Category: Clinical Nursing & Patient Care

  • [Solved] Asssigment

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    – 2 years ago **files (4)** – ## Week6APPENDIXAPETPROCESSGUIDE.docx – ## w1Assgn1_Garcia_M-1.docx – AppendixAPETProcess1.docx – DNPProjectProcessGuide11.pdf **## Week6APPENDIXAPETPROCESSGUIDE.docx** Week 6 APPENDIX A PET PROCESS GUIDE Resources Be sure to review the Learning Resources before compl…

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    – 2 years ago

    **files (4)**

    – ## Week6APPENDIXAPETPROCESSGUIDE.docx

    – ## w1Assgn1_Garcia_M-1.docx

    – AppendixAPETProcess1.docx
    – DNPProjectProcessGuide11.pdf

    **## Week6APPENDIXAPETPROCESSGUIDE.docx**

    Week 6 APPENDIX A PET PROCESS GUIDE

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/146270/modules/items/5786409)

    By Day 7 of Week 6

    **Submit** your Week 6 Appendix A PET Process Guide document.

    Complete an updated Appendix A PET Process Guide document by addressing all the components on the
    **Appendix A: PET Process Guide**. Be sure to clearly detail your individual plans and goals related to your DNP Project as reflected during the past 6 weeks.

    **## w1Assgn1_Garcia_M-1.docx**

    2

    **Goals for the Term**

    Marta Lilian Garcia

    Foun Essen Doctor Nurs Practic, Walden University

    DNP Project Mentoring

    Dr. Mary Garner

    December 2, 2024

    **Goals for the Term**

    My SMART goal for this term is to complete DNP Project Phases 1 and 2. The project phases entail developing, approving, and refining the project action plan through a formal Action Plan Presentation. This will ensure that I remain on schedule to complete subsequent project implementation and data collection phases in later terms, if necessary. Specific objectives I plan to accomplish during this term include the following:

    · Refining the Project Proposal: I will be working very closely with my faculty advisor and project mentor to complete the action plan, assure alignment with the DNP Project Checklist, and make sure all materials meet standards for ethical and scholarly rigor.

    · Completion of the Ethics Pledge: After the action plan is approved by the committee, I will promptly complete the online ethics pledge and obtain the confirmation required by the SRA.

    · Scheduling and Conducting the Action Plan Presentation: Collaborate with my faculty advisor, mentor, and any stakeholders in coordinating the Microsoft Teams meeting for my Action Plan Presentation; this shall include a comprehensive PowerPoint presentation and supporting documentation for review.

    **Timeline for Goal Completion**

    To maintain steady progress, I have established the following timeline for achieving my goals:

    · Weeks 1-3: Complete the project proposal with the input of my mentor and faculty advisor. Provide draft materials for early feedback.

    · Week 4-5: Feedback Integration and Refining of Action Plan. Submission for committee review and approval of the project action plan.

    · Week 6: Complete the online ethics pledge when invited to do so by the SRA. Confirm readiness to present the action plan.

    · Week 7: The action plan presentation should be made in the meeting via Microsoft Teams and should also be recorded for documentation.

    · Week 8: Reflect on the feedback from the committee as a result of the presentation and finalize the action plan for implementation, making revisions as necessary.

    **Plans for Continued Progress**

    I will communicate problems and questions to my faculty advisor and my project mentor throughout the term on a regular basis. I also plan to provide updates on a regular basis during scheduled meetings, which helps in keeping all stakeholders aware of the progress I make towards my goals. In addition, I will use the DNP Capstone Resources website and templates for guidance of work to ensure that I meet all guidelines and requirements (Turkson‐Ocran et al., 2020).

    My SMART goal for this term is to complete all the components of Phases 1 and 2 of the DNP Project by adhering to my timeline, fulfilling the described requirements, and further successfully collaborating with my project team. This will ultimately better prepare me for a successful transition into the implementation phase, if necessary, in the next term.

    **References**

    Turkson‐Ocran, R. N., Spaulding, E. M., Renda, S., Pandian, V., Rittler, H., Davidson, P. M., Nolan, M. T., & D’Aoust, R. (2020). A 10‐year evaluation of projects in a doctor of nursing practice programme.
    _Journal of Clinical Nursing_,
    _29_(21-22), 4090–4103. https://doi.org/10.1111/jocn.15435

    **AppendixAPETProcess1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/appendixapetprocess1-docx)

    **DNPProjectProcessGuide11.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/dnpprojectprocessguide11-pdf)

    **DNPProjectProcessGuide11.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/dnpprojectprocessguide11-pdf)

    **## Week6APPENDIXAPETPROCESSGUIDE.docx**

    Week 6 APPENDIX A PET PROCESS GUIDE

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/146270/modules/items/5786409)

    By Day 7 of Week 6

    **Submit** your Week 6 Appendix A PET Process Guide document.

    Complete an updated Appendix A PET Process Guide document by addressing all the components on the
    **Appendix A: PET Process Guide**. Be sure to clearly detail your individual plans and goals related to your DNP Project as reflected during the past 6 weeks.

    **## w1Assgn1_Garcia_M-1.docx**

    2

    **Goals for the Term**

    Marta Lilian Garcia

    Foun Essen Doctor Nurs Practic, Walden University

    DNP Project Mentoring

    Dr. Mary Garner

    December 2, 2024

    **Goals for the Term**

    My SMART goal for this term is to complete DNP Project Phases 1 and 2. The project phases entail developing, approving, and refining the project action plan through a formal Action Plan Presentation. This will ensure that I remain on schedule to complete subsequent project implementation and data collection phases in later terms, if necessary. Specific objectives I plan to accomplish during this term include the following:

    · Refining the Project Proposal: I will be working very closely with my faculty advisor and project mentor to complete the action plan, assure alignment with the DNP Project Checklist, and make sure all materials meet standards for ethical and scholarly rigor.

    · Completion of the Ethics Pledge: After the action plan is approved by the committee, I will promptly complete the online ethics pledge and obtain the confirmation required by the SRA.

    · Scheduling and Conducting the Action Plan Presentation: Collaborate with my faculty advisor, mentor, and any stakeholders in coordinating the Microsoft Teams meeting for my Action Plan Presentation; this shall include a comprehensive PowerPoint presentation and supporting documentation for review.

    **Timeline for Goal Completion**

    To maintain steady progress, I have established the following timeline for achieving my goals:

    · Weeks 1-3: Complete the project proposal with the input of my mentor and faculty advisor. Provide draft materials for early feedback.

    · Week 4-5: Feedback Integration and Refining of Action Plan. Submission for committee review and approval of the project action plan.

    · Week 6: Complete the online ethics pledge when invited to do so by the SRA. Confirm readiness to present the action plan.

    · Week 7: The action plan presentation should be made in the meeting via Microsoft Teams and should also be recorded for documentation.

    · Week 8: Reflect on the feedback from the committee as a result of the presentation and finalize the action plan for implementation, making revisions as necessary.

    **Plans for Continued Progress**

    I will communicate problems and questions to my faculty advisor and my project mentor throughout the term on a regular basis. I also plan to provide updates on a regular basis during scheduled meetings, which helps in keeping all stakeholders aware of the progress I make towards my goals. In addition, I will use the DNP Capstone Resources website and templates for guidance of work to ensure that I meet all guidelines and requirements (Turkson‐Ocran et al., 2020).

    My SMART goal for this term is to complete all the components of Phases 1 and 2 of the DNP Project by adhering to my timeline, fulfilling the described requirements, and further successfully collaborating with my project team. This will ultimately better prepare me for a successful transition into the implementation phase, if necessary, in the next term.

    **References**

    Turkson‐Ocran, R. N., Spaulding, E. M., Renda, S., Pandian, V., Rittler, H., Davidson, P. M., Nolan, M. T., & D’Aoust, R. (2020). A 10‐year evaluation of projects in a doctor of nursing practice programme.
    _Journal of Clinical Nursing_,
    _29_(21-22), 4090–4103. https://doi.org/10.1111/jocn.15435

    **AppendixAPETProcess1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/appendixapetprocess1-docx)

    **DNPProjectProcessGuide11.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/dnpprojectprocessguide11-pdf)

    **## Week6APPENDIXAPETPROCESSGUIDE.docx**

    Week 6 APPENDIX A PET PROCESS GUIDE

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/146270/modules/items/5786409)

    By Day 7 of Week 6

    **Submit** your Week 6 Appendix A PET Process Guide document.

    Complete an updated Appendix A PET Process Guide document by addressing all the components on the
    **Appendix A: PET Process Guide**. Be sure to clearly detail your individual plans and goals related to your DNP Project as reflected during the past 6 weeks.

    **## w1Assgn1_Garcia_M-1.docx**

    2

    **Goals for the Term**

    Marta Lilian Garcia

    Foun Essen Doctor Nurs Practic, Walden University

    DNP Project Mentoring

    Dr. Mary Garner

    December 2, 2024

    **Goals for the Term**

    My SMART goal for this term is to complete DNP Project Phases 1 and 2. The project phases entail developing, approving, and refining the project action plan through a formal Action Plan Presentation. This will ensure that I remain on schedule to complete subsequent project implementation and data collection phases in later terms, if necessary. Specific objectives I plan to accomplish during this term include the following:

    · Refining the Project Proposal: I will be working very closely with my faculty advisor and project mentor to complete the action plan, assure alignment with the DNP Project Checklist, and make sure all materials meet standards for ethical and scholarly rigor.

    · Completion of the Ethics Pledge: After the action plan is approved by the committee, I will promptly complete the online ethics pledge and obtain the confirmation required by the SRA.

    · Scheduling and Conducting the Action Plan Presentation: Collaborate with my faculty advisor, mentor, and any stakeholders in coordinating the Microsoft Teams meeting for my Action Plan Presentation; this shall include a comprehensive PowerPoint presentation and supporting documentation for review.

    **Timeline for Goal Completion**

    To maintain steady progress, I have established the following timeline for achieving my goals:

    · Weeks 1-3: Complete the project proposal with the input of my mentor and faculty advisor. Provide draft materials for early feedback.

    · Week 4-5: Feedback Integration and Refining of Action Plan. Submission for committee review and approval of the project action plan.

    · Week 6: Complete the online ethics pledge when invited to do so by the SRA. Confirm readiness to present the action plan.

    · Week 7: The action plan presentation should be made in the meeting via Microsoft Teams and should also be recorded for documentation.

    · Week 8: Reflect on the feedback from the committee as a result of the presentation and finalize the action plan for implementation, making revisions as necessary.

    **Plans for Continued Progress**

    I will communicate problems and questions to my faculty advisor and my project mentor throughout the term on a regular basis. I also plan to provide updates on a regular basis during scheduled meetings, which helps in keeping all stakeholders aware of the progress I make towards my goals. In addition, I will use the DNP Capstone Resources website and templates for guidance of work to ensure that I meet all guidelines and requirements (Turkson‐Ocran et al., 2020).

    My SMART goal for this term is to complete all the components of Phases 1 and 2 of the DNP Project by adhering to my timeline, fulfilling the described requirements, and further successfully collaborating with my project team. This will ultimately better prepare me for a successful transition into the implementation phase, if necessary, in the next term.

    **References**

    Turkson‐Ocran, R. N., Spaulding, E. M., Renda, S., Pandian, V., Rittler, H., Davidson, P. M., Nolan, M. T., & D’Aoust, R. (2020). A 10‐year evaluation of projects in a doctor of nursing practice programme.
    _Journal of Clinical Nursing_,
    _29_(21-22), 4090–4103. https://doi.org/10.1111/jocn.15435

    **AppendixAPETProcess1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/appendixapetprocess1-docx)

    **DNPProjectProcessGuide11.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/dnpprojectprocessguide11-pdf)

  • [Solved] 450Topic 1 DQ 2

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    Throughout the RN-BSN Program, you have discussed many different nursing theories. In Informatics, the core elements of the field stem from the Foundation of Knowledge Model, also known as the Data-Information-Knowledge-Wisdom (DIKW) Paradigm. Select a clinical scenario from your practice and analyz…

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    Assignment Prompt & Instructions

    Throughout the RN-BSN Program, you have discussed many different nursing theories. In Informatics, the core elements of the field stem from the Foundation of Knowledge Model, also known as the Data-Information-Knowledge-Wisdom (DIKW) Paradigm.

    Select a clinical scenario from your practice and analyze it using the Foundation of Knowledge Model.

    Data: What data was collected and how?

    Information: Describe the information that was obtained.

    Knowledge: Explain the knowledge that you acquired in this scenario.

    Wisdom: In analyzing the information obtained, what wisdom did you discover or gain? Did you need to disseminate or share this new knowledge? If yes, to whom? What feedback did you receive?

    Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN Discussion Question Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

    – 2 years ago

  • [Solved] 450Topic 1 DQ 1

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    Based on the first letter of your first name, please define the following terms per your group number. Then, discuss the relevance of each term to nursing practice. Group 1: A-F – Informatics – Interoperability – Electronic Health Record (EHR) – Electronic Medical Record (EMR) Group 2: G-M – Nursing…

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    Assignment Prompt & Instructions

    Based on the first letter of your first name, please define the following terms per your group number. Then, discuss the relevance of each term to nursing practice.

    Group 1: A-F

    – Informatics
    – Interoperability
    – Electronic Health Record (EHR)
    – Electronic Medical Record (EMR)

    Group 2: G-M

    – Nursing Informatics
    – Informatics Nurse Specialist
    – Clinical Decision Support System (CDSS)
    – Mobile Medical Devices

    Group 3: N-S

    – Information Exchange
    – Telehealth/Telemedicine
    – Wearable Technology
    – Technology Informatics Guiding Education Reform Initiative (TIGER)

    Group 4: T-Z

    – Data Analytics
    – Business Intelligence
    – Data Visualization
    – Artificial Intelligence

    Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN Discussion Question Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

    – 2 years ago

  • [Solved] 450Information and Communication Technologies in Nursing

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    The purpose of this assignment is to evaluate the various information and communication technology tools that can be used when caring for patients, communities, and populations. – 2 years ago

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    Assignment Prompt & Instructions

    The purpose of this assignment is to evaluate the various information and communication technology tools that can be used when caring for patients, communities, and populations.

    – 2 years ago

  • [Solved] 413Worldview Analysis and Personal Inventory

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    This assignment will introduce you to the concept of worldview. It will also provide you with a fundamental understanding of Christian spirituality that looks to the union of body, mind, soul, and spirit, along with how those beliefs inform a unique ethical awareness and decision-making in professio…

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    Assignment Prompt & Instructions

    This assignment will introduce you to the concept of worldview. It will also provide you with a fundamental understanding of Christian spirituality that looks to the union of body, mind, soul, and spirit, along with how those beliefs inform a unique ethical awareness and decision-making in professional practice. In addition, you will gain knowledge about your own personal beliefs, according to your own worldview.

    After reading topic Resources, you will complete the "Worldview Analysis and Personal Inventory" document, which includes prompts related to the following:

    – Christian perspective of the nature of spirituality and ethics
    – Scientism and two of the main arguments against it
    – Ultimate reality
    – Nature (origin) of the universe
    – What it means to be a human being and purpose in your existence
    – What knowledge is and sources of knowledge
    – Ethics and where the knowledge of right and wrong comes from
    – Purpose of human life and existence
    – Influence of personal worldview values in decision-making within current or future professional practice

    Support your response using only Chapter 1 from the textbook _Practicing Dignity:_ _An Introduction to Christian Values and Decision-Making in Health Care_ and two other Topic 1 Resources.

    While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

    _**American Association of Colleges of Nursing Core Competencies for Professional Nursing Education**_

    _This assignment aligns with the AACN Core Competency: 1.2_

    – 2 years ago

  • [Solved] 413Topic 1 DQ 2

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    From the perspective of Christian spirituality and ethics, what is your understanding of compassionate caring that informs your approach to health and healing? Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to …

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    Assignment Prompt & Instructions

    From the perspective of Christian spirituality and ethics, what is your understanding of compassionate caring that informs your approach to health and healing?

    Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to the "Discussion Question Rubric" and "Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

    _**American Association of Colleges of Nursing Core Competencies for Professional Nursing Education**_

    _This assignment aligns with the AACN Core Competency: 9.2_

    – 2 years ago

  • [Solved] 413Topic 1 DQ 1

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    How can the perspective of Christian spirituality influence the way in which you demonstrate compassionate care? Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and in…

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    Assignment Prompt & Instructions

    How can the perspective of Christian spirituality influence the way in which you demonstrate compassionate care?

    Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to the "Discussion Question Rubric" and "Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

    _**American Association of Colleges of Nursing Core Competencies for Professional Nursing Education**_

    _This assignment aligns with the AACN Core Competency: 2.1_

    – 2 years ago

  • [Solved] week 8

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    Cover the "The Use of Clinical Systems to Improve Outcomes and Efficiencies" New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact o…

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    Assignment Prompt & Instructions

    Cover the "The Use of Clinical Systems to Improve Outcomes and Efficiencies"

    New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

    Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

    review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

    – [\
    \
    Cover.docx](https://www.sweetstudy.com/files/cover-docx-10148061 "Cover.docx")

    – 2 years ago

  • [Solved] Comprehensive psyc eval

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    see attached docs – 2 years ago **files (2)** – ## PRAC6645ComprehensivePsychiatricEvaluationTemplaterev12.20221.doc – ## ComprehensivePsychiatricEvaluation.docx **## PRAC6645ComprehensivePsychiatricEvaluationTemplaterev12.20221.doc** [removed] **## ComprehensivePsychiatricEvaluation.docx** **Comp…

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    Assignment Prompt & Instructions

    see attached docs

    – 2 years ago

    **files (2)**

    – ## PRAC6645ComprehensivePsychiatricEvaluationTemplaterev12.20221.doc

    – ## ComprehensivePsychiatricEvaluation.docx

    **## PRAC6645ComprehensivePsychiatricEvaluationTemplaterev12.20221.doc**

    [removed]

    **## ComprehensivePsychiatricEvaluation.docx**

    **Comprehensive Psychiatric Evaluation**

    For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided.

    · Present the full complex case study. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.

    ·
    **Subjective:** What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.

    ·
    **Plan:** Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?

    ·
    **Reflection notes:** What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

    **Therapist Initial Visit**

    **CC**

    Referred by another doctor to be seen by a psychotherapist.  Was attacked by a resident Nursing and Rehabilitation about a year ago.  Resident was in the locked unit.  Resident asked her to help him change.  Punched her in her face, down her arm, down her back.  She was 5'3" and 110# at that time.  Nurse was on break.  Coworker on the other side of the glass.  He called her a n _ _ _ _ r.    Worked the 11 p.m. to 7 a.m. shift.

    Has seen a neurologist, had a severe concussion.  Has post-concussion syndrome, dizziness.  Has tingling in her fingers, wrist.  The side of her face also has continuing pain.  Has sharp pain in her left ear.

    Had an MRI and CT scan.  Was found to have Venus thoracic outlet syndrome.

    Workers Comp, Thomas Swonger, works for Davies Claims Solutions, and is downplaying her continuing symptoms.  Car stopped working, so she could not get to physical therapy.  Was discharged, rather than having transportation arranged.

    Was seen by a surgeon, who states that the condition may be able to be corrected by surgery.

    She is not able to lift more than 10 pounds.  Her cat died in August 2024.  He was a "support animal."  At that time she was in a toxic relationship.

    Her children are aged 5 and 7 years.  They are in Kindergarten and 1st grade.

    Speech is also effected by the incident.

    ENT doctor diagnosed assymetric hearing loss, left ear.

    She is out of work currently until after she has surgery.  Neurologist had cleared her to go back to work.  He put her back into the care of an orthopedic doctor.  She could not lift clients, and was put on light duty.  Residents became angry with her for sorting out their closets, which was the light duty.

    Resident who assaulted her was still in her workplace.

    She is working with an attorney on the case.  Resident who hurt her was never supposed to be in the rehab in the first place.

    She helps herself by attending church and being involved with the photography team, young adult team.

    Didn't want to bring this up, but she attempted suicide at age 12-17. Tried cutting, pills, hanging. Didn't want to be here anymore.  Did not see a future for herself.

    Has tachycardia, and takes meds for that.  Has thyroid disease, she learned 3 years ago, and is also medicated for that.

    Has had dreams/premonitions.

    **HPI**

    Patient presents for initial evaluation.

    **PsychHx**

    Anxiety and depression due to long standing relationship, emotionally, verbally and physically abusive.  Stalked her after they broke up.  She had 2 children from this relationship.  Primary custody with client.  Supervised visitation every other weekend, with client's mother being the supervisor.

    **PsychFHx**

    Oldest sister has bi-polar disorder.  She, and mother, were abused by mother's previous husband.  Mother felt she was "attention-seeking."

    In childhood her sister "tried to kill me."  Pillow over her face, threatened with a hammer, iron thrown at her, etc.

    "Hates" being around her family.  Feels protective of her 2 daughters, and of herself.  She is afraid that mother will try to take her children, as she had her nephew.

    **PsychSHx**

    The patient was born in Frankfurt, Germany. Father was in the service.. The patient is the third of three. Throughout school the patient had been teased by friends. The patient completed and CNA, Certified Medical Assistant, would like to be a midwife in the future

    **Medications**

    **MSE**

    The patient's speech was normal, sharing conversation with normal laryngeal efforts. Appropriate mood and affect were seen on exam. Thought processes were logical, relevant, and thoughts were completed normally. Thought content was normal with no psychotic or suicidal thoughts. The patient's judgement was realistic with normal insight into their present condition. Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.

    **Tests**

    None at the present time.

    **Psych Impression**

    Client has experienced a high degree of trauma from a workplace incident about a year ago.  She is working with an attorney to file a Worker's Compensation claim.

    **DSM-5**

    Post-traumatic stress disorder

    Depression and anxiety

    **Assessment**

    Client would benefit from ongoing individual therapy, especially as she deals with the Workers Comp claim from 1 year ago.

    **## ComprehensivePsychiatricEvaluation.docx**

    **Comprehensive Psychiatric Evaluation**

    For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided.

    · Present the full complex case study. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.

    ·
    **Subjective:** What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.

    ·
    **Plan:** Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?

    ·
    **Reflection notes:** What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

    **Therapist Initial Visit**

    **CC**

    Referred by another doctor to be seen by a psychotherapist.  Was attacked by a resident Nursing and Rehabilitation about a year ago.  Resident was in the locked unit.  Resident asked her to help him change.  Punched her in her face, down her arm, down her back.  She was 5'3" and 110# at that time.  Nurse was on break.  Coworker on the other side of the glass.  He called her a n _ _ _ _ r.    Worked the 11 p.m. to 7 a.m. shift.

    Has seen a neurologist, had a severe concussion.  Has post-concussion syndrome, dizziness.  Has tingling in her fingers, wrist.  The side of her face also has continuing pain.  Has sharp pain in her left ear.

    Had an MRI and CT scan.  Was found to have Venus thoracic outlet syndrome.

    Workers Comp, Thomas Swonger, works for Davies Claims Solutions, and is downplaying her continuing symptoms.  Car stopped working, so she could not get to physical therapy.  Was discharged, rather than having transportation arranged.

    Was seen by a surgeon, who states that the condition may be able to be corrected by surgery.

    She is not able to lift more than 10 pounds.  Her cat died in August 2024.  He was a "support animal."  At that time she was in a toxic relationship.

    Her children are aged 5 and 7 years.  They are in Kindergarten and 1st grade.

    Speech is also effected by the incident.

    ENT doctor diagnosed assymetric hearing loss, left ear.

    She is out of work currently until after she has surgery.  Neurologist had cleared her to go back to work.  He put her back into the care of an orthopedic doctor.  She could not lift clients, and was put on light duty.  Residents became angry with her for sorting out their closets, which was the light duty.

    Resident who assaulted her was still in her workplace.

    She is working with an attorney on the case.  Resident who hurt her was never supposed to be in the rehab in the first place.

    She helps herself by attending church and being involved with the photography team, young adult team.

    Didn't want to bring this up, but she attempted suicide at age 12-17. Tried cutting, pills, hanging. Didn't want to be here anymore.  Did not see a future for herself.

    Has tachycardia, and takes meds for that.  Has thyroid disease, she learned 3 years ago, and is also medicated for that.

    Has had dreams/premonitions.

    **HPI**

    Patient presents for initial evaluation.

    **PsychHx**

    Anxiety and depression due to long standing relationship, emotionally, verbally and physically abusive.  Stalked her after they broke up.  She had 2 children from this relationship.  Primary custody with client.  Supervised visitation every other weekend, with client's mother being the supervisor.

    **PsychFHx**

    Oldest sister has bi-polar disorder.  She, and mother, were abused by mother's previous husband.  Mother felt she was "attention-seeking."

    In childhood her sister "tried to kill me."  Pillow over her face, threatened with a hammer, iron thrown at her, etc.

    "Hates" being around her family.  Feels protective of her 2 daughters, and of herself.  She is afraid that mother will try to take her children, as she had her nephew.

    **PsychSHx**

    The patient was born in Frankfurt, Germany. Father was in the service.. The patient is the third of three. Throughout school the patient had been teased by friends. The patient completed and CNA, Certified Medical Assistant, would like to be a midwife in the future

    **Medications**

    **MSE**

    The patient's speech was normal, sharing conversation with normal laryngeal efforts. Appropriate mood and affect were seen on exam. Thought processes were logical, relevant, and thoughts were completed normally. Thought content was normal with no psychotic or suicidal thoughts. The patient's judgement was realistic with normal insight into their present condition. Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.

    **Tests**

    None at the present time.

    **Psych Impression**

    Client has experienced a high degree of trauma from a workplace incident about a year ago.  She is working with an attorney to file a Worker's Compensation claim.

    **DSM-5**

    Post-traumatic stress disorder

    Depression and anxiety

    **Assessment**

    Client would benefit from ongoing individual therapy, especially as she deals with the Workers Comp claim from 1 year ago.

    **## PRAC6645ComprehensivePsychiatricEvaluationTemplaterev12.20221.doc**

    [removed]

    **## ComprehensivePsychiatricEvaluation.docx**

    **Comprehensive Psychiatric Evaluation**

    For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided.

    · Present the full complex case study. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.

    ·
    **Subjective:** What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.

    ·
    **Plan:** Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?

    ·
    **Reflection notes:** What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

    **Therapist Initial Visit**

    **CC**

    Referred by another doctor to be seen by a psychotherapist.  Was attacked by a resident Nursing and Rehabilitation about a year ago.  Resident was in the locked unit.  Resident asked her to help him change.  Punched her in her face, down her arm, down her back.  She was 5'3" and 110# at that time.  Nurse was on break.  Coworker on the other side of the glass.  He called her a n _ _ _ _ r.    Worked the 11 p.m. to 7 a.m. shift.

    Has seen a neurologist, had a severe concussion.  Has post-concussion syndrome, dizziness.  Has tingling in her fingers, wrist.  The side of her face also has continuing pain.  Has sharp pain in her left ear.

    Had an MRI and CT scan.  Was found to have Venus thoracic outlet syndrome.

    Workers Comp, Thomas Swonger, works for Davies Claims Solutions, and is downplaying her continuing symptoms.  Car stopped working, so she could not get to physical therapy.  Was discharged, rather than having transportation arranged.

    Was seen by a surgeon, who states that the condition may be able to be corrected by surgery.

    She is not able to lift more than 10 pounds.  Her cat died in August 2024.  He was a "support animal."  At that time she was in a toxic relationship.

    Her children are aged 5 and 7 years.  They are in Kindergarten and 1st grade.

    Speech is also effected by the incident.

    ENT doctor diagnosed assymetric hearing loss, left ear.

    She is out of work currently until after she has surgery.  Neurologist had cleared her to go back to work.  He put her back into the care of an orthopedic doctor.  She could not lift clients, and was put on light duty.  Residents became angry with her for sorting out their closets, which was the light duty.

    Resident who assaulted her was still in her workplace.

    She is working with an attorney on the case.  Resident who hurt her was never supposed to be in the rehab in the first place.

    She helps herself by attending church and being involved with the photography team, young adult team.

    Didn't want to bring this up, but she attempted suicide at age 12-17. Tried cutting, pills, hanging. Didn't want to be here anymore.  Did not see a future for herself.

    Has tachycardia, and takes meds for that.  Has thyroid disease, she learned 3 years ago, and is also medicated for that.

    Has had dreams/premonitions.

    **HPI**

    Patient presents for initial evaluation.

    **PsychHx**

    Anxiety and depression due to long standing relationship, emotionally, verbally and physically abusive.  Stalked her after they broke up.  She had 2 children from this relationship.  Primary custody with client.  Supervised visitation every other weekend, with client's mother being the supervisor.

    **PsychFHx**

    Oldest sister has bi-polar disorder.  She, and mother, were abused by mother's previous husband.  Mother felt she was "attention-seeking."

    In childhood her sister "tried to kill me."  Pillow over her face, threatened with a hammer, iron thrown at her, etc.

    "Hates" being around her family.  Feels protective of her 2 daughters, and of herself.  She is afraid that mother will try to take her children, as she had her nephew.

    **PsychSHx**

    The patient was born in Frankfurt, Germany. Father was in the service.. The patient is the third of three. Throughout school the patient had been teased by friends. The patient completed and CNA, Certified Medical Assistant, would like to be a midwife in the future

    **Medications**

    **MSE**

    The patient's speech was normal, sharing conversation with normal laryngeal efforts. Appropriate mood and affect were seen on exam. Thought processes were logical, relevant, and thoughts were completed normally. Thought content was normal with no psychotic or suicidal thoughts. The patient's judgement was realistic with normal insight into their present condition. Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.

    **Tests**

    None at the present time.

    **Psych Impression**

    Client has experienced a high degree of trauma from a workplace incident about a year ago.  She is working with an attorney to file a Worker's Compensation claim.

    **DSM-5**

    Post-traumatic stress disorder

    Depression and anxiety

    **Assessment**

    Client would benefit from ongoing individual therapy, especially as she deals with the Workers Comp claim from 1 year ago.

    **## PRAC6645ComprehensivePsychiatricEvaluationTemplaterev12.20221.doc**

    [removed]

    **## ComprehensivePsychiatricEvaluation.docx**

    **Comprehensive Psychiatric Evaluation**

    For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided.

    · Present the full complex case study. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.

    ·
    **Subjective:** What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.

    ·
    **Plan:** Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?

    ·
    **Reflection notes:** What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

    **Therapist Initial Visit**

    **CC**

    Referred by another doctor to be seen by a psychotherapist.  Was attacked by a resident Nursing and Rehabilitation about a year ago.  Resident was in the locked unit.  Resident asked her to help him change.  Punched her in her face, down her arm, down her back.  She was 5'3" and 110# at that time.  Nurse was on break.  Coworker on the other side of the glass.  He called her a n _ _ _ _ r.    Worked the 11 p.m. to 7 a.m. shift.

    Has seen a neurologist, had a severe concussion.  Has post-concussion syndrome, dizziness.  Has tingling in her fingers, wrist.  The side of her face also has continuing pain.  Has sharp pain in her left ear.

    Had an MRI and CT scan.  Was found to have Venus thoracic outlet syndrome.

    Workers Comp, Thomas Swonger, works for Davies Claims Solutions, and is downplaying her continuing symptoms.  Car stopped working, so she could not get to physical therapy.  Was discharged, rather than having transportation arranged.

    Was seen by a surgeon, who states that the condition may be able to be corrected by surgery.

    She is not able to lift more than 10 pounds.  Her cat died in August 2024.  He was a "support animal."  At that time she was in a toxic relationship.

    Her children are aged 5 and 7 years.  They are in Kindergarten and 1st grade.

    Speech is also effected by the incident.

    ENT doctor diagnosed assymetric hearing loss, left ear.

    She is out of work currently until after she has surgery.  Neurologist had cleared her to go back to work.  He put her back into the care of an orthopedic doctor.  She could not lift clients, and was put on light duty.  Residents became angry with her for sorting out their closets, which was the light duty.

    Resident who assaulted her was still in her workplace.

    She is working with an attorney on the case.  Resident who hurt her was never supposed to be in the rehab in the first place.

    She helps herself by attending church and being involved with the photography team, young adult team.

    Didn't want to bring this up, but she attempted suicide at age 12-17. Tried cutting, pills, hanging. Didn't want to be here anymore.  Did not see a future for herself.

    Has tachycardia, and takes meds for that.  Has thyroid disease, she learned 3 years ago, and is also medicated for that.

    Has had dreams/premonitions.

    **HPI**

    Patient presents for initial evaluation.

    **PsychHx**

    Anxiety and depression due to long standing relationship, emotionally, verbally and physically abusive.  Stalked her after they broke up.  She had 2 children from this relationship.  Primary custody with client.  Supervised visitation every other weekend, with client's mother being the supervisor.

    **PsychFHx**

    Oldest sister has bi-polar disorder.  She, and mother, were abused by mother's previous husband.  Mother felt she was "attention-seeking."

    In childhood her sister "tried to kill me."  Pillow over her face, threatened with a hammer, iron thrown at her, etc.

    "Hates" being around her family.  Feels protective of her 2 daughters, and of herself.  She is afraid that mother will try to take her children, as she had her nephew.

    **PsychSHx**

    The patient was born in Frankfurt, Germany. Father was in the service.. The patient is the third of three. Throughout school the patient had been teased by friends. The patient completed and CNA, Certified Medical Assistant, would like to be a midwife in the future

    **Medications**

    **MSE**

    The patient's speech was normal, sharing conversation with normal laryngeal efforts. Appropriate mood and affect were seen on exam. Thought processes were logical, relevant, and thoughts were completed normally. Thought content was normal with no psychotic or suicidal thoughts. The patient's judgement was realistic with normal insight into their present condition. Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.

    **Tests**

    None at the present time.

    **Psych Impression**

    Client has experienced a high degree of trauma from a workplace incident about a year ago.  She is working with an attorney to file a Worker's Compensation claim.

    **DSM-5**

    Post-traumatic stress disorder

    Depression and anxiety

    **Assessment**

    Client would benefit from ongoing individual therapy, especially as she deals with the Workers Comp claim from 1 year ago.

  • [Solved] Comparing Humanistic-Existential Psychotherapy with Other Approaches

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    Executive Solution Overview

    see attached doc – 2 years ago **files (1)** – ## ComparingHumanistic.docx **## ComparingHumanistic.docx** **Comparing Humanistic-Existential Psychotherapy with Other Approaches** Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an…

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    Assignment Prompt & Instructions

    see attached doc

    – 2 years ago

    **files (1)**

    – ## ComparingHumanistic.docx

    **## ComparingHumanistic.docx**

    **Comparing Humanistic-Existential Psychotherapy with Other Approaches**

    Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes.

    **To prepare:**

    · Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.

    · Reflect on humanistic-existential psychotherapeutic approaches.

    · Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.

    · Grande, T.  (2019, January 9).
    [_Theories of counseling – Existential therapy_ Links to an external site.](https://www.youtube.com/watch?v=YvAvc2aWup0) [Video]. YouTube. https://www.youtube.com/watch?v=YvAvc2aWup0

    · PsychotherapyNet. (2009, June 29).
    [_James Bugental live case consultation psychotherapy video_ Links to an external site.](https://www.youtube.com/watch?v=Zl8tVTjdocI) [Video]. YouTube. https://www.youtube.com/watch?v=Zl8tVTjdocI

    · ThinkingallowedTV. (2010, September 20).
    [_James Bugental: Humanistic psychotherapy (excerpt) – A thinking allowed DVD w/ Jeffrey Mishlove_ Links to an external site.](https://www.youtube.com/watch?v=mjDNKGIvWPQ) [Video]. YouTube. https://www.youtube.com/watch?v=mjDNKGIvWPQ

    In a 2- to 3-page paper, address the following:

    · Briefly describe humanistic-existential psychotherapy and the second approach you selected.

    · Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.

    · Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.

    ·
    **Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.**

    **## ComparingHumanistic.docx**

    **Comparing Humanistic-Existential Psychotherapy with Other Approaches**

    Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes.

    **To prepare:**

    · Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.

    · Reflect on humanistic-existential psychotherapeutic approaches.

    · Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.

    · Grande, T.  (2019, January 9).
    [_Theories of counseling – Existential therapy_ Links to an external site.](https://www.youtube.com/watch?v=YvAvc2aWup0) [Video]. YouTube. https://www.youtube.com/watch?v=YvAvc2aWup0

    · PsychotherapyNet. (2009, June 29).
    [_James Bugental live case consultation psychotherapy video_ Links to an external site.](https://www.youtube.com/watch?v=Zl8tVTjdocI) [Video]. YouTube. https://www.youtube.com/watch?v=Zl8tVTjdocI

    · ThinkingallowedTV. (2010, September 20).
    [_James Bugental: Humanistic psychotherapy (excerpt) – A thinking allowed DVD w/ Jeffrey Mishlove_ Links to an external site.](https://www.youtube.com/watch?v=mjDNKGIvWPQ) [Video]. YouTube. https://www.youtube.com/watch?v=mjDNKGIvWPQ

    In a 2- to 3-page paper, address the following:

    · Briefly describe humanistic-existential psychotherapy and the second approach you selected.

    · Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.

    · Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.

    ·
    **Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.**