NU673-7D Full Course Herzing University

NU673-7D Full Course Herzing University

NU673-7D Full Course Herzing University

$300

In stock

$300

  • Description
  • Reviews (0)

Description

NU673-7D Full Course Herzing University

NU673-7D Full Course Assignments

NU673-7D Unit 2 Assignment – Trauma Presentation Herzing

Instructions

Choose from one of the three trauma topics listed below and prepare a presentation related to trauma and clinical practice.  The presentation should be 10-15 slides in length.  You are not required to complete a voice over for this presentation. 

  1. What is the impact of different restraints in relation to trauma? (physical or pharmacological) 
  2. What is the relationship between trauma and homelessness (and other social determinants of health)? 
  3. What is the correlation between trauma and substance abuse? 

In your presentation cover the following information: 

  1. Title Slide 
  2. What is the definition of trauma? 
    • Who is vulnerable to trauma? 
  3. How can trauma be experienced on the intergenerational level and over the individual and family lifespan? 
  4. Pathophysiology of Trauma 
  5. How do social determinants of health correlate to the effects of trauma? 
  6. S/Sx of Trauma 
  7. What is the difference between trauma therapy and trauma-informed care? 
  8. What is a trigger and how would you recognize that someone is experiencing trauma-related distress? 
  9. How might a person with a history of trauma have behavior that could be interpreted as “noncompliance” or non-adherence? 
  10. Special trauma topic: one from the 3 choices listed above. 
  11. Conclusion 
  12. References 

Your response should include evidence-based research to support your content using proper citations and APA format. 

 

NU673-7D Unit 3 Assignment – Clinical: SOAP Note Herzing

Instructions

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

Follow the rubric to develop your SOAP notes for this term. 

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.

 

NU673-7D Unit 3 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 5 entries for your Reflective Journal about a patient encounter. In the 5th entry, you will review the previous 4 entries and evaluate your progress in reflective practice over the course of the term.  Each journal should be a minimum of 250 words.

The purpose of this reflective journal is self-reflection regarding the role in the process of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP.

Introduction address the following items:  

  • Describe your past experience in mental health or with someone with mental illness. 
  • What are the reasons you have chosen to work with this population?  
  • Discuss any concerns you have regarding this specific clinical course and population Adult/Geriatric. 
  • Identify personal and academic/professional goals for the clinical course and population Adult/Geriatric.

 

NU673-7D Unit 4 Assignment – Suicide Assessment Herzing

Complete a SOAP Note as if you were the psychotherapist in the video. Then write a one-page summary that highlights the warning signs of suicidality in the patient and why you chose the treatment plan you choose in your SOAP Note.

 

NU673-7D Unit 5 Assignment – Clinical: SOAP Note Herzing

Instructions

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

Follow the rubric to develop your SOAP notes for this term. 

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.

 

NU673-7D Unit 5 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 5 entries for your Reflective Journal about a patient encounter. In the 5th entry, you will review the previous 4 entries and evaluate your progress in reflective practice over the course of the term.  Each journal should be a minimum of 250 words. 

The purpose of this reflective journal is self-reflection regarding the role in thprocess of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP. 

Discuss a patient interaction in which there was transference, countertransference, prejudice/biases, or judgments that you may be making about the patients or that they are verbalizing about you. Have you encountered this before? From where does this originate? Would it appropriate for you to continue to provide care to the patient and if so, how will you prevent these issues from affecting the care you are able to provide the patient?

 

NU673-7D Unit 6 Assignment – Diagnostic Tools Paper Herzing

Instructions

Write a 4-5 page paper describing the use of a specific screening tool.  Discuss what diagnosis you are using the tool for, how to score the tool, and support use of the tool with evidence and rationale.  Next, develop a treatment plan for the patient based on your findings in the diagnostic test and interpretation. 

Sections should include: 

  • Introduction to the diagnostic tool 
  • Discussion of Tool: why it is used, how, and for what diagnosis 
  • Discussion of Interpretation of Scoring for the Tool 
  • Treatment Plan for patient with positive results from the tool, include non-pharmacological and pharmacological approaches, patient education, additional testing required, and follow-up as needed.

 

NU673-7D Unit 8 Assignment – Anxiety Case Study Herzing

Instructions

Read the case study as listed and complete a SOAP note for an intake.  What additional information do you need for subjective and objective data?  Next, design a treatment plan based on the information you have available; include pharmacological, non-pharmacological, patient education, referral, and follow-up. 

Milton is a 68-year-old Asian American male who reports that his biggest problem is worrying non-stop.  He worries all of the time and about “everything under the sun and beyond.”  For example, he reports equal worry about his wife who is undergoing treatment for breast cancer, and whether he returned his book to the library yesterday to maintain a good patron status.  He recognizes that his wife is more important than a book and is bothered that both cause him similar levels of worry even when he tries to rationalize the differences.  Milton is unable to control his worrying with current mechanisms that he lists as distraction or self-talk.  Supplementary, this excessive and uncontrollable worry is creating difficulty falling asleep and staying asleep, constant impatience with others, difficulty focusing at work, and significant back and muscle tension.  Milton has had a lifelong problem with worry, recalling that his mother called him a “worry wart as a child.”  His worrying does “wax and wane”, and worsened when his wife was recently diagnosed with breast cancer.  He feels he is at a loss for what he can do to control it and relax. 

Symptoms: 

  • Anxiety 
  • Concentration Difficulties 
  • Irritability 
  • Sleep Difficulties 
  • Worry 

Vitals: 

132/80 BP 

72 HR 

20 R 

98.8 T 

98% 02 

Ht. 5’5” 

Weight 149

 

NU673-7D Unit 9 Assignment – Clinical: SOAP Notes Herzing

Instructions

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

Follow the rubric to develop your SOAP notes for this term. 

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.

 

NU673-7D Unit 9 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 5 entries for your Reflective Journal about a patient encounter. In the 5th entry, you will review the previous 4 entries and evaluate your progress in reflective practice over the course of the term.  Each journal should be a minimum of 250 words. 

The purpose of this reflective journal is self-reflection regarding the role in thprocess of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP. 

  • Describe a significant event/patient interaction you have experienced anytime in your nursing career up to this week. Discuss the impact this had on you in terms of increasing your understanding of the PMHNP role, psychopathology, and/or the provider-patient relationship. Explore your personal strengths and limitations and their effect on the provider/patient relationship. Include reflection on your therapeutic use of self. Your discussion should reflect your specific learning/insight. Identify something specific that you learned from reflecting on this event/interaction and how will you apply that learning in your future practice?

 

NU673-7D Unit 10 Assignment – Substance Use Presentation Herzing

Instructions

For this assignment, you will choose one substance or illegal drug that is prevalently being abused in our society to present to your classmates. 

The presentation should include the following: 

  1. Title page 
  2. Introduction to Substance 
  3. History of Abuse 
  4. Prevalence and Epidemiology in the US 
  5. Risk Factors/ vulnerable populations associated with abuse of this substance 
  6. Shortterm and Longterm side effects of the substance use 
  7. Signs and symptoms of abuse upon assessment 
  8. Potential for overdose or use as suicide weapon of choice 
  9. Example of a Care Plan for a patient: 
    1. Pharmacological tx 
    2. Non-pharmacological tx 
    3. Patient Education 
    4. Referral 
    5. Follow-up 
  10. Conclusion 

You will then record a voice-over of the presentation, upload the recorded presentation to youtube so you receive a simple link to share with your peers. 

Post your link to this week’s DB posting area as well so peers can view it.  No replies to others’ presentations are required but you are encouraged to view others’ presentations and comment.

 

NU673-7D Unit 11 Assignment – Clinical: SOAP Notes Herzing

Instructions

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

Follow the rubric to develop your SOAP notes for this term. 

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.

 

NU673-7D Unit 11 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 5 entries for your Reflective Journal about a patient encounter. In the 5th entry, you will review the previous 4 entries and evaluate your progress in reflective practice over the course of the term.  Each journal should be a minimum of 250 words. 

The purpose of this reflective journal is self-reflection regarding the role in thprocess of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP. 

  • Describe a new experience, significant event/patient interaction, never seen before diagnosis, etc… you have experienced in clinical this week. You can choose the same case you used for your SOAP Note this week if that case had an effect on you.  Discuss the impact this had on you in terms of increasing your understanding of the PMHNP role, psychopathology, and/or the provider-patient relationship. Explore your personal strengths and limitations and their effect on the provider/patient relationship. Include reflection on your therapeutic use of self. Your discussion should reflect your specific learning/insight. Identify something specific that you learned from reflecting on this event/interaction and how will you apply that learning in your future practice?

 

NU673-7D Unit 12 Assignment – Mental Health Policy Paper Herzing

Instructions

For this assignment, you will write a paper summarizing a current bill either federal or state that impacts psychiatric mental healthcare and collaborative care for access to treatment.  The paper should contain the following main points as listed below: 

  1. Select a House of Representatives or Senate bill (national or state level), either currently in process or one that has been passed within the last two years that directly focuses on or impacts psychiatric mental health care advanced practice nursing, financing, operations, or collaborative care for access. (Include the name of the bill: e.g., H.R. 4909 (115th): Stop School Violence Act of 2018. Be sure to note if the bill is federal or state-level legislation and indicate the state, if appropriate. Also note if the bill was passed and the date, if in committee [house or senate], or if awaiting the president’s signature).  
  2. Discuss your encouragement or opposition of the Bill based on ethical, legal, and policy considerations, and the nursing view and perspective for patient care 
  3. Discuss how the bill impacts or will impact, the role of the PMHNP. Discuss the impact on health care quality and outcomes for psychiatric mental healthcare. 
  4. Discuss how the policy negatively or positively contributes to collaborative care for psychiatric mental healthcare and increased access to care for psychiatric mental health diagnoses. 

This paper must be written in current APA format, be 4-6 pages (excluding the title page and reference page), and have at least 3 scholarly, peer-reviewed references in addition to the course textbooks.

 

NU673-7D Unit 13 Assignment – Clinical: SOAP Notes Herzing

Instructions

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

Follow the rubric to develop your SOAP notes for this term. 

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.

 

NU673-7D Unit 13 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 5 entries for your Reflective Journal about a patient encounter. In the 5th entry, you will review the previous 4 entries and evaluate your progress in reflective practice over the course of the term.  Each journal should be a minimum of 250 words. 

The purpose of this reflective journal is self-reflection regarding the role in thprocess of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP. 

The ability to analyze one’s self and be aware of how one’s emotions and responses affect others is a crucial component to developing a therapeutic relationship with patients. During this clinical/course and particularly through this exercise it is expected that the student develops recognition of their own feelings, prejudices, biases, triggers, anxieties, limitations, and of course strengths while developing the ability to appropriately manage these issues as they arise and how to best align your strengths to overcome your limitations. In this final journal entry, review your previous journal entries and reflect upon your success in achieving this as well as the goals you stated in your first video journal.  

Questions to address in your final reflective video include:  

  • What goals did you set for yourself at the beginning of the semester? Did you meet these?  
  • What feelings, prejudices, and biases did you experience during your clinical experience and how did you manage them?  
  • How did you manage your anxiety, self-doubt, and/or uncertainty?  
  • What understanding or insights did you develop during your clinical experience?  
  • Has reflective practice impacted you as a person, student, and/or provider? If so, how? Will you continue to use reflection in your future practice? If so why and how?

 

NU673-7D Unit 14 Assignment – Advocacy Against Violence and Abuse Paper Herzing

Instructions

For this assignment, you will write a paper discussing the ethical stance and position of the PMHNP in relation to violence and abuse against, particularly vulnerable populations.  For each section listed below, you will discuss specific issues, trends, and advocacy for that specific vulnerable population and then discuss how the PMHNP role can address this prevalent health crisis in our society and world. 

  1. Introduction and Statistics 
  2. What is abuse and violence against others? 
  3. Vulnerable Population: Pregnant Women and Children 
  4. Vulnerable Population: Elder Abuse 
  5. Vulnerable Population: Minorities; ethnicity, immigrants, and or gender, sexual preference etc… related 
  6. Screenings 
  7. PMHNP role in advocacy and prevention 
  8. Conclusion 

This paper must be written in current APA format, be 4-6 pages (excluding the title page and reference page), and have at least 3 scholarly, peer-reviewed references in addition to the course textbooks.

 

NU673-7D Full Course Discussions

NU673-7D Unit 1 Discussion – Introduction Herzing

Discussion: Unit 1

Unit 1 Discussion 1 – Introduction

Instructions:

Welcome to NU673! I am looking forward to learning about each and every one of you, and I know your classmates are as well. This discussion board is for you to share information with your classmates and me so we can begin to create relationships within our online classroom environment.  You may begin to find that you are many of the same courses together as you move through the program. Throw in some fun information about yourself so we can deepen our knowledge of one another.  

Using Zoom, create a 2-3 minute video introducing yourself to your instructor and peers. In the video, please address the following: (Please see the Zoom Quick Start PDF for more detailed instructions).

As a way of introducing yourselves to the instructor and your peers, please post the following:

  • Your name 
  • Location 
  • Description of your current position (If not employed, what are your expectations when you complete your program?) 
  • What do you know about psychotherapy? 

Please be sure to validate your opinions and ideas with citations and references in APA format.

Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Peer Response: Unit 1

Unit 1 Discussion 1 – Introduction

Instructions:

  • Always construct your response in a word processing program like Word. Check for grammar, spelling, and mechanical errors. Make the corrections and save the file to your computer.
  • Find the post that you are going to reply to.
  • Submit your peer responses to at least two peers.

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

NU673-7D Unit 3 Discussion – Psychiatric Interview Herzing

Discussion Prompt

  1. Using the readings, lecture, and references, write a complete SOAP note for this patient in the proper format as if this were a referral for you from the school counselor. 
  2. Post the SOAP note to this discussion board for your peer review. 
  3. Your post should include a comprehensive treatment plan which incorporates both psychosocial interventions as well as a medication plan, if indicated, with collateral information. 

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

  • Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
  • References and citations should conform to APA standards.
  • Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
  • Plagiarism is never acceptable – give credit when credit is due – cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

 

NU673-7D Unit 5 Discussion – Diagnostic Assessments Herzing

Discussion Prompt

For this discussion, you will answer the question which corresponds to the FIRST letter of your FIRST name: 

Then you will respond to the main postings of at least two of the other learners who have answered questions different from yours. 

If your FIRST name begins with the letter A through I, please address this question: 

  • Compare and contrast major depressive disorder and bipolar II disorder with particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis. 

If your FIRST name begins with the letter J through P, please address this question: 

  • Compare and contrast bipolar I and bipolar II disorder with particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis. 

If your FIRST name begins with the letters Q through Z, please address this question: 

  • Compare and contrast bipolar II from cyclothymic disorder with particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis. 

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

  • Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
  • References and citations should conform to APA standards.
  • Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
  • Plagiarism is never acceptable – give credit when credit is due – cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.

 

NU673-7D Unit 7 Discussion – CPT E&M Code and ICD-10 Diagnosis Code Herzing

Discussion Prompt

Use your lecture materials to determine what CPT E&M Code and ICD-10 diagnosis code to utilize for this ‘new patient’ encounter using the medical decision-making (complexity) approach. 

Provide justification for the code you assigned by including the following information in your discussion: 

Case:

This patient presents to a local health center.  As the provider, you must conduct a full physical on the patient as well as a psychiatric intake. 

Liam is a 22-year-old who reports to you that he feels depressed and is experiencing a significant amount of stress about school, noting that he’ll “probably flunk out.” He spends much of his day in his dorm room playing video games and has a hard time identifying what, if anything, is enjoyable in a typical day. He states once he leaves the room he begins sweating and feels as if he has heart palpations. He rarely attends class and has avoided reaching out to his professors to try to salvage his grades this semester. Liam has always been a self-described shy person and has had a very small and cohesive group of friends from elementary through high school. Notably, his level of stress significantly amplified when he began college. You learn that when meeting new people, he has a hard time concentrating on the interaction because he is busy worrying about what they will think of him – he assumes they will find him “dumb,” “boring,” or a “loser.” When he loses his concentration, he stutters, is at a loss for words, and starts to sweat, which only serves to make him feel more uneasy. After the interaction, he replays the conversation over and over again, focusing on the “stupid” things he said. Similarly, he has a long-standing history of being uncomfortable with authority figures and has had a hard time raising his hand in class and approaching teachers. Since starting college, he has been isolating more, turning down invitations from his roommate to go eat or hang out, ignoring his cell phone when it rings, and habitually skipping class. His concerns about how others view him are what drive him to engage in these avoidance behaviors. After conducting your assessment, you give the patient feedback that you believe he has social anxiety disorder, which should be the primary treatment target. You explain that you see his fear of negative evaluation, and his thoughts and behaviors surrounding social situations, as driving his increasing sense of hopelessness, isolation, and worthlessness. 

Significant Symptoms: 

  • Anxiety 
  • Depression 
  • Ruminations 
  • Social Anxiety 
  • Physical symptoms; sweating, heart palpations 

Vitals: 

127/80 

98 

18 

60 

90% 

BMI 30 

225 lbs 

72” 

Physical exam: 

General: Well appearing, well-nourished, in no distress. Oriented x 3, normal mood and affect. Ambulating without difficulty.  

Skin: Good turgor, no rash, unusual bruising, or prominent lesions  

Hair: Normal texture and distribution.  

Nails: Normal color, no deformities  

HEENT: Head: Normocephalic, atraumatic, no visible or palpable masses, depressions, or scaring. Eyes: Visual acuity intact, conjunctiva clear, sclera non-icteric, EOM intact, PERRL, fundi have normal optic discs and vessels, no exudates or hemorrhages  

Ears: EACs clear, TMs translucent & mobile, ossicles nl appearance, hearing intact.  

Nose: No external lesions, mucosa non-inflamed, septum, and turbinates normal  

Mouth: Mucous membranes moist, no mucosal lesions.  

Teeth/Gums: No obvious caries or periodontal disease. No gingival inflammation or significant resorption. Pharynx: Mucosa non-inflamed, no tonsillar hypertrophy or exudate  

Neck: Supple, without lesions, bruits, or adenopathy, thyroid non-enlarged and non-tender  

Heart: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop  

Lungs: Clear to auscultation and percussion  

Abdomen: Bowel sounds normal, no tenderness, organomegaly, masses, or hernia  

Back: Spine normal without deformity or tenderness, no CVA tenderness  

Rectal: Normal sphincter tone, no hemorrhoids or masses palpable  

Extremities: No amputations or deformities, cyanosis, edema or varicosities, peripheral pulses intact  

Musculoskeletal: Normal gait and station. No misalignment, asymmetry, crepitation, defects, tenderness, masses, effusions, decreased range of motion, instability, atrophy or abnormal strength or tone in the head, neck, spine, ribs, pelvis or extremities.  

Neurologic: CN 2-12 normal. Sensation to pain, touch, and proprioception normal. DTRs normal in upper and lower extremities. No pathologic reflexes.  

Psychiatric: Oriented X3, intact recent and remote memory, judgment and insight, anxious mood and affect.  

Breast: No nipple abnormality, dominant masses, tenderness to palpation, axillary or supraclavicular adenopathy.  

G/U: Penis circumcised without lesions, urethral meatus normal location without discharge, testes and epididymides normal size without masses, scrotum without lesions. 

  1.  The level of medical complexity encompassed by including the number of points for the diagnoses/management options and the amount/complexity of data reviewed; then identify the level of risk for complications, morbidity, mortality 
  2. In the discussion explore how the ICD-10 Codes that you assigned impact third-party payor reimbursement for this visit. 

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

  • Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
  • References and citations should conform to APA standards.
  • Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
  • Plagiarism is never acceptable – give credit when credit is due – cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.

 

NU673-7D Unit 9 Discussion – Depression Treatment Planning for Effectiveness Herzing

Discussion Prompt

  • Compare and contrast delirium with brief psychotic disorder. For this discussion, you will need to place particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis for the adult/geriatric patient 

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

    • Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
    • References and citations should conform to APA standards.
    • Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
    • Plagiarism is never acceptable – give credit when credit is due – cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.

 

NU673-7D Unit 11 Discussion – Managing Mood Disorders and Adjunctive

Discussion Prompt

Rebecca Cole is a 39 years old, single, African American female.  She has never been married or had children. She has been institutionalized at a state mental health hospital for more than 7 years since she was diagnosed with unspecified schizophrenia. She was diagnosed at age 21 and has undergone more than 8 psychiatric hospital admissions over her lifespan. Ms. Cole has been transferred to a local acute care hospital due to uncontrolled diabetes and hypertension. She has been refusing blood glucose monitoring daily, so the charge nurse on the women’s floor has not been able to check her blood sugar for 2 days. She has also been refusing her antihypertensive and antipsychotic medication for 3 daysThis has now led to more uncontrolled hypertension and an increase in psychosis and behavioral issues today. The nursing staff has become very frustrated and voiced their issues with hospital administration because they don’t feel the administration is listening to their concerns about the challenges faced on the psychiatric units, and particularly the challenges they are facing in caring for Rebecca 

You are the PMHNP who is assigned and is managing her psychiatric care while in the acute care hospital. 

  1. At this point, can Rebecca make her own healthcare decisions? Why or why not? What legal risk for the PMHNP could be associated with caring for Rebecca in the acute care hospital setting? 
  2. How can integrative care be an approach that is utilized with this patient? 
  3. What other specialties should be involved and when she they be involved? 
  4. Discuss the potential ethical issues facing the staff nurses caring for Rebecca in both the acute care hospital setting currently and the state psychiatric hospital setting? 
  5. Why is continued integrative care a better option for patient outcomes and a better option from an ethical and legal perspective? 

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

    • Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
    • References and citations should conform to APA standards.
    • Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
    • Plagiarism is never acceptable – give credit when credit is due – cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.

 

NU673-7D Unit 13 Discussion – Telehealth Herzing

Discussion Prompt

Telehealth is an integral part of our healthcare system and becoming more prominent.  Being comfortable with multiple platforms is a must for the PMHNP.  Discuss the specific questions in your initial post: 

Part 1: Nurses, in general, are seeing telehealth increase. When might telehealth be preferred over an in-person medical visit and why? 

Part 2: As healthcare incorporates various mobile health applications, describe how mHealth (mobile health) is different from telehealth? How should we adjust healthcare due to mobile access by patients? 

Part 3: As a PMHNP, what clients would best be suited for telehealth visits, and which would you rule out from seeing in telehealth and require in-person and why? 

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

    • Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
    • References and citations should conform to APA standards.
    • Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
    • Plagiarism is never acceptable – give credit when credit is due – cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.

 

NU673-7D Unit 15 Discussion – Suicide Risk Herzing

Discussion Prompt

Ms. Smith is a Psychiatric-Mental Health Nurse Practitioner working in an outpatient psychiatric clinic.  She is seeing Dale Knox, a 32-years old man for a psychiatric evaluation for the first time. Dale is currently separated from his wife, Sofie.  Dale and Sodie have been married for years.  Dale has fully completed all of his pre-evaluation paperwork and he has signed the consent for treatment.  During the psychiatric evaluation, Ms. Smith observes that Dale is distraught, tearful and verbalizing feelings of worthlessness and no motivation for life in general.  He states directly that he is going to kill his wife and then kill himself tonight when she returns home from work because he can’t stand the thought of being divorced and he knows she is preparing to leave him. Mr. Knox states he has a handgun in his car and has bought additional ammunition. 

Answer the following questions based on the case presentation: 

  1. Discuss the importance of informed consent in psychiatric-mental health treatment. 
  2. Would Mr. Knox meet the criteria for involuntary commitment, explain why or why not, and then discuss the involuntary commitment process for your state and if PMHNP is able to involuntarily commit a patient the state where you practice? 
  3. Should the PMHNP notify Mrs. Knox about her husband’s threat to kill her, or should the PMHNP protect the confidentiality of Mr. Knox treatment? 
  4. What additional resources should you consider in this case for help for the patient and his family? 
  5. What is the prevalence of suicide-related to someone who has a plan and the means?  Are there any other criteria that this patient meets that places him in a higher risk category for carrying out suicide? 

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

  • Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
  • References and citations should conform to APA standards.
  • Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
  • Plagiarism is never acceptable – give credit when credit is due – cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.

NU609-7C Unit 9 Discussion - Cancer Screening Herzing

Custom NU609-7C Unit 9 Discussion – Cancer Screening Herzing

Reviews

There are no reviews yet.


Only logged in customers who have purchased this product may leave a review.