Week #3 Assignment

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Week #3 Assignment

 
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Week 3 Assignment

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Hypertension & Lipid Treatment Protocol

Assignment

Purpose

The purpose of this assignment is to develop a standardized procedure or protocol that is applicable to the nurse practitioner role. This assignment will allow for discovery into protocol development as well as establishing a standardized treatment plan for a given diagnosis according to current evidence. This assignment supports the professional formation of the FNP, AGACNP, AGACNP, and PMHNP practice role.  

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  • CO1: Identify the most commonly prescribed agents in the major drug classes.
  • CO2: Make appropriate evidence-based therapeutic treatment decisions for individual patients utilizing drugs from the major drug classes.
  • CO3: Apply knowledge of pharmacokinetics, pharmacodynamics and pharmacogenomics in prescribing patient treatment.
  • CO4: Distinguish internal and external environment factors affecting drug action, reaction, efficacy, and interaction.
  • CO5: Identify client indicators of therapeutic, ineffective, adverse responses and side effects to drug therapy.

Due Date

The Late Assignment Policy applies to this assignment.  

The assignment title is due by Sunday 11:59 p.m. MT at the end of Week 3.  

Total Points Possible

This assignment is worth 120 points.

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. 

  1. Complete the outline templateLinks to an external site. provided for the sections highlighted in yellow and the “click to enter text here” is indicated.
  2. Provide references for your protocol at the bottom of the form where indicated. References should come from the following sources:
    1. Clinical Practice Guidelines
      1. DyslipidemiaLinks to an external site.
      2. HTNLinks to an external site.  You can click on “Figures/Tables” on the right-hand side of the screen to take you to the algorithm/decision tree to get directly to the information you are looking for to work through the assignment to see how hypertension is treated according to this guideline.
    2. Course Textbook

Rubric

Week 3: Hypertension and Lipid Protocol

Week 3: Hypertension and Lipid Protocol

CriteriaRatingsPts

This criterion is linked to a Learning OutcomePharmacological Treatment: 6a: HTN Clinical Practice Guideline

40 pts

Excellent

Includes no fewer than 20 blanks completed correctly. Requirements: • 4 Drug Category/Classifications listed in order according to CPG • 4 Generic named examples for each category (20 Total blanks to complete correctly)

36 pts

Very Good

16-19 blanks completed correctly.

33 pts

Satisfactory

11-15 blanks completed correctly.

20 pts

Needs Improvement

10 blanks completed correctly.

0 pts

Unsatisfactory

0-9 blanks completed correctly for this section presented.

40 pts

This criterion is linked to a Learning OutcomePharmacological Treatment: 6b: 1st line treatment for non-African American

20 pts

Excellent

Includes no fewer than 8 requirements. Requirements: 1. Drug 2. Dose 3. Route 4. Frequency 5. Instructions 6. Cautions/Precautions 7. Cost 8. Patient Education

18 pts

Very Good

Includes no fewer than 6 requirements.

16 pts

Sati

Includes no fewer than 4 requirements.

10 pts

Need

Includes no fewer than 3 requirements.

0 pts

Uns

0-2 requirements for this section presented.

20 pts

This criterion is linked to a Learning OutcomePharmacological Treatment: 6c: 1st line treatment for African American

20 pts

Excellent

Includes no fewer than 8 requirements. Requirements: 1. Drug 2. Dose 3. Route 4. Frequency 5. Instructions 6. Cautions/Precautions 7. Cost 8. Patient Education

18 pts

Very Good

Includes no fewer than 6 requirements.

16 pts

Sati

Includes no fewer than 4 requirements.

10 pts

Need

Includes no fewer than 3 requirements.

0 pts

Uns

0-2 requirements for this section presented.

20 pts

This criterion is linked to a Learning Outcome6d and 8a

10 pts

Excellent

Includes no fewer than 4 blanks completed correctly. Requirements: Answer the prompts for 6d and 8a which includes 4 blanks to complete.

9 pts

Very Good

Includes no fewer than 3 blanks completed correctly.

8 pts

Satisfactory

Includes no fewer than 2 blanks completed correctly.

5 pts

Needs Improvement

Includes no fewer than 1 blank completed correctly.

0 pts

Unsatisfactory

No blanks completed correctly.

10 pts

This criterion is linked to a Learning OutcomeStatin Therapy 6e

10 pts

Excellent

Includes no fewer than 14 blanks completed correctly. Requirements: 14 blanks to complete table

9 pts

Very Good

10-13 blanks completed correctly.

8 pts

Satisfactory

5-9 blanks completed correctly.

5 pts

Needs Improvement

2-4 blanks completed correctly.

0 pts

Unsatisfactory

0-1 blanks completed correctly for this section presented.

10 pts

This criterion is linked to a Learning OutcomeTreatment Monitoring 7a-c

10 pts

Excellent

Includes no fewer than 5 blanks completed correctly. Requirements: 1. Follow up timeframe 2. BP Medication Monitoring a. Physical Assessment b. Labs/Diagnostics 3. Statin Medication Monitoring a. Physical Assessment b. Labs/Diagnostics

9 pts

Very Good

Includes no fewer than 4 blanks completed correctly.

8 pts

Satisfactory

Includes no fewer than 3 blanks completed correctly.

5 pts

Needs Improvement

Includes no fewer than 2 blanks completed correctly.

0 pts

Unsatisfactory

0-1 blanks completed correctly for this section presented.

10 pts

This criterion is linked to a Learning OutcomeReferences

10 pts

Excellent

Includes no fewer than 4 requirements. Requirements: 1. Only the 3 sources provided in instructions are used in conjunction with a pharmaceutical cost estimating website such as Good RX. 2. Citations are provided where indicated on the form. 3. Citations and references are in current APA edition format. 4. There is a reference to match every citation provided.

9 pts

Very Good

Includes no fewer than 3 requirements.

8 pts

Satisfactory

Includes no fewer than 2 requirements.

5 pts

Needs Improvement

Includes no fewer than 1 requirement.

0 pts

Unsatisfactory

No requirements for this section presented.

10 pts

This criterion is linked to a Learning OutcomeLate Penalty Deductions

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late up to 3 days. Assignments will not be accepted after three days late, and a score of zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.minus ______ points

0 pts

No Points Deducted

0 pts

Points Deducted

0 pts

Total Points: 120

 
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Week 3 Assignment

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Week 3 Assignment

 
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Week 3 Assignment

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ANALYZING GROUP TECHNIQUES

Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain understanding of their own experiences.

As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected.

RESOURCES

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

WEEKLY RESOURCES

To prepare:

  • Select one of the group therapy video demonstrations from this week’s required media Learning Resources.

THE ASSIGNMENT

In a 3- to 4-page paper, identify the video you selected and address the following:

  • What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?
  • What evidence from the literature supports the techniques demonstrated?
  • What did you notice that the therapist did well?
  • Explain something that you would have handled differently.
  • What is an insight that you gained from watching the therapist handle the group therapy?
  • Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?
  • Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

BY DAY 7

Submit your Assignment. 

ReminderLinks to an external site. The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

 

VIDEOS

 
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Week 3 Assignment

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Week 3 Assignment

 
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Week 3 Assignment

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Week 3 Assignment

 
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Week 3: Assignment

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ASSESSING AND DIAGNOSING PATIENTS WITH MOOD DISORDERS

 

Accurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.

RESOURCES

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

WEEKLY RESOURCES

TO PREPARE:

  • Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

BY DAY 7 OF WEEK 3

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is 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 with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

  1. To submit your completed assignment, save your Assignment as WK3Assgn_LastName_Firstinitial
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.

Rubric

NRNP_6635_Week3_Assignment_Rubric

NRNP_6635_Week3_Assignment_Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeCreate documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected. In the Subjective section, provide: • Chief complaint• History of present illness (HPI)• Past psychiatric history• Medication trials and current medications• Psychotherapy or previous psychiatric diagnosis• Pertinent substance use, family psychiatric/substance use, social, and medical history• Allergies• ROS

20 to >17.0 pts

Excellent

The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.

17 to >15.0 pts

Good

The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.

15 to >13.0 pts

Fair

The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis, but is somewhat vague or contains minor innacuracies.

13 to >0 pts

Poor

The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. Or, subjective documentation is missing.

20 pts

This criterion is linked to a Learning OutcomeIn the Objective section, provide:• 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 diagnoses.

20 to >17.0 pts

Excellent

The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.

17 to >15.0 pts

Good

The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented.

15 to >13.0 pts

Fair

Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.

13 to >0 pts

Poor

The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or, objective documentation is missing.

20 pts

This criterion is linked to a Learning OutcomeIn the Assessment section, provide:• Results of the mental status examination, presented in paragraph form.• At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

25 to >22.0 pts

Excellent

The response thoroughly and accurately documents the results of the mental status exam. …Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.

22 to >19.0 pts

Good

The response accurately documents the results of the mental status exam. … Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected.

19 to >17.0 pts

Fair

The response documents the results of the mental status exam with some vagueness or inaccuracy. … Response lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vagueness or inaccuracy.

17 to >0 pts

Poor

The response provides an incomplete or inaccurate description of the results of the mental status exam and explanation of the differential diagnoses. Or, assessment documentation is missing.

25 pts

This criterion is linked to a Learning OutcomeReflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

10 to >8.0 pts

Excellent

Reflections are thorough, thoughtful, and demonstrate critical thinking.

8 to >7.0 pts

Good

Reflections demonstrate critical thinking.

7 to >6.0 pts

Fair

Reflections are somewhat general or do not demonstrate critical thinking.

6 to >0 pts

Poor

Reflections are incomplete, inaccurate, or missing.

10 pts

This criterion is linked to a Learning OutcomeProvide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

15 to >13.0 pts

Excellent

The response provides at least three current, evidence-based resources from the literature to support the assessment and diagnosis of the patient in the assigned case study. The resources reflect the latest clinical guidelines and provide strong justification for decision making.

13 to >11.0 pts

Good

The response provides at least three current, evidence-based resources from the literature that appropriately support the assessment and diagnosis of the patient in the assigned case study.

11 to >10.0 pts

Fair

Three evidence-based resources are provided to support assessment and diagnosis of the patient in the assigned case study, but they may only provide vague or weak justification.

10 to >0 pts

Poor

Two or fewer resources are provided to support assessment and diagnosis decisions. The resources may not be current or evidence based.

15 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 to >4.0 pts

Excellent

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. …Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 to >3.5 pts

Good

Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. …Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3.5 to >3.0 pts

Fair

Purpose, introduction, and conclusion of the assignment is vague or off topic. … Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time.

3 to >0 pts

Poor

No purpose statement, introduction, or conclusion were provided. … Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English writing standards: Correct grammar, mechanics, and punctuation

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors

4 to >3.0 pts

Good

Contains a few (one or two) grammar, spelling, and punctuation errors

3 to >2.0 pts

Fair

Contains several (three or four) grammar, spelling, and punctuation errors

2 to >0 pts

Poor

Contains many (≥ five) grammar, spelling, and punctuation errors that interfere with the reader’s understanding

5 pts

Total Points: 100

 

Video Case Selections for Assignment

Select one of the following videos to use for your Assignment this week. Then, access the document “Case History Reports” and review the additional data about the patient in the specific video number you selected. 

 
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Week 3 Assignment

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Week 3 Assignment

 
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WEEK 3 ASSIGNMENT

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unit 3 assignment

For this assignment, describe at least one direct and one indirect assessment method, a FBA, and one other assessment method of your choosing that you would use to assess Matt. Discuss each assessment method in detail, the outcome of the assessment, reliability/validity data for the measure, as well as your rationale for its use and any ethical considerations that may be of concern. In addition, provide a brief discussion of the treatment plan that you believe would be useful to implement for Matt based on your assessment, and how you would go about doing so in a manner which complies with the ethical guidelines. Be creative in making up results for the assessment tests, and do your best to provide a concise and effective treatment plan based on the results of your assessment.
Page length 3-4 pages. APA style. Title page and final references included.

Case Study Project Script :
Matt is a 38 year old white male with limited cognitive abilities and a below average IQ (he tested at 89 on the Stanford-Binet 6 months ago). Specifically, Matt struggles with paying attention due to his ADHD. This disability is compounded by his ongoing struggles with alcoholism and cannabis use, for which he is currently seeking treatment in an outpatient setting. Matt has been working in a supported employment setting as a grocery store clerk for the past 3 years with minimal concerns. However, within the past 6 months, his job coach reports that he seems to be deteriorating in functioning. He is unable to focus, can’t seem to complete his weekly orders on time or without errors, and he has been spoken to twice about making sure that all the items on the shelf are fresh and not beyond their expiration date. Matt complains that the music which is piped in throughout the store is distracting to him, and he says that he starts to sing along with the song and loses his train of thought. Matt continues to struggle with all of these tasks and is in jeopardy of losing his job. Physically, Matt also complains of headaches, shakiness and lightheadedness sporadically throughout the day. He attributes this to his diabetes for which he is currently taking insulin and monitoring his blood sugar daily. What assessments would you recommend giving Matt to see what is really going on? Any concerns about using direct observation? Ethical concerns? It is time for you to assess Matt and provide a treatment plan. Be sure to read the Assignment directions carefully
to ensure all required content is provided, before submitting the Assignment.

Case Study Template
Client Name:
Age:
Gender:
Marital Status:
Home/living situation:
# of children/pets:
Work/vocation/job situation:
Race:
DSMIV-Diagnosis/Presenting Problem:
Physical  condition(s)/Illness:
Verbal/non-verbal:
Intelligence/IQ:
Target behavior(s):
Antecedent Stimuli/Cues:
Consequences which are Maintaining Behavior/Function of the Behavior:
Client preferences:
Socio-cultural factors:
 
Reinforcers/Punishers for target behaviors:
 
Other relevant factors:

For Reference : Textbook Information
  Title:  Ethics for Behavior Analysts, 2nd Expanded Edition
  Author:  Bailey, J., & Burch, M.
  ISBN: 9780415880305
  Publisher: Routledge, Taylor and Francis

 
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