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 Case Study:  

Walden University. (2021). Case study: Sherman Tremaine. Walden University Canvas. https://waldenu.instructure.com 

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
• Objective: What observations did you make during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
• Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
• Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

• Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. 
  • Chapter 2, “Neurodevelopmental Disorders and Other Childhood Disorders” 
    • Section 2.16,  “Early-Onset Schizophrenia” (pp. 207-210)
  • Chapter 5, “Schizophrenia Spectrum and Other Psychotic Disorders”
• Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.  
  • Chapter 43, “Pharmacological, Medically-Led and Related Disorders”
  • Chapter 57, “Schizophrenia and Psychosis”
• Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
  • Chapter 9, “Psychotic Disorders and Delusions”

After studying Module 3: Lecture Materials & Resources, as well as reviewing the Judaism Resources page, discuss the following:

In your reading of Chapter 10 – Encountering Judaism: The Way of God’s People as well as the other readings for the week, you have gained a better understanding of central themes of Judaism. As you learned more about the religion, you may have noticed the many similarities that Judaism shares with Christianity as the relationship between the two religions rather unique. Christianity is rooted in Judaism historically, scripturally, liturgically, and even theologically. No two major world religions have so much in common. Below are a handful of the common elements shared by these two religions, however it is important to note that even though these religions share several common elements, they articulate them differently. Last week, we expounded upon how some of these themes are understood in the context of Catholicism and now you will describe how they are understood in Judaism.

Select two themes from the list below and present the Jewish teaching on the chosen theme.

• Jewish Understanding of God
• Salvation
• Creation
• Eschatology
• Pain and Suffering
• Freedom and Free Will
• Virtues
• Sin 

Each selected theme must:

• Be explained in at least one paragraph
• Incorporate at least 2 direct quotations with accompanying in-text citations from either the required weekly readings or a resource found on the “Judaism Resources” page linked below.   
• Your initial post should incorporate 2 different sources, formatted and cited as the instructor indicated in the announcements. 

 Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Agile development methodologies have become very common in software development and information technology (IT) departments. Agile methodologies provide many advantages in terms of flexibility and adaptability. Complete the following for this assignment:

• Explore agile development and agile IT approaches that are specific to healthcare organizations.
• Explain 3 advantages of using an agile approach, and identify 2 challenges of an agile approach.
• Explain the differences between using agile for project-based work and operational-based IT work.

Note: Use APA style, 7th Edition, to cite at least 2 scholarly sources from the last 5 years.

In response to your peers, share your experience with a similar problem and share any insights that you have gained from that experience. 

Describe your clinical experience for this week for a 12 year old boy. 

• Did you face any challenges, any success? If so, what were they?
• Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 DIFFERENT differential diagnosis with rationales.
• Mention the health promotion intervention for this patient.
• What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
• Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years. 2020-2025.

The use of spirituality in nursing practice is not new.  However, it is more studied and utilized in a more structured format in nursing.  Identify and discuss tools used to evaluate spirituality.

Please include 400 words in your initial post with two scholarly articles  by Wednesday midnight and 200 words in two answers to your peers by Saturday midnight.