Category: Nursing homework help

Assigned Disorder: Disruptive Mood Dysregulation Disorder
Psychotropic drugs are commonly used for children and adolescents to treat mental health disorders, yet many of these drugs are not FDA approved for use in these populations. Thus, their use is considered “off-label,” and it is often up to the best judgment of the prescribing clinician. As a PMHNP, you will need to apply the best available information and research on pharmacological treatments for children in order to safely and effectively treat child and adolescent patients. Sometimes this will come in the form of formal studies and approvals for drugs in children. Other times you may need to extrapolate from research or treatment guidelines on drugs in adults. Each individual patient case will need to be considered independently and each treatment considered from a risk assessment standpoint. What psychotherapeutic approach might be indicated as an initial treatment? What are the potential side effects of a particular drug?
For this Assignment, you consider these questions and others as you explore FDA-approved (“on label”) pharmacological treatments, non-FDA-approved (“off-label”) pharmacological treatments, and nonpharmacological treatments for disorders in children and adolescents.
Use the assigned specific disorder (Disruptive Mood Dysregulation Disorder) to research for this Assignment.
Use the Walden library to research evidence-based treatments for your assigned disorder in children and adolescents. You will need to recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating this disorder in children and adolescents.
Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents.
Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources.
Reference:
Agency for Healthcare Research and Quality. (2015). Off-label drugs: What you need to know. https://www.ahrq.gov/patients-consumers/patient-involvement/off-label-drug-usage.htmlLinks to an external site.
Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental healthLinks to an external site. American Psychiatric Association Publishing.
Chapter 14, “Psychosocial Interventions”
Chapter 15, “Psychotherapeutic Interventions”
Chapter 16, “Psychopharmacological Interventions”
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
Chapter 43, “Pharmacological, Medically-Led and Related Treatments”
Walden University. (n.d.). Developing SMART goalsLinks to an external site.. https://academicguides.waldenu.edu/ld.php?content_id=51901492Links to an external site.
Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.
Chapter 5, “Psychopharmacology”
CriticalThinkRx. (2019, June 9). Module 5: Links to an external site. Specific drug classes: Focus on adverse effects Links to an external site. [Video]. YouTube. https://youtu.be/Gbq6RnOsGKQLinks to an external site.
CriticalThinkRx. (2019, June 9). Module 2: Use of psychotropics with youth_prevalence and concernsLinks to an external site.

Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients?
Your post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.
Keeping that in mind, answer the following scenario:
You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:
RN with 12 years of Trauma ED experience
New RN with 6 months ED experience
RN from the Medical Surgical floor with 8 years of experience
The following patients are in the ED, which patient will you give to each of the nurses and why?
A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
A 38-year-old client with kidney stones complaining of severe pain.
A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
An 80-year-old client that has not had a bowel movement for 4 days.

This is patient seems to be unaware of his diagnosis of HIV/AIDS. How would you
approach to your patient to inform about his diagnosis?

After studying Module 5: Lecture Materials & Resources, discuss the following:
It is said that there are over 330 million gods and goddesses within the Hindu religion and each god/goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting 2 different Hindu gods/goddesses of your choosing that you would be interested in learning more about.
For each selected Hindu deity, you must provide the following:
Name and Title (Ex: Vishnu, God of Preservation)
Image of the deity
Brief explanation of why you chose that specific god/goddess. Below are some examples of this:
Maybe that Hindu god/goddess reminds you of a Christian saint or biblical character who is the Catholic patron/patroness of a particular human endeavor, career field, or avocation that somehow pertains to you
Ex: Saint Cecilia Patroness of Musicians and Sarasvati Hindu Goddess of Music
Maybe you found the specific image of that god/goddess intriguing
Maybe there is a pop culture reference to the deity
Ex: TV series, movie, book, video game, etc.
Deity in Scripture
Summarize a story from the Hindu scriptures in which that the deity plays a major role.
This can be their origin story or another important story about the deity.
Relationship to other Hindu Deities
How is this specific deity related to at least 2 other Hindu deities?
Ex: Is the selected deity a mother/father to another deity or possibly a husband/wife of another deity?
Imagery & Symbolism
Explain the traditional symbolism associated with the selected deity
Ex: Color of their skin, why they are depicted with specific animals, pose or stance in which they are depicted, any object they may be holding or that are depicted around them
Websites for assistance in selecting specific Hindu gods/goddesses:
BBC: God or Gods?Links to an external site.
Hindu GalleryLinks to an external site.
Hindu Gods and GoddessesLinks to an external site.
Information on HinduismLinks to an external site.
Ten of the Most Important Hindu GodsLinks to an external site.
Submission Instructions:
Your initial post should be at least 150 words. Incorporating resources is not required, however, you must cite them correctly if referencing. The instructor will provide proper citation instructions in the announcements.
The citations and formatting for this written report and for all assignments in this course must be completed in Chicago-Turabian style, not APA style.

Turabian Style = Chicago Style.
Turabian Style is just a concise version of Chicago Style (CMOS). That’s why we call it Chicago-Turabian style.

Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?

In your own words, summarize the case
What was the case about
Who did it involve
What happened in the case
What caused the distress
Demonstrate the method to establish the therapeutic alliance with an elderly patient (over 65) during the patient session that could help relieve the patient in this case.

case #2
• A 58-year-old male patient with history of HTN and T2DM presents to the clinic for a regular check up. He denies current symptomatology and his last check up was 2 years ago. In addition to a thorough physical examination. Which laboratory test would expect to be ordered? (Select all that apply)
qCBC, BMP, U/A qCBC, CMP, U/A qLipid profile qCardiac enzymes qHgbA1c qTSH qCXR
case #2 • The patient’s anti-HTN treatment includes Lisinopril 10 mg PO daily and Amlodipine 5 mg PO daily. Are there any findings physical or laboratory expected from this medications?
case #2
• You would look at the levels of Magnesium and Phosphorus for the replacement of Potassium if applicable. Which of the following tests would include these two electrolytes?
-BMP -CMP -Liver profile -Lipid profile
Requirements
– The discussion must address the topic
– Rationale must be provided
– May use examples from your nursing practice
– Formatted and cited in current APA 7
– Use 3 academic sources, not older than 5 years. Not Websites are allowed.
– Plagiarism is NOT permitted

How do you envision your APN/APRN role as a change agent related to healthcare policy implementation?
instructions: APA style discussion post, at least 3 references, 1 page to 1 1/2 pages is long enough.

Assignment Content
Consider the nurse leader’s role at each stage of your project.
Identify the actions that a nurse leader would take regarding the following:
Communication with stakeholders
Training
Budget
Change management
Include a specific change management theory that is appropriate to this project.
Authority
Format your assessment as one of the following:
14- to 20-slide Microsoft® PowerPoint® presentation
The slides should only contain essential information and as little text as possible. Do not design a slide presentation made up of long bullet points. Use speaker notes to convey the details you would give if you were presenting. See create speaker notes from Microsoft® for more help.
REVIEW the Rubric to ensure all gradable requirements are included in PowerPoint.
Submit your assignment.