PICOT Question and Nursing Theory Applied to Research

In NR 500, you developed a PICOT question. Select a nursing theory that you find useful in nursing practice. Discuss each of the following selected elements of the PICOT format by applying your selected nursing theory to the element. Be sure to include a scholarly reference.

Population/ Patient Problem: Consider how your selected nursing theory may guide you in selecting the population and/or patient problem

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Intervention: Does your selected nursing theory identify a possible intervention? If not, how is your selected intervention consist with your selected nursing theory?

Outcome: How would the outcome of your PICOT study contribute to your selected nursing theory? Would it add new information? Would it confirm some part of the theory?

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Anxiety Disorders in Childhood and Adolescence Essay Assignment papers

Week 5: Anxiety Disorders in Childhood and Adolescence

“I don’t know why everyone is worried that I don’t want to go out with my friends anymore. I just like to stay home. There is nothing wrong with that. I go to school and get good grades, but I don’t know what to say to those other girls in my class. They ask why I can’t go to the mall with them on the weekend and I get all embarrassed. They don’t understand that I don’t know what to say to them. When I do say something, it is always wrong, or they laugh. I can just stay home and read my books.”

Emma, age 15

Anxiety disorders that plague many individuals in adulthood often have their origins in childhood and adolescence. By identifying those children and adolescents with anxiety disorders, the PMHNP can intervene and teach skills that the client can use to control anxiety throughout his or her life.

This week, you analyze case studies to determine the diagnosis and treatment of anxiety disorders. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 31, “Child Psychiatry” (pp. 1253–1268)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

• “Anxiety Disorders”

Note: You will access this book from the Walden Library databases.

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(1), 98–113. Retrieved from http://www.jaacap.com/article/S0890-8567(11)00882-3/pdf

McClelland, M., Crombez, M-M., Crombez, C., Wenz, C., Lisius, M., Mattia, A., & Marku, S. (2015). Implications for advanced practice nurses when pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is suspected: A qualitative study. Journal of Pediatric Health Care, 29(5), 442–452. doi:10.1016/j.pedhc.2015.03.005. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Note: You will access this article from the Walden Library databases.

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Review the following medications:

Note: Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.” Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Required Media

YMH Boston. (2013b, May 22). Vignette 3 – Asking about depression in a preventive services visit [Video file]. Retrieved from https://www.youtube.com/watch?v=TO8aITpMG5E

 

Note: The approximate length of this media piece is 3 minutes.

YMH Boston. (2013b, May 22). Vignette 5 – Assessing for depression in a mental health appointment [Video file]. Retrieved from https://www.youtube.com/watch?v=Gm3FLGxb2ZU

 

Note: The approximate length of this media piece is 3 minutes.

Laureate Education (Producer). (2017c). Anxiety disorder, ODC, or something else? [Multimedia file]. Baltimore, MD: Author.

Optional Resources

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.). Hoboken, NJ: Wiley Blackwell.

• Chapter 60, “Anxiety Disorders” (pp. 822–840)
• Chapter 61, “Obsessive Compulsive Disorder” (pp. 841–857)

Discussion: Clinical Supervision

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Learning Objectives

Students will:

• Analyze clients presenting for treatment of anxiety disorders
• Evaluate effectiveness of therapeutic approaches for clients diagnosed with an anxiety disorder

To Prepare:

• Review this week’s Learning Resources concerning treating patients with anxiety disorders.
• Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!  Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

By Day 3

Post a 3- to 5-minute Kaltura video in which you do the following:

• Describe the client. Note: Do not use the client’s actual name.
• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by suggesting an alternate therapeutic approach. Support your feedback with evidence-based literature and/or your own experiences with clients. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 5 Discussion

Assignment 1: Practicum: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

• Evaluate clients for treatment of mental health disorders
• Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

At each Decision Point, stop to complete the following:

• Decision #1: Differential Diagnosis
  • Which Decision did you select?
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
• Decision #2: Treatment Plan for Psychotherapy
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
• Decision #3: Treatment Plan for Psychopharmacology
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.
• Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

By Day 7 of Week 7

Submit your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Making Connections

This week, you analyzed case studies to determine the diagnosis and treatment of anxiety disorders.

Next week, you examine psychiatric emergencies that arise during childhood and adolescence and compare how those emergencies are assessed and treated to those of adult clients. Anxiety Disorders in Childhood and Adolescence Essay Assignment papers.

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QUESTION 13:

Chapter 13, Fluid and Electrolytes: Balance and Disturbance

Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning Objective 4). Nursing Questions & Answers .

a. What are possible causes of a low potassium level?

b. What action should the nurse take in relation to the serum potassium level?

c. What clinical manifestations might the nurse assess in Mrs. Dean?

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Read carefully and answer ALL questions, Rubric attached along with graph excel. NO PLAGARISM: Turnitin will be checking.
Use qualitative and quantitative data to evaluate the effectiveness of behavior analytic programs.
You have another Assignment in your role as an intern at Acme Behavior Consultation.
Pathways is an alternative high school. Pathways allows students with behavior challenges to complete their high school experience with a more flexible and positive approach. Their mission is to create an environment that allows students to consistently exceed expectations, maintain high levels of student and family satisfaction, and meet cost effectiveness standards. They strive to provide the highest education possible to students from a variety of communities and cultural backgrounds.
Acme, Inc., assisted Pathways with the creation of individual behavior intervention plans (BIP) for students displaying high levels of inappropriate behaviors. In addition, ACME used a behaviorally based training procedure to train all staff on the basics of ABA and how to implement each BIP.
A behavior management division headed by a full time behavior specialist at the school is responsible for implementing the plans that were originally created in collaboration with Pathways’ staff. In addition, Acme isresponsible for ongoing staff training and monitoring the effectiveness of each plan.
You are asked to do a follow up to determine the success of the procedures that were put inplace. In addition, you were asked to conduct some Inter-observer Agreement(IOA) probes and determine whetherthe staff has maintained the skills taught during training.
You are provided with a variety of data to analyze and will need to use the data to determine the effectiveness of the current interventions.
The behavior specialist has been collecting and compiling data and presents them in the figures that are located in the attachment.
Below is a list of the figures contained in the Document:(See attachment)
Figure 1: Summary of comments from staff questionnaires related to the success of the intervention and satisfaction with training.
Figure 2: Line graph of the frequency of aggressive behaviors incidents for the entire school reported before(Baseline) and after (Treatment) the program began
Figure 3: Frequency data from an observation session with two different teachers and one student’s behavior. Figure 3 reflects the frequency of physical aggression during the sessions.
Figure 4: Data from Staff Integrity Checklist.
You must now review the data and present a summary of your findings to your supervisor at ACME, Inc., as well as the school. You should include the following in your summary:

1. For all Figures:
   1. Determine the purpose and importance of the data above by discussing how it can be used in the program evaluation process. Discuss the importance of data collection and analysis in program design and evaluation.
   2. Identify the data collected as either “quantitative” or “qualitative.” Discuss whether the type of data is appropriate for the context of the evaluation.
2. For Figure 1:
   1. Discuss the overall purpose of this data and how it should be used in analyzing the effectiveness of the program.
   2. Using the data contained in this figure, discuss the implications with regard to the effectiveness of the program.
3. For Figure 2:
   1. Use visual analysis and discuss the level, trend, and variability of the challenging behavior incidents reported during baseline (before) and treatment (after the intervention).
   2. Using the data, describe the effect that the intervention had on the frequency of behavior incidents within Pathways.
   3. Considering the level of data, as well as any trends in the data, discuss the effectiveness of the program.
4. For Figure 3:
   1. Calculate the total frequency of physical aggression for each observer.
   2. Using the total count method of IOA, calculate the percentage of Inter-observer Agreement.
   3. Discuss the result of IOA.
      1. Is the IOA percentage within the acceptable range?
      2. Discuss what changes should be considered in relation to increase the IOA percentage. If changes are not necessary discuss what factors contribute to high percentage of Inter-observer agreement.

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Review on-line learning materials and reflect on what you have been taught about the health of Aboriginal Australians and factors influencing their health.

Nursing PHC= Primary Health Care

Aim of assessment

The aim of this assessment is to provide you with the opportunity to gain a deeper understanding of the application of PHC concepts and health promotion practice with particular reference to the health of Indigenous Australians.

Details of the assessment
A DVD, (or TV program, YouTube video) concerning Australian Indigenous health issues will be used as a trigger for students to respond to 5 questions relating to the PHC principles and health promotion elements identified in the DVD.
In order to complete the assessment you will:
– Access and view the program (https://www.youtube.com/watch?v=ZYlS7v1Pt6U) a few times so that you can become familiar with the content.
– Reflect on the content and identify ways in which the principles of PHC and Health Promotion (HP) are demonstrated.
– Review on-line learning materials. Reflect on what you have been taught about the health of Aboriginal Australians and factors influencing their health.
– Read and watch the additional learning materials and do some searches yourself for background material about PHC, HP and Aboriginal health, as well as other programs aimed at improving the social determinants of health for Aborigines.

• This short answer paper has a word limit of 750 words (maximum) including in text references.
• Additional to the written component, a health promotion poster will also be submitted
• The poster does not contribute to the word limit
• Answers to questions 1-4 will have a maximum word limit that will total 750 words including in text references. Word limit for each question will be identified with the questions.

. .

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