NU665C 2022 MAY Complete Course Latest (Full)

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 1 Discussion

Growth and Development Assessment, Biopsychosocial Profile and Screening

Look at the Chart of Erikson’s Psychosocial Stages in Table 34-16 on page 1073 in the Kaplan and Sadock, Synopsis of Psychiatry (2021) text. Pick a psychosocial stage, discuss the associated virtue and positive and negative forerunners of identity. Explain the purpose of incorporating the evaluation of developmental vulnerabilities within your holistic, psychosocial assessment and treatment plan documentation.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 2 Discussion

Change Theory Versus Motivational Interviewing

For this discussion, compare and contrast principles of Change Theory and Motivational Interviewing and how these principles inform therapeutic interventions. You will gain a greater understanding of the theoretical underpinnings of the use of Change Theory and Motivational Interviewing used across clinical practice situations and settings.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 4 Discussion

Care for a Client Diagnosed with a Substance Use Disorder

In a Word document, address the following prompts:

Elaborate on etiology, stressors, problems of addiction, dependence, and relapse in the U.S. currently.

Identify potential physical and mental findings when examining a client with a substance use disorder. Note your rationales.

Describe possible triggers to compulsive substance use or behavioral addiction.

Discuss the neurobiological mechanisms that underlie addictive behavior.

What are the medication-assisted treatments (MATs) and psychotherapeutic interventions for monitoring (for alcohol and for opioid abuse)?

Post your completed Word document to this discussion forum.

Use APA format with reference list (two to three books and/or articles).

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 5 Discussion

Pair Presentation on Selected Topic

Complete this assignment according to the Week 5 Pair Presentation assignment instructions.

Please refer to the Grading Rubric for details on how this activity will be graded. Please remember that you and your partner must each submit the assignment, even if it is the same file, so that you both receive feedback and credit.

You may view each other’s submission and comment if you would like. Reply posts are optional for this assignment and students will only be graded on the Pair Presentation that they submit.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 6 Discussion

The Deepest Well

Overview

When you are a psychiatric mental health provider, you will encounter difficult and uncomfortable situations where individuals have experienced different traumas. Experiences of childhood abuse and neglect are known antecedents to developing many mental health and substance use disorders. There is no real way to prepare or plan for exposure to these circumstances. This assignment will help you begin to understand the emotional impact of secondary trauma and how to create a self-care plan to avoid caregiver burnout.

Initial Post

After you review all of the learning materials and watch the Week 6 child abuse video, pick two questions from the list to answer in your initial post. Your discussion post should address two of the following prompts:

What is the definition of an adverse childhood event (ACE)? Are there different types of abuse? How many types of abuse did Dr. Harris encounter?

Discuss mental instability, substance use and generational transmission. How is Dr. Harris coping with patients in these situations and what skills will you incorporate into your practice? Explain your reasoning.

Discuss survival and resiliency theory. Relate two surprising facts that Dr. Harris points out about the ACE study.

What physical, psychiatric, and substance use disorders are associated with adverse childhood events? Give three examples from Dr. Harris’s patients.

Explain how the “dysregulated stress response” and Dr. Harris’s depiction of “BEARS” are related.

How is DNA modified by traumatic experiences and what are the sequelae?

You will need to cite at least two research-based resources for this assignment.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 7 Discussion

Counseling Therapies

You should have chosen one therapy during Week 6. Please follow the instructions for posting your pair’s assignment to this submission page.

You will apply each therapy to the care of an individual with PTSD from the following age groups:

child

adolescent

adult

older adult

Initial Post

One student from each discussion pair is to submit the pair’s counseling therapies to this submission page. Remember, the assignment should be a three-to-four-page Word document in APA format.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 9 Discussion

Sleep Disorders

Value: 100 points

Due: Create your initial post by Day 4 and reply to at least one of your peers by Day 7.

Grading Category: Discussions

Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the question below.

Initial Post

In a Word document, respond to each of the following statements succinctly, but with detail.

Sleep disorders only come in two diagnostic categories, one related to sleep apnea and the other related to the failure to stay awake due to stress.

The use of over-the-counter sleep aids should be encouraged over prescription drugs because they are safer and not habit forming.

Menopause has no impact on insomnia.

As a backup to over-the-counter sleep aids, benzodiazepines are the most useful.

Discuss best practice for insomnia assessment.

Use the appropriate APA formatting as listed in the syllabus.

 

 

 

 

 

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 12 Discussion

LGBTQI Topic Presentation

Using your chosen topic, your group should develop a 10-minute creative, informational presentation which you will record and upload to this discussion. You may use PowerPoint, Prezi, or another type of presentation medium as desired, and you may insert videos or other media.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 13 Discussion

Reflect on your own experiences in your clinical work and workplace related to the COVID-19 pandemic. Discuss the ways that this pandemic can be compared to disaster medicine.

How has the pandemic affected clients with severe mental illnesses ability to access mental health treatment and substance use disorder treatment? In conclusion, clarify the PMHNP’s role in these situations.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 14 Discussion

Assessing for Grief

Identify the symptoms of grief in the individual(s) in the video that you watched, taking culture into consideration.

Assess if the individual(s) in the video that you watched has a psychiatric illness or if their symptoms are within an adaptive range for grieving for that group/culture.

Support and substantiate your information with evidence.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 15 Discussion

Policy and Practice Issues

Identify one policy issue related to barriers to accessing psychiatric and mental healthcare that is currently being addressed by your national professional organization and discuss how NPs can become policy-aware, as well as act as patient advocates.

Attach a policy white-paper to support your statement.

NU665C 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.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 3 Assignment  

Complicated Pregnancy

Instructions

You are caring for a 37-year-old woman who is pregnant with her second child. Her first pregnancy was traumatic as she experienced a pelvic fracture during delivery causing excruciating pain. Also, during this time she became addicted to opioids and has continued on buprenorphine during this second pregnancy. The anxiety from these memories plagues her. She is fearful that she will not be given adequate pain medication during the birth and that the baby may experience withdrawal symptoms. She has been prescribed an antidepressant for anxiety and depression. 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.

 

NU665C 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.

 

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 8 Assignment  

Eating and Feeding Disorders—Are They Mental Illnesses?

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, chose an eating or feeding disorder and answer the following questions:

Explain the neurology of this eating or feeding disorder. Does the characterization of this eating or feeding disorder as a mental illness surprise you? What are your thoughts on the personal and/or cultural implications of classifying an eating or feeding disorder 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 an eating or feeding disorder as a mental illness?

Describe changes in personality and social behavior that might be seen with this eating or feeding disorder. How would you assess for these changes?

Provide an overview of the health consequences and medical complications of this eating or feeding disorder.

Create a treatment plan for an individual diagnosed with this eating or feeding disorder 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.

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

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 9 Assignment  

Barkley DRT Post-Test

Instructions

During this week, you will have the opportunity to take the post-test for the diagnostic readiness exam for Primary care of the Psychiatric Mental Health patient.

Instructions and a hyperlink will be provided during this module for you to access the exam.

The exam will consist of 100 questions, and you will have 100 minutes to take the exam.

The exam must be completed by Day 7 of Week 9 and in one sitting, so please plan accordingly.

The exam will not be in Respondus, as this is a resource for you to identify your current strengths and areas needing development related to your role and population specific knowledge, and it is not factored into any grading for NU 665C.

After the exam, you will have 45 minutes to review each question and rationales for each correct and incorrect answer as well as illustrative graphs are provided.

The post-test exam is the same test as the pre-test exam so you can see your growth over time.

Once you complete the exam, you will upload the certification of completion with breakdown of the exam components to the designated drop box.

In addition, please discuss any remediation plans with your program director, course or clinical faculty or faculty advisor.

There is no grade for this exam; however, it is a requirement to complete the exam in this course. More importantly this assignment will help prepare you for the certification exam. Remember, this is a readiness test for national certification, so it is imperative that you give your full effort in taking this exam.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 10 Assignment  

Geriatric Case Study

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.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 11 Assignment 1  

Personality Disorders

Using your practicum experience, choose a client you’ve seen diagnosed with personality disorder.

Download the Biopsychosocial Template (Word) to write about that client for this assignment.

Use the template to create an evidence-based treatment plan using all of the components within the template. Include the Personality Disorder Cluster in the DSM-5. Follow HIPAA guidelines to avoid providing information that identifies the patient.

Criteria for this paper:

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

Use APA formatting for all components of your paper.

Your paper should be two to three pages in length not including the reference page.

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

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

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 12 Assignment  

Care Plan for LGBTQI Client

After you complete the readings, choose a topic related to LGBTQI behavioral/mental health. Examples include stigma, trauma, domestic violence, homelessness, bullying or bipolar disorder.

In a Word document, write a synthesis paper that addresses the following sections:

Introduction to topic: How does this topic contribute to mental distress and diagnoses?

Epidemiology and economic costs to society

Overview of the assessment/tools to assess for DSM-5 disorder

Pharmacological interventions Plan of care to include holistic interventions and psychotherapeutic options.

Your paper should be two to three pages long (not counting the cover sheet or APA references list) and follow APA formatting for all components.

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

 

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 13 Assignment  

Crisis Case Study

n this assignment, you will review the Crisis Case Studyand 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 Crisis 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.

 

NU665C Primary Care of the Psychiatric Mental Health Client II

Week 15 Assignment  

Case Study Analysis

NU665C – Week 15 Case Study Analysis

For this assignment, you will apply what you have learned during the course to develop and present a case and treatment plan for a fictional or real client encountered in clinical practice. Your case analysis will be completed in three sections totaling five to seven pages (excluding title page and references) and will be graded using the case study grading rubric.

Part A: Clinical Assessment

Record your client assessment, diagnosis (medical and psychiatric differentials), medical and psychiatric history and psychosocial factors that impact the case. This information should be presented in the same format as your Wheeler (2014) textbook’s Sample Clinical Assessment Form, found on pages 143–145.

Conclude Part A with a one-page description of this fictional patient, including all the relevant information outlined in the clinical assessment form as well as relevant and realistic information acquired from your research. Refer to the APA Clinical Practice Guidelines.

Part B: Therapy Session

You will design a therapy session for your client based on his or her preceding clinical assessment. Part B of your assignment will be assessed on your demonstration of proper therapeutic communication. The empathy demonstrated should be consistent with the following operational definition: Empathy is a critical tool for establishing a trusting therapeutic relationship. Rather than parrot back what your client has said, good empathy reflects the thoughts and feelings of your client and notes the importance of what has been communicated. In doing so, it invites the client to self-explore. Empathic feedback avoids “why” questions. When appropriately relayed in a tentative manner, good therapeutic empathy also gives the client a chance to redirect or correct what the counselor has said.

For Part B, you can choose to either video a 10-minute therapy session with your client or write out your therapy session in a transcript. You can have someone off camera speak the lines of your “client” if you choose to do this part of the assignment as a video. It is your choice whether to provide a video of your therapy session or a written transcript.

Your session transcript should:

Use your personal experiences to replicate realistic patient responses as well as clinical responses.

Be a written transcript of more than 2,100 words (at least 15 minutes in length).

Evidence empathic feedback that adheres to the operational definition of empathy in the counselor’s responses to most of the client’s remarks.

Part C: Therapeutic Intervention

Much of the information you learn through your research can help inform the development of your patient. Research evidence-based interventions involving both psychopharmacological and nonpharmacological services to individuals who have been assessed in a mental health setting.

There should be three to five evidence-based articles and interventions that encompass both medication and non-medication modalities. Be sure to include two different therapeutic approaches when discussing non-medication interventions. For example, when selecting therapeutic approaches, you can select client-centered and cognitive behavioral therapy.

 

Week 1 Quiz

Question 1American psychologist Edward L. Thorndike described:

Select one:

 a.Drive reduction theory

 b.Behaviorism

 c.Trial-and-error learning

 d.Respondent behavior

 e.Operant behavior

Question 2Attachment theory states that:

Select one:

a.Infants are generally polytropic in their attachments

 b.Attachment disorders may lead to failure to thrive

 c.Attachment occurs instantaneously between the mother and the child

 d.Attachment is synonymous with bonding

 e.Separation anxiety is most common when an infant is 5 months old

Question 3Erikson differs from Freud by his placing greater emphasis on:

Select one:

 a.Interpersonal relationships

 b.Cultural factors in development

 c.Instinctual drives

 d.Psychosexual development

 e.Object relations

Question 4In which of the following age groups is the stage of preoperational thought present?

Select one:

 a.Birth to 2 years

 b.Ages 2 to 7 years

 c. Ages 7 to 11 years

 d.Age 11 through the end of adolescence

 e.None of the above

Question 5The PMHNP is discussing medication management with a 16 y/o adolescent. It is important to remember that adolescents are often resistant to complying with medications for which of the following reasons?

Select one:

 a.The success of anti-drug education

 b.Side effects

 c.Resistance to the perceived control by authority figures

d.A resurgence of interest in natural medicines

 

Week 2 Quiz

Question 1According to Prochaska and DiClemente Change Theory, at what stage of change would ambivalence be evident?

Select one:

 a.Contemplation

 b.Action

 c.Denial

d.Precontemplation

Question 2As a practicing PMHNP, you diagnose a patient with polysubstance dependence and decide to proceed with motivational interviewing (MI). MI incorporates all of the following principles EXCEPT ________.

Select one:

 a.expressing empathy

 b.giving advice

c.developing discrepancy

 d.rolling with resistance

 e.supporting self-efficacy

Question 3Match the following statement with the appropriate leadership skill term:

To let clients know they are heard and understood beyond the level of words requires

Select one:

 a.Active listening

 b.Restating

 c.Clarifying

 d.Empathizing

e.Reflecting feelings

Question 4Several communication styles are key to the spirit of MI. Select the one that is the most likely to contribute to resistance.

Select one:

 a.Guiding

 b.Focusing

 c.Following

 d.Directing

Question 5The PMHNP knows that an essential component embedded in the role and scope of practice is critical thinking. Critical thinking ________. (Choose all that apply.)

Select one or more:

 a.is defined as rehabilitative services

 b.entails making clinical decisions based on evidence-based practice

 c.develops self-awareness by a metacognitive mechanism to gather additional insights about one’s self

 d.None of the answers is .

 

Week 3 Quiz

Question 1All of the following regarding Postpartum Depression are true except:

Select one:

 a.May last months to years if untreated

 b.Occurs within 3-6 months post deliver

 c.Is associated with a history of a mood disorder

d.Is rarely associated with feelings of guilt or inadequacy

Question 2All of the following regarding the “Baby Blues” are true except:

Select one:

 a.Occur in up to 50% of women who give birth

 b.Occurs 3-5 days post delivery

 c.Are associated with a history of a mood disorder

 d.Can cause sleep disturbance

Question 3Research has shown that children of mothers with Borderline Personality are more likely to exhibit all of the following except:

Select one:

 a.Higher rates of emotional and behavioral problems

 b.Higher rates of psychiatric disorders

 c.Disorganized attachment to the mother at one year of age

 d.Successful interpersonal functioning

Question 4Spouse abuse is:

Select one:

 a.Carried out by spouses who tend to be independent and assertive

 b.A recent phenomenon

 c.Least likely to occur if a woman is pregnant

 d.Directed at specific actions of the spouse

Question 5The following screening tool is routinely used to screen for depression in the perinatal setting.

Select one:

 a.Mood Disorder Questionnaire (MDQ)

 b.Edinburgh Postnatal Depression Scale (EPDS)

 c.Connors’ Rating Scales

 d.Ham-A Rating Scale

 

Week 4 Quiz

Question 1A 14-year-old boy is brought to the ED by the police after the boy assaulted a passerby. The patient is slurring his speech and appears unsteady. On physical exam, he is found to have nystagmus, generalized muscle weakness, and depressed reflexes. He is sluggish and complains that he is seeing double. Which substance is most likely causing his intoxication syndrome?

Select one:

 a.Inhalants

 b.Stimulants

 c.Alcohol

d.Amphetamines

 e.Hallucinogens

Question 2A key indicator of addiction that can be applied when assessing a client for substance use is ________.

Select one:

 a.calling in sick every Monday morning

 b.loss of control over frequency or amount of use

c.bragging about the amount of alcohol consumed

 d.having withdrawal symptoms when use is stopped

 e.None of the answers is .

Question 3A PMHNP notices that few substance abuse treatment programs apply evidence-based practice. The PMHNP wants to initiate such a treatment program to ________.

Select one:

 a.implement the use of valid instruments

 b.improve outcomes through analysis and synthesis of evidence

c.maximize interventions and increase skill utilization

 d.optimize revenue-generating potential

Question 4A screening tool developed specifically to screen adolescents for high risk alcohol and other drug use is ________.

Select one:

 a.PACES

 b.HEEADSSS

 c.CRAFFT

d.M-CHAT

 e.None of the answers is .

Question 5Although your client denies any significant drug use, he comes to his appointment today with symptoms of nausea, muscle cramping, agitation, and anxiety. Your first thought, given his history of substance abuse, is ________.

Select one:

 a.opiate addiction

b.marijuana intoxication

 c.alcohol intoxication

 d.opiate withdrawal

 

Week 5 Quiz

Question 1A 13-year-old girl’s family brings her to treatment against her wishes. The family reports that she is very short tempered, always arguing at home and with teachers, and blames them (teachers and parents) for the behaviors she’s exhibiting. She denies being depressed or anxious. No psychotic symptoms are reported. Based on the information you have, what might be the best diagnosis at this time?

Select one:

 a.Antisocial personality disorder

 b.Conduct disorder

 c.Oppositional Defiant Disorder

d.Borderline Personality Disorder

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