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Choose one diagnosis from the Psychotic Disorders group 

· American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.  

· Scan pages 87-122  

Overview  

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.  

You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.  

Instructions:  

Instrument/ Tool criteria:  

For each assessment, you are tasked with selecting, you will identify an instrument and:  

1. List what DSM diagnosis the tool/instrument is used for.  

2. Identify an assessment/diagnosis instrument. 

3. Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.  

4. Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.  

5. Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.  

6. Discuss the psychometrics/scoring of the instrument, including reliability and validity.  

7. Discuss any limitations associated with the use of the instrument. 

8. Include a link to view the assessment if possible. 

 Use the following template in completing your portfolio assignments. Your information can be in a bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations.  You are NOT required to write this in a paper format.  Turn in one document for each week’s topics.  (However, create a file on your desktop to compile your portfolio as you move through the term.)  This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice.  Throughout the program, you will continue to add to the portfolio in each course

APA format

Parts  1, 2 and 3 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

1) Minimum 6 pages  (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

You must strictly comply with the number of paragraphs requested per page.

           Part 1: minimum  1 page

           Part 2: minimum  1 page

           Part 3: minimum  1 page

           Part 4: minimum  1 page

           Part 5: minimum  1 page

           Part 6: minimum  1 page

Submit 1 document per part

2)¨******APA norms

         All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Parts  1 and 2 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

Part 1: Health informatics

1.  Describe how healthcare informatics impacts epidemiology and health promotion – prevention?

Part 2: Health informatics

1.  Describe how healthcare informatics impacts epidemiology and health promotion – prevention?

Part 3: Health informatics

1.  Describe how healthcare informatics impacts epidemiology and health promotion – prevention?

Part 4: Health Promotion

Topic: Qualitative evaluations

1. What is a qualitative study? 

2. What are the advantages and disadvantages? 

3. Provide two examples of qualitative studies, include:

a. How the information could be analyzed.

Health promotion initiative:  Sexually Transmitted Diseases in Women Adolescents

SMART Goal: Promote sexually active adolescent women to be screened for STDs during the first month after the initial consultation, allowing access to preventive sexual education and digital information to brief brochures that require registration, places to take the 3xams, costs, methods, and associated diseases and importance of annual screening

Population: Women Adolescents

Purpose: Promote STD screening in adolescent women through brochures and digital education

4. Would you use a qualitative test to determine effectiveness of your health promotion initiative? 

a. Explain why

Part 5: Health Promotion

Topic: Qualitative evaluations

1. What is a qualitative study? 

2. What are the advantages and disadvantages? 

3. Provide two examples of qualitative studies, include:

a. How the information could be analyzed.

Health promotion initiative:  Lung Cancer in Smokers

Population: Patients undergoing chemotherapy for lung cancer due to smoking

SMART goal:  Patients undergoing chemotherapy treatment with lung cancer diagnoses with a history of smoking should demonstrate greater knowledge of the consequences of relapsing to smoking during the first three months. 

Purpose: Educate patients in chemotherapy treatment due to smoking,  in the prevention of relapse into smoking habits so as not to affect the progress of their treatment

4. Would you use a qualitative test to determine effectiveness of your health promotion initiative? 

a. Explain why

Part 6: Epidemiology

 1. Give one example for each type of care delivery service incentivized by volume based, fee-for-service payment models, as opposed to value based, alternative payment models.

2. Select one example and explain how works

Case 1

J.R. is a nurse practitioner who serves an urban Chinese community. The challenges she faces daily include coordinating health care for the community members, fostering compliance with treatment regimens, and teaching the community about health prevention and early detection of diseases and conditions.

J.R. has learned that one of the main reasons the community members do not adhere to their treatment regimens is because of mistrust of Western medicine. Many of the patients are older adults who rely on homeopathic treatments they learned in China as children. These patients prefer to take Chinese herbs in lieu of prescription medications. Additionally, these patients do not like to attend health screenings or take part in immunization clinics because they do not believe these measures are beneficial to their health.

Questions for the case

What type of prevention J.R. is trying to achieve when she encourages her patient population to attend the blood pressure screening events?
Please elaborate your answer; compare prevention types, give examples and share similar challenges you might have faced during your practice.

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

1. Identify the different roles and responsibilities of the nurse.
2. Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths.
3. Which patient population is most likely to experience health disparities and why?

Your initial post should be at least 550 words, formatted and cited in current APA style with support from at least 3 academic sources. 

Off-label prescribing is when a physician gives you a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than your condition. This practice is legal and common. In fact, one in five prescriptions written today are for off-label use.

—Agency for Healthcare Research and Quality

 Psychotropic drugs are commonly used for children and adolescents to treat mental health disorders, yet many of these drugs are not FDA approved for use in these populations. Thus, their use is considered “off-label,” and it is often up to the best judgment of the prescribing clinician. As a PMHNP, you will need to apply the best available information and research on pharmacological treatments for children in order to safely and effectively treat child and adolescent patients. Sometimes this will come in the form of formal studies and approvals for drugs in children. Other times you may need to extrapolate from research or treatment guidelines on drugs in adults. Each individual patient case will need to be considered independently and each treatment considered from a risk assessment standpoint. What psychotherapeutic approach might be indicated as an initial treatment? What are the potential side effects of a particular drug? 

Week 3: Mood Disorders

Training Title 2

Name: Ms. Julie Houston

Gender: female

Age:19 years old

T 98.1 P-78 R-18 119/74 Ht 5’2” Wt 184lbs

Background: Recently started a business undergraduate program in Boston, MA after growing

up and living in South Carolina her whole life. Grew up with both parents, two brothers, and

one sister. Currently lives in off-campus housing with two other female roommates. Currently a

full-time student, not employed. Not married, currently single. She has no previous psychiatric

history; takes no medications. There is no psychiatric or substance use history for her or family.

No legal hx NKDA

Assignment: Assessing and Diagnosing Patients With Mood Disorders

Assignment: Assessing and Diagnosing Patients With Mood Disorders

Accurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.

To Prepare:

Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.

Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.

View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.

Consider what history would be necessary to collect from this patient.

Consider what interview questions you would need to ask this patient.

Identify at least three possible differential diagnoses for the patient. !!!

Complete and submit your Comprehensive Psychiatric Evaluation, 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, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 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.

Reflection notes: What would you do differently with this client if you could conduct the session over? 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.).

Brainy Braine, please I am attaching a templet complete the templet with the above case study,reflective notes etc add three differential diagnosis and 5 reference. Thank you. You did a good job for my friend ,I gave you reference

Chapter 14 – Assignment

SCENARIO – Lois, who is in the last stages of breast cancer, was recently admitted into a hospice program. Her husband Henry, is relieved to have a hospice nurse come into their home and help with the care of his wife. After Lois had been receiving care for a week, Henry asked when he should take Lois into the hospital out-patient department for more chemotherapy. The hospice nurse said, “I thought that you understood that since treatments would no longer help Lois and she would ultimately die, that she would not receive any more treatments once she entered the Hospice program.” Henry said he did not understand this and insisted that he wanted everything done to save Lois.

Instructions:

1. Read the scenario above and then, answer the following questions:
   1. How could this misunderstanding have been avoided?
   2. What discussions should Lois and Henry have had with each other before Lois went into the hospice program?
   3. What could hospice programs do to better inform the general public of their purpose?
2. Your response should be: 
   • One (1) pg.
   • Typed according to APA style for margins, formatting and spacing standards

Assignment (3–4 pages, not including title and reference pages):

· Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother 

Include the following:

Provide an explanation of the health issues and risks that are relevant to the child you selected. Describe additional information you would need in order to further assess his or her weight-related health. Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information. Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

An explanation of the health issues and risks that are relevant to the child you were assigned.

Describe additional information you would need in order to further assess his or her weight-related health.

Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Discussion Questions

You must access the following article to answer the questions:

Boyle, D. K., & Thompson, S.A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=site (Links to an external site.)

1. Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing.

2. Discuss how the author’s review of literature (studies) supported the research purpose/problem. Share something that was interesting to you as you read through the literature review section.

3. Describe one strategy that you learned that would help you create a strong literature review/search for evidence. Share your thoughts on the importance of a thorough review of the literature.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.

· Chapter 1: The Importance of Research as Evidence in Nursing, pp. 24-26 (WOs 4, 5)

· Chapter 5: The Successful Literature Review (WOs 1, 2, 3, 4, 5)

Based on the following question, I need you to help respond to the attached 4 peers’ posts in 150 words each.

Question on Public Health Law and Legislation

Question(s):

1. Visit the CDC Public Health Law News Archives, and choose one of the reports.
        In no more than 300 words, discuss:
   • Why did you choose your report?
   • Why is this particular report important to society and how it fits in the Dahlgren-Whitehead model?
   • Using what you have learned through your nursing education, what are your thoughts about how you might affect legislation around this issue at the local level or above?
      
2. Visit: NCSL. (2021, April, 26). State Action on Coronavirus (COVID-19).National Conference of State Legislatures. Choose one state that passed a piece of legislation regarding health care and Covid-19.
   • Why did you choose this legislation?
   • What does the legislation provide for?

Week 03: Basic Statistics (Part I)

Week 03 Discussion (200 words).

Question(s):

1. Read: Kolifarhood, G., Aghaali,M., Saadati, H.M., Taherpour, N., Rahimi, S., Izadi, M., &      Nazari, S.S.H. (2020, April). Epidemiological and Clinical Aspects of COVID-19; a Narrative Review (PDF). Archives of Academic Emergency Medicine, 8(1): e41.

Use this article to apply some of the concepts about incidence and prevalence to COVID-19. Be sure to read the entire article (don’t just do a search) and discuss the following:

• What do we know about the statistics around the mean incubation periods?
• What about the median infectivity, pathogenicity and incubation periods?
• What is the range of incubation?
• What information would be helpful to know that is missing?

Week 04: Basic Statistics (Part II) 

Week 04 Discussion (200 words).

Question(s):

1. Read: WHO. (2018).  Monitoring Health for the SDGs Sustainable Development Goals Annex A. WHO: World Health Statistics.

Then summarize the morbidity and mortality information across countries in this article and compare the US from other American Countries and nationalities in any one of the following measures.

• Maternal Mortality
• Child Mortality
• HIV
• Hep B
• Non-communicable disease
• Suicide

What surprised you (if anything)?