NU664 Primary Care of the Psychiatric Mental Health Client I
Week 1 Discussion
Role and Scope of Practice of PMHNP
The Psychiatric-Mental Health Nurse Practitioner (PMHNP) fills a unique space in the healthcare environment.
Research your state's current scope of practice for the role of PMHNP.
Do these regulations present a barrier to mental health care?
What groups or cultures do you see most impacted by your states current scope of practice regulations?
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 2 Discussion
Developmental Theories
Knowledge and application of development theory constitutes a foundational component of the PMHNP role. You will need to expand your knowledge of theories for professional practice. This week you will choose an attachment, behavioral, cognitive, humanistic, or biological developmental theory.
For this discussion forum, using your chosen theory, identify what happens as individuals move through developmental stages. Address the following in your initial post:
How can interruptions in the achievement of developmental stages affect an individual.
According to your theory, identify the developmental vulnerabilities that could precipitate mental health symptoms.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 3 Discussion
What Factors Influence Self-Injurious Behavior?
Watch the videos:
5 Not Obvious Signs of Self Harm (4:16 minutes)
5 Not Obvious Signs of Self Harm Video Video Transcript
Self Harm: What is it About? (12:00 minutes)
Self Harm: What is it About? Video Transcript
Self-injurious behavior is a manifestation of emotion-focused coping.
Discuss some causes that may explain why youth engage in self-injurious behaviors.
Choose one of the self-injurious behaviors that interests you.
Discuss what the research says about the etiology or the causative factors for these behaviors.
What evidence-based treatment modalities have been recognized as helpful in managing these behaviors?
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 4 Discussion
Therapeutic Communication Skills
Prior to your initial post, watch the following video:
SAMHSA's Suicide Prevention App
Suicide Safe, for Health Care Providers (3:28 minutes)
SAMHSA's Suicide Prevention App, Suicide Safe, for Health Care Providers Video Transcript
Practitioners in primary care and other clinic settings have the opportunity to connect to people who may have suicidal ideation and behaviors of concern.
Suicide is preventable; SAMSHA research informs us that one of two people who have killed themselves had contact with a primary care professional prior to their death. In addition, one of five people had seen a mental health provider prior to their death. Some people had gone to the emergency room in the months prior to their death.
Even silence is communication. There are encounters when the patient is not ready to fully disclose with the practitioner. Silence in this context can be empowering for the client, and resistance can occur if the pace of communication is too fast. Slowing down allows the patient to gather their thoughts. Cultural sensitivity demonstrates regard for diversity, beliefs, and behaviors. For example, sometimes patients are silent about important things because they want to express sensitive information to someone from a background similar to their own. Respecting communication patterns requires a disposition that demonstrates an awareness of the dignity and uniqueness of each person.
For this discussion, you will reflect on the significance of becoming competent in therapeutic communication skills. The professional tone we set needs to be congruent with evidence-based practice. For your initial post, please address the following:
Share a time that communication stalled for you.
What were the results of poor communication?
Did it result in a wrong diagnosis? Incorrect or unnecessary medication? Was there a loss of contact with a patient?
Share how you were able to overcome the communication failure.
What communications skills would you have liked to have better practiced to change the outcome for the patient?
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 5 Discussion
Conducting a Mental Status Exam
Please view and select one of the patients depicted in the following videos. Both patients have different diagnoses and presentations—the diagnosis is apparent from the titles and not the focus of the assignment.
The purpose of this assignment is to evaluate the patient and write up a mental status exam on what you observe in the video that you.
Your initial post should identify which video you have chosen and should include a detailed mental status exam write-up of that patient. The intent of this exercise is to help you to develop your skills in the assessment of a patient’s mental status and documentation of the mental status exam.
Please watch the following video clips and write up a mental status of the patients:
MINI Screening for Mood, Anxiety or Psychotic Disorder (28:00 minutes)
MINI Screening for Mood, Anxiety or Psychotic Disorder Video Transcript
C-Mary Manic Episode (6:34 minutes)
C-Mary Manic Episode Video Transcript
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 6 Discussion
Writing Treatment Notes
Psychiatric Interview and Mental Status Exam (25:06 minutes)
Psychiatric Interview and Mental Status Exam Video Transcript
Using the readings and references, write a complete SOAP note for this patient in the proper format.
Post the SOAP note to this discussion board for your peer review.
Your post should include a comprehensive treatment plan which incorporates both psychosocial interventions as well as a medication plan, if indicated, with collateral information.
Use the SOAP note template found in the Week 6: Learning Materials for your submission.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 7 Discussion
Health Initiatives
The Canadian telecommunication company, Bell, funds a yearly initiative called Let’s Talk to reduce the stigma around mental health. This is an example of a nation-wide community health initiative. Spend some time exploring the Bell Let’s Talk promotional website.
Briefly describe the availability of and access to mental health care in your community and geographical area.
What do you see as the greatest barrier to access and how do you feel this would be best addressed? Be specific in regard to addressing this issue in your “community" or geographical area. Do you believe that private or public entities are best suited to address this?
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 8 Discussion
Suicide PSA Proposal Share
The purpose of this discussion forum is to allow students to share their PSA Proposals with each other. When you have completed your PSA Proposal, please upload it to this discussion forum. Replies are optional but please feel free to leave comments and ask questions of each other.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 9 Discussion
Psychotherapeutic Strategies
In your initial post, discuss the clinical parameters for identifying, assessing, and using psychotherapeutic strategies with people who have experienced trauma. Include research and education implications related to the psychiatric-mental health nurse practitioner’s approach to the treatment of people who have experienced trauma and/or been diagnosed with a personality disorder.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 10 Discussion
Group-Facilitated Discussion 1 - Group 1
Initial Post: Created by Facilitating Group
This is a student-led discussion.
Please review the Week 7 Get Started: Group-Facilitated Communication Board and Instructions for assignment guidelines for this discussion to ensure that you have met all the criteria.
The facilitating group should choose one member from their group who will be responsible for the initial post.
On Day 1 of this week, the chosen group member will create an initial post that is to include the group's discussion prompts, resources, and the instructions for what your classmates are to do with the resources.
During this week, each member of your group is to participate in the facilitation of the discussion. This means making certain that everyone is engaged, questions from students are being answered, and the discussion is expanding.
It is the expectation that the facilitating group will address all initial peer response posts by Day 7.
Reply Posts: All Other Students (who are not included in the facilitating group)
If you are not a member of the facilitating group, you are to post a discussion prompt response according to the facilitating group's instructions by Day 4. Your reply posts should include substantive reflection directed to the presenters.
You are also expected to respond to at least two other peer's initial discussion prompt posts.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 11 Discussion
Group-Facilitated Discussion 1 - Group 2
Initial Post: Created by Facilitating Group
This is a student-led discussion.
Please review the Week 7 Get Started: Group-Facilitated Communication Board and Instructions for assignment guidelines for this discussion to ensure that you have met all the criteria.
The facilitating group should choose one member from their group who will be responsible for the initial post.
On Day 1 of this week, the chosen group member will create an initial post that is to include the group's discussion prompts, resources, and the instructions for what your classmates are to do with the resources.
During this week, each member of your group is to participate in the facilitation of the discussion. This means making certain that everyone is engaged, questions from students are being answered, and the discussion is expanding.
It is the expectation that the facilitating group will address all initial peer response posts by Day 7.
Reply Posts: All Other Students (who are not included in the facilitating group)
If you are not a member of the facilitating group, you are to post a discussion prompt response according to the facilitating group's instructions by Day 4. Your reply posts should include substantive reflection directed to the presenters.
You are also expected to respond to at least two other peer's initial discussion prompt posts.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 12 Discussion
Group-Facilitated Discussion 1 - Group 3
Initial Post: Created by Facilitating Group
This is a student-led discussion.
Please review the Week 7 Get Started: Group-Facilitated Communication Board and Instructions for assignment guidelines for this discussion to ensure that you have met all the criteria.
The facilitating group should choose one member from their group who will be responsible for the initial post.
On Day 1 of this week, the chosen group member will create an initial post that is to include the group's discussion prompts, resources, and the instructions for what your classmates are to do with the resources.
During this week, each member of your group is to participate in the facilitation of the discussion. This means making certain that everyone is engaged, questions from students are being answered, and the discussion is expanding.
It is the expectation that the facilitating group will address all initial peer response posts by Day 7.
Reply Posts: All Other Students (who are not included in the facilitating group)
If you are not a member of the facilitating group, you are to post a discussion prompt response according to the facilitating group's instructions by Day 4. Your reply posts should include substantive reflection directed to the presenters.
You are also expected to respond to at least two other peer's initial discussion prompt posts.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 13 Discussion
Group-Facilitated Discussion 1 - Group 4
Initial Post: Created by Facilitating Group
This is a student-led discussion.
Please review the Week 7 Get Started: Group-Facilitated Communication Board and Instructions for assignment guidelines for this discussion to ensure that you have met all the criteria.
The facilitating group should choose one member from their group who will be responsible for the initial post.
On Day 1 of this week, the chosen group member will create an initial post that is to include the group's discussion prompts, resources, and the instructions for what your classmates are to do with the resources.
During this week, each member of your group is to participate in the facilitation of the discussion. This means making certain that everyone is engaged, questions from students are being answered, and the discussion is expanding.
It is the expectation that the facilitating group will address all initial peer response posts by Day 7.
Reply Posts: All Other Students (who are not included in the facilitating group)
If you are not a member of the facilitating group, you are to post a discussion prompt response according to the facilitating group's instructions by Day 4. Your reply posts should include substantive reflection directed to the presenters.
You are also expected to respond to at least two other peer's initial discussion prompt posts.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 14 Discussion
Group-Facilitated Discussion 1 - Group 5
Initial Post: Created by Facilitating Group
This is a student-led discussion.
Please review the Week 7 Get Started: Group-Facilitated Communication Board and Instructions for assignment guidelines for this discussion to ensure that you have met all the criteria.
The facilitating group should choose one member from their group who will be responsible for the initial post.
On Day 1 of this week, the chosen group member will create an initial post that is to include the group's discussion prompts, resources, and the instructions for what your classmates are to do with the resources.
During this week, each member of your group is to participate in the facilitation of the discussion. This means making certain that everyone is engaged, questions from students are being answered, and the discussion is expanding.
It is the expectation that the facilitating group will address all initial peer response posts by Day 7.
Reply Posts: All Other Students (who are not included in the facilitating group)
If you are not a member of the facilitating group, you are to post a discussion prompt response according to the facilitating group's instructions by Day 4. Your reply posts should include substantive reflection directed to the presenters.
You are also expected to respond to at least two other peer's initial discussion prompt posts.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 2 Assignment
Neuroanatomy and Neurophysiology Questionnaire
1. In what lobe of the brain do the following processes take place:
• Judgment
• Reasoning
• Conceptual planning
• Abstract thinking
2. Aphasia is a disturbance in what function?
3. What system incorporates the following:
• Amygdala
• Hippocampus
• Nucleus accumbens
• Thalamus
4. What structure is important for making new memories?
5. The sensory and relay center of the brain are _______.
6. Agonists increase or decrease the effect of a neurotransmitter?
7. Which neurotransmitter is closely associated with the reward and pleasure circuit and implicated in addiction?
8. Damage to this area of the brain can lead to Parkinson’s disease, Huntington’s chorea, and Tourette’s?
9. Visual, tactile, and auditory input come into which area of the brain for processing?
10. The amygdala contributes to establishing emotional memories – True or False?
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 5 Assignment
Psychiatric Evaluation Questionnaire
Instructions
The purpose of this assignment is to help you identify the components of the mini-mental status and/or MoCA exams that can be incorporated into a biopsychosocial assessment. After completing the required readings, please complete the mini-mental status or MoCA exam on a friend or family member. Please note: All personal information about your friend or family member should remain anonymous.
Document your findings and upload to this assignment.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 7 Assignment
iHuman Case Study
Overview
Case studies and simulations are excellent ways to practice critical thinking and problem solving in patient care in a safe space. These case-based assignments are designed to provide you with an opportunity to practice applying the theoretical knowledge you have acquired in a real-life scenario. Use this assignment to apply all the best practices that you have learned and be as thorough and detailed as you can.
In this course, we will be using an interactive simulation tool called iHuman to provide you with exposure to case study information. Through iHuman, you will have the opportunity to interact with a simulated patient to collect and analyze data much in the same way you would in real life. After collecting that data, you will use the iHuman platform to diagnose and develop a treatment plan. After completing the iHuman case, you will prepare a SOAP note to summarize and provide an overview of the simulated clinical experience. The SOAP note is a good tool to use in your practice, as it covers the areas of documentation that are considered vital in order to achieve the goals of treatment. You will be using SOAP notes (or something similar) frequently in your practice.
Instructions
Once completing the orientation session, you will have access to your first iHuman case where you can explore the functionality of the site prior to starting the weekly scheduled cases. This case will be graded, and you will be expected to submit a SOAP note associated with this case. Complete the iHuman case study assigned for the week. You will be working in the iHuman platform to complete the case. Follow the directions on logging in and navigating in iHuman. Refer back to the iHuman Orientation for complete instructions on navigating in iHuman.
When working in iHuman, practice as if this were a real patient. For example, the platform allows you to ask many questions when taking a history. However, in reality, you will likely be limited in time. Practice setting yourself a time limit and work on being efficient in your clinical interview. While there is time for empathy, you do not want to distract from good clinical investigation.
In iHuman, review the specific instructions for the appropriate case. These instructions will help you understand the expectations of each case, as they may differ.
Once you have completed all the steps in iHuman, complete a SOAP Note (Word) for the patient you worked with. (Note: The template is meant to be a guide. You can change the formatting of your SOAP note if the table style does not work for you. Additionally, you can copy and paste what you have written in iHuman into your SOAP note if the content is appropriate.)
Your SOAP note should be no more than five pages long.
Use academic sources, cited in APA format, to support your rationale in your Assessment and Plan.
While items in iHuman may be auto-marked, your grade for this assignment is not based on how you perform within iHuman. The iHuman platform is merely an opportunity for you to interact with a simulated patient and gather data.
If you require technical support with the iHuman platform, use the iHuman Help Center to contact iHuman Technical Support directly. Technical support includes a malfunction of the platform; they will not be able to help with issues involving content!
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 8 Assignment
Suicide PSA Proposal
Instructions
In Week 8, you will be completing a public service announcement (PSA) on an area of interest for suicide prevention based on the materials for this course or other resources.
For this assignment, you will create an engaging one- to two-minute public service announcement (PSA) aimed at mobilizing the community to take action and facilitate change.Your announcement should be designed to grab and hold the attention of the viewer. You will need to conduct research about the population and suicide prevention in order to create an effective PSA. Identify the risk and protective factors of your population of interest.
You may use the medium of your choice, such as podcast recording, video recording, or PowerPoint video. Your PSA must include voice over.
In preparation for this assignment and to help you get started, you should consider the following:
Develop a list of outcome objectives your PSA will address.
Familiarize yourself with other public service announcements to evaluate what you feel is effective or not effective.
Tailor your PSA regarding suicide prevention carefully to the special population people group.
Think about your word choices. How will you capture people’s attention?
What questions will your PSA answer? How will your PSA raise awareness or change the public’s attitudes and behaviors?
How does your PSA fulfill the objectives you have created?
Script out your PSA and prepare for recording.
Use these instructions to record your video:
Open the Zoom Tutorial to use for video recordings.
Upload your recording as an unlisted video on YouTube. Important: It is your responsibility to ensure that your link is active and working. It is highly recommended that you play back your video from a different device than the one you used to upload to YouTube to ensure that it works properly.
To upload your YouTube video URL to the Week 8 assignment:
Create a Word document properly named to associate with the assignment.
Copy and paste the YouTube URL into the Word Document.
Upload to the Week 8 assignment.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 8 Assignment 2
Group-Facilitated Communication Board and Instructions
Overview
There are two purposes to this assignment. The first is for each group to demonstrate the ability to collaborate, design and create a group-facilitated discussion plan that will teach fellow classmates about their chosen topic. The second is for each group to successfully demonstrate the ability to use their group-facilitated discussion plan to facilitate a discussion forum with their fellow classmates.
Instructions for the Facilitating Group
Connect with the members of your group.
Within this communication board, determine the best plan of action going forward to complete this assignment. Each group is more than welcome to continue using this communication board for the entire assignment. During the initial meeting, determine how often you will meet, the responsibilities of each group member, and on which meeting tool you would like to use if not this communication board. (i.e. Skype, Google Hangouts, etc.).
Work together as a group to create the group-facilitated discussion plan.
Remember that the group-facilitated discussion plan topic needs to be based on the child and adolescent populations.
This plan will be used during the topic discussion week and should elicit a thought-provoking discussion for your classmates.
Each member of the group is to explore and locate resources that can be used for their topic.
A minimum of four resources (literature reviewed articles, videos, and the like) should be included as a part of your group-facilitated discussion plan. These resources are needed to provide content for your peers to review as a part of their participation in the discussion.
Once the resources have been reviewed and decided upon within the group, three to four discussion prompts should be created for fellow classmates to answer during their participation in the discussion.
Submit the entire group-facilitated discussion plan for grading in Week 8.
Each group will choose one member who will be responsible for submitting the group's entire discussion plan.
The discussion plan should be submitted to Week 8 Assignment 2: Group-Facilitated Discussion Plan Submission. This will be a graded assignment. Your faculty will also provide feedback for your review on the grading rubric. At the time of your draft grading, you may be required to make revisions in your draft and resubmit to your faculty for review. If revisions are needed, it will be noted in the grading rubric.
Your plan should include a brief overview of the topic, a list of the resources that you will be asking your classmates to review, three to four discussion prompts you plan to use to facilitate the discussion, and any resources that you used in preparing your discussion prompts.
Your plan should be in APA format.
For ideas on how to structure your discussion, including resources to help your classmates learn, please review this sample discussion prompt: Example of a Good Group Facilitated Discussion (PDF). Note: This sample provides you with guidance on structure, not on content!
Group-Facilitated Discussion Presentation Week
On Day 1 of your selected topic facilitation week, one member of your group will be responsible for posting the following:
The presentation of your topic for your classmates to read.
Three to four discussion prompts for your classmates to answer. (Example: Please respond to the following questions:…)
The resources you want your classmates to review.
Any instructions that will help your classmates understand what to do for your facilitated discussion.
During your group-facilitation week, each and every member of your group is to participate in the facilitation of the discussion. This means you are responsible for responding to each classmate's initial discussion prompt post, making certain that everyone is engaged, questions are being answered, and the discussion is expanding.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 10 Assignment
iHuman Case Study
Overview
Case studies and simulations are excellent ways to practice critical thinking and problem solving in patient care in a safe space. These case-based assignments are designed to provide you with an opportunity to practice applying the theoretical knowledge you have acquired in a real-life scenario. Use this assignment to apply all the best practices that you have learned and be as thorough and detailed as you can.
In this course, we will be using an interactive simulation tool called iHuman to provide you with exposure to case study information. Through iHuman, you will have the opportunity to interact with a simulated patient to collect and analyze data much in the same way you would in real life. After collecting that data, you will use the iHuman platform to diagnose and develop a treatment plan. After completing the iHuman case, you will prepare a SOAP note to summarize and provide an overview of the simulated clinical experience. The SOAP note is a good tool to use in your practice, as it covers the areas of documentation that are considered vital in order to achieve the goals of treatment. You will be using SOAP notes (or something similar) frequently in your practice.
Instructions
Complete the iHuman case study assigned for the week. You will be working in the iHuman platform to complete the case. Follow the directions on logging in and navigating in iHuman. You will need to input your first and last name and email address to access the recording. Refer back to the iHuman Orientation for complete instructions on navigating in iHuman.
When working in iHuman, practice as if this were a real patient. For example, the platform allows you to ask many questions when taking a history. However, in reality, you will likely be limited in time. Practice setting yourself a time limit and work on being efficient in your clinical interview. While there is time for empathy, you do not want to distract from good clinical investigation.
In iHuman, review the specific instructions for the appropriate case. These instructions will help you understand the expectations of each case, as they may differ.
Once you have completed all the steps in iHuman, complete a SOAP Note (Word) for the patient you worked with. (Note: The template is meant to be a guide. You can change the formatting of your SOAP note if the table style does not work for you. Additionally, you can copy and paste what you have written in iHuman into your SOAP note if the content is appropriate.)
Your SOAP note should be no more than five pages long.
Use academic sources, cited in APA format, to support your rationale in your Assessment and Plan.
While items in iHuman may be auto-marked, your grade for this assignment is not based on how you perform within iHuman. The iHuman platform is merely an opportunity for you to interact with a simulated patient and gather data.
If you require technical support with the iHuman platform, use the iHuman Help Center to contact iHuman Technical Support directly. Technical support includes a malfunction of the platform; they will not be able to help with issues involving content!
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 11 Assignment
iHuman Case Study
Overview
Case studies and simulations are excellent ways to practice critical thinking and problem solving in patient care in a safe space. These case-based assignments are designed to provide you with an opportunity to practice applying the theoretical knowledge you have acquired in a real-life scenario. Use this assignment to apply all the best practices that you have learned and be as thorough and detailed as you can.
In this course, we will be using an interactive simulation tool called iHuman to provide you with exposure to case study information. Through iHuman, you will have the opportunity to interact with a simulated patient to collect and analyze data much in the same way you would in real life. After collecting that data, you will use the iHuman platform to diagnose and develop a treatment plan. After completing the iHuman case, you will prepare a SOAP note to summarize and provide an overview of the simulated clinical experience. The SOAP note is a good tool to use in your practice, as it covers the areas of documentation that are considered vital in order to achieve the goals of treatment. You will be using SOAP notes (or something similar) frequently in your practice.
Instructions
Complete the iHuman case study assigned for the week. You will be working in the iHuman platform to complete the case. Follow the directions on logging in and navigating in iHuman. You will need to input your first and last name and email address to access the recording. Refer back to the iHuman Orientation for complete instructions on navigating in iHuman.
When working in iHuman, practice as if this were a real patient. For example, the platform allows you to ask many questions when taking a history. However, in reality, you will likely be limited in time. Practice setting yourself a time limit and work on being efficient in your clinical interview. While there is time for empathy, you do not want to distract from good clinical investigation.
In iHuman, review the specific instructions for the appropriate case. These instructions will help you understand the expectations of each case, as they may differ.
Once you have completed all the steps in iHuman, complete a SOAP Note (Word) for the patient you worked with. (Note: The template is meant to be a guide. You can change the formatting of your SOAP note if the table style does not work for you. Additionally, you can copy and paste what you have written in iHuman into your SOAP note if the content is appropriate.)
Your SOAP note should be no more than five pages long.
Use academic sources, cited in APA format, to support your rationale in your Assessment and Plan.
While items in iHuman may be auto-marked, your grade for this assignment is not based on how you perform within iHuman. The iHuman platform is merely an opportunity for you to interact with a simulated patient and gather data.
If you require technical support with the iHuman platform, use the iHuman Help Center to contact iHuman Technical Support directly. Technical support includes a malfunction of the platform; they will not be able to help with issues involving content!
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 12 Assignment
iHuman Case Study
Overview
Case studies and simulations are excellent ways to practice critical thinking and problem solving in patient care in a safe space. These case-based assignments are designed to provide you with an opportunity to practice applying the theoretical knowledge you have acquired in a real-life scenario. Use this assignment to apply all the best practices that you have learned and be as thorough and detailed as you can.
In this course, we will be using an interactive simulation tool called iHuman to provide you with exposure to case study information. Through iHuman, you will have the opportunity to interact with a simulated patient to collect and analyze data much in the same way you would in real life. After collecting that data, you will use the iHuman platform to diagnose and develop a treatment plan. After completing the iHuman case, you will prepare a SOAP note to summarize and provide an overview of the simulated clinical experience. The SOAP note is a good tool to use in your practice, as it covers the areas of documentation that are considered vital in order to achieve the goals of treatment. You will be using SOAP notes (or something similar) frequently in your practice.
Instructions
Complete the iHuman case study assigned for the week. You will be working in the iHuman platform to complete the case. Follow the directions on logging in and navigating in iHuman. You will need to input your first and last name and email address to access the recording. Refer back to the iHuman Orientation for complete instructions on navigating in iHuman.
When working in iHuman, practice as if this were a real patient. For example, the platform allows you to ask many questions when taking a history. However, in reality, you will likely be limited in time. Practice setting yourself a time limit and work on being efficient in your clinical interview. While there is time for empathy, you do not want to distract from good clinical investigation.
In iHuman, review the specific instructions for the appropriate case. These instructions will help you understand the expectations of each case, as they may differ.
Once you have completed all the steps in iHuman, complete a SOAP Note (Word) for the patient you worked with. (Note: The template is meant to be a guide. You can change the formatting of your SOAP note if the table style does not work for you. Additionally, you can copy and paste what you have written in iHuman into your SOAP note if the content is appropriate.)
Your SOAP note should be no more than five pages long.
Use academic sources, cited in APA format, to support your rationale in your Assessment and Plan.
While items in iHuman may be auto-marked, your grade for this assignment is not based on how you perform within iHuman. The iHuman platform is merely an opportunity for you to interact with a simulated patient and gather data.
If you require technical support with the iHuman platform, use the iHuman Help Center to contact iHuman Technical Support directly. Technical support includes a malfunction of the platform; they will not be able to help with issues involving content!
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 13 Assignment
iHuman Case Study
Overview
Case studies and simulations are excellent ways to practice critical thinking and problem solving in patient care in a safe space. These case-based assignments are designed to provide you with an opportunity to practice applying the theoretical knowledge you have acquired in a real-life scenario. Use this assignment to apply all the best practices that you have learned and be as thorough and detailed as you can.
In this course, we will be using an interactive simulation tool called iHuman to provide you with exposure to case study information. Through iHuman, you will have the opportunity to interact with a simulated patient to collect and analyze data much in the same way you would in real life. After collecting that data, you will use the iHuman platform to diagnose and develop a treatment plan. After completing the iHuman case, you will prepare a SOAP note to summarize and provide an overview of the simulated clinical experience. The SOAP note is a good tool to use in your practice, as it covers the areas of documentation that are considered vital in order to achieve the goals of treatment. You will be using SOAP notes (or something similar) frequently in your practice.
Instructions
Complete the iHuman case study assigned for the week. You will be working in the iHuman platform to complete the case. Follow the directions on logging in and navigating in iHuman. You will need to input your first and last name and email address to access the recording. Refer back to the iHuman Orientation for complete instructions on navigating in iHuman.
When working in iHuman, practice as if this were a real patient. For example, the platform allows you to ask many questions when taking a history. However, in reality, you will likely be limited in time. Practice setting yourself a time limit and work on being efficient in your clinical interview. While there is time for empathy, you do not want to distract from good clinical investigation.
In iHuman, review the specific instructions for the appropriate case. These instructions will help you understand the expectations of each case, as they may differ.
Once you have completed all the steps in iHuman, complete a SOAP Note (Word) for the patient you worked with. (Note: The template is meant to be a guide. You can change the formatting of your SOAP note if the table style does not work for you. Additionally, you can copy and paste what you have written in iHuman into your SOAP note if the content is appropriate.)
Your SOAP note should be no more than five pages long.
Use academic sources, cited in APA format, to support your rationale in your Assessment and Plan.
While items in iHuman may be auto-marked, your grade for this assignment is not based on how you perform within iHuman. The iHuman platform is merely an opportunity for you to interact with a simulated patient and gather data.
If you require technical support with the iHuman platform, use the iHuman Help Center to contact iHuman Technical Support directly. Technical support includes a malfunction of the platform; they will not be able to help with issues involving content!
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 14 Assignment
iHuman Case Study
Overview
Case studies and simulations are excellent ways to practice critical thinking and problem solving in patient care in a safe space. These case-based assignments are designed to provide you with an opportunity to practice applying the theoretical knowledge you have acquired in a real-life scenario. Use this assignment to apply all the best practices that you have learned and be as thorough and detailed as you can.
In this course, we will be using an interactive simulation tool called iHuman to provide you with exposure to case study information. Through iHuman, you will have the opportunity to interact with a simulated patient to collect and analyze data much in the same way you would in real life. After collecting that data, you will use the iHuman platform to diagnose and develop a treatment plan. After completing the iHuman case, you will prepare a SOAP note to summarize and provide an overview of the simulated clinical experience. The SOAP note is a good tool to use in your practice, as it covers the areas of documentation that are considered vital in order to achieve the goals of treatment. You will be using SOAP notes (or something similar) frequently in your practice.
Instructions
Complete the iHuman case study assigned for the week. You will be working in the iHuman platform to complete the case. Follow the directions on logging in and navigating in iHuman. You will need to input your first and last name and email address to access the recording. Refer back to the iHuman Orientation for complete instructions on navigating in iHuman.
When working in iHuman, practice as if this were a real patient. For example, the platform allows you to ask many questions when taking a history. However, in reality, you will likely be limited in time. Practice setting yourself a time limit and work on being efficient in your clinical interview. While there is time for empathy, you do not want to distract from good clinical investigation.
In iHuman, review the specific instructions for the appropriate case. These instructions will help you understand the expectations of each case, as they may differ.
Once you have completed all the steps in iHuman, complete a SOAP Note (Word) for the patient you worked with. (Note: The template is meant to be a guide. You can change the formatting of your SOAP note if the table style does not work for you. Additionally, you can copy and paste what you have written in iHuman into your SOAP note if the content is appropriate.)
Your SOAP note should be no more than five pages long.
Use academic sources, cited in APA format, to support your rationale in your Assessment and Plan.
While items in iHuman may be auto-marked, your grade for this assignment is not based on how you perform within iHuman. The iHuman platform is merely an opportunity for you to interact with a simulated patient and gather data.
If you require technical support with the iHuman platform, use the iHuman Help Center to contact iHuman Technical Support directly. Technical support includes a malfunction of the platform; they will not be able to help with issues involving content!
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 15 Assignment
Major Case Analysis
The purpose of this assignment is to provide you with the opportunity to analyze and synthesize the components of a complete psychiatric assessment with clinical interventions, based on evidence-based clinical practice guidelines and theoretical knowledge. This assignment allows you to demonstrate your ability to complete a full mental health assessment of your selected client’s current, psychological, physical, and social functioning. You should be able to demonstrate critical thinking and to correlate theory and practice.
Instructions
Select a client or case that you have worked within either your practice or your practicum setting. Ensure that you correctly redact the appropriate information (name, etc.).
Prepare a full mental health evaluation on your client. Use the resources presented in the course to help guide your evaluation. Kaplan & Saddock’s Synopsis of Psychiatry has a robust list of the categories of information you should collect and present in your evaluation report (5.1. Parts of the Initial Psychiatric Interview). This should include the following:
A full psychiatric, physical, social, family, and work history including verbal reports of the client, your observations of the client, and a summary of any diagnostic aids that you have used.
The use of at least one psychiatric screening or assessment tool from the literature to assist in your assessment of the client
A full physical assessment in addition to the mental status exam and psychiatric history
Develop a DSM-5 diagnostic assessment:
Support your diagnosis through a thoughtful, evidence-based analysis of the data collected in your evaluation.
Propose a practical, evidence-based plan of care:
Keep in mind the role of the psychiatric-mental health nurse practitioner is to assess all aspects of the patient’s health status, including health promotion, health protection, and disease prevention. Psychiatric care is interdisciplinary. Your plan of care may include the use of other mental health professionals for the delivery of appropriate care. For example, someone who has been chronically out of work and whose unemployed status has contributed to his or her depression might require social work or educational assessment to address that aspect of the client’s poor psychological functioning.
Requirements
Support your assessment, diagnosis, and treatment plan with appropriate literature citations.
The paper should be no more than ten pages in length, not including a title page and references.
Use current APA formatting and citations.
Acronyms should not be used.
The assessment must be well written and be of professional quality. It must be clear, logically developed, and free of spelling, grammatical, and syntactical errors. Use full sentences.
The psychiatric-mental health nurse practitioner employs evidence-based clinical practice guidelines to guide screening activities, identifies health promotion needs, and provides anticipatory guidance and counseling addressing environmental, lifestyle, and developmental issues.
Review a Clinical Case Study (Word) sample paper to get a better sense of expectations.
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 9 Midterm Exam
Question 1A patient is demonstrating efficacy to clozapine 600 mg/day. This week's granulocyte count is less than 500 mm3. What is the most appropriate initial recommendation?
Select one:
a.Substitute haloperidol for clozapine.
b.Discontinue clozapine and do not restart.
c.Reduce dosage.
d.Start dyphenhydramine 25mg po bid.
e.Restart clozapine in 4 weeks.
Question 2A patient with generalized anxiety disorder (GAD) for 8-10 years is to be tapered from benzodiazepines and started on buspirone. Which statement is TRUE about buspirone in this case?
Select one:
a.It takes 3 to 4 weeks to be an effective anxiolytic.
b.It is an effective anxiolytic within 72 hours.
c.It can elevate the benzodiazepine to toxic levels.
d.It can be administered safely with MAOI.
Question 3A PMHNP uses cognitive therapy strategies with a patient who has an anxiety disorder. The patient's homework is to keep a diary of symptoms of anxiety and events that transpired just before the onset of symptoms. The rationale for this strategy is ________.
Select one:
a.to keep the patient intellectually occupied to prevent dwelling on physiological phenomena
b.to link symptoms with precipitating events, which provides a basis for discussion and reframing
c.that anxiety gives rise to automatic, negative obsessive thoughts that must be analyzed
d.that antecedent events have less to do with the anxiety onset than internal events
Question 4All of the following are common baseline labs and history that you would obtain before any atypical antipsychotic is initiated EXCEPT ________.
Select one:
a.CPK
b.Family medical history
c.Fasting blood sugar (FBS)
d.Fasting lipids
Question 5Benzodiazepine indications can include ________.
Select one:
a.panic attacks
b.alcohol or benzodiazepine withdrawal
c.anxiety or sleep
d.seizures, muscle spasms
e.All of these
Question 6Common disadvantages of antihistamines such as diphenhydramine include ________.
Select one:
a.NMS
b.EPS
c.anticholinergic side effects
d.postural hypotension
Question 7Harry was released from the state hospital on risperidone 4 mg twice a day. His positive and negative symptoms of schizophrenia are improved, but he complains of "painful muscle spasms and neck muscles pulling his head to the side." He reports that some of these effects started a few days after the medicine was started. Which effect is Harry experiencing?
Select one:
a.NMS
b.Dystonia
c.Tardive dyskinesia
d.Akathesia
Question 8John, age 25 and diagnosed with paranoid schizophrenia, was admitted to the hospital in an agitated, combative state and received haloperidol. The PMHMP should investigate for signs of neuroleptic malignant syndrome if John had ________.
Select one:
a.a subnormal temperature
b.a reduction in WBCs
c.an elevated FBS
d.an elevated CPK
e.a decreased CPK
Question 9Mrs. Baker has developed diabetes, is 25 pounds overweight, and has a waist circumference of 45. She has been treated the past year for schizophrenia with olanzapine. Which agent would be the next best alternative that is least likely to cause weight gain neutral?
Select one:
a.Chlorpromazine
b.Clozapine
c.Aripiprazole
d.Risperdal consta
Question 10Name a quick screen for a lifetime history of mania or hypomania.
Select one:
a.Mood Disorder Questionnaire
b.Beck scale
c.Hamilton Rating Scales
d.GAD
NU664 Primary Care of the Psychiatric Mental Health Client I
Week 15 Final Exam
Question 1A 16 y/o girl is brought to your office for an initial consultation. Since her parent's divorce three months ago, she has been irritable and has had problems keeping up her grades in school. She spends most of the time at home and does not want to engage in social activities. She denies any change in her appetite or weight, reports being able to sleep well, and denies any feelings of helplessness or hopelessness. What would be the best initial treatment of this patient?
Select one:
a.A trial of citalopram
b.Supportive psychotherapy
c.Long-term psychodynamic psychotherapy
d.Inpatient admission to an inpatient adolescent unit
Question 2A 22 y/o woman is referred to your office by her family physician for an evaluation of her "depression." Her PCP is unsure whether she is suffering from depression or something else. Which of the following characteristics is more consistent with a persistent depressive disorder (dysthymia) versus major depression?
Select one:
a.Episodic course
b.Numerous neurovegetative symptoms
c.Presence of psychotic symptoms
d.Symptoms that are lower in intensity and chronic in nature
e.Severe impairment in functioning
Question 3A 40 y/o woman with bipolar disorder presents to your office after starting a new medication. She reports that she was doing "well" until she got a viral gastroenteritis and was unable to eat for several days. While the viral symptoms have resolved, she now complains of nausea and vomiting, ataxia, and tremor. Which of the following studies would you order?
Select one:
a.Carbamazepine level
b.Depakote level
c.Head CT
d.Lithium level
e.Urine toxicology screen
Question 4 A 46 y/o man presents with a long-standing belief that his thoughts are being taken from his head and used to create a blockbuster movie. He is certain that the government is involved because they often communicate with him through a microchip they have implanted in his brain. What would this most likely diagnosis be for this gentleman?
Select one:
a.Major depression with psychotic features
b.Schizoaffective disorder
c.Schizophrenia
d. Psychosis secondary to a general medical condition
e.Bipolar disorder I with psychotic features
Question 5A 70 y/o woman presents to her PCP complaining of fatigue for the past seven weeks. She admits to difficulty falling asleep, a poor appetite with a 10-lb. weight loss, and thoughts of wanting to die. She admits to having had symptoms similar to these on several occasions in the past, but "never this bad." Her medical problems include asthma and HTN. She uses an albuterol inhaler only as needed. Which of the following symptoms is additionally necessary in order to make a diagnosis of major depressive disorder?
Select one:
a.Depressed mood
b.Decreased appetite
c.Excessive guilt
d.Fatigue
e.Homicidal ideation
Question 6A child who is indifferent toward its caregiver and is just as easily comforted by a stranger as by a parent may be assessed as having which attachment style?
Select one:
a.Secure
b.Avoidant
c.Disorganized
d.Ambivalent
Question 7A client says to the PMHNP, "Some days life is just not worth it. All I do is argue with my boss, fight with my wife, and yell at my kids. Things would be a lot calmer and simpler if I just wasn't around anymore." The most therapeutic response for the PMHNP to make is ________.
Select one:
a."Do you mean you want to kill yourself?"
b."Are you thinking about leaving your wife and quitting your job?"
c.to remain silent and let the client continue
d."Tell me what you mean when you say it would be simpler if you weren't around."
Question 8A new client has the following symptoms: Has had insomnia for five days, sees "devils" walking across the room, cannot recall when she last ate, carries a large notebook with numerous unusual drawings and lists of project that are "in the works," and has drawn abstract pictures in ink on her forearms and clothing. The client is most likely diagnosed with ________.
Select one:
a.Cyclothymia
b.Substance-induced anxiety disorder
c.Dysthymia
d.Schizoaffective disorder, depressive subtype
e.Bipolar I with psychotic features
Question 9A PMHNP is using a cognitive-behavioral approach to help an adolescent client change self-defeating behaviors. Which of the following would a PMHNP highlight when using CBT?
Select one:
a.Feelings
b.Introjection
c.Beliefs
d.Transference
Question 10According to American Diabetes Association recommendations, how frequently should fasting plasma glucose/HbA1C and fasting lipid profile be monitored in patients treated with antipsychotic agents?
Select one:
a.Every 6 weeks
b.Annually
c.Baseline, 12 weeks, then annually
d.Every 2 years
