed with ADHD, predominantly inattentive type at age 18. Two months ago, he was started on methylphenidate (Ritalin) at an initial dose of 10 mg once daily. According to him, he experienced a mild improvement in his focus during the first few weeks of treatment but his distractibility, procrastination and completing assignments remain problematic. He often forgets normal instructions at his part time job as a retail assistant. M. D. has no major side effects from his medication, with stable sleep and appetite.

    **Pertinent History**: M. D. occasionally feels overwhelmed and experiences low energy, impacting his productivity. He denies depressive episodes or irritability.

    **Sleep and Appetite**: Sleep and appetite are stable.

    **Energy and Concentration**: Decreased energy and concentration

    **Psychiatric Symptoms**: Denies hallucinations, delusions, or panic attacks but describes chronic difficulty maintaining focus and staying organized.

    **SI/HI/AV**: Denies suicidal ideation, homicidal ideation, or auditory/visual hallucinations.

    **Allergies**: No known drug or food allergies (NKDFA).

    **Past Medical History:** History of seasonal allergies, managed with loratadine PRN. No significant psychiatric or medical history.

    **Substance Use History**: Occasional social alcohol use; denies tobacco or recreational drug use.

    **Family History:** Father diagnosed with ADHD. Mother has mild anxiety disorder. No history of substance abuse in the family.

    **Social History:** Lives in a dorm with roommates while pursuing a business degree. Works part-time at a retail store and is actively involved in his college’s entrepreneurship club
    **.**

    **Review of Systems (ROS)**

    ·
    **Constitutional:** No fever, fatigue, or significant weight changes.

    ·
    **Eyes:** No vision changes.

    ·
    **ENT: No hearing loss or throat pain.**

    ·
    **Cardiac:** Denies chest pain, palpitations, or dizziness.

    ·
    **Respiratory:** Denies shortness of breath, wheezing, or chronic cough.

    ·
    **GI:** No nausea, vomiting, or changes in bowel habits
    **.**

    ·
    **GU:** No dysuria or hematuria. Normal urinary habits.

    ·
    **Musculoskeletal:** Denies joint pain or stiffness.

    ·
    **Skin:** No rashes or lesions.

    ·
    **Neurologic:** Denies headaches or seizures. No tremors noted.

    ·
    **Endocrine:** No reports of excessive thirst or urination.

    ·
    **Hematologic:** No history of easy bruising or bleeding.

    **Objective**

    **Vital Signs and Measurements**

    ·
    **Temp:** 97.6°F

    ·
    **BP:** 131/86 mmHg

    ·
    **HR:** 78 bpm

    ·
    **R (Respiratory Rate):** 14 breaths/min

    ·
    **O2 Saturation:** 99% on room air

    ·
    **Ht (Height):** 188 cm

    ·
    **Wt (Weight):** 75.6 kg

    ·
    **BMI:** 20.8

    **Laboratory Findings**

    ·
    **LABS:**

    · Lab findings within normal limits (WNL).

    · Toxicology Screen: Negative for all substances.

    · Alcohol Screen: Negative.

    · HCG: Not applicable (N/A).

    **Physical Exam:**

    ·
    **General Appearance:** Patient is well-groomed, cooperative, and appears comfortable with no signs of acute distress.

    ·
    **Skin:** Skin is warm, dry, and free from rashes or lesions.

    ·
    **HEENT:** Eyes are clear with no conjunctival injection. No signs of nasal congestion or throat abnormalities.

    ·
    **Cardiovascular:** Heart rate and rhythm are regular with no murmurs or edema detected.

    ·
    **Respiratory:** Lungs are clear to auscultation on both sides with no wheezes, rales, or rhonchi present.

    ·
    **GI:** Abdomen is non-tender, no distension observed, and bowel sounds are normal.

    ·
    **Musculoskeletal:** Full range of motion with no joint swelling or tenderness noted.

    ·
    **Neurologic:** Patient is alert and oriented to person, place, time, and situation with no focal neurological deficits.

    ·
    **Psychiatric:** Cooperative with an appropriate affect, normal speech, and a linear thought process.

    ·
    **Endocrine:** No notable abnormalities observed.

    **MSE (Mental Status Exam):**

    ·
    **Appearance:** Patient well-groomed, no acute distress.

    ·
    **Behavior:** Cooperative.

    ·
    **Mood/Affect:** Mildly anxious but appropriate for the situation.

    ·
    **Speech:** Normal rate and tone.

    ·
    **Thought Process:** Linear and goal-directed.

    ·
    **Cognition:** Intact but struggles with sustained attention during the session.

    ·
    **Insight/Judgment:** Fair.

    **Assessment**

    **Diagnosis (DSM-5 and ICD-10 Codes):**

    ADHD, predominantly inattentive type

    · DSM-5 Code: 314.00

    · ICD-10 Code: F90.0

    **Differential Diagnoses:**

    **Generalized Anxiety Disorder (GAD)**

    · Sometimes the symptoms of excessive worry and difficulty concentrating may blend with those of ADHD. However, while the differences between GAD and ADHD are significant, GAD is pervasive anxiety and restlessness whereas ADHD is chronic in attention with no appreciable anxiety (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F41.1

    **Learning Disorder**

    · Poor academic performance can be a learning disabilities symptom that's similar to ADHD. But, unlike ADHD, learning disorders only pertain to academic tasks and do not affect other attention-related difficulties (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F81.9

    **Treatment Options**

    **Pharmacotherapy:**

    · Initiate stimulant medication (e.g., methylphenidate or amphetamines) for ADHD management, starting with a low dose and adjusting as needed. Concerta 18 mg/day Increase does as indicated.

    **Psychotherapy:**

    · Cognitive-behavioral therapy (CBT) for ADHD to enhance organizational skills, reduce procrastination, and improve focus (Beyer et al., 2024).

    · Psychoeducation and behavioral interventions to help with time management and emotional regulation.

    **Plan**

    1.
    **Pharmacologic Interventions**:

    · Increase methylphenidate dosage from 10 mg to 15 mg once daily (Beyer et al., 2024). Educate the patient on potential side effects, including appetite suppression and insomnia.

    2.
    **Non-Pharmacologic Interventions**:

    · Recommend cognitive-behavioral therapy (CBT) to address procrastination and improve organizational skills (Beyer et al., 2024).

    3.
    **Patient Education**:

    · Emphasize the importance of medication adherence and attending therapy sessions. Discuss lifestyle strategies, such as setting routines and breaking tasks into manageable steps

    **Safety Planning**:

    · Review signs of worsening symptoms (e.g., increased distractibility, restlessness) and when to seek further care..

    4.
    **Follow-Up**:

    · Return to clinic in 2 weeks for medication and progress review.

    **Referrals:**

    · Referral to a therapist specializing in ADHD for CBT sessions.

    **Time spent counseling and coordinating care: 55** minutes

    **Total visit time:** 80 minutes

    **Date:** 1/29/2025
    **Time:** 1:00 PM

    **References**

    Beyer, A. K., Beck, L., Pfeifer, S., Kuhnert, R., Hölling, H., Jans, T., … & Schlack, R. (2024). The consortium project INTEGRATE-ADHD-Comparison and integration of administrative and epidemiological ADHD diagnostic data by clinical assessment: study description and sample characteristics..

    Koutsoklenis, A., & Honkasilta, J. (2023). ADHD in the DSM-5-TR: what has changed and what has not.
    _Frontiers in psychiatry_,
    _13_, 1064141.

    ![A screenshot of a white sheet Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20883945)

    ![A screenshot of a white sheet Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20883945)

    ![A screenshot of a white background Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20883945)

    Program Outcomes

    1. Demonstrate critical thinking and holistic caring as an advanced practice

    2. Analyze scientific literature for application to selected diagnoses and treatment plans.

    3. Synthesize ethical principles into the management and evaluation of healthcare delivery concerns in culturally diverse care settings.

    4. Articulate a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role and scope of practice of the psychiatric mental health nurse practitioner.

    5. Implement the role of the psychiatric mental health nurse practitioner in selected clinical settings.

    Course Learning Objectives

    By the end of this course, you will be able to:

    1. Independently with mentor supervision, apply knowledge of chronic and acute psychiatric mental health disorders using the current edition of the Diagnostic and Statistical Manual for Mental Disorders diagnostic criteria to assess, diagnose and manage the patient populations across the lifespan including a focus on vulnerable populations at risk for mental health disorders.

    2. Independently with mentor supervision, integrate complete mental health assessment, interview, history, and physical exam data collection with the knowledge of pathophysiology and psychopathology of psychiatric mental health disorders across the life span to form differential diagnoses and implement therapeutic, patient-centered treatment plans and interventions for patient populations across the lifespan.

    3. Independently with mentor supervision, merge traditional and complementary pharmacological/non-pharmaceutical interventions into the treatment and management of psychiatric mental health disorders for patient populations across the lifespan.

    4. Independently with mentor supervision, examine, evaluate, and demonstrate professional development in the role of the nurse practitioner in the diagnosis and management of health and wellness as well as acute and chronic psychiatric mental health disorders illnesses for patient populations across the lifespan as a member of an interprofessional team.

    5. Independently with mentor supervision, integrate cultural, spiritual, and social competencies into therapeutic patient-centered treatment plans in connection with evidence-based findings to the diagnosis and management of individuals, groups, and families across the lifespan with acute, complex, and chronic psychiatric mental health disorders.

    6. Independently with mentor supervision, analyze professional values and core ethical/legal standards into the practice of the Psychiatric Mental Health Nurse Practitioner role with relation to patient/staff safety, quality indicators, and health outcome improvement in the delivery of quality psychiatric mental health care to patients.

    7. Identifies with mentor supervision, the highest level of professionalism and accountability for the PMHNP role for transition into clinical practice.

    Resources

    American Nurses Association & American Psychiatric Nurse Association. (2015).
    _Psychiatric–mental health nursing: Scope and standards of practice_(2nd ed.) American Nurses Credentialing. ISBN-13: 978-1558105553 ISBN-10: 1558105557

    American Psychiatric Association. (2022).
    _Diagnostic and statistical manual of mental disorders_ (5th ed.) text revision (DSM-5 TR). APA Press. ISBN 978-0890425763

    Carlat, D. J. (2023).
    _The psychiatric interview_ (5th ed.). Philadelphia, PA: Wolters Kluwer. ISBN: 9781975212971

    Boland, R., Verduin, M., & Ruiz, P. (2022
    _) Kaplan & Sadock’s synopsis of psychiatry_ (12th ed.). Wolters Kluwer. ISBN: 9781975145569

    Stahl, S. M. (2022).
    _Stahl's essential psychopharmacology: Neuroscientific basis and practical applications_ (5th ed.). Cambridge University Press. ISBN 978-1-108-97163-8

    Bickley, L. (2016).
    _Bates' Guide to Physical Examination and History-Taking_ (11th ed) [VitalSouce bookshelf version]. https://batesvisualguide.com/. Lippincott Williams & Wilkins: ISBN 1609137620

    Corey, G. (2016).
    _Theory and practice of counseling and psychotherapy_ (10th ed.). Cengage. ISBN: 9781305263727

    Heldt, J. P., MD. (2017).
    _Memorable psychopharmacology_. Create Space Independent Publishing Platform. ISBN-13: 978-1-535-28034-1

    Johnson, K., & Vanderhoef, D. (2016).
    _Psychiatric mental health nurse practitioner review manual_ (4th ed.). American Nurses Association. ISBN: 978-1-935213-79-6

    Stahl, S. M. (2020).
    _Prescriber's guide: Stahl's essential psychopharmacology_ (7th ed.). Cambridge University Press. ISBN 978-1108926010

    ·
    [Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794?wrap=1) [Download Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794/download?download_frd=1)[PDF]

    ·
    [Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800?wrap=1) [Download Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800/download?download_frd=1)[PDF]

    ## image1.png

    ## image2.png

    ## image3.png

    **## U-6soap.docx**

    Unit 6-Clinical SOAP Note on schizoaffective disorder. Due 2-15-25.

    Instructions

    Each week students will choose one patient encounter to submit a Follow-up SOAP note for review.

    The focus is on your ability to integrate your subjective and objective information gathering into formulation of diagnoses and development of patient-centered, evidence-based plans of care for patients of all ages with multiple, complex mental health conditions. At the end of this term, your SOAP notes will have demonstrated your knowledge of evidence-based practice, clinical expertise, and patient/family preferences as expected for an independent nurse practitioner incorporating psychotherapy into practice.

    **Note**:
    _Grades of Incomplete on this assignment will result in a clinical failure._

    All work should be original and submitted as a Word document unless otherwise indicated in the assignment instructions. ALL assignments need to be APA 7 format and accompanied title page in APA 7th edition format in order that the work would be properly identified for the student, the course, and the assignment. Work submitted without a title page will receive a grade of 0.

    Upload note to
    **TurnItIn plagiarism checker** for grade submission.

    **Subjective**

    **Patient Verification**

    **Name:** M. D.

    **DOB**: 12/2/2004

    **Demographics:** 20-year-old

    **Gender Identifier Note**: Male

    **Chief Complaint (CC)**: "I’m struggling to stay focused at work and college, and I’m behind on assignments."

    **HPI:** M. D. is a 20-year old male, college student diagnosed with ADHD, predominantly inattentive type at age 18. Two months ago, he was started on methylphenidate (Ritalin) at an initial dose of 10 mg once daily. According to him, he experienced a mild improvement in his focus during the first few weeks of treatment but his distractibility, procrastination and completing assignments remain problematic. He often forgets normal instructions at his part time job as a retail assistant. M. D. has no major side effects from his medication, with stable sleep and appetite.

    **Pertinent History**: M. D. occasionally feels overwhelmed and experiences low energy, impacting his productivity. He denies depressive episodes or irritability.

    **Sleep and Appetite**: Sleep and appetite are stable.

    **Energy and Concentration**: Decreased energy and concentration

    **Psychiatric Symptoms**: Denies hallucinations, delusions, or panic attacks but describes chronic difficulty maintaining focus and staying organized.

    **SI/HI/AV**: Denies suicidal ideation, homicidal ideation, or auditory/visual hallucinations.

    **Allergies**: No known drug or food allergies (NKDFA).

    **Past Medical History:** History of seasonal allergies, managed with loratadine PRN. No significant psychiatric or medical history.

    **Substance Use History**: Occasional social alcohol use; denies tobacco or recreational drug use.

    **Family History:** Father diagnosed with ADHD. Mother has mild anxiety disorder. No history of substance abuse in the family.

    **Social History:** Lives in a dorm with roommates while pursuing a business degree. Works part-time at a retail store and is actively involved in his college’s entrepreneurship club
    **.**

    **Review of Systems (ROS)**

    ·
    **Constitutional:** No fever, fatigue, or significant weight changes.

    ·
    **Eyes:** No vision changes.

    ·
    **ENT: No hearing loss or throat pain.**

    ·
    **Cardiac:** Denies chest pain, palpitations, or dizziness.

    ·
    **Respiratory:** Denies shortness of breath, wheezing, or chronic cough.

    ·
    **GI:** No nausea, vomiting, or changes in bowel habits
    **.**

    ·
    **GU:** No dysuria or hematuria. Normal urinary habits.

    ·
    **Musculoskeletal:** Denies joint pain or stiffness.

    ·
    **Skin:** No rashes or lesions.

    ·
    **Neurologic:** Denies headaches or seizures. No tremors noted.

    ·
    **Endocrine:** No reports of excessive thirst or urination.

    ·
    **Hematologic:** No history of easy bruising or bleeding.

    **Objective**

    **Vital Signs and Measurements**

    ·
    **Temp:** 97.6°F

    ·
    **BP:** 131/86 mmHg

    ·
    **HR:** 78 bpm

    ·
    **R (Respiratory Rate):** 14 breaths/min

    ·
    **O2 Saturation:** 99% on room air

    ·
    **Ht (Height):** 188 cm

    ·
    **Wt (Weight):** 75.6 kg

    ·
    **BMI:** 20.8

    **Laboratory Findings**

    ·
    **LABS:**

    · Lab findings within normal limits (WNL).

    · Toxicology Screen: Negative for all substances.

    · Alcohol Screen: Negative.

    · HCG: Not applicable (N/A).

    **Physical Exam:**

    ·
    **General Appearance:** Patient is well-groomed, cooperative, and appears comfortable with no signs of acute distress.

    ·
    **Skin:** Skin is warm, dry, and free from rashes or lesions.

    ·
    **HEENT:** Eyes are clear with no conjunctival injection. No signs of nasal congestion or throat abnormalities.

    ·
    **Cardiovascular:** Heart rate and rhythm are regular with no murmurs or edema detected.

    ·
    **Respiratory:** Lungs are clear to auscultation on both sides with no wheezes, rales, or rhonchi present.

    ·
    **GI:** Abdomen is non-tender, no distension observed, and bowel sounds are normal.

    ·
    **Musculoskeletal:** Full range of motion with no joint swelling or tenderness noted.

    ·
    **Neurologic:** Patient is alert and oriented to person, place, time, and situation with no focal neurological deficits.

    ·
    **Psychiatric:** Cooperative with an appropriate affect, normal speech, and a linear thought process.

    ·
    **Endocrine:** No notable abnormalities observed.

    **MSE (Mental Status Exam):**

    ·
    **Appearance:** Patient well-groomed, no acute distress.

    ·
    **Behavior:** Cooperative.

    ·
    **Mood/Affect:** Mildly anxious but appropriate for the situation.

    ·
    **Speech:** Normal rate and tone.

    ·
    **Thought Process:** Linear and goal-directed.

    ·
    **Cognition:** Intact but struggles with sustained attention during the session.

    ·
    **Insight/Judgment:** Fair.

    **Assessment**

    **Diagnosis (DSM-5 and ICD-10 Codes):**

    ADHD, predominantly inattentive type

    · DSM-5 Code: 314.00

    · ICD-10 Code: F90.0

    **Differential Diagnoses:**

    **Generalized Anxiety Disorder (GAD)**

    · Sometimes the symptoms of excessive worry and difficulty concentrating may blend with those of ADHD. However, while the differences between GAD and ADHD are significant, GAD is pervasive anxiety and restlessness whereas ADHD is chronic in attention with no appreciable anxiety (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F41.1

    **Learning Disorder**

    · Poor academic performance can be a learning disabilities symptom that's similar to ADHD. But, unlike ADHD, learning disorders only pertain to academic tasks and do not affect other attention-related difficulties (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F81.9

    **Treatment Options**

    **Pharmacotherapy:**

    · Initiate stimulant medication (e.g., methylphenidate or amphetamines) for ADHD management, starting with a low dose and adjusting as needed. Concerta 18 mg/day Increase does as indicated.

    **Psychotherapy:**

    · Cognitive-behavioral therapy (CBT) for ADHD to enhance organizational skills, reduce procrastination, and improve focus (Beyer et al., 2024).

    · Psychoeducation and behavioral interventions to help with time management and emotional regulation.

    **Plan**

    1.
    **Pharmacologic Interventions**:

    · Increase methylphenidate dosage from 10 mg to 15 mg once daily (Beyer et al., 2024). Educate the patient on potential side effects, including appetite suppression and insomnia.

    2.
    **Non-Pharmacologic Interventions**:

    · Recommend cognitive-behavioral therapy (CBT) to address procrastination and improve organizational skills (Beyer et al., 2024).

    3.
    **Patient Education**:

    · Emphasize the importance of medication adherence and attending therapy sessions. Discuss lifestyle strategies, such as setting routines and breaking tasks into manageable steps

    **Safety Planning**:

    · Review signs of worsening symptoms (e.g., increased distractibility, restlessness) and when to seek further care..

    4.
    **Follow-Up**:

    · Return to clinic in 2 weeks for medication and progress review.

    **Referrals:**

    · Referral to a therapist specializing in ADHD for CBT sessions.

    **Time spent counseling and coordinating care: 55** minutes

    **Total visit time:** 80 minutes

    **Date:** 1/29/2025
    **Time:** 1:00 PM

    **References**

    Beyer, A. K., Beck, L., Pfeifer, S., Kuhnert, R., Hölling, H., Jans, T., … & Schlack, R. (2024). The consortium project INTEGRATE-ADHD-Comparison and integration of administrative and epidemiological ADHD diagnostic data by clinical assessment: study description and sample characteristics..

    Koutsoklenis, A., & Honkasilta, J. (2023). ADHD in the DSM-5-TR: what has changed and what has not.
    _Frontiers in psychiatry_,
    _13_, 1064141.

    ![A screenshot of a white sheet Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20883945)

    ![A screenshot of a white sheet Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20883945)

    ![A screenshot of a white background Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20883945)

    Program Outcomes

    1. Demonstrate critical thinking and holistic caring as an advanced practice

    2. Analyze scientific literature for application to selected diagnoses and treatment plans.

    3. Synthesize ethical principles into the management and evaluation of healthcare delivery concerns in culturally diverse care settings.

    4. Articulate a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role and scope of practice of the psychiatric mental health nurse practitioner.

    5. Implement the role of the psychiatric mental health nurse practitioner in selected clinical settings.

    Course Learning Objectives

    By the end of this course, you will be able to:

    1. Independently with mentor supervision, apply knowledge of chronic and acute psychiatric mental health disorders using the current edition of the Diagnostic and Statistical Manual for Mental Disorders diagnostic criteria to assess, diagnose and manage the patient populations across the lifespan including a focus on vulnerable populations at risk for mental health disorders.

    2. Independently with mentor supervision, integrate complete mental health assessment, interview, history, and physical exam data collection with the knowledge of pathophysiology and psychopathology of psychiatric mental health disorders across the life span to form differential diagnoses and implement therapeutic, patient-centered treatment plans and interventions for patient populations across the lifespan.

    3. Independently with mentor supervision, merge traditional and complementary pharmacological/non-pharmaceutical interventions into the treatment and management of psychiatric mental health disorders for patient populations across the lifespan.

    4. Independently with mentor supervision, examine, evaluate, and demonstrate professional development in the role of the nurse practitioner in the diagnosis and management of health and wellness as well as acute and chronic psychiatric mental health disorders illnesses for patient populations across the lifespan as a member of an interprofessional team.

    5. Independently with mentor supervision, integrate cultural, spiritual, and social competencies into therapeutic patient-centered treatment plans in connection with evidence-based findings to the diagnosis and management of individuals, groups, and families across the lifespan with acute, complex, and chronic psychiatric mental health disorders.

    6. Independently with mentor supervision, analyze professional values and core ethical/legal standards into the practice of the Psychiatric Mental Health Nurse Practitioner role with relation to patient/staff safety, quality indicators, and health outcome improvement in the delivery of quality psychiatric mental health care to patients.

    7. Identifies with mentor supervision, the highest level of professionalism and accountability for the PMHNP role for transition into clinical practice.

    Resources

    American Nurses Association & American Psychiatric Nurse Association. (2015).
    _Psychiatric–mental health nursing: Scope and standards of practice_(2nd ed.) American Nurses Credentialing. ISBN-13: 978-1558105553 ISBN-10: 1558105557

    American Psychiatric Association. (2022).
    _Diagnostic and statistical manual of mental disorders_ (5th ed.) text revision (DSM-5 TR). APA Press. ISBN 978-0890425763

    Carlat, D. J. (2023).
    _The psychiatric interview_ (5th ed.). Philadelphia, PA: Wolters Kluwer. ISBN: 9781975212971

    Boland, R., Verduin, M., & Ruiz, P. (2022
    _) Kaplan & Sadock’s synopsis of psychiatry_ (12th ed.). Wolters Kluwer. ISBN: 9781975145569

    Stahl, S. M. (2022).
    _Stahl's essential psychopharmacology: Neuroscientific basis and practical applications_ (5th ed.). Cambridge University Press. ISBN 978-1-108-97163-8

    Bickley, L. (2016).
    _Bates' Guide to Physical Examination and History-Taking_ (11th ed) [VitalSouce bookshelf version]. https://batesvisualguide.com/. Lippincott Williams & Wilkins: ISBN 1609137620

    Corey, G. (2016).
    _Theory and practice of counseling and psychotherapy_ (10th ed.). Cengage. ISBN: 9781305263727

    Heldt, J. P., MD. (2017).
    _Memorable psychopharmacology_. Create Space Independent Publishing Platform. ISBN-13: 978-1-535-28034-1

    Johnson, K., & Vanderhoef, D. (2016).
    _Psychiatric mental health nurse practitioner review manual_ (4th ed.). American Nurses Association. ISBN: 978-1-935213-79-6

    Stahl, S. M. (2020).
    _Prescriber's guide: Stahl's essential psychopharmacology_ (7th ed.). Cambridge University Press. ISBN 978-1108926010

    ·
    [Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794?wrap=1) [Download Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794/download?download_frd=1)[PDF]

    ·
    [Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800?wrap=1) [Download Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800/download?download_frd=1)[PDF]

    ## image1.png

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    ## image3.png

  • [Solved] Nursing Clinical Assignment: Quality Improvement Project Part 2

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    – To assess a clinical issue that is the focus of the Quality Improvement Project. – Create a SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. 1. Identify strengths, weakness, opportunities, and threats for improvement related to the clinical issue identified. 2. Analyz…

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    – To assess a clinical issue that is the focus of the Quality Improvement Project.
    – Create a SWOT (strengths, weaknesses, opportunities, threats) analysis for the project.

    1. Identify strengths, weakness, opportunities, and threats for improvement related to the clinical issue identified.
    2. Analyze the SWOT data to provide the foundation for an action plan for quality improvement.

    – The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
    – The paper is to be 2 – 3 pages in length, excluding the title, abstract and references page.
    – Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
    – Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).
    – Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

    – 2 years ago

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    Based on your assigned readings and lecture materials this week, engage with your peers and me by initiating a thread or responding to another peer's thread or one of my threads. You should post a minimum of three times. – Is there something you are learning this week that you are excited about? – C…

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    Based on your assigned readings and lecture materials this week, engage with your peers and me by initiating a thread or responding to another peer's thread or one of my threads. You should post a minimum of three times.

    – Is there something you are learning this week that you are excited about?
    – Can you apply any of the concepts this week to the career you are interested in pursuing?
    – Do you have any questions about the concepts you are learning this week

    – You are not required to initiate a thread, however, everyone must post at least once by 11:59 PM ET Thursday. There is no minimum or maximum word count. You will be graded on the relevance of your post to the topic and the application of the concepts.
    – When responding to your peers, you should extend, refute/correct, or add additional nuance to their posts.
    – All replies must be constructive and follow proper netiquette. [Click here to go to the Academic Continuity Guide for Students and read the Course Communication Guidelines (Netiquette)Links to an external site.](https://www.stu.edu/academic-continuity-guide-for-students/).
    – Please post your first response by 11:59 PM ET Thursday, and comment on two more posts by 11:59 PM ET Sunday.

    – 2 years ago

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    One important consideration for job seekers is to create a personal mission statement.  Based on the information in this weeks reading, write your personal mission and vision statement.
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    One important consideration for job seekers is to create a personal mission statement.  Based on the information in this weeks reading, write your personal mission and vision statement.
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    A written report in APA 7th ed. format, 10-12 pages in length. Details below. #### Details: CASE Study: The purpose of this assignment is to evaluate the value of health information technology in the prevention and detection of errors, as well as analysis of unintended consequences and human factors…

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    A written report in APA 7th ed. format, 10-12 pages in length. Details below.

    #### Details:

    CASE Study: The purpose of this assignment is to evaluate the value of health information technology in the prevention and detection of errors, as well as analysis of unintended consequences and human factors through quality improvement strategies.

    01. Review the following video and documents on the case study. *

    _RaDonda Vaught speaks out_ l GMA [Video file]. Retrieved from [https://www.youtube.com/watch?v=ryphwWHAgQELinks to an external site.](https://www.youtube.com/watch?v=ryphwWHAgQE). (4:56).

    Harrington, L. (2022). The RaDonda Vaught case: A critical conversation on nursing practice and technology. AACN Advanced Critical Care, November 8, 2022. doi: [The RaDonda Vaught Case: A Critical Conversation on Nursing Practice and Te…: EBSCOhostLinks to an external site.](https://web.s.ebscohost.com/ehost/detail/detail?vid=0&sid=a4ed09e3-a6a6-4641-bdce-ca9e38986699%40redis&bdata=JkF1dGhUeXBlPXNzbyZzaXRlPWVob3N0LWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=162251956&db=cul)

    State of Tennessee vs. RaDonda Vaught: Discovery request response. Available at [https://s3.documentcloud.org/documents/6785652/RaDonda-Vaught-DA-Discovery.pdfLinks to an external site.](https://s3.documentcloud.org/documents/6785652/RaDonda-Vaught-DA-Discovery.pdf) Note pages 5-6, 50-51.
    02. Apply one of the Quality Improvement Models discussed in the course, or choose an approach from the literature, or the one used in your workplace to analyze the case.

    03. Summarize the case in one paragraph, highlighting the role of HIT.
    04. Describe briefly the model chosen for the analysis.

    05. Provide a rationale for using the selected model over other options.
    06. Follow the model steps and processes to identify the quality, safety, security, privacy, and unintended consequences issues in the case.
    07. List interprofessional team members who may be consulted on this process and their expected role.
    08. Design strategies for your workplace to mitigate the issues identified from the case.

    09. Provide at least one visual of the process and proposed changes (i.e., flow chart, process map, data quality, pareto chart, control chart, data visualization).
    10. Identify changes if needed to policies, EHR, equipment, and other HIT applications.
    11. Create a communication/transition plan.
    12. Develop a staff education plan on changes.

    13. What change theory would be best for this program?
    14. What educational deliver method (s) would be most effective?
    15. Compose metrics for evaluating the plan in each of the learning domains:

    16. Cognitive
    17. Psychomotor
    18. Effective
    19. Reflect on the ramifications of criminalizing the nonintentional reporting of mistakes on your own advanced practice, the nursing profession, and Quality Improvement practices.
    20. Submit the written report in APA 7th ed. format, 10-12 pages in length, not including title page, the 1-page reflection and references. Use headers to distinguish the sections of the paper.

    – 2 years ago

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