NU675-7D-LA Full Course Herzing University

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NU675-7D-LA Full Course Herzing University

NU675-7D-LA Full Course Assignments

NU675-7D-LA Unit 1 Assignment – Clinical Schedule and Preceptor Herzing

Instructions

Estimated time to complete: 30 minutes

  • Follow directions on the form and completely fill in all required information.
  • This is due to be submitted by the end of Unit 1 and reviewed by your clinical faculty.
  • To submit the completed document, click on the link, and attach your file to the assignment submission area.
  • Clinicals may not start until Unit 2.

 

NU675-7D-LA Unit 2 Assignment – RN to APRN-NP role Herzing

Instructions

Assignment “RN to APRN-NP role”: You will submit a brief, 3-5 page paper discussing the role differences between an RN and APRN-NP (focus on Psych NP Role, as much as possible). What is the PMHNP role in health policy and public awareness of psychiatric mental health trends and issues? How does your PMHNP program and the ANCC PMHNP board certification ensure you are prepared to practice professionally as a PMHNP?

1. Title page (APA format)

2. Introduction to RN to APRN-NP role transition

3. Discuss the differences in Nursing Roles of RN and APRN-NP.

4. Discuss potential differences/challenges regarding Ethical Issues.

5. Discuss role of PMHNP in health policy and public awareness of psychiatric mental health trends and issues.

6. Preparation as a PMHNP through education and certification

7. Conclusion

8. Include at least 3 scholarly articles in addition to your textbooks.

9. Paper must be in APA format including, reference page, cover page, in-text citations, and overall paper format.

 

NU675-7D-LA 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.

 

NU675-7D-LA Unit 3 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 7 entries for your Reflective Journal about a patient encounter. In the 5th entry, you will review the previous 6 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.

Address the following items:  

Investigate one mental health issue that you are passionate about; LGBTQ mental health, maternal mental health, childhood bullying, etc… and find an advocacy group that you would like to be a part of for mental health awareness for this particular topic or population.  Provide the link and discuss why this is important to you.

Use the appropriate APA formatting with a minimum of 2 references to support your work.

All components must be discussed to receive full credit as complete.

 

NU675-7D-LA Unit 4 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.

 

NU675-7D-LA Unit 4 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 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.

Address the following items:  

In a Word document, respond (agree or disagree) to each of the following statements succinctly, but with detail.

  • Children never have sleep issues unless they intake too much sugar in their diet.
  • Sleep disorders come in only three main forms, one related to narcolepsy, one related to sleep apnea, and the other related to the inability to stay awake due to stress.
  • The use of over-the-counter sleep aids should be encouraged over prescription sleep aids as they are safer and are not habit-forming in any way.
  • Menopause has no impact on insomnia or sleep patterns.
  • As a backup to over-the-counter sleep aids, benzodiazepines are the most useful and first-line treatment for sleep issues.
  • Discuss best practice for insomnia assessment and treatment.
  • Name one specific resource or guideline for treatment

Use the appropriate APA formatting with a minimum of 2 references to support your work.

 

NU675-7D-LA Unit 4 Assignment – State Practice Laws Case Study Herzing

Instructions

Consider your state practice act related to NP practice as you reviewed it in the previous module and on the AANP map as well as your state’s nursing board.  Write a 3-5-page paper about how the practice act for your state encourages or discourages quality and effective patient care for a patient with co-morbid conditions.  Consider the below case.

A 35-year-old African-American male reports trouble with sleep for over 3 months.  He has trouble both falling and staying asleep.  He has increased his drinking habits at night to try and increase his sleepiness before bed.  He states he is drinking 1-2 beers every night before bed.  He also states he has a history of depression that was successfully treated with Prozac for 4 years.  He has not been on medication for the last 24 months and states that his depression has been somewhere from a 1-2 on a 0-10 scale with 10 being the worst.  He denies SI/HI, and A/VH.  However, he does state an increase in anxiety when he does not sleep.  He states he feels fidgety and out of it during the day.  His vitals for today’s visit are:

T98.7

HR76

BP 146/84

R 18

Wt. 193

Ht  5’9”

BMI:  28

Your paper should include:

  1. Title page (APA)
  2. Introduction to your state NP practice
  3. Discussion of how the NP practice laws in your state affect patient care
  4. Specific case and how it is affected by your state’s practice act
  5. Conclusion
  6. Include at least 3 scholarly articles in addition to your textbooks.
  7. Paper must be in APA format including, reference page, cover page, in-text citations, and overall paper format.

 

NU675-7D-LA Unit 5 APEA Pretest Results Herzing

Assessment Score Criteria:

  • Above 70% = 75 points
  • 60 – 69% = 65 points
  • Below 59% = 50 points
  • Did not take exam = 0 points

You should have received your APEA access information last week via email.  Be sure you have checked your ‘Inbox’ and your ‘SPAM/Junk mail’ folders of your Herzing Outlook email account for this information.  If you have checked those folders and you have not received information from APEA you need to let your faculty person know as soon as possible in order that we can investigate that for you.

 

NU675-7D-LA Unit 6 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.

 

NU675-7D-LA Unit 6 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 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.

Address the following items:  

The thoughts and opinions you have about clients will influence your treatment of them. To discover your own assumptions about those with mental health disorders, answer the following questions based on your own thoughts and opinions. There are no right or wrong answers.

  1. What causes the movement on the adaptive–maladaptive mental health continuum? That is, what motivates people to exhibit maladaptive behaviors?
  2. How will you measure therapeutic success? Take into account the degree of maladaptation possible.
  3. Describe your thoughts/beliefs about the following:
    1. Mental illness
    2. Depression
    3. Cutting
    4. Anorexia
    5. Hoarding
    6. Anxiety
    7. Rumination
    8. Manipulation
    9. Passive aggression
    10. Bullying
  4. Are humans trustworthy? Are clients with mental illness trustworthy?
  5. Are clients with mental illness generally self-centered and selfish or do they have the ability to empathize and show concern for others? Take into account the degree of maladaptation.
  6. Can clients with mental illness change? Again, take into account the degree of maladaptation present.
  7. Do you believe that mental illness is prevalent? Why or why not?

Use the appropriate APA formatting with a minimum of 2 references to support your work.

 

NU675-7D-LA Unit 6 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

    NU675-7D-LA Unit 6 Assignment – APEA Q Bank Herzing

    Instructions

    Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

    Points – 30 points

    • 10 points are available for completing the assigned questions.
    • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 6 Assignment – MAT Training Herzing

Instructions

For this assignment, you will complete the Medication Assisted Treatment (MAT) training available through SAMSHA.

This is the first of 2 courses. The second course will be completed in a future module. At the completion of both courses, you will be eligible to apply for a DEA X Waiver for Buprenorphine MAT.  There is some discussion that this requirement may be removed in the future for clinical providers.  Regardless, the training is essential to prescribing and treating with these medications.  Please also save your certificates so you can present them to future employers as completed.

 

NU675-7D-LA Unit 7 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 8 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.

 

NU675-7D-LA Unit 8 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 8 Assignment – MAT Training Herzing

Instructions

For this assignment you will complete the Medication Assisted Treatment (MAT) training available through SAMSHA.

This is the second of 2 courses. The first course was previously completed in a prior module. At the completion of both courses, you will be eligible to apply for a DEA X Waiver for Buprenorphine MAT.  There is some discussion that this requirement may be removed in the future for clinical providers.  Regardless, the training is essential to prescribing and treating with these medications.  Please also save your certificates so you can present them to future employers as completed.

 

NU675-7D-LA Unit 9 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 9 Assignment – Diagnostic Readiness Test (DRT) Herzing

Instructions

During this week, you will have the opportunity to take the post-test for the Diagnostic Readiness Test (DRT).

  • Instructions and a hyperlink to access the Barkley PMHNP DRT will be provided this week in the course announcements.
  • The DRT contains 100 questions. You will have 145 minutes to complete it.
  • The exam must be completed in one sitting, so please plan accordingly.
  • 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.
  • After you complete the exam, upload the certificate of completion with the breakdown of the exam components to this assignment page.

The DRT will help you identify your current strengths and areas needing development related to your role and population-specific knowledge. Please discuss any remediation plans with your program director, course or clinical faculty, or faculty advisor.

 

NU675-7D-LA Unit 10 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.

 

NU675-7D-LA Unit 10 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 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.

Address the following items:  

  1. What are your outpatient facility and state policies regarding an inpatient hold?
    • Does the patient have to be suicidal/homicidal or are there other criteria to place someone on a hold?
    • How long are these holds for your state and to have them extended what is required?
    • Think about either your current place of employment or current clinical site.
  2. What are some potential biases you may have with a patient making suicidal statements?
    • If you have dealt with this, how did it go? If you have not yet, how do you think it will go?

 

NU675-7D-LA Unit 10 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 10 Assignment – Crisis Management Herzing

Instructions

You have been working as an outpatient psychiatric nurse practitioner in a busy office for about 6 months. You have a few patients that you know quite well by this point and a few that you are getting to know. Record a video discussing how you would address a crisis with each of the two following patients.

Each video should be 5-10 minutes each. Submit an unlisted YouTube link. Instructions on creating an unlisted YouTube video.

Include a word document of references utilized in your video, in 7th edition APA formatting. Utilize resources for help with proper formatting.

Patient 1: 45-year-old male who has been married for 15 years with 2 children. He has a history of MDD and pornography addiction which has been dealt with through therapy. This addiction had caused some trouble in the marriage but for the past 5 years, things have been going well in the marriage and patient denied looking at porn. MDD symptoms started in his 20s and have been well managed with citalopram (Celexa) 20mg daily. He comes in today visibly upset. He reports his wife has been cheating on him for 2 years and he found out when he came home from work to find his wife and kids gone, a note that detailed her infidelity and she took the children to live with the man she has been cheating with. Divorce proceedings are in effect. He states “I had no idea, I know I had my own problems but 2 years? I feel so stupid, I don’t know why I bothered improving myself, I don’t know how I can even go on. My work made me take some time off but I have continued to call in, I’m at risk of losing my job but I just can’t bring myself to go. The kids are my world and I haven’t even talked to them for a month”. You question him about suicidal or homicidal ideations and he replies that he has been suicidal since she left and has been drinking “at least a 6 pack” a night. He has had plans to shoot himself. When asked what is keeping him from acting on plans he said “My kids but I’m losing hope I’ll ever see or talk to them again”. What are your next steps?

Patient 2: 19-year-old married female with a 2-month-old baby for her 4th visit. Her husband is present today. She presents today dressed more provocatively than you have seen her before. Her makeup is heavier than usual as well. The baby is in a carrier and is sleeping. She immediately starts discussing a video series on aliens she has been watching, her speech is rapid, loud, and tangential. She makes several looseness of associations between the video series and her baby. From her rambling, it sounds as if she believes the baby is an alien and she needs to take it to the desert and leave it on the mountain for the aliens to come and retrieve. She reports making plans to go camping with the baby and her husband this weekend. You question her about suicidal and homicidal ideations and she denies both. The husband states she has been acting “different” for a couple weeks, has never behaved like this before, and he is scared to leave her alone with the baby. She interjects that she knows the secret to world peace and giving their baby back to the aliens will accomplish it. What are your next steps?

 

NU675-7D-LA Unit 11 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 12 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.

 

NU675-7D-LA Unit 12 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 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.

Address the following items:  

  • For the following side effects, what are the options you can provide patients with?
    • Think about the risk/benefit of stopping, switching, or adding medication.
    • Explain the rationale for your decision:
      • Akathisia/Tremors
      • EPS/TD
      • Weight gain
      • Metabolic Syndrome
      • Sexual Dysfunction
      • Blunted affect
      • Agranulocytosis

Use the appropriate APA formatting with a minimum of 2 references to support your work.

 

NU675-7D-LA Unit 12 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 12 Assignment – Managing Side Effects Across the Lifespan

Instructions

  • Write a generalized paper concerning common side effects and how to manage these for the psychiatric mental health patient.
  • Why is it important to include side effects in informed consent?
  • The paper should be 3-4 pages double spaced then an additional 1-2 pages addressing the following mini-cases.

For the following 5 mini-cases, answer the following questions:

  1. What is the potential side effect of the medication that will be started?
  2. Is this medication appropriate (right med, right dose, right time, right route) for this patient?
  3. What would be another medication(s) you could possibly start and the side effects of that medication(s)?

Patient 1: 67-year-old female who presents with MDD and GAD. She has been treated with Cymbalta in the past however finds it not working very well and having sadness, insomnia, ruminations, and a sense of impending doom again. She is to be started on Pristiq 50mg.

Patient 2: 9-year-old male who presents with ADHD and panic disorder. He is to be started on Adderall XR 20mg at noon.

Patient 3: 40-year-old male who presents with Bipolar 1 Disorder and in a manic state after stopping his Abilify for the 3rd time in 8 months. It had been discussed previously to start Abilify Maintena 400mg IM q 4 weeks and will be started today. He has not had PO Abilify for 1 week.

Patient 4: 93-year-old female who presents with the recent loss (6 months ago) of her husband of 58 years. She notes trouble sleeping, not being hungry, and sad. She has no previous psychiatric history and is to be started on paroxetine 30mg daily and quetiapine 200mg hs for her recent insomnia.

Patient 5: 52-year-old female who presents with MDD. She reports recently going through menopause and having a lot of trouble with irritability and hot flashes. Her current medication is not working like it was before and she will be started on clonazepam 0.5mg bid.

 

NU675-7D-LA Unit 13 Assignment – Insomnia Case Study Herzing

J.F. is a 40-year-old Caucasian male with depression treated with Wellbutrin XL 150 mg daily for three months.  During his visit today, he divulges that he does not sleep more than two to three hours per night.  J.F. reports this has occurred for the last two years.  He indicates he lays down around 9:30 PM but does not fall asleep until roughly 2:00 AM.  He is awake most mornings before 5:00 AM.  J.F. complains that sometimes he will fall asleep and his wife awakens him due to his snoring.  He reports that he has tried melatonin and Unisom over-the-counter, meditation, and improved his sleep hygiene routine.  He reports no notable difference in his sleep patterns with those interventions but does admit that a shot or two of whiskey will help him get to sleep a little sooner.  He mentions that his grandmother takes alprazolam 0.5 mg every night for sleep and asks if this would help him sleep, too.

Answer the following questions in a 3 to 5-page paper, not including title and reference pages, about the case above.  Follow APA formatting.

  • What is the definition and diagnostic criteria of insomnia?
  • What risks are associated with insomnia?
  • In which classification of drugs does alprazolam fall, what is its mechanism of action, and how does it differ from others in the classification?
  • What are the side effects of alprazolam and what are your concerns about its use based on the details provided in the case study?
  • Which alternative treatments would you consider for J.F. and what education would you provide about this/these medication(s)?
  • What sleep hygiene changes would you explore with J.F.?
  • Describe your treatment plan and include the following:
    • Pharmacologic treatment
    • Nonpharmacologic treatment
    • Patient education
    • Provider referral
    • Follow-up
  • Conclusion
  • References (minimum of 3)

 

NU675-7D-LA Unit 14 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.

 

NU675-7D-LA Unit 14 Assignment – Clinical: Journal Reflection Herzing

Reflective Journal Instructions

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 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.

Address the following items:  

  • This is the last journal entry, please reflect on the previous 6 entries and evaluate your claims in a reflective practice over the course of the term.
  • Use the appropriate APA formatting with a minimum of 2 references to support your work.

 

NU675-7D-LA Unit 14 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Unit 15 Assignment – Final Transition to Practice Plan Herzing

Instructions

For this assignment, you will submit a portfolio that includes the following; current CV updated with PMHNP education, MAT training certificates, and any additional training certificates received.  You will also compile a PPT that shows your preparation for board certification, licensing, and employment searches.

This is intended to help you investigate needs for the upcoming transition from graduate to PMHNP.

Include the following slides:

  1. Title slide: Name, PMHNP graduate, state for license
  2. ANCC: What is the application process and eligibility for the PMHNP exam?
  3. What are your preparations for the ANCC Board certification exam?
  4. Licensing: What state are you planning to initially license in? What are requirements and steps for license?
  5. Prescribing license:  Does your state require a separate license to prescribe?  Does your state require specific hours of pharmacology for initial license?
  6. ConEd.: What continuing education requirements are required for renewal of license for your state?
  7. Autonomous Practice: Does your state allow autonomous practice?  If so are there requirements or can you practice independently upon board certification and license being received?
  8. Insurance Credentialing: Research the insurance credentialing process for a new provider.  How long will this take before you can practice if you plan to accept insurance and be paneled by insurance companies?  (Note: This may increase your time from graduation to start date of employment with some employers)
  9. Job Search: What particular specialty/population will you be searching for in psychiatric care?  How do you plan to stand out and differentiate yourself from other applicants for your dream job?
  10. Summary your PMHNP student experience
  11. References (APA format, minimum of 3 references used)

 

NU675-7D-LA Unit 15 Assignment – APEA Q Bank Herzing

Instructions

Complete 50 APEA Q Bank Questions from the topic areas of your least successful Predictor Exam 1 (areas you scored <70% in) – use the ‘tutorial mode’ to populate questions. It is recommended to do 1-2 topic areas you scored <70% in on the APEA Pre-Predictor Exam. You also need to review the faculty feedback for further recommendations.

Points – 30 points

  • 10 points are available for completing the assigned questions.
  • 20 points are available for performance on the assigned questions.

 

NU675-7D-LA Full Course Discussions Herzing

NU675-7D-LA Unit 1 Discussion – Introduction Activity of Presentation Topic

Discussion: Unit 1

Unit 1 Discussion 1 – Introduction

Instructions:

Welcome to NU675! 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 in 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 is one similarity and one difference you’ve learned regarding transitioning from the role of RN to NP?

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.

 

NU675-7D-LA Unit 3 Discussion – Assessing the State Practice Environment Map

Discussion Prompt

Review the American Association for Nurse Practitioners ‘State Practice Environment’ Map (AANP) and determine your state’s color – green, yellow, or red.  Then review the Nurse Practice Act in your state for Advanced Practice Act in your state to assist you in answering the questions listed below:

  1.  Determine your state’s practice environment color – green, yellow, or red.
  2.  Discuss how your state is an independent practice or practice restricted state.
  3.  Describe the prescriptive authority for your state.
  • A. (For California Students) Review the CA Standardize Procedures requirement of NPs and discuss the meaning of Standardized Procedures (California BRN – Standardized Procedures Guideline).
  • B.  (For States other than California Students) Identify one (1) barrier to practice and a strategy to address the removal of the identified barrier.

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

  • 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.

 

NU675-7D-LA Unit 5 Discussion – LGBTQI Behavioral/Mental Health Herzing

Discussion Prompt [Due Wednesday]

After you complete the readings, choose a topic related to LGBTQI behavioral/mental health. Examples include trauma, abuse, homelessness, or bipolar disorder, etc…

Address the following in your post:

  • Introduction to topic related to LGBTQI behavioral/mental health
  • Epidemiology and economic costs
  • Overview of the assessment/tools to assess/DSM-5
  • Pharmacological interventions with specifics to dynamics, kinetics, contraindications, side effects, and so on
  • Plan of care to include collaborative interventions and psychotherapeutic options.

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 [Due Sunday]

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.

 

NU675-7D-LA Unit 7 Discussion – Substance Use Disorder Tools Herzing

Discussion Prompt

The attached files are resources to help you prepare for your clinical practice associated with substance use disorders. You will need to be familiar with them.  You should print or save the AUDIT instruments for reference as well.

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.

 

NU675-7D-LA Unit 9 Discussion – Use Disorders and Comprehensive Assessment

Discussion Prompt

Compare and contrast sedative, hypnotic, or anxiolytic use disorder from cannabis use disorder (without the aid of a drug screen).

  • For this discussion, you will need to place particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis as well as what the signs and symptoms of each are.

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.

 

NU675-7D-LA Unit 11 Discussion – Risk / Protective Factors for Suicide Prevention

Discussion Prompt

  • What are some risk factors for suicide?
    • Protective factors?
    • How will you ask patients and what will your response be?
  • What are some strategies being implemented at a state level or national level to help reduce suicide attempts?
  • Think about quality improvement programs and some critical thinking skills on your part when assessing these patients.

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.

 

NU675-7D-LA Unit 11 Discussion – REMS Certification Herzing

Discussion Prompt

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.

 

NU675-7D-LA Unit 14 Discussion – Telehealth Practice for ALL Patients Herzing

Discussion Prompt

  • What are your thoughts (supported by evidence) for the exclusive use of telehealth in psychiatric mental health care or for a balance between in-person and telehealth visits for all patients?
  • What have your experiences been in clinicals throughout your PMHNP program been in preparing you for the use of telehealth platforms?
  • What is your intention of telehealth use once in active clinical practice as a PMHNP 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.

 

NU675-7D-LA Unit 16 Discussion – Reflection Herzing

Discussion: Unit 16, Due Tuesday at 11:59 AM CT

Unit 16 Discussion – Reflection

Please respond to the following questions based upon these course objectives:

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

Please answer the following questions with supporting examples and full explanations.

  1. For each of the learning objectives, provide an analysis of how the course supported each objective.
  2. Explain how the material learned in this course, based upon the objectives, will be applicable to the professional application.

Provide evidence (citations and references) to support your statements and opinions. Responses to these questions are due by Tuesday at 11:59 AM.

All references and citations should in APA format.

NU675-7D-LA Full Course Herzing University

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