Tag: Care Plans

  • [Solved] NURSING EVOL 1

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    SEE WORD DOC, AND SCREEN SHOTS FOR INSTRUCTIONS – 2 years ago **files (3)** – ## NURSINGEVOLUTIONINSTRUCTIONS.docx – ScreenshotbySnipMyonJan32025at9.40.23PM.png – ScreenshotbySnipMyonJan32025at9.40.41PM.png **## NURSINGEVOLUTIONINSTRUCTIONS.docx** So, in order to get the points for each of the crite…

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    SEE WORD DOC, AND SCREEN SHOTS FOR INSTRUCTIONS

    – 2 years ago

    **files (3)**

    – ## NURSINGEVOLUTIONINSTRUCTIONS.docx

    – ScreenshotbySnipMyonJan32025at9.40.23PM.png
    – ScreenshotbySnipMyonJan32025at9.40.41PM.png

    **## NURSINGEVOLUTIONINSTRUCTIONS.docx**

    So, in order to get the points for each of the criteria criteriaas, we need to fall under meat's expectations. There is one, two, three, four criteria that need to be met just on that very first box. There is three separate boxes, and I'm gonna review those ideas.

    So on that very first box, the way that I would do is I would do a header for each of these questions that are posed here. That way, I make sure that I cover this information one way or another. Once you review this nursing evolution paper, you'll notice that it does not require references.

    However, if you're going to use information there that is not yours, for example, if you're going to define a concept, uh, if you're gonna talk about a theory, then that point, you will have to use a reference, you'll have to cite that reference so that we turn this to turn it in.com. It does not apply for platiarism, okay? All right, so the way again I would do is I would do a header, go header number two for each one of these.

    So for example, the first header would be reflects on current theory class and clinical and how the courses support each other, transfer of knowledge to apply to clinical and it is directly focused on this term, so in order to answer this question, you're gonna have to talk about things that you've learned in this class and things that you have learned in political and how this will apply to your clinical practice. My second header would be the second one you see there, right? synthesizes theories and concepts from liberal education.

    That's your GE questionsions to golden understanding on the human experience. So you'll have to give an example of how you'll be able to do that. Then the third header would be uses skills of inquiry and analysis to address practitions, you have to pick a practice is issue that you would like to address.

    The fourth one is applies knowledge of social and cultural factors in the care of popations encountered in thisourse. At some point in clinical, you should be taking care of different populations, so you should be able to apply that clinical component in caring for each of those individual patients. So that's just the first criteria.

    We went on to the second one, I would do the same thing. Here we have one and two um criteria that needs to be met. I would do two headers.

    First header would be reflects on providing ballistic patient care to populations encountered in this course, so you need to talk about how you provided holistic care to your patients. And number two, you need to talk about collaboration within the team in order to successfully care for a patient, right? And whatever team member, you want to include is up to you, you have some examples there, it can be respiratory, PT, it could be the new A, right?

    And then the last box is more director towards uh leadership and coordinating care for your patients. So just as we've done before, I would do header number one and header number two. So under number one, you need to talk about an event that occurred with you and clinical where you were able to apply concepts of leadership that you have learned, right?

    Things like delegation, things like scope of practice, things like ethical dilemmas could be something that you use for that one, okay? And then the second one talks about describe an event that demonstrates leadership, appropriate team building and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the complex of the interprofessional team, right? This is something that should be happening every single time we go to clinical.

    There should be a whole team of individuals collaborating together in order to get the patient out of the war, right? We're talking about the MD or the APRN collaborating with the RN collaborating with the UAP collaborating with physical therapy, collaborating, perhaps with case management or social worker in order to get that patient discharged out successfully. So think about your time in clinical and how you could use an example that would cover that topic, right?

    **ScreenshotbySnipMyonJan32025at9.40.23PM.png**

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    **ScreenshotbySnipMyonJan32025at9.40.41PM.png**

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    **ScreenshotbySnipMyonJan32025at9.40.41PM.png**

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    **## NURSINGEVOLUTIONINSTRUCTIONS.docx**

    So, in order to get the points for each of the criteria criteriaas, we need to fall under meat's expectations. There is one, two, three, four criteria that need to be met just on that very first box. There is three separate boxes, and I'm gonna review those ideas.

    So on that very first box, the way that I would do is I would do a header for each of these questions that are posed here. That way, I make sure that I cover this information one way or another. Once you review this nursing evolution paper, you'll notice that it does not require references.

    However, if you're going to use information there that is not yours, for example, if you're going to define a concept, uh, if you're gonna talk about a theory, then that point, you will have to use a reference, you'll have to cite that reference so that we turn this to turn it in.com. It does not apply for platiarism, okay? All right, so the way again I would do is I would do a header, go header number two for each one of these.

    So for example, the first header would be reflects on current theory class and clinical and how the courses support each other, transfer of knowledge to apply to clinical and it is directly focused on this term, so in order to answer this question, you're gonna have to talk about things that you've learned in this class and things that you have learned in political and how this will apply to your clinical practice. My second header would be the second one you see there, right? synthesizes theories and concepts from liberal education.

    That's your GE questionsions to golden understanding on the human experience. So you'll have to give an example of how you'll be able to do that. Then the third header would be uses skills of inquiry and analysis to address practitions, you have to pick a practice is issue that you would like to address.

    The fourth one is applies knowledge of social and cultural factors in the care of popations encountered in thisourse. At some point in clinical, you should be taking care of different populations, so you should be able to apply that clinical component in caring for each of those individual patients. So that's just the first criteria.

    We went on to the second one, I would do the same thing. Here we have one and two um criteria that needs to be met. I would do two headers.

    First header would be reflects on providing ballistic patient care to populations encountered in this course, so you need to talk about how you provided holistic care to your patients. And number two, you need to talk about collaboration within the team in order to successfully care for a patient, right? And whatever team member, you want to include is up to you, you have some examples there, it can be respiratory, PT, it could be the new A, right?

    And then the last box is more director towards uh leadership and coordinating care for your patients. So just as we've done before, I would do header number one and header number two. So under number one, you need to talk about an event that occurred with you and clinical where you were able to apply concepts of leadership that you have learned, right?

    Things like delegation, things like scope of practice, things like ethical dilemmas could be something that you use for that one, okay? And then the second one talks about describe an event that demonstrates leadership, appropriate team building and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the complex of the interprofessional team, right? This is something that should be happening every single time we go to clinical.

    There should be a whole team of individuals collaborating together in order to get the patient out of the war, right? We're talking about the MD or the APRN collaborating with the RN collaborating with the UAP collaborating with physical therapy, collaborating, perhaps with case management or social worker in order to get that patient discharged out successfully. So think about your time in clinical and how you could use an example that would cover that topic, right?

    **ScreenshotbySnipMyonJan32025at9.40.23PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshotbysnipmyonjan32025at9-40-23pm-png)

    **ScreenshotbySnipMyonJan32025at9.40.41PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshotbysnipmyonjan32025at9-40-41pm-png)

    **## NURSINGEVOLUTIONINSTRUCTIONS.docx**

    So, in order to get the points for each of the criteria criteriaas, we need to fall under meat's expectations. There is one, two, three, four criteria that need to be met just on that very first box. There is three separate boxes, and I'm gonna review those ideas.

    So on that very first box, the way that I would do is I would do a header for each of these questions that are posed here. That way, I make sure that I cover this information one way or another. Once you review this nursing evolution paper, you'll notice that it does not require references.

    However, if you're going to use information there that is not yours, for example, if you're going to define a concept, uh, if you're gonna talk about a theory, then that point, you will have to use a reference, you'll have to cite that reference so that we turn this to turn it in.com. It does not apply for platiarism, okay? All right, so the way again I would do is I would do a header, go header number two for each one of these.

    So for example, the first header would be reflects on current theory class and clinical and how the courses support each other, transfer of knowledge to apply to clinical and it is directly focused on this term, so in order to answer this question, you're gonna have to talk about things that you've learned in this class and things that you have learned in political and how this will apply to your clinical practice. My second header would be the second one you see there, right? synthesizes theories and concepts from liberal education.

    That's your GE questionsions to golden understanding on the human experience. So you'll have to give an example of how you'll be able to do that. Then the third header would be uses skills of inquiry and analysis to address practitions, you have to pick a practice is issue that you would like to address.

    The fourth one is applies knowledge of social and cultural factors in the care of popations encountered in thisourse. At some point in clinical, you should be taking care of different populations, so you should be able to apply that clinical component in caring for each of those individual patients. So that's just the first criteria.

    We went on to the second one, I would do the same thing. Here we have one and two um criteria that needs to be met. I would do two headers.

    First header would be reflects on providing ballistic patient care to populations encountered in this course, so you need to talk about how you provided holistic care to your patients. And number two, you need to talk about collaboration within the team in order to successfully care for a patient, right? And whatever team member, you want to include is up to you, you have some examples there, it can be respiratory, PT, it could be the new A, right?

    And then the last box is more director towards uh leadership and coordinating care for your patients. So just as we've done before, I would do header number one and header number two. So under number one, you need to talk about an event that occurred with you and clinical where you were able to apply concepts of leadership that you have learned, right?

    Things like delegation, things like scope of practice, things like ethical dilemmas could be something that you use for that one, okay? And then the second one talks about describe an event that demonstrates leadership, appropriate team building and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the complex of the interprofessional team, right? This is something that should be happening every single time we go to clinical.

    There should be a whole team of individuals collaborating together in order to get the patient out of the war, right? We're talking about the MD or the APRN collaborating with the RN collaborating with the UAP collaborating with physical therapy, collaborating, perhaps with case management or social worker in order to get that patient discharged out successfully. So think about your time in clinical and how you could use an example that would cover that topic, right?

    **ScreenshotbySnipMyonJan32025at9.40.23PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshotbysnipmyonjan32025at9-40-23pm-png)

    **ScreenshotbySnipMyonJan32025at9.40.41PM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshotbysnipmyonjan32025at9-40-41pm-png)

  • [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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    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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    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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    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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    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.**