Tag: MLA

Case Study
Jill, a 24 y/o Hispanic female arrives in the emergency room where her parents brought her for evaluation. They are worried because she is giving away all of her possessions and says she is planning to move to the South Pole so she can “save the world.” Her parents say that she has hardly been sleeping at all for the last 7 days, but she seems very energetic. They say she has appeared to be “in a frenzy” lately. When you interview Jill you notice that she speaks very rapidly and is laughing uncontrollably. It is hard to get her to be quiet long enough for you to ask questions. She seems agitated and has difficulty sitting still.
Questions:
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric Please if you have any questions, do not hesitate in contact me.

Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.
The diagnosis of psychiatric emergencies can include a wide range of problems—from severe drug reactions to abuse and suicidal ideation/behaviors. Regardless of the care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care and also bridge the physical–mental health divide in healthcare.
In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies and identify evidence-based suicide and violence risk assessments.
In 2–3 pages, address the following:
Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
Explain the differences between emergency hospitalization for evaluation/psychiatric hold, inpatient, and outpatient commitment in your state.
Explain the difference between capacity and competency in mental health contexts.
Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
Identify one evidence-based suicide risk assessment that you could use to screen patients.
Identify one evidence-based violence risk assessment that you could use to screen patients.

• In your review of evidence, you provided… (discuss one detail that put this criterion at the competence level and then give three suggestions or ask three questions to move this criterion to proficiency/mastery).
• In your explanation of priority of need, you showed… (discuss three details that put this criterion at mastery then give one suggestion or ask one question to further improve).
• In your explanation of health determinants, you illustrated… (discuss two details that put this criterion at the proficiency level and then give two suggestions or ask two questions to move this criterion to mastery).
• In your summary of the proposed solution, you assessed… (discuss two details that put this criterion at the proficiency level and then give two suggestions or ask two questions to move this criterion to mastery).
Provide feed back for each of those areticles 1 & 2
apa formatting

NGM2 — NGM2 TASK 1: PRACTICE IMPROVEMENT PLAN PROPOSAL
ORGANIZATIONAL SYSTEMS AND HEALTHCARE TRANSFORMATION — D221
PRFA — NGM2
TASK OVERVIEWSUBMISSIONSEVALUATION REPORT
SELECT EVALUATION
Attempt 2
Attempt 2
EVALUATION REPORT — ATTEMPT 2 — REVISION NEEDED
Overall Evaluator Comments
EVALUATOR COMMENTS
You are encouraged to connect with your Course Instructor to strengthen your understanding of the content before working further on this assessment. You have logically discussed how communication can be improved through the use of the TeamSTEPPS program. Additionally, you have described how the patient can and should be involved in the communication process. Information on the aspects that require revision can be found in the score report below.
A1. Safety Concern
Competent
A2a. Data
Competent
A2b. National Safety Standard(s)
Competent
A3. Impact
Competent
A3a. Value
Competent
A4. Evidence-Based Practice Change
Competent
A4a. High-Reliability Organization
Competent
A4b. Potential Barriers
Competent
A4c. Potential Interventions
Competent
A4d. Shared Decision-Making
Competent
A4e. Outcome Measure
Competent
A4f. Care Delivery Model
Approaching Competence
Approaching CompetenceThe submission identifies a care delivery model currently being used in the healthcare setting but does not describe the care delivery model. Or the description does not include sufficient detail.
EVALUATOR COMMENTS: ATTEMPT 2
There is a payment model discussed, noting that providers are paid based on merit. Unfortunately, pay models are not related to care delivery models. Please describe the care delivery model currently used in the healthcare setting.
A4fi. Impact on Care Delivery Model
Approaching Competence
Approaching CompetenceThe submission explains how the care delivery model in the healthcare setting would be impacted, but it does not align with the care model identified in part A4f, or it does not align with the recommended change in part A4, or the explanation is not logical.
EVALUATOR COMMENTS: ATTEMPT 2
While there is a discussion regarding how the change in communication may impact reimbursement, a discussion regarding the current care delivery model and potential impacts to it, is not able to be discerned.
B. APA Sources
Competent
C. Professional Communication
Competent

Case Study
Ms. Z is a 28-year-old assistant store manager who arrives at your outpatient clinic complaining of sadness after her boyfriend of 6 months ended their relationship 1 month ago. She describes a history of failed romantic relationships, and says, “I don’t do well with breakups.” Ms. Z reports that, although she has no prior psychiatric treatment, she was urged by her employer to seek therapy. Ms. Z has arrived late to work on several occasions because of oversleeping. She also has difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my legs weigh a ton.” She feels fatigued during the day despite spending over 12 hours in bed and is concerned that she might be suffering from a serious medical condition. She denies any significant changes in appetite or weight since these symptoms began.
Ms. Z reports that, although she has not missed workdays, she has difficulty concentrating and has become tearful in front of clients while worrying about not finding a significant other. She feels tremendous guilt over “not being good enough to get married,” and says that her close friends are concerned because she has been spending her weekends in bed and not answering their calls. Although during your evaluation Ms. Z appeared tearful, she brightened up when talking about her newborn nephew and her plans of visiting a college friend next summer. Ms. Z denied suicidal ideation.
Questions:
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric
Please if you have any questions, do not hesitate in contact me.

Reply to post. Adding post.
Uses three or more references from current peer-reviewed NURSING journals (within the last 5 yrs) with one reference required for initial posting and one reference for each peer posting. One reference may come from required course textbook if applicable

please reply to the images uploaded. there are two students please reply to their posts with scholarly sources and include their name.