NU665 2021 September Assignments Latest (Full)

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 2 Assignment

Motivational Interviewing

Instructions

After you complete the readings and watch the videos for this week, select one of the videos and write an analysis which addresses the following:

Introduction: Overview of Motivational Interviewing:

Begin your paper by providing an overview of Motivational Interviewing (MI). Summarize the main components of MI, integrate MI principles important to building rapport, and analyze the use of MI to support coping across the lifespan.

Assessment Process:

Using the key components of MI, examine the role play videos for successful or unsuccessful integration of MI skills by critiquing the stages of conversation between provider and client.

Coping and Strengths:

Identify positive coping mechanisms and strengths. How could you use MI to support coping? Provide rationales.

Discriminatory Analysis Section:

What would you do differently or similarly to the provider in the video? Discuss age appropriateness of MI interventions used. Provide specific rationales in detail.

Summary and Plan Development, and Conclusion:

Base your plan of care on the case in the video. Integrate evidence-based interventions in your plan and summary of the scenario you watched (opioid or alcohol). How does the concept of coping play out in the scenario you watched? Integrate coping psychotherapeutic skills. Discuss the role of teaching and education in MI, in your plan and summary.

Paper Requirements

Your paper should be four to five pages in length, excluding a required cover sheet and references page that includes one to two textbooks and two to three scholarly articles (that were published no longer than three years ago). Use APA formatting for all components of your paper.

Please refer to the Grading Rubric for details on how this activity will be graded.

 

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 3 Assignment

Complicated Pregnancy

Instructions

You are caring for a 37-year-old female who is pregnant with her second child. Her first pregnancy was traumatic as she experienced a pelvic fracture during delivery causing excruciating pain. The anxiety from this memory plagues her into this pregnancy. She has been prescribed an antidepressant/antianxiety. Her husband is a pharmacist and has attended most visits with the psychiatric-mental health NP for counseling and psychopharmaceutical drug management.

What would be your initial approach to assessment and diagnosis with this woman/family?

Would you prescribe an antidepressant, and which one? What are possible adverse reactions to placing a woman on antidepressants in the post-partum phase?

Explain the pharmacodynamics, pharmacokinetics, contraindications, pregnancy related issues, legal/ethical considerations, testing (if applicable), side effects and relationship to trimester.

What would be your plan of care including the strengths and weaknesses of the family functioning and supporting attachment? (Be succinct.) Consider supervision/collaboration/type of psychotherapy or complementary modality you might use.

Criteria for this paper:

Answer these questions succinctly but completely, integrating resources to provide rationale for all decisions.

Use APA formatting for all components of your paper.

Your paper should be approximately three to four pages long and in APA format.

Your paper length should not include the reference page.Use at least one nursing journal reference from CINAHL (available through the library) to support your rationale.

 

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 5 Assignment

Pair Presentation Evaluation

Now that you have completed the Week 5 Pair Presentation assignment, please fill out the Peer Evaluation Form (word) and submit it to this assignment.

Peer and Self Work Group Evaluation Form

Directions:  In the space below, honestly evaluate the work of other students in your group by answering the following questions.  The answers are yes / no or use a 3-point Likert scale: 1 indicating poor, 2 indicating average, and 3 indicating above average.

For this exercise, it is important that you are honest about your peers and yourself.  Group projects can be trying and sometimes difficult, but as nurses and providers, we are responsible to and for our patients and this requires diplomacy, open mindedness, empathy and working together.

Evaluators Name:  _________________________       Date:  ________________

Group Member 1:  ______________________________________

1.            Did this group member complete their assigned task(s) for the group?                                                   Yes                         No

1= Poor      2= Average   3= Above average

2.            How would you rate the quality of this person’s work?                                                                  1              2              3

3.            How would you rate the timeliness of the completion of the work?                                         1              2              3

4.            How would you rate the accuracy of the work?                                                                                  1              2              3

5.            Overall, how would you rank this group member’s performance in the group?                   1              2              3

6.            What would you say was this person’s greatest asset to the team?                                          1              2              3

7.            What would you say was this person’s greatest detriment (if any) to the team?

8.            Would you want to work this person again?                                                                                        Yes                         No

a.            Explain why:

Group Member 2:  ______________________________________

1.            Did this group member complete their assigned task for the group?                                                       Yes                         No

1= Poor      2= Average   3= Above average

2.            How would you rate the quality of this person’s work?                                                                  1              2              3

3.            How would you rate the timeliness of the completion of the work?                                         1              2              3

4.            How would you rate the accuracy of the work?                                                                                  1              2              3

5.            Overall, how would you rank this group member’s performance in the group?                   1              2              3

6.            What would you say was this person’s greatest asset to the team?

7.            What would you say was this person’s greatest detriment to the team?

8.            Would you want to work this person again?                                                                                        Yes                         No

a.            Explain why:

Group Member 3 (if assigned):  ______________________________________

1.            Did this group member complete their assigned task for the group?                                                       Yes                         No

1= Poor      2= Average   3= Above average

2.            How would you rate the quality of this person’s work?                                                                  1              2              3

3.            How would you rate the timeliness of the completion of the work?                                         1              2              3

4.            How would you rate the accuracy of the work?                                                                                  1              2              3

5.            Overall, how would you rank this group member’s performance in the group?                   1              2              3

6.            What would you say was this person’s greatest asset to the team?                                          1              2              3

7.            What would you say was this person’s greatest detriment to the team?

8.            Would you want to work this person again?                                                                                        Yes                         No

a.            Explain why:

Self – Assessment of your participation

1.            Did YOU complete YOUR assigned task(s) for the group?                                                                                               Yes                         No

1= Poor      2= Average   3= Above average

2.            How would you rate the quality of YOUR work?                                                                                 1              2              3

3.            How would you rate the timeliness of the completion of YOUR work?                                    1              2              3

4.            How would you rate the accuracy of YOUR work?                                                                                             1              2              3

5.            Overall, how would you rate YOUR performance in the group?                                                  1              2              3

6.            What would you say was YOUR greatest asset to the team?                                                        1              2              3

7.            What would you say was YOUR greatest detriment to the team?

8.            What could you have done better?                                       

a.            Explain why:

9.            What would you give yourself as a score for your participation in this project          _______ / 100

Remember:  Make your submission as complete as possible.

 

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 6 Assignment

Pediatric Case Study

Instructions

In this assignment, you will review the Pediatric Case Study and analyze the data to determine the health status of the patient. You will need a minimum of two scholarly references to support your work.

Use the NU665C Pediatric Case Study Questions (Word) document to complete the case study assignment.

Follow the requirements posted in the rubric.

Interactive case studies should be five to seven pages depending on the complexity of the case. This is excluding title and references pages.

All papers must conform to the most recent APA standards.

Please refer to the Grading Rubric for details on how this activity will be graded.

Pediatric Case Study Assignment

Katy is a six-year-old girl, the second of two children of a middle-class family living in a suburban area of a northwest city. Katy has one sister that is two years older than her. Her mother’s pregnancy was normal and Katy’s birth was normal. Katy had colic the first three months, cried extensively and was difficult to comfort. After three months she became passive and cried very little with comfort from her mother. Her growth and development appeared to be normal. She met all the developmental milestones her first three years. She interacted normally with her sister and parents, except that she would become tearful and anxious when her parents would get a babysitter.

At age four, she was in nursery school and appeared to function normally except during the first month when Katy had difficulty when her father would drop her off at school. The nursery school was a small private school with a lot of personal attention given to each child. Although shy, she made friends and liked going to nursery school after she became adjusted to the new setting. Her parents liked the school so much that they decided to keep Katy in kindergarten at this school with her same teachers and friends. However, tuition at the school became a problem after Katy’s mother became sick with lupus and was unable to work.

At age six, Katy’s parents enrolled her in first grade at the public elementary school in their neighborhood. For the last two weeks, she has refused to go to school and has missed six school days. She is awake almost all night worrying about going to school. As the start of the school day approaches, she cries and screams that she cannot go, chews holes in her shirt, pulls her hair, digs at her face, punches the wall, throws herself on the floor, as well as experiences headaches, stomachaches, and vomiting. Over the past two weeks, she has become gloomy, has stopped reading for fun, and frequently worries about her mother’s Lupus and that she may die. In addition, Katy is phobic of dogs, avoids speaking and writing in public, and wets the bed every night.

Her parents immediately made an appointment to see her PCP. Her doctor conducted a thorough physical exam, found no physical abnormalities and then referred her to you, a Family PMHNP.Family history of mental health includes the following: mother has a history of panic disorder; her father has a history of treatment with medications for ADHD as a child; and she has a cousin diagnosed with Asperger’s syndrome.

For your assignment, write a paper that addresses the following prompts using evidence-based references to support your answers:

1.            What is your provisional diagnosis, as well as the possible differentials?

2.            Justify your answer with DSM-5 criteria (be short, brief and to the point).

3.            Is Katy too young to diagnose, or is there a basis for early identification and intervention?

4.            What psychiatric scales or assessment tools might you use with this patient? With the parents? List and describe briefly.

5.            How would the typical symptom patterns and phases be manifested in children this age? In adolescents?

6.            What would be your treatment plan for medications, if any? If you do choose to offer medication as part of the treatment plan, please address the following medications issues:

a.            Target symptoms

b.            Receptors affected

c.             Psychiatric and system effects

d.            Possible parental concerns

7.            What would be your school-based treatment plan, if any?

8.            What would be the implications for the families of children and adolescents with these diagnostic pictures?

9.            How does the mother’s health play into the picture of Katy’s diagnosis? What type of therapy would you recommend for Katy (and her family) to work through her issues?

10.          Identify resources for patients/families with this diagnosis in the form of community groups, web-sites, advocacy, as well as treatment resources available in your service area.

11.          What are you worried about (if anything)? Consider this question in terms of treatment, assessment, alliance, compliance, effectiveness, safety, and other factors.

 

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 8 Assignment

Anorexia—A Mental Illness?

After completing the readings and watching the videos for this week, complete this assignment.

Using the DSM-5 diagnostic criteria and evidence-based scholarly articles, address the following:

Explain the neurology of anorexia. Does the characterization of anorexia as a mental illness surprise you? What are your thoughts on the personal and/or cultural implications of classifying anorexia in this way, as opposed to a lifestyle choice or a matter of willpower? How might you support a family (or client) who is resistant to this seeing anorexia as a mental illness?

Describe and discuss changes in personality and social behavior that might be seen with anorexia. How would you assess for these changes?

Provide an overview of the health consequences and medical complications of anorexia.

Create a treatment plan for a client with anorexia using family-based therapy or other evidence-based therapy.

Criteria for this paper:

Answer these questions succinctly, integrating resources to provide rationale for all decisions.

You may use narrative, bullets, or a table format for various sections of this discussion assignment.

Your paper should be two to three pages long, not including the reference page.

Use at least one reference from CINAHL (available through the library) to support your rationale.

 

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 10 Assignment

Geriatric Case Study

Instructions

In this assignment, you will review the Geriatric Case Study and analyze the data to determine the health status of the patient. You will need a minimum of two scholarly references to support your work.

Use the NU665C Geriatric Case Study Questions (Word) document to complete the case study assignment.

Follow the requirements posted in the rubric.

Interactive case studies should be five to seven pages depending on the complexity of the case. This is excluding title and references pages.

All papers must conform to the most recent APA standards.

Please refer to the Grading Rubric for details on how this activity will be graded.

Geriatric Case Study Assignment

E.J. is a 62-year-old Caucasian male who initially presented with new-onset symptoms of psychosis and mood liability thought to be connected with high-dose Prednisone treatment for poison ivy exposure. He was brought to an emergency room by his

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