Psych Mental Health Child and Adolescents Comprehensive Integrated Psychiatric Assessment The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.
In this assignment,
- You will developedamethods of a mental health professional techniques common used for an assessment.
- Completes a comprehensive integrated psychiatric assessment of an adolescent.
- Review and critique the techniques you used
- What did the practitioner do well?
- In what areas can the practitioner improve?
- At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
- What would be your next question, and why?
Part B. Provide three additional insights or alternative perspectives on the diagnosis and provide alternate next questions and why you selected those.
Provide at least 3 references to all assignments
Assignment 1-1
Analyzing an Ethical Decision
In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be
based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action.
For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state( NC ).
- Review literature for moral/ethical issues encountered by a PMHNP.
- Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.
Write a 3 page paper in which you do the following:
- Summarize the moral/ethical issue in the article (no more than 1 paragraph).
- Describe the moral and ethical dilemmas surrounding the issue.
- Analyze the ethical issue and compare them to the state health laws and regulations in your state.
- Outline the process of ethical decision making you would use to address this ethical dilemma.
- Include references immediately following the content.
- Use APA style
Assignment 2-D
Working With Children and Adolescents Versus Adults
Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP. Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.
In this assignment, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.
- Explain why a developmental assessment of children and adolescents is important.
- Describe two assessment instruments and explain why they are used for children and adolescents but not adults.
- Describe two treatment options for children and adolescents that may not be used when treating adults.
- Explain the role parents play in assessment and treatment.
Part B Provide three additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those.
- Include references immediately following the content.
- Use APA style
Adults Rolls.
Assignment 1-D Interview Format
Despite what you may believe (or may have been told), there is no such thing as one “right” way to do an interview. In fact, there are numerous books written about the various ways of conducting the clinical interview. In actual clinical practice, you will find the format that “works” best for you and addresses your unique strengths and the needs of the client.
In this Assignment, you will practice finding the interview format that works for you and share those ideas.
- Develop an interview format you would use for an initial interview of a client.
- Attach the interview format document you would use for an initial interview of a client.
- Describe what interview format your preceptor uses for the initial interview of a client.
- Describe which element of your interview format is most helpful in your practice.
Part B Provide 3 constructively critique on your preceptor interview format and provide suggestions.
- Include references immediately following the content.
- Use APA style
Assignment 1-1 Psychiatric/mental health nurse practitioners currently have only one choice for certification, which is through the American Nurses Credentialing Center (ANCC). The ANCC offers the “psychiatric/mental-health nurse practitioner (across the lifespan)” board certification (PMHNP-BC). In many states, board certification is needed as a prerequisite to being granted an NP license. Even if board certification is not a requirement for state licensure, it may be a requirement to receive privileges in various hospitals and other health care facilities. It may also be required by malpractice insurance providers prior to issuing coverage to NPs.
In this Assignment, you will develop a plan, which will serve as the road map for you to follow to attain your certification.
- Analyze state restrictions or limitations for practice (Texas)
- Compare PMHNP practice environments in various states
- Analyze clinical practice issues
Write a 3- to 4-page paper in which you do the following:
- Describe the PMHNP practice environment for your home state (Texas), highlighting restrictions or limitations for practice.
- Compare the PMHNP practice environment in your home state with a neighboring state or a state in which you would like to practice.
- Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process.
- Develop a checklist for passing the national certification exam, including a detailed timeline that includes academic preparation (study plan), registration, financial preparation, etc.
- Include references immediately following the content.
- Use APA style
Assignment 2-1 Captain of the Ship” Project – Depressive Disorder
As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role.
In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.
- Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders
- Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders
- Identify medical management needs for clients with depression disorders
- Identify community support resources for clients with depression disorders
- Recommend follow-up plans for clients with depression disorders
To prepare for this Assignment:
- Select an adult or older adult client with a depressive disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
- Describe the HPI and clinical impression for the client.
- Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
- Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
- Identify medical management needs, including primary care needs, specific to this client.
- Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
- Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
- Include references immediately following the content.
- Use APA style
Assignment 2-2 Safe Prescribing
There is probably no greater responsibility that the psychiatric mental health nurse practitioner assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.
In this Practicum Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state.
- Analyze roles of the Drug Enforcement Administration
- Analyze PMHNP responsibilities when issued a DEA number
- Analyze DEA number application procedures
- Analyze state requirements for safe prescribing and prescription monitoring
- Analyze PMHNP responsibilities for safe prescribing and prescription monitoring
- Analyze Schedule II-V drug levels
In 3-4 pages:
- Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.
- Explain your responsibilities when having a DEA number.
- Explain how you apply for a DEA number.
- Explain your state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements(Texas)
- Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.
- Include references immediately following the content.
- Use APA style
