Category: Nursing

Pt is a 47 year old female admitted due to suicidal ideation with a plan to overdose on pills. Pt verbalized “I just want to end it all” and not having “the strength or ability to keep going anymore.” Pt verbalized not feeling like she should be a mother anymore as she “can’t handle it.” Prior to admission, pt punched herself in the head and grabbed her hair out of frustration. As per family, this is uncharacteristic of her as she does not typically behave like that. Pt stated that she wanted to kill herself in front of her two young children and feels overwhelming guilty and shameful for this. Pt’s family wanted pt admitted due to the safety of the children, especially the younger one. Pt has chronic self doubt potentially due to her mother’s repeated verbal and emotional abuse throughout her life. Pt stated “I was released from Morristown on Monday and I was still having fleeting suicidal thoughts. I can’t handle every day life. I stress about every stupid little thing. I said I wanted someone to actually kill me so I wouldn’t feel guilty.” Pt describes severe debilitating symptoms of depression such as hopelessness, helplessness, crying spells, panic, not attending to her ADL’s, anhedonia, lack of pleasure/joy, feelings of inadequacy and low self esteem. Pt states that over the past 3 years her depression has taken over her life. When asked if there are any particular precipitants, pt could not identify. Pt mentioned two stressors, but stated that neither of them have contributed to the root cause of her depression. Those two stressors included potentially moving in the future and her son being a cancer survivor (he was diagnosed at 16 months old but is now in remission). At this time, pt displays little ability to care for herself, nor her children. Pt is Aaox3 calm and cooperative. Pt denies any mania, psychosis, self injurious thoughts/behaviors, or homicidal ideation/intent/plan. Pt is still actively suicidal but contracts for safety on the unit. Pt engaged in reciprocal conversation and maintained appropriate eye contact. Pt is extremely tearful throughout interview. Pt’s mood is dysphoric, speech is clear, affect is blunted, thoughts are linear. Pt is dressed in hospital attire, fairly groomed, appears her stated age. Pt’s insight and judgment are poor.
Pt states that she’s been struggling with Major Depressive Disorder, recurrent and severe, for the past 10 years (husband says for over 25 years). Pt has a hx of 1 suicide attempt via overdose on Klonopin 11/2022. Pt denies any hx of self injurious behaviors. Pt has been psychiatrically hospitalized at MMC 5/2024, 11/2023, 10/2023, 11/2022, 10/2022, 2016, 2016, Hackensack 10 years ago. Pt recieved 21 sessions of ECT at MMC 11/2022 but states that it was ineffective. Pt was referred to AHS IOP in Florham Park after her admission from MMC this week. Pt also has a private therapist Tara Reyes LCSW and a prescriber Immaculata Emesue NP for the past two years. Pt has a hx of IOP/PHP at High Focus and Gen Psych. Pt is currently prescribed Wellbutrin 150mg, Effexor 225mg, Klonopin 1mg BID, Trazodone 50mg, and Abilify 30mg. Pt states that her current medication regiment is ineffective and does not provide relief. Pt states that she has a long hx of medication resistance with past medication trials of Lithium, Latuda, Vraylar, Lamictal, Gabapentin, Inderal, Buspar, Hyroxyzine, Zyprexa, every SSRI, etc. Pt was UDS + for Benzo (prescribed Klonopin) and BAL negative on admission. Pt denies the use of cannabis, tobacco, nicotine, alcohol, or illicit substances. No hx of SUD. Pt has no hx of violence or legal issues.
Pt grew up with 1 sister. Pt states that when she was around 14 years old her father left her mother and they got divorced. Pt states that she was crying and holding onto his legs begging him not to leave. Pt states that at this time, she has a fair relationship with her father. Pt states that she cut off her mother due to severe emotional abuse. Pt endured emotional abuse and neglect growing up from her parents. Pt’s sister has a hx of anxiety and pt’s mother has a hx of depression. Pt obtained her Associates Degree in Fashion Marketing. Pt is currently unemployed. Pt last worked as a teacher’s aid in over 1 year ago. Pt has prior work hx in retail and education. Pt states that she is working on obtaining Disability. Pt states that her husband is supporting the family financially at this time. Pt has been married to her husband for 25 years. He works in sales. Pt and her husband have a 14 year old son and a 5 year old daughter. Pt resides in a house inwith her husband and two kids. Pt signed an ROI for her husband to be involved in her treatment and discharge planning. Pt states that she has a good support system between her husband, friends, and congregation.
Records from Morristown Memorial Hospital reviewed.
Patient seen along with social worker.
Identification Data: Patient is a 47 years old date of birth January 22nd, 1977, married for 25 years, unemployed female mother of two children 14-year-old son who had been diagnosed with neuroblastoma and a 5-year-old daughter. She lives in a house in with the husband and two kids.
She has a history of multiple psychiatric hospitalizations. Diagnosed major depressive disorder severe recurrent.
Reason for admission: The patient was discharged from Morristown Memorial Hospital two days ago and was referred to their IOP. She went to Morristown ED requesting rehospitalization stating that she was still suicidal. She was then referred to . She stated she had a plan to overdose on pills. Made statements that “I just want to end it all” she felt she could not be a mother anymore. She cannot handle it. Prior to admission she had been punching self in the head and grabbed her hair out of frustration.
She made statements in front of her children that she wanted to kill herself.
DCP and P have never been involved.
As per reports from Morristown Memorial Hospital the patient wants only medications to fix her symptoms and does not want to make any efforts in terms of therapy stating “I cannot do it”. It was reported that the patient may have “a character pathology “along with depression. History of Present Illness: The patient reported she has been struggling with severe depression for the past 10 years. Has been reported that it was over 25 years. History of one suicide attempt via overdose on Klonopin on 11/2022.
The patient states that one of the psychiatrist at Morristown told her that she was “treatment resistant”.
Reports feeling hopeless, helpless, no pleasure in any activity, severe anhedonia, no hobbies.
Psychiatric History:
Pt has a hx of 1 suicide attempt via overdose on Klonopin 11/2022. Pt denies any hx of self injurious behaviors. Pt has been psychiatrically hospitalized at MMC 5/2024, 11/2023, 10/2023, 11/2022, 10/2022, 2016, 2016, Hackensack 10 years ago. Pt recieved 21 sessions of ECT at MMC 11/2022 but states that it was ineffective. Pt was referred to AHS IOP in Florham Park after her admission from MMC this week. Pt also has a private therapist Tara Reyes LCSW and a prescriber Immaculata Emesue NP for the past two years. Pt has a hx of IOP/PHP at High Focus and Gen Psych. Pt is currently prescribed Wellbutrin 150mg, Effexor 225mg, Klonopin 1mg BID, Trazodone 50mg, and Abilify 30mg. Pt states that her current medication regiment is ineffective and does not provide relief. Pt states that she has a long hx of medication resistance with past medication trials of Lithium, Latuda, Vraylar, Lamictal, Gabapentin, Inderal, Buspar, Hyroxyzine, Zyprexa, every SSRI, etc. . Pt has no hx of violence . States she was seen by Dr.Niazi at Morristown Memorial Hospital.
Denied any history of manic episodes.
Denied any history of an eating disorder.
Denies any history of psychosis.
Eating well. Sleeping well.
Alcohol/Substance Abuse/Tobacco History:
The patient denies use of any illicit substances. Denies use of cannabis or tobacco. UDS was positive for benzodiazepines secondary to being prescribed Klonopin. BAL negative on admission.
Medical History: Denies any medical issues at this time. Was seen by the medical consult. History of some form of nasal surgery in childhood.
Review of Systems:
Patient denies fever, chills, or night sweats
Patient denies weight gain or weight loss
Patient denies blurry or double vision
Patient denies issues with ears, nose, or throat
Patient denies cough or trouble swallowing
Patient denies chest pain or shortness of breath
Patient denies nausea, vomiting, diarrhea, or constipation
Patient denies blood in stool or urine
Patient denies itchiness or rashes
Patient denies numbness or tingling
Allergies: No known allergies.
Family History: The patient reports her mother had depression but not treated. She does not have good relation with her. Her sister has anxiety. The parents divorced when the patient was pre teen. That was traumatic time for her. Psychosocial History: The patient’s support network include her husband her congregation and friends.
She states she has applied for disability.
Employment/Education History: She has an associate’s degree in fashion marketing. Not working
Legal History: Denied.
Mental Status Examination: Appearance: Casually attired female height 5 ft 1 in, weight 145 lb 8 oz and BMI 27.49
Behavior: Cried most of the session. Focused on medications. Wants to be on the ” right medication”. At the same time states that no medication works for her. Good eye contact. Was able to describe her symptoms and her medication history. Asserts that she was having suicidal thoughts but denies any current intent or plan.
Orientation: X3.
Sensorium: Clear.
Affect: Depressed anxious.
Mood: Depressed.
Speech: Productive, spontaneous goal directed. Normal tones.
Thought Content: No evidence of delusions. Reports feeling hopeless helpless guilt.
Perceptual Disturbance: Denied.
Thought Process: Organized.
Cognition: Intact.
Insight: Limited.
Judgement: Poor.
She stated she wanted only one answer , “what is the reason for my depression”. She has been in multiple hospitals states she does not know the reason.
She was given education on major depressive disorder including genetic causes, environmental causes and biological causes. She appears to comprehend.
Admitting Diagnosis: Major depressive disorder severe recurrent without psychotic features F 33.2.
Assessment:
Inpatient treatment is expected to improve the patient’s condition. Inpatient level of care is necessary due to the patient’s severe depressive episodes, refractory to most interventions, suicidal ideations. She needs the current hospital level of care for stabilization and for safety.
Current Medications: The patient will continue on Abilify 30 mg daily.
Continue on Wellbutrin XL 150 mg daily. She states she was on 450 mg but experienced anxiety.
Continue the Klonopin 1 mg twice daily. She denies abusing Klonopin.
Continue trazodone 50 mg at bedtime.
She wishes to discontinue Effexor stating “it was not working”.
She agrees for a trial with Cymbalta 30 mg daily.
Medication education given.
She was given a thorough education as to the treatment of a major depression includes being involved in therapy, CBT counseling. Support groups, IOP setting, besides medications. The patient at this time appears to be only medication focused.
She was very comfortable in the hospital setting.
Perhaps a referral for E ketamine therapy could be considered.

The Nursing Process Template & Concept Map Template are located within this Concept Mapping Assignment Worksheet.  Concept Map Assignment WorksheetDownload Concept Map Assignment Worksheet
Rubric
Concept Mapping Spring 23 edits
Concept Mapping Spring 23 edits
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDisease Process and Pathophysiology Risk Factors
5 pts
Satisfactory
Learner performs a thorough review of the disease process pathophysiology; identifies risk factors.
3.5 pts
Beginning
There are critical aspects of pathophysiology missing. This entry is incomplete.
0 pts
Unsatisfactory
The pathophysiology information is missing.
5 pts
This criterion is linked to a Learning OutcomeRecognizing Cues
What matters most?
5 pts
Satisfactory
Based on available patient data, the learner identifies at least four (4) critical cues that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
3.5 pts
Beginning
Based on available patient data, the learner identifies two (2) or three (3) critical cue(s) that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
0 pts
Unsatisfactory
Based on available patient data, the learner identifies zero (0) or one (1) critical cue(s) that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
5 pts
This criterion is linked to a Learning OutcomeAnalyzing Cues
What could it mean?
5 pts
Satisfactory
Based on the identified cues, the learner is able to create three (3) – four (4) supporting connections between the relevant cues and client conditions/problems.
3.5 pts
Beginning
Based on the identified cues, the learner is able to create two (2) supporting connections between the cues and patient condition/problems.
0 pts
Unsatisfactory
Based on the identified cues, the learner is able to create one (1) or zero (0) supporting connection(s) between the cues and patient condition/problems.
5 pts
This criterion is linked to a Learning OutcomePrioritizing Hypotheses
Where do I start?
5 pts
Satisfactory
Based on the identified connections between cues and patient conditions/problems, learner is able to identify and rank three (3) client conditions/problems critical to positive patient outcomes. These should be listed with most urgent problems first.
3.5 pts
Beginning
Based on the identified connections between cues and patient conditions/problems, learner is able to identify and rank two (2) client conditions/problems critical to positive patient outcomes. These should be listed with most urgent problems first. This point value is also chosen if client/problems are not listed with the priority concern(s) first.
0 pts
Unsatisfactory
Based on the identified connections between cues and patient conditions/problems, learner identifies zero (0) or one (1) client conditions/problems critical to positive patient outcomes.
5 pts
This criterion is linked to a Learning OutcomeGenerating Solutions
What can I do?
5 pts
Satisfactory
List five (5) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. Outcomes/goals are listed in the SMART format.
3.5 pts
Beginning
List three (3) to four (4) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. Outcomes/goals are listed in the SMART format.
0 pts
Unsatisfactory
List zero (0) to two (2) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. This point value is also chosen if outcomes/goals are not listed in the SMART format.
5 pts
This criterion is linked to a Learning OutcomeTaking Actions
What will I do?
5 pts
Satisfactory
Describe how each of the five (5) identified nursing interventions will be performed, implemented, administered, communicated, or taught.
3.5 pts
Beginning
Describe how three (3) to four (4) of the identified nursing interventions will be performed, implemented, administered, communicated, or taught.
0 pts
Unsatisfactory
Describe zero (0) to two (2) of the identified nursing interventions will be performed, implemented, administered, communicated, or taught.
5 pts
This criterion is linked to a Learning OutcomeEvaluating Outcomes
Did it help?
2.5 pts
Satisfactory
Describe how you will determine the effectiveness of the five (5) priority nursing interventions you implemented. How will you know if your interventions are effective or not?
1.5 pts
Beginning
Describe how you will determine the effectiveness of three (3) to four (4) priority nursing interventions you implemented. How will you know if your interventions are effective or not?
0 pts
Unsatisfactory
Describe how you will determine the effectiveness of zero (0) to two (2) priority nursing interventions you implemented.
2.5 pts
This criterion is linked to a Learning OutcomeNursing Process template
2.5 pts
Satisfactory
Recognizing the completion of this template will assist the learner with the concept map assignment, all six (6) boxes are thoroughly completed. The SBAR information is thoroughly identified, and the chosen concept for the assignment is clearly identified.
1.5 pts
Beginning
Information is missing from one (1) to three (3) box(es). The SBAR information is thoroughly identified, and the chosen concept for the assignment is clearly identified.
0 pts
Unsatisfactory
Information is missing from four (4) to six (6) boxes. This point value is also chosen if the SBAR information is missing and/or the chosen concept for the assignment is not identified.
2.5 pts

Overview
In this course, you will be creating a literature review. This will be a formal paper in APA style. Parts of the paper will be submitted, in draft form, throughout the semester so that you may receive formative feedback. 
For this assignment, you will draft the introduction of your literature review. Your introduction will include your problem statement/purpose statement & PICOT question.
Tasks
Start by reviewing the rubric.
Draft your introduction. Be sure to:
Include a title page (see APA book, student sample paper, for correct APA format).
Include an opening sentence providing general information about what paragraph will be about.
State the problem and provide evidence for the problem from professional literature or healthcare professional organizations (statistical data needs to be included here to prove the significance of the problem).  
Identify why this problem is important to nursing practice.
State the research question to be answered.
State the purpose of the literature review.
Use professional grammar, correct spelling, and APA-style formatting, citations, and references.
Reference page will be graded with this submission.

For this assignment, create a narrated presentation regarding a patient case scenario, using the Screening – with Brief Intervention and Referral to Treatment (SBIRT) approach. APA format is expected. Submitted the PowerPoint slides and recorded Kaltura media to Assignments in Canvas for grading. Post the Kaltura in the threaded discussion section. View and respond to two colleagues’ presentations to obtain full credit for the assignment.
Assignment Criteria:
Develop a Power Point presentation that includes the following criteria:
Slide 1: Title Page
Slide 2: SBIRT overview – Describe the SBIRT process and use in healthcare.
Slide 3: Case Presentation – Do not include patient identifying information, but include age, chief complaint, and risk factors.
Slide 4: Screening Tool used – Describe tool, validity, scoring information and citation. Include your patient’s score and an interpretation of it.
Slide 5: Brief Intervention – How was the motivational interviewing process applied and share your client’s need for behavioral changes.
Slide 6: Referral for Treatment – Describe the referral for follow-up treatment.
Slide 7: Evaluation of the Process – Share patient outcome and provider evaluation of SBIRT process.
Slide 8: References – Include 3-5 references. APA format, including screening tool authors.
Include up to 10 slides. The presentation should be no more than 10 minutes. You are encouraged to provide this case presentation to your preceptor and staff at your clinical site
For presentation clarification, include presenter’s notes in the click to add section to explain the slide.
Be complete and concise. Use bulleted statements not complete sentences or paragraphs.
Use APA format for PPT, which always includes a title slide, a reference slide, and APA requirements. Resources found in APA Documents/Resources.
References should be from scholarly peer-reviewed journals (check Ulrich’s Periodical Directory) and be less than five (5) years old.

Research: Nursing Health Care in Ireland (minimum of 3 articles) (5 points)
Describe what you have learned about Nursing in Ireland (25 points)
Compare Ireland’s Nursing Care to the USA, highlighting strengths and weaknesses of each. (40 points)
Include a “Windshield Survey” of what you observed in your ride through the community and the time of day. Describe:
1. General appearance of the community
2. Condition and type of housing
3. Presence of stores, offices, services needed by the population
4. Individual observed (children, young adults, old etc..) (10 points)
Include your clinical experience and compare to what you have researched about Nursing in Ireland. (20 points)

Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.
For this Assignment, you will document information about a patient that you examined in a group setting during the last 4 weeks, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient.
TO PREPARE
Review this week’s Learning Resources and consider the insights they provide about clinical practice guidelines. Select a group patient for whom you conducted psychotherapy for a mood disorderduring the last 4 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide. All psychiatric evaluation notes must be signed by your Preceptor. When you submit your note, you should include the complete comprehensive psychiatric evaluation note as a Word document and pdf/images the completed assignment signed by your Preceptor. You must submit your note using Turnitin.
Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Grading Policy.
Then, based on your evaluation of this patient, develop a video presentation of the case. Plan your presentation using the Assignment rubric and rehearse what you plan to say. Be sure to review the Kalturasupport resources in the Classroom Support Center found by clicking on the Help
Include at least five scholarly resources to support your assessment and diagnostic reasoning.
Ensure that you have the appropriate lighting and equipment to record the presentation.
THE ASSIGNMENT
Record yourself presenting the complex case for your clinical patient.
Do not sit and read your written evaluation! The video portion of the assignment is a simulation to demonstrate your ability to succinctly and effectively present a complex case to a colleague for a case consultation. The written portion of this assignment is a simulation for you to demonstrate to the faculty your ability to document the complex case as you would in an electronic medical record. The written portion of the assignment will be used as a guide for faculty to review your video to determine if you are omitting pertinent information or including non-essential information during your case staffing consultation video. In your presentation:
Dress professionally and present yourself in a professional manner.
Display your photo ID at the start of the video when you introduce yourself.
Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information). Present the full complex case study. Be succinct in your presentation, and do not exceed 8 minutes. 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.
PRAC_6645_Week4_Assignment2_PT1_RubricPRAC_6645_Week4_Assignment2_PT1_RubricCriteriaRatingsPts
This criterion is linked to a Learning OutcomePhoto ID display and professional attire5 to >0.0 ptsExcellentPhoto ID is displayed. The student is dressed professionally.0 ptsFair0 ptsGood0 ptsPoorPhoto ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally.
5 pts
This criterion is linked to a Learning OutcomeTime5 to >3.0 ptsExcellentThe video does not exceed the 8-minute time limit.3 to >0.0 ptsGoodThe video exceeds the 8-minute time limit. (Note: Information presented after 8 minutes will not be evaluated for grade inclusion.)0 ptsFair0 ptsPoor
5 pts
This criterion is linked to a Learning OutcomeDiscuss Subjective data:• Chief complaint• History of present illness (HPI)• Medications• Psychotherapy or previous psychiatric diagnosis• Pertinent histories and/or ROS10 to >8.0 ptsExcellentThe video accurately and concisely presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis.8 to >7.0 ptsGoodThe video accurately presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis.7 to >6.0 ptsFairThe video presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis, but is somewhat vague or contains minor inaccuracies.6 to >0 ptsPoorThe video presents an incomplete, inaccurate, or unnecessarily detailed/verbose description of the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis. Or subjective documentation is missing.
10 pts
This criterion is linked to a Learning OutcomeDiscuss Objective data:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses10 to >8.0 ptsExcellentThe video accurately and concisely documents the patient’s physical exam for pertinent systems. Pertinent diagnostic tests and their results are documented, as applicable.8 to >7.0 ptsGoodThe response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are documented, as applicable.7 to >6.0 ptsFairDocumentation of the patient’s physical exam is somewhat vague or contains minor inaccuracies. Diagnostic tests and their results are documented but contain inaccuracies.6 to >0 ptsPoorThe response provides incomplete, inaccurate, or unnecessarily detailed/verbose documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or objective documentation is missing.
10 pts
This criterion is linked to a Learning OutcomeDiscuss results of Assessment:• Results of the mental status examination• 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 diagnostic criteria and is supported by the patient’s symptoms.20 to >17.0 ptsExcellentThe video accurately documents the results of the mental status exam…. Video presents at least three differentials in order of priority for a differential diagnosis of the patient, and a rationale for their selection. Response justifies the primary diagnosis and how it aligns with DSM-5 criteria.17 to >15.0 ptsGoodThe video adequately documents the results of the mental status exam…. Video presents three differentials for the patient and a rationale for their selection. Response adequately justifies the primary diagnosis and how it aligns with DSM-5 criteria.15 to >13.0 ptsFairThe video presents the results of the mental status exam, with some vagueness or inaccuracy…. Video presents three differentials for the patient and a rationale for their selection. Response somewhat vaguely justifies the primary diagnosis and how it aligns with DSM-5 criteria.13 to >0 ptsPoorThe response provides an incomplete, inaccurate, or unnecessarily detailed/verbose description of the results of the mental status exam and explanation of the differential diagnoses. Or assessment documentation is missing.
20 pts
This criterion is linked to a Learning OutcomeDiscuss treatment Plan:• A treatment plan for the patient that addresses psychotherapy and rationales including a plan for follow-up parameters and referrals20 to >17.0 ptsExcellentThe video clearly and concisely outlines an evidence-based treatment plan for the patient that addresses treatment modality, psychotherapy choice with framework principles, and rationale. … Discussion includes a clear and concise follow-up plan and parameters…. The discussion includes a clear and concise referral plan.17 to >15.0 ptsGoodThe video clearly outlines an appropriate treatment plan without evidence-based discussion for the patient that addresses treatment modality, psychotherapy choice with framework principles, and rationale. … Discussion includes a clear follow-up plan and parameters…. The discussion includes a clear referral plan.15 to >13.0 ptsFairThe response somewhat vaguely or inaccurately outlines a treatment plan for the patient and provides a rationale for the treatment approaches recommended…. The discussion is somewhat vague or inaccurate regarding the follow-up plan and parameters…. The discussion is somewhat vague or inaccurate regarding a referral plan.13 to >0 ptsPoorThe response does not address the treatment plan or the treatment plan is not appropriate for the assessment and the diagnosis or is missing elements of the treatment plan. … There is no discussion for follow-up and parameters. … There is no discussion of a referral plan.
20 pts
This criterion is linked to a Learning OutcomePresentation style5 to >4.0 ptsExcellentPresentation style is exceptionally clear, professional, and focused.4 to >3.5 ptsGoodPresentation style is clear, professional, and focused.3.5 to >2.0 ptsFairPresentation style is mostly clear, professional, and focused.2 to >0 ptsPoorPresentation style is unclear, unprofessional, and/or unfocused.
5 pts
Total Points: 75
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I will attach several documents including the instructions. Please read all instructions and reading material provided before answering the discussion board post questions. Please use Video/ Article Link from the instructions upload as your reference to assist you in answering the discussion board questions. Please use APA 7th edition writing.

Develop a scholarly poster to propose an evidence-based practice change 
practice change is family therapy for substance abuse; this is for a research project class that has been building for two semesters, and templates are included. 

Intravenous medications are immediately
circulated throughout the body, just like fluids. Understanding the
potential risks and how to respond to those potential adverse reactions
are important to encourage positive patient outcomes. Proper delegation
and use of the intraprofessional team can help prevent any adverse
reactions, as collaborating with the healthcare team promotes
communication.  
Alone,
skills are not high-level learning activities, but reflection can be
used to strengthen the application process and enhance the critical
thinking associated with skill performance.   
Now
that you have completed the ATI learning modules related to
administering intravenous push medication, let’s engage in a
conversation on the importance of collaboration with the
intraprofessional team. Please respond to the following prompts
utilizing the textbooks to include evidence-based information in your
post. Please cite and reference using APA 7th edition.  
What
action would you have taken if the medication ordered was the wrong
medication/dose? Who would have been notified? Provide your rationale.  
The
patient was given the wrong medication and you must communicate this
error to the provider. What framework of communication would you use to
relay this information to the provider? Provide your rationale.  
You
are the RN and are unable to gain venous access on a patient who is
really dehydrated. Who would you collaborate with to gain access and
what methods could you use to help assist in gaining access?

A philosophy of nursing is a statement, sometimes
written, that declares a nurse’s beliefs, values, and ethics regarding their
care and treatment of patients while they are in the nursing profession.
Although the philosophy may seem solely academic and too cerebral to be of any
use, it is vital to approaching your profession in an appropriate manner. When
you develop a personal philosophy of nursing, it benefits your career and the
lives of the people you provide care to and their families.
Requirements:
A formal paper, using APA format, describing the
student’s values and philosophy with each of the items listed below addressed. Creativity
and reflection in presentation of ideas is encouraged. No abstract is needed.
Heading and level headers are required as per APA guidelines. The paper should
be 3-4 pages, double spaced in length.