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.
