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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.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem.
Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:
1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population.
2. Following the PICOT format, write a PICOT question in your selected area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. Note: This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology.
Articles must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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.

Use Canva.com or another infographic development to design a patient teaching aid about OTC treatments for colds and cough. Use PO drugs only.
Include the following required six sections. You do not have to use these exact words for headings, but they should be labeled to identify the intended topic.
What OTC drugs (active ingredients) are available to treat the following common cold and cough symptoms?
Nasal decongestants
Cough suppressants
Expectorants
Antihistamines
Pain relievers
What is the recommended dose and frequency for each generic drug (active ingredient)?
How do I know which one to take?
How do I know which OTC medications are safe to take with others?
When should I stop taking the OTC medication selected?
When should I see my healthcare provider?
Format
Readability
Lay language for patients rather than professional language
Creativity
Use of graphics, images, etc.
Use PO drugs only
References & Participation
References used should be noted at the bottom of your infographic in a smaller font as not to distract from information provided but also validating the information came from a reliable source within the last 5 years.
References should be from either your textbook or a professional source such as American Gastroenterological Association, Prescriber’s Desk Reference, etc.
References should not be from sources such as MayoClinic, WebMD, etc.
Additionally, avoid use of journal articles for this assignment as you are looking for a more global consensus than that of one journal article.
Student provides a response to at least one topic-related post of a peer.
Student responds to all direct faculty questions OR if student was not asked a direct question student responds to either a 2nd peer post or a faculty question directed towards another student.
Screenshot
Provide a screenshot of your completed infographic.
Highlight the date the infographic was created (see example in image).
The infographic submitted must match the screenshot submitted with the assignment.
The date the infographic is created must coincide with the session in which it is submitted.
Submit your infographic and screenshot to the course discussion board by Wednesday 11:59 PM MT.
You must submit the infographic itself (not a screenshot of the infographic) and the screenshot showing the completion date each as their own file. Each can be either a PDF, JPG, or DOCX – but each must be its own separate file.

Click on this link to view the DNR Interactive Case Study.
After you view the case study, reflect upon what you have learned and how it is related to the learning materials. Compare the case study to your nursing practice and give a similar example from your experience in which you might have run into an ethical situation.
Submit your entry by Sunday, 11:59 p.m. (Pacific time). Your reflection content should be a minimum of 500 words, equal to five to six paragraphs, and is worth 50 points.
Rubric
NURS_440_OL – Case Study Rubric (2)
NURS_440_OL – Case Study Rubric (2)
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
Critical Analysis
20 to >17.8 pts
Meets or Exceeds Expectations
Presents an exemplary articulation and insightful analysis of significant concepts and/or theories presented in the case. Offers detailed and specific examples for all questions. Makes keen observations, making note of essential information provided in the case. Ideas are professionally sound and creative; they are supported by scientific evidence that is credible and timely. Draws insightful and comprehensive conclusions and solutions.
17.8 to >15.0 pts
Mostly Meets Expectations
Presents an accurate analysis of significant concepts and/or theories presented in the case. Offers some detail and some examples for most questions. Makes occasional note of essential information provided in the case. Ideas are mostly supported by scientific evidence that is credible and timely. Makes some attempt to draw conclusions and solutions.
15 to >11.8 pts
Below Expectations
Provides insufficient explanations of significant concepts. Offers little or insignificant detail and no examples for most questions. Fails to address essential information provided in the case. Ideas are generally unsupported by scientific evidence, but some attempt has been made. Fails to draw conclusion.
11.8 to >0 pts
Not Meeting Expectations
Does not, or incorrectly, answers with insufficient explanations. Information is not scientifically sound.
20 pts
This criterion is linked to a Learning Outcome
Content
15 to >13.35 pts
Meets or Exceeds Expectations
Makes insightful, clear and accurate connections to key concepts and relevant theories. Response indicates a comprehensive, high-level understanding of the concepts presented in the case.
13.35 to >11.25 pts
Mostly Meets Expectations
Makes mostly accurate connections to key concepts and relevant theories. Response indicates a general understanding of the concepts presented in the case.
11.25 to >8.85 pts
Below Expectations
Provides several insufficient or inaccurate explanations, although attempts are made to address some key concepts. Response indicates an introductory understanding of the concepts presented in the case.
8.85 to >0 pts
Not Meeting Expectations
Information is inaccurate or inadequate. Response indicates little or no understanding of the concepts presented in the case.
15 pts
This criterion is linked to a Learning Outcome
Mechanics
10 to >8.9 pts
Meets or Exceeds Expectations
Answers are well written throughout. Information is well organized and clearly communicated. Assignment is free of spelling and grammatical errors.
8.9 to >7.5 pts
Mostly Meets Expectations
Answers are well written throughout and the information is reasonably organized and communicated. Assignment is mostly free of spelling and grammatical errors.
7.5 to >5.9 pts
Below Expectations
Answers are somewhat organized and lacks some clarity. Contains some spelling and grammatical errors.
5.9 to >0 pts
Not Meeting Expectations
Answers are not well written and lack clarity. Information is poorly organized. Assignment contains many spelling and grammatical errors.
10 pts
This criterion is linked to a Learning Outcome
APA Format
5 to >4.45 pts
Meets or Exceeds Expectations
Follows all the requirements related to format, length, source citations, and layout.
4.45 to >3.75 pts
Mostly Meets Expectations
Follows length requirement and most of the requirements related to format, source citations, and layout.
3.75 to >2.95 pts
Below Expectations
Follows most of the requirements related to format, length, source citations, and layout.
2.95 to >0 pts
Not Meeting Expectations
Does not follow format, length, source citations, and layout requirements.
5 pts