• Week 5 Discussion Board

NSG5905 Models of Care Acr Lifespan

You are a psychiatric/mental health nurse practitioner employed in a local community health center. Today you are seeing Marta, an 8-year-old female who presents with her biological parents. Marta was referred by her pediatrician for school failure and behavioral issues. The reason for the referral is possible attention deficit hyperactivity disorder versus oppositional defiant disorder.  

1. Please discuss the difference between attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder.  
2. What are the parameters of assessment and evidence-based tools you will use in the assessment of this disorder?  
3. If your assessment findings validate the attention deficit hyperactivity disorder, how will you integrate both psychotherapy and psychopharmacologic approaches along with interdisciplinary plan?  
4. If your assessment findings validate oppositional defiant disorder, what will be the sequence for the management and interdisciplinary plan for this child’s care?  APA style

• Week 6 Discussion Board

You are a psychiatric/mental health nurse practitioner employed in a local community health center. Today you are being asked to see a 15-year-old male accompanied by his biological mother. He was referred by his primary care provider after it was discovered that he was the victim of sexual abuse by a neighbor and may be experiencing post-traumatic stress disorder (PTSD). 

1. What will be your approach to the assessment of the patient and his family?  
2. Describe the multidisciplinary team that would be involved in the care of a sexual abuse victim and the legal and ethical issues involved in this assessment and care. 
3. How will you diagnose the patient based on the assessment findings?  
4. What will the management plan consist of for the initial management?  
5. What specific referrals and follow-up care will the patient and family need for ongoing support and treatment?  

• Week 7 Discussion Board

You are a psychiatric/mental health nurse practitioner employed in a local community health center. Today you are being asked to see a 7-year-old female accompanied by her adoptive parents. She was referred by her primary care provider as she was recently adopted and might be suffering from social anxiety disorder. You learn that she witnessed the murder of her biological parents in a random shooting event at a shopping center. She has not spoken a word since she came to live with her adoptive parents 2 months ago.  

1. What will be your initial approach to assessment of this patient and her parents?  
2. What are the developmental considerations related to this 7-year-old? 
3. Can you identify other differential diagnoses that might be considered in this situation and define those diagnoses? 
4. Describe the management plan for this patient, required referrals, and follow-up for this child and her family. What would be your most immediate concerns?  
5. What will be issues that need to be considered in the future for this child and family?  

• Week 8 Discussion Board

You are a psychiatric/mental health nurse practitioner employed in a local community health center. Today you are being asked to see a 13-year-old female accompanied by her biological parents. She was referred by her primary care provider for possible obsessive-compulsive disorder (OCD). She has been handwashing incessantly due to fear of becoming ill from germs. The patient is also showing signs of a possible panic attack disorder.  

1. What will be your initial concern in assessment and management of the patient?  
2. What type of tools and assessment techniques should you use for this adolescent and her parents?  
3. Please explain the diagnosis of OCD and discuss the relationship of anxiety and a panic attack disorder. How will you diagnose and is it possible to manage one or both disorders in this clinic visit?  
4. Summarize your management care for the acute situation and then long-term management and follow-up.  

• Week 9 Discussion Board

You are a psychiatric/mental health nurse practitioner employed in a local inpatient psychiatric unit. You are seeing a new patient assigned to your service. She just turned 17 years old and became intoxicated at her birthday party. She told friends that it was nice of them to come “see her off,” and she proceeded to take an overdose of approximately 30 Percocet tablets (stolen from her mother’s purse) in a suicide attempt. NNSG5905 Models of Care Acr Lifespan

1. How would you approach the assessment and who would be involved?  
2. How would you ultimately diagnose the client based on assessment findings?  
3. What would be the initial holistic management plan and follow-up care for this patient and her family?  
4. What are the considerations and follow-up needed for the peer group at the party?  

• Week 10 Discussion Board

1. Discuss the controversy of childhood schizophrenia (early-onset schizophrenia). What are the short-term and long-term consequences of this diagnosis?  
2. Can children under the age of 13 be diagnosed with schizophrenia? 
3. What are the assessment parameters you would utilize to diagnose schizophrenia in a child versus an adolescent?  
4. Define the differential diagnoses when considering the diagnosis of schizophrenia. 
5. What are the ethical and legal principles associated with this diagnosis.