Professional Capstone and Practicum Reflective Journal

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

ORDER A PLAGIARISM-FREE PAPER NOW

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite

 

NRS-493 Professional Capstone and Practicum Reflective Journal

No of Criteria: 13 Achievement Levels: 5
Criteria
Achievement Levels
Description
Percentage
1: Unsatisfactory
0.00 %
2: Less Than Satisfactory
75.00 %
3: Satisfactory
79.00 %
4: Good
89.00 %
5: Excellent
100.00 %
Group 1
100.0
New Practice Approaches
8.0
New practice approaches are not present.
New practice approaches are present, but they are incomplete or otherwise lacking in required detail.
New practice approaches are present. Some minor details or elements are missing, but the omissions do not impede understanding.
New practice approaches are present and complete. The submission provides the basic information required.
New practice approaches are present, complete, and incorporate additional relevant details and critical thinking to engage the reader.
Interprofessional Collaboration (C4.3)
8.0
Interprofessional collaboration information is not present.
Interprofessional collaboration information is present, but it is incomplete or otherwise lacking in required detail.
Interprofessional collaboration information is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Interprofessional collaboration information is present and complete. The submission provides the basic information required.
Interprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Health Care Delivery and Clinical Systems
8.0
Health care delivery and clinical systems information is not present.
Health care delivery and clinical systems information is present, but it is incomplete or otherwise lacking in required detail.
Health care delivery and clinical systems information is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Health care delivery and clinical systems information is present and complete. The submission provides the basic information required.
Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Ethical Considerations In Health Care (C2.3)
8.0
Information regarding ethical considerations in health care is not present.
Information regarding ethical considerations in health care is present, but it is incomplete or otherwise lacking in required detail.
Information regarding ethical considerations in health care is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Information regarding ethical considerations in health care is present and complete. The submission provides the basic information required.
Information regarding ethical considerations in health care is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Practice of Culturally Sensitive Care (C5.3)
8.0
Information regarding the practice of culturally sensitive care is not present.
Information regarding the practice of culturally sensitive care is present, but it is incomplete or otherwise lacking in required detail.
Information regarding the practice of culturally sensitive care is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Information regarding the practice of culturally sensitive care is present and complete. The submission provides the basic information required.
Information regarding the practice of culturally sensitive care is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.
Preservation of Integrity of Human Dignity in the Care of All Patients (C5.4)
8.0
Information regarding the preservation of integrity and human dignity in the care of all patients is not present.
Information regarding the preservation of integrity and human dignity in the care of all patients is present, but it is incomplete or otherwise lacking in required detail.
Information regarding the preservation of integrity and human dignity in the care of all patients is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete. The submission provides the basic information required.
Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.
Population Health Concerns
8.0
Information regarding population health concerns is not present.
Information regarding population health concerns is present, but it is incomplete or otherwise lacking in required detail.
Information regarding population health concerns is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Information regarding population health concerns is present and complete. The submission provides the basic information required.
Information regarding population health concerns is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Role of Technology in Improving Health Care Outcomes (C4.1)
8.0
Information on the role of technology in improving health care outcomes is not present.
Information on the role of technology in improving health care outcomes is present, but it is incomplete or otherwise lacking in required detail.
Information on the role of technology in improving health care outcomes is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Information on the role of technology in improving health care outcomes is present and complete. The submission provides the basic information required.
Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Health Policy
8.0
Health policy information is not present.
Health policy information is present, but it is incomplete or otherwise lacking in required detail.
Health policy information is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Health policy information is present and complete. The submission provides the basic information required.
Health policy information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Leadership and Economic Models

ORDER A PLAGIARISM-FREE PAPER NOW

8.0
Information on leadership and economic models is not present.
Information on leadership and economic models is present, but it is incomplete or otherwise lacking in required detail.
Information on leadership and economic models is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Information on leadership and economic models is present and complete. The submission provides the basic information required.
Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Health Disparities
8.0
Information on health disparities is not present.
Information on health disparities is present, but it is incomplete or otherwise lacking in required detail.
Information on health disparities is present Some minor details or elements are missing, but the omissions do not impede understanding.
Information on health disparities is present and complete. The submission provides the basic information required.
Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
Outline of Overall Personal Discovery
8.0
Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is not present.
Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present, but it is incomplete or otherwise lacking in required detail.
Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present. Some minor details or elements are missing, but the omissions do not impede understanding.
Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete. The submission provides the basic information required.
Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete, and incorporates additional relevant details and critical thinking to engage the reader.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
4.0
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.

APA Scavenger Hunt Worksheet Example

APA Scavenger Hunt Worksheet

CLICK HERE FOR A TUTORIAL ON HOW TO EDIT THIS DOCUMENT

ORDER A PLAGIARISM-FREE PAPER NOW

 

 

APA Element/Requirement

 

 

Answer

Page Numbers of Answer and Example (if available in the sample paper)  

 

Points

Title Page
1. List the elements of a title page.

 

To get you started on this scavenger hunt – here is the first answer.

 

Running head (with page number), title, byline, and institutional affiliation

Pages 23-24; 41 (sample paper) 1
2. Describe the format and location for the Running head. typed flush left at the top of the title page P.229-230 1
3. Describe the format and location for the title.

 

The title should be typed in uppercase and lowercase letters, centered between the left and right margins and positioned in the upper half of the page. If the title is two or more lines, double-space between the lines.  

1

4. Describe what a byline is, how it should be typed and how to include more than one author.

 

Names of the authors should be typed in the order of their contributions using uppercase and lowercase letters, centered between the side margins, one double-spaced line below the title. Type the institutional affiliation, centered under author’s name, on the next double-spaced line. P.3  

1

5. What is your institutional affiliation? How should it be typed?

 

centered under author’s name, on the next double-spaced line. P.23  

1

6. Where is the page header located? What format is prescribed?

 

The name of the title of the article and it goes at the top of each page displayed or printed

 

 

P.230  

1

Body of Paper/General Formatting Rules
7. The manual contains a miniaturized “picture” of sample papers with title page, narrative and a reference list. How can you use this for your papers?

 

Title page à abstract à text à references à tables à figures à appendices

 

P.229  

 

1

8. Margins: What setting is prescribed for margins in the body of text and reference page?

 

Uniform margins at least 1 inch, double spaced text, flush left style with right margin uneven P.229  

1

9. Spacing:

1) How many spaces between lines should appear in the body of the text and references?

2) How many spaces are used in text after a comma, colon, semicolons, punctuation marks at the end of a sentence, periods in a reference citation, or periods after initials in a personal name? (Hint: The answer is the same for all).

 

1.)    Double spacing.

2.)    One space

 

 

 

 

1

10. Font & Typeface: What is the acceptable font size and typeface?

 

Times new roman with 12 pt. font size P.228  

1

11. Levels of Heading: What format is used for a Level 1 and Level 3 heading?

 

Level 1: the first heading is “Literature Overview,” so it goes at Level 1. Your writing style and subject matter will determine what your first heading will be.

Level 3: headings are indented, followed by a period, and run in with the text that follows.

 

1

12. Is it allowed in APA for the author to refer to self by using the pronoun “I”?

 

Yes. you can use the first-person point of view when discussing your research steps  

1

Citations, Quotations and References List
13. In-text Citations: What is an in-text citation and how is it formatted?

 

is to help readers easily find the sources in the Works Cited page that correspond to your referenced passage  

1

14. When do you use “and” to join the authors and when do you use “&” to join the authors in a citation?

 

Citation is when you credit a work for your influences and information you drew from to write your paper. And is used when just joining 2 authors. p.169  

1

15. Quotations: How are quotations with fewer than 40 words formatted?

 

When quoting, what must always be included with the quote?

 

Place direct quotations longer than 40 words in a free-standing block of typewritten lines and omit quotation marks. Start the quotation on a new line, indented five spaces from the left margin  

 

1

16. References: What is the purpose of a reference list?

 

it provides the information necessary for a reader to locate and retrieve any source you cite in the body of the paper.  

1

17. What does “agreement of text and reference list” mean?

 

APA style suggests using a reference list for references cited in the text of a paper rather than a bibliography. A reference list includes only those references which were cited in the text of one’s paper. There must be total agreement between the two  

1

18. How are references ordered in the reference list? Do you double space?

 

Alphabetical order. No  

1

19. In the reference list, what is the acceptable abbreviation for “edition,” “Editor,” “Editors,” “page,” “pages,” and “no date?” edition: ed.

Editor: Ed

Editors: Eds

page: p.

pages: pp.

no date: n.d

 

1

20. What rule governs whether a state is given in the reference list publisher location?

 

USA publishers give the city in full and the abbreviation for the state.  

1

21. How do you cite a work discussed in a secondary source? Provide answers for both in-text and on the reference page?

 

In-text: (last name, date of year).

 

Reference list: (last name, first initial).

 

1

22. Format Examples for References

 

For the following types of references, locate the page(s) with the examples of how to format the references in the next column.

List page(s) where you can find examples of how to format references for the following:

page #/s: __ Journal article with two authors (paper form)

page #/s: __ Journal article with two authors (electronic version)

page #/s: __ Entire Book

page #/s: __ Chapter in an edited book

page #/s: __ Non-periodical documents on the internet

 

 

 

 

 

1

23. doi Numbers

Describe what a doi is and where and when a doi number can be used.

 

Alphanumeric string assigned by a registration agency to identify content and provide a link to its location on the internet. Include for both print and electronic sources.  

1

24. Semi colon

Where can you find a description of a semi colon is and how to use it correctly! What is it?

 

a semicolon should be used to separate two independent clauses (or complete sentences) that are closely related in meaning.  

1

25. Protection of research participants

Where can you find information about protecting the rights and welfare of research participants? What standards are psychologists held to? What is the most recent publication year of this document?

 

Chapter 1, Section 11  

 

1

 Total Points:              /25

 

NUR 665 E -Professional Nursing Portfolio Template

Professional Nursing Portfolio

Professional Goal Statement

As a little girl constantly surrounded by animals growing up, kindness and compassion came at an early age. As I grew, so did my empathy and love towards all living creatures. A wonderful opportunity presented my junior year in high school working as a volunteer for the San Diego Humane Society. They need assistance with cleaning kennels, walking dogs, and helping to maintain the happiness of the animals by offering them love while they awaited their forever homes. My hard work and dedication paid off, as I was offered a permanent paying position as an adoption counselor. I was now an instrument in helping these loving creatures find their forever home, and this is where the seed for educating was planted. Before deciding to move to Arizona, I was fortunate to be a member of this team for several years NUR 665 E -Professional Nursing Portfolio Template. Once in Arizona, I continued this path with the AZ Humane Society for an additional five years in the capacity of an Emergency Animal Medical Technician (EAMT) assisting with rescue and cruelty investigations. Over the course of a rewarding 10+ year career with animals, I realized a deep-seated passion towards providing care. The thought that this passion would be beneficial to people was born, and so began the pursuit of my nursing career.

My nursing journey began in 2009, and since then, I have grown tremendously not only as a person, but also within my chosen career field. I have accomplished goals that I once only dreamt of and have far exceeding any of my wildest expectations. In my opinion I have been a strong student graduating with Phi Theta Kappa Honors for my ADN, the Dean’s List for Academic Excellence with my BSN, and with gods good graces, will shortly be completing my graduate degree. I am confident that my intellectual and professional interests have taken shape, and I have begun progressing towards my professional development as a Nurse Educator. My short-term goal includes completing my Master’s Degree with emphasis in Nursing Education. My long-term goals are obtaining an adjunct facility position, possibly with Grand Canyon University, or a facility educator role within my current hospital. As an educator, it is my responsibility to create an atmosphere of excitement and opportunity. I will express my passion for learning and inspire students to provide excellent care and knowledge to their patients. I will function as a valuable resource to guide the students through challenging situations, and strive to instill the value of life-long learning.  I am anxious to begin this new chapter in life, I truly love being a nurse and making a difference, what more valuable way to make a better world than to educate. NUR 665 E -Professional Nursing Portfolio Template.

ORDER A PLAGIARISM-FREE PAPER NOW

Seeking a long-term association that will benefit from academic preparation, nursing experience and a driving work ethic. A position which will allow me to expand my practical experience and knowledge at the same time as providing quality education to patients.

PROFESSIONAL EXPERIENCE

Banner Thunderbird Medical Center, Phoenix, AZ.                          Dec. 2017- Present

Banner Core Orthopedic Nurse NavigatorLeads the Independence Expedition for the Banner CORE Orthopedic Service lines, and facilitates patient education and follow through. Serves on process improvement teams, increasing efficiency in operations. Collaborates and/or delegate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes.  Review month to month data for compliance and communicate performance to surgery schedulers.

Demonstrates a pleasant, helpful and caring demeanor to be an effective patient advocate.
Speaks clearly and is easily understood.
Excellent verbal and written communication skills.
Demonstrates solid public speaking abilities.
Effectively problems solves for the orthopedic service line providers.
Collaborate and/or delegate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes.
Prepares and teaches up to four Orthopedic Pre-Surgical classes each week, and provides orthopedic education to all departments.
Assist to expedite care for hip fracture patients.
Lead for ED to OR and Care Reliability maintenance and reporting.
Attends bimonthly perioperative sub-group meetings when indicated.
Coordinate care for non-elective orthopedic patients throughout the facility.
Communicate all patient care concerns with perioperative management.

Banner Estrella Medical Center, Phoenix, AZ.                                  Dec. 2013- Dec. 2017

Registered Nurse, Orthopedics, Oncology, Bariatrics

Renders professional nursing care in accordance with physician’s treatment plans and standards of evidence based practice/care.  In doing so, assesses patient’s condition, plans patient care, administers prescribed drugs, provides treatments, provides appropriate patient education, and evaluates patient’s progress, records pertinent observations and report responses to drugs and treatments.

Good verbal and written communication skills necessary to be clearly and easily understood.
Demonstrates a pleasant, helpful and caring demeanor to be an effective patient advocate.
Uses professional judgment and critical thinking to prepare, prioritize and execute the patient’s plan of care consistent with patient assessment data and physician’s treatment plans.
Incorporates the patient’s physiological, psychological, cultural, developmental and spiritual needs into the plan of care.  Consistently follows patient care and facility guidelines and procedures in performance of one’s duties.
Collaborate and/or delegate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes.
Provide care for adult patients before and after surgical procedures, and attend to those who are being treated with pharmaceuticals to manage their illness.  As a medical-surgical nurse, I am well-versed in a large variety of health conditions. NUR 665 E -Professional Nursing Portfolio Template.

Scottsdale Heritage Court, Scottsdale, AZ.                           July 2013- November 2013

Registered Nurse, Sub-Acute Care

Provided care for post-op orthopedic, renal, cardiac rehab, diabetic, and infectious process patients. Along with many other patients that have simply had a fall or come down with pneumonia and are unable to provide for themselves in a home setting.  We also saw our fair share of comfort-care/hospice patients.  I have developed excellent assessment skills, as well as time management with an ability to work autonomously and part of a team.  Accomplishments include:

Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.
Order, interpret, and evaluate diagnostic tests to identify and assess patient’s condition.
Administer all medications and treatments as prescribed by physician, monitor, record, and report symptoms or changes in patients’ conditions.
Maintain accurate, detailed reports and records.
Direct or supervise less-skilled nursing or healthcare personnel or supervise a particular unit.
Modify patient treatment plans as indicated by patients’ responses and conditions.
Monitor all aspects of patient care, including diet and physical activity.
Conduct specified laboratory tests.
Wound care and Pain management
Receive report from off going nurse, exchange includes new orders review, skin and change of condition alerts, including counting narcotics per shift change.
Do initial total body assessment on each new patient.
Working knowledge of IV pumps, prepares and administers medications, performs IV line care per protocol. Monitors all infusing IV’s for signs and symptoms of infection every 2 hours and report appropriately.

EDUCATION

 

Grand Canyon University,                                          Expected Completion February 2019

MSN in Education

Grand Canyon University                                                                             Graduated 2017 Bachelor of Science in Nursing                                   Dean’s List for Academic Excellence

Registered Nurse, State of Arizona                                                                       June 2013

Estrella Mountain Community College                                         January 2009- May 2013

Associate in Applied Science in Nursing                       Phi Theta Kappa Honors GPA 3.85

Licensed Practical Nurse, State of Arizona                                                           June 2012

HONORS – ASSOCIATIONS

2018 Banner Health Nursing Award Winner
Banner Health Daisy Award Winner and 4 Time Nominee
Member of the Phi Theta Kappa Honor Society

Xxx L. X, BSN, RN

18603 W. Mackenzie Drive

Goodyear, AZ, 85395

(623) 760-6179

email

Professional Work Reference

X D. Young MHA, RN

Business Development Director

Banner CORE Center for Orthopedics

Banner Thunderbird Medical Center

5555 West Thunderbird Road

Phoenix, AZ 85306

602.865.5xxx office

602.501.6xxx mobile

X.Young@x.com

Professional School Reference

X J. Waryck III MSN, RN, OCN, CMSRN

RN Clinical Education Specialist

BDWMC Acute Care Team (ARC)

Banner Del E. Webb Medical Center

14502 W. Meeker Blvd.

Sun City West, AZ 85375

Office: 623.524.4xxx

Mobile: 602.931.8xxx

X.WaryckIII@x.com

Personal Reference

 

X Stott MSN-ED, RN, CCRN

Clinical Education Specialist

Facility Education Team

Banner Del Webb Medical Center

14502 W. Meeker Blvd.

Sun City West, AZ 853xx

Office: 623-524-3xxx

xtt@x.com

Letter of Reference

November 2, 2018

To whom it may concern:

This letter is to support Xxx X in her career and academic journey. Xxx X is the Orthopedic Nurse Navigator for Banner Thunderbird Medical Center. Xxx exemplifies Banner’s mission and values through her commitment to our patients. She is a force to reckon with, customer obsession runs through her veins. No matter what she is doing, whether she is teaching our elective orthopedic patients in our Independence Expedition classes, care planning with the multidisciplinary teams, solving pre and post-operative issues, she is always focused on the patient. Xxx considers this exemplary performance as “just doing her job”. However, I beg to differ. Doing what is expected is a given, but she approaches every responsibility with an extraordinary sense of ownership and brings 120% to her patients, teams and work every day. She consistently goes above and beyond to make sure that our healthcare teams and patients are taken care of. Not only does she round on all of our patients, as her job description entails, but she spends extra time with each and every patient to make sure that they are prepared for the surgery ahead or are feeling confident to leave the facility NUR 665 E -Professional Nursing Portfolio Template. The Medical Surgical staff, providers and leadership relay on Xxx’s clinical expertise as well as her great working relationship with our patients to provide the best possible care. This compassion and commitment also follows her off the unit or out of the facility. I have often found her in the halls escorting or helping patients, families or staff. I have also known her to take calls from our providers after hours to help solve immediate care issues for the next day. She does all this while pursuing her Masters in Nursing Education and maintaining a busy family life with her husband and young son. Therefore, I full heartedly support her in anything she wishes to pursue.

X D. Young MHA, RN

Banner CORE Center for Orthopedics

Business Development Director

Letter of Reference

The Nursing Education Staff,                                                                                             11/8/2018

I have had the pleasure of working with Xxx X at Banner Thunderbird Medical Center for the past 2 years. She has done an excellent job as the Orthopedic Nurse Navigator with expanding her role and responsibilities within the Banner-CORE Center for Orthopedics at Banner Thunderbird Medical Center. Additionally, she has an excellent bedside manner and ensures thorough patient care to optimize patient experience and quality of care received.

In her direct role as a patient educator she holds several preoperative classes for patients undergoing various types of elective total joint procedures. Despite many patient barriers including hearing impairment, dementia and English as a second language, she successfully guides the patients through the surgical process and improves their health literacy. Xxx is committed to working with families and care givers to ensure her patients have a safe and successful rehabilitative environment upon discharge from the hospital.

In our monthly quality meetings, she reports out her programmatic compliance and patient outcomes for continued improvement. She provides suggestions for process improvement and positively receives feedback about work flow opportunities. Xxx’s role as a clinical educator has positively impacted the Banner-CORE program. She is an excellent resource for patient and staff alike. We are fortunate to have Xxx as our programmatic educator and look forward to working with her for years to come. NUR 665 E -Professional Nursing Portfolio Template.

Sincerely,

xxx, PA-C

BCCO Lead PA for BTMC and BDMC

Grand Canyon University

18444 N. 25th Ave

Phoenix, AZ 850xx

623-537-5xxx

Boyer’s Model for Scholarship

In his now famous publication of Scholarship Reconsidered, Boyer (1990) challenged the teaching verses research debates by advocating for the scholarship of discovery, teaching, integration, and application which has become an important model in which university academics and institutions now frame their scholarship. Boyer’s Model of Scholarship critically highlighted that while there are universally expected mandates for scholars in higher education, such as remaining professionally active in their discipline and being credentialed researchers, it is vital to recognize creativity, innovation and diversity in scholarship (Moser, Ream, & Braxton, 2016).  The American Association of Colleges of Nursing defines scholarship in nursing as “those activities that systematically advance the teaching, research, and practice of nursing through rigorous inquiry that (a) is significant to the profession, (b) is creative, (c) can be documented, (d) can be replicated or elaborated, and (e) can be peer-reviewed through various methods” (AACN, 1999).

 

Scholarship of Discovery
The first element refers to the pursuit of inquiry and investigation in search of new knowledge, the vitality of the academic environment is dependent on new research contributions (Wittmann-Price & Godshall, 2009). Although I have not produced my own original research, during my undergraduate studies I did developed an evidence-based practice project proposal for the prevention of Deep Vein Thrombosis.  I feel this proposal has the potential to influence the nursing practice.

Scholarship of Integration
The second element refers to making connections across disciplines and advancing knowledge through synthesis to bring new insights into original research (Wittmann-Price & Godshall, 2009).  One of the biggest aspects is understanding that you have committed to a lifelong process of learning, as nurses are continuous acquiring new skills and growth throughout their careers. I have demonstrated this by not only valuing life-long learning in pursuing a higher education, but also working to build trusting relationship and open communication between the different interdisciplinary teams.

Scholarship of Application
The third element focuses on applying research findings and innovations to social issues of the times in a dynamic process that generates and examines new theory and knowledge to improve current practice (Wittmann-Price & Godshall, 2009).  Throughout my nursing career, I have always strived to engage in community service projects, and just recently I finished teaching a quarterly community education class at the local community center on Falls Prevention and Diabetic Foot Wounds.

Scholarship of Teaching
The final element focuses on the scholarship of teaching, which involves not only transmitting knowledge, but also transforming and extending it to improve the educational process (Wittmann-Price & Godshall, 2009) NUR 665 E -Professional Nursing Portfolio Template.  Throughout my education, I have learned the importance of putting the needs of the learner first and foremost.  I recognize my responsibility for helping students develop as nurses and integrate the values and behaviors expected of those who fulfill that role (NLN, 2018). As a nurse educator, I will strive to promote student learning and their individual desired outcomes by providing encouragement and support in obtaining their goals.
NLN Nurse Educator Competencies
Competency 1:  Facilitate Learning

Just as every person is unique, so too is their learning styles, the one style fits all is not true in this regard. According to the National League for Nursing (2018) nurse educators can facilitate learning by understand “they are responsible for creating an environment in the classroom, laboratory, and clinical settings that facilitates student learning and the achievement of desired cognitive, affective, and psychomotor outcomes. There are numerous ways an educator can make learning easier, including “developing a person teaching style, use different teaching methods, have clinical competence, and having knowledge of the content they are teaching” (Halstead, 2007). During my clinical practicum I will fulfill this competency by understanding and adapting to the various learning styles allowing every student an equal opportunity to comprehend the material being taught. In order to accommodate all these different learning styles, the course must be taught using a variety of mixed techniques. I have demonstrated my passion for teaching and learning by providing an environment of open communication to inspire and motive the students to set and achieve both personal and professional goals.

ORDER A PLAGIARISM-FREE PAPER NOW

It is crucial that an educator understanding that not all people process information in the same manner, and previous experiences may affect a student’s readiness to learn. There are multiple different teaching approaches to presenting education, and as an educator the goal is to be able to reach through to the entire class of adult learners using all levels of various learning styles. The blanket one style fits all approach will not adequately cover all aspects towards the complex nursing concepts. Capturing and holding the attention of a class is an art form within itself, and as an educator a large portion of your student’s successful understanding of the materials is identifying and aligning your curriculum with the styles the students are most comfortable with.

Competency 2:  Facilitate Learner Development and Socialization

The nurse educator is responsible for mentoring and role modeling the expected behaviors, values, and responsibilities of being a nurse to provide a greater understanding of the expectations of a professional nurse (Halstead, 2007). As an educator, understanding that not all people process information in the same manner, and previous experiences may affect their readiness to learn the first competency. There are multiple different teaching approaches to presenting education, and as an educator the goal is to be able to reach through to the entire class of adult learners using all levels of various learning styles. The blanket one style fits all approach will not adequately cover all aspects towards the complex nursing concepts. Understanding and adapting to the various learning styles, allows every student an equal opportunity to comprehend material taught. Mastering this step as a novice educator allows me to “recognize the responsibility for helping students develop as nurses and integrate the values and behaviors expected of those who fulfill that role (NLN, 2018). During my online practicum, I was able to encourage socialization by encouraging the learners to think critically and to reflect on past experiences to provide class enrichment and development.  I was exposed to a diversity of learners with different backgrounds and cultures, allowing me to utilize a variety of learning styles to address the different needs of the learners.

Competency 3:  Use Assessment and Evaluation Strategies

According to the National League for Nursing “nurse educators use a variety of strategies to asses and evaluate student learning in classroom, laboratory and clinical settings, as well as in all domains of learning” (NLN, 2018, para 5). Nurse educators need to utilize evidence base practice to develop assessments and evaluations (Halstead, 2007). As an educator, a large portion of your student’s successful understanding of the materials is identifying and aligning your curriculum with the styles the students are most comfortable with. The same rule applies to using different evaluation methods like student questions, quizzes, instructor observations, and demonstrations in the hopes that using these different techniques, the objectives of the course would be accomplished NUR 665 E -Professional Nursing Portfolio Template. As an instructor, an evaluation method I would use is a randomized sampling of students to check for understanding of the material being taught before moving on from that subject. This will allow me to grasp in real-time whether or not the students are comprehending the material. Another evaluation method would be observing students during interactive labs, which would allow me to not only provide immediate feedback, but also a chance for the student to refine their efforts. Then the student will need to demonstrate competency of his/her skills without instructor assistance based on the rubric check-off list towards his or hers overall performance.

 

Competency 4: Participate in Curriculum Design and Evaluation of Program Outcomes

According to the National League for Nursing (2018) educators are responsible for designing, implementing, evaluating and revising academic and continuing education for nurses. In order for educators to truly be successful in their roles, they need to possess movement within their curriculums, and be able to self- reflect on areas that the curriculum and /or educator may continuously improve on. Also having clear expectations and guidelines will help to determine if the material being taught is truly educating and enlightening the students, or if there is room for improvements. This is why it is so important for educators to be actively involved with the design and evaluation of the course curriculum, thus ensuring students are meeting the course objectives. According to Halstead (2007), an effective educator must know the content of their course, and utilize multiple styles to present lessons, ensuring different learning methods for their students. There are multiple different teaching approaches to presenting education, and as an educator the goal is to be able to understand and adapt to the various learning styles giving every student an equal opportunity to comprehend the material. As my hospitals Orthopedic Nurse Navigator, I am meeting this competency as I am directly involved in the designing and implementation of our total joint curriculum. After I am done teaching a class, I have students complete a post-assessment, allowing me to self-reflect on my teaching abilities and look for area of improvement.

Competency 5: Function as a Change Agent and Leader

Competency V: Function as a Change Agent and Leader states “nurse educators function as change agents and leaders to create a preferred future for nursing education and nursing practice“ (NLN, 2018, para 7). Educators are at the forefront in terms of leadership, especially in the realms of education and research which is constantly shaping their image to the changing ways of medical advances. As educators, we are responsible for designing, implementing, evaluating and revising academic education, and as the profession changes, so does the needs of the nursing curriculum. Throughout my practicum, I have acted as a role model and change agent by demonstrating cultural sensitivity with our diverse patient populations, participating in interdisciplinary quality improvement efforts, and evaluating preceptor courses for areas of improvement.

Competency 6: Pursue Continuous Quality Improvement in the Nurse Educator Role

I am currently meeting this competency by pursuing lifelong learning, participating in professional development opportunities, using feedback from my preceptor and participants in my lectures to improve my teaching. I engage in socialization both at work and my practicum to get to know them staff better, see what their needs are and how I can better support them. Using the socialization helps the work environment because it encourages teamwork, builds relationships and enhances human relations throughout the workforce.

Competency 7: Engage in Scholarship

According to Competency VII: Engage in Scholarship “nurse educators acknowledge that scholarship is an integral component of the faculty role, and that teaching itself is a scholarly activity” (NLN, 2018, para 9). The very heart of this role is education, and to integrate evidence-based research into practice. I am meeting this competency because in my current nursing role as an Orthopedic Nurse Navigator, I teach several classes to pre-surgical patients a week NUR 665 E -Professional Nursing Portfolio Template. I use evaluations and quizzes to measure the effectiveness of my teaching techniques and the ability of understanding the educational material presented.

Competency 8: Function within the Educational Environment

I have meet this competency because during my practicum, I engaged in building an environment that encouraged development by modeling respect, professionalism, and compassion while functioning as an educator. I also helped facilitate the learning process in our diverse learners by first recognizing and respecting their individual differences. Also collaborated on designing diverse sets of learning activities to insure that all staff could attain achieve appropriate learning.

 

References:

American Association of Colleges of Nursing. (1999). Position statement on defining scholarship for the discipline of nursing.  Retrieved from http://www.aacn.nche.edu/publications/positions/scholar.htm

Boyer, E. L. (1990). Scholarship reconsidered: Priorities of the professoriate. New York, NY: Carnegie Foundation for the Advancement of Teaching with Jossey-Bass.

Halstead, J. A. (Ed.). (2007). Nurse educator competencies: Creating an evidence-based practice for nurse educators. New York, NY: National League for Nursing.

Moser, D., Ream, T., & Braxton, J. (2016). Expanded Edition of Scholarship reconsidered: Priorities of the professoriate.  New York, NY: Carnegie Foundation for the Advancement of Teaching with Jossey-Bass.

National League for Nursing (NLN) (2018). Nurse Educator Core Competency. Retrieved from: http://www.nln.org/professional-development-programs/competencies-for-nursing-education/nurse-educator-core-competency

Wittmann-Price, R. A. & Godshall, M. (2009).  Certified nurse educator (CNE) review manual.  New York, NY: Springer Publishing Company, LLC NUR 665 E -Professional Nursing Portfolio Template.

westcoast nurs561 Adolescent Health Risk Seminar Essay Assignment

westcoast nurs561 Adolescent Health Risk Seminar Essay Assignment

Week 7 Adolescent Health Risk Seminar

For this assignment, you will develop and deliver a 10–15 minute seminar/workshop aimed at the teen or young adult audience on a specific health risk associated with the population. you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool.

* If you predominantly work with a specific population and would like to present a relevant health risk seminar to that population, you must seek instructor approval in advance. Email your instructor through the Virtual Office.

ORDER A PLAGIARISM-FREE PAPER NOW

1. Choose a health risk associated with adolescence. Some categories to consider may include:

Suicide

Pregnancy

Substance use and abuse

Motor vehicle crashes

Tobacco use

Sexually transmitted disease

Domestic violence

Mental health issues

Sexual identity issues

Eating disorders

Nutrition and fitness

2. As the health care advocate, you will present the following to the target audience (adolescents or young adults)in 10-15 slides or screens:

An overview of the risk factor

Contributing factors

Prevalence of the health risk (meaningful data)

Explain your role with the issue as a health care practitioner/advocate

Ways to identify a problem and address the issue

Present an activity or project or exercise for the audience to engage in related to the topic

Help and support resources

3. In your research materials, incorporate 3–4 current sources with one containing the most current statistics.

4. Use age-appropriate creativity to ensure the message gets across to the selected audience.

As you plan your seminar, consider:

How will you initiate a conversation (rather than give a lecture)?

How will you keep the attention and respect of this audience?

5. Use APA for citing and referencing your sources.

6. Keep your design and audio appropriate to the audience, yet professional. Your presentation must include both audio and visual components and be professional in nature.

What is a seminar?

See this week’s Resource folder for curriculum and topic ideas.

Review the rubric for further information on how your assignment will be graded.

Submit your final presentation here for grading and post a copy in the discussion board to share with your peers

Due: Sunday, 11:59 p.m. (Pacific time)

westcoast nurs561 Adolescent Health Risk Seminar Essay Assignment

NSG6420 – Unintentional weight loss

NSG6420 – Unintentional weight loss

For this assignment, you will review the case study below and post a discussion for the class answering the noted questions.

You are evaluating a 78 year old white male who comes to your office today with unintentional weight loss of 10lb in the last year, self-reported exhaustion weakness based on grip strength, and slow walking speed, and low physical activity. Notes that he has been feeling worse over the past 6 months and just does not have the strength to do anything anymore. The patient states they are not currently on any medications except a multivitamin.

ORDER A PLAGIARISM-FREE PAPER NOW

He notes that he lives alone and does not want to leave his house. Answer the following questions with supportive rationale:

What questions should you as the patient/family to further assess?

What screening tools would be appropriate in this case?

Do you have concerns with fraility in this patient? If so why?

What referrals should be made if any on this patient?

Payer–patient mix for a health care organization case study

Payer–patient mix for a health care organization case study

Search course materials, including your text and the Internet, to find a spreadsheet program that will assist you in completing this assignment. The spreadsheet and calculations are to be attached at the end of the paper as an appendix after the Reference page.

Case Study: You are assessing the payer–patient mix for a health care organization. Currently, your payer mix is 40% Medicare, 10% Medicaid, 25% traditional indemnity insurance, 20% managed care, and 5% self-pay patients. Complete the following:

  • Using the most common office visit, CPT code 99214, determine the reimbursement from the Centers for Medicare and Medicaid Services (online fee schedule available for Medicare).
  • Using the same CPT code, 99214, determine the reimbursement for Medicaid (fee schedules should be available from the individual state).
  • Using the same CPT code, 99214, create at least 3 other traditional indemnity insurance reimbursements. If possible, use the actual reimbursement from the insurance carrier. It may be possible to obtain actual reimbursement information from your personal insurance carrier. If the information is not available, assume reimbursement by traditional indemnity insurance is usually 200% reimbursed more than Medicare and Medicaid, and managed care is usually 133% more than Medicare and Medicaid.

    ORDER A PLAGIARISM-FREE PAPER NOW

  • Compose an accounts receivable benchmark from this information showing columns for current, 30–60, 61–90, 90–120, and greater than 120 days.

  • Assess the information for areas of improved reimbursement of at least 20% or more.
  • Evaluate the options available to change the payer–patient mix with consideration of related legal and ethical issues.
  • Propose a best strategy with justification and rationale based on effective decision-making tenets.

The body of the resultant paper should be 10–12 pages. Spreadsheets demonstrating the accounts receivable analysis will be attached as appendices, and there will be at least 7 relevant peer-reviewed academic or professional references published within the past 5 years. Also attach appropriate fee schedules.

Search course materials, including your text and the Internet, to find a spreadsheet program that will assist you in completing this assignment. The spreadsheet and calculations are to be attached at the end of the paper as an appendix after the Reference page.

Case Study: You are assessing the payer–patient mix for a health care organization. Currently, your payer mix is 40% Medicare, 10% Medicaid, 25% traditional indemnity insurance, 20% managed care, and 5% self-pay patients. Complete the following:

  • Using the most common office visit, CPT code 99214, determine the reimbursement from the Centers for Medicare and Medicaid Services (online fee schedule available for Medicare).
  • Using the same CPT code, 99214, determine the reimbursement for Medicaid (fee schedules should be available from the individual state).
  • Using the same CPT code, 99214, create at least 3 other traditional indemnity insurance reimbursements. If possible, use the actual reimbursement from the insurance carrier. It may be possible to obtain actual reimbursement information from your personal insurance carrier. If the information is not available, assume reimbursement by traditional indemnity insurance is usually 200% reimbursed more than Medicare and Medicaid, and managed care is usually 133% more than Medicare and Medicaid.
  • Compose an accounts receivable benchmark from this information showing columns for current, 30–60, 61–90, 90–120, and greater than 120 days.
  • Assess the information for areas of improved reimbursement of at least 20% or more.
  • Evaluate the options available to change the payer–patient mix with consideration of related legal and ethical issues.
  • Propose a best strategy with justification and rationale based on effective decision-making tenets.

The body of the resultant paper should be 10–12 pages. Spreadsheets demonstrating the accounts receivable analysis will be attached as appendices, and there will be at least 7 relevant peer-reviewed academic or professional references published within the past 5 years. Also attach appropriate fee schedules.

Payer–patient mix for a health care organization case study

shadow health tina jones mental health assessment Subjective Data

Subjective Data Collection: 44 of 44 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

  • Found:

    Indicates an item that you found.

  • Available:

    Indicates an item that is available to be found.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint


  • Finding:

    Established chief complaint


  • Finding:

    Reports difficulty sleeping and “feeling nervous”

    (Found)

    Pro Tip: Foundational questions to open an interview will help the patient tell you what’s bothering her in her own words.

    Example Question:

    What brings you in today?

  • Finding:

    Reports seeking treatment because she has an upcoming exam and feels “too foggy to study”

    (Found)

    Pro Tip: Foundational questions will help the patient tell you what’s bothering her in her own words. It is important to ask Tina why she sought treatment to get an understanding of any recent changes with her complaint that could have made it more severe or urgent, prompting her to come in.

    Example Question:

    Why did you decide to seek treatment?

  • Finding:

    Reports excessive worry and “racing thoughts” before bed

    (Available)

    Pro Tip: Foundational questions to open an interview will help the patient tell you what’s bothering her in her own words. Tina says that she “feels nervous” before bed, and it is interfering with her sleep. It is important to ask a follow-up question to gain more details about what feeling nervous means to her. shadow health tina jones mental health assessment Subjective Data.

    Example Question:

    How do you feel just before bed?

History of Present Illness


  • Finding:

    Asked about onset and duration of symptoms


  • Finding:

    Reports difficulty sleeping began 3 1/2 weeks ago

    (Found)

    Pro Tip: Determining if the onset of a complaint was gradual or acute is important for diagnosis. In Tina’s case, you will need this information to assess what could be causing her sleep disturbance.

    Example Question:

    How long have you been having trouble sleeping?

  • Finding:

    Reports sleep difficulties have been occurring regularly during past 3 1/2 weeks

    (Found)

    Pro Tip: Knowledge of the duration of a complaint will help you assess if the issue is recent or chronic. In Tina’s case, you will need this information to assess if she is suffering from chronic insomnia or a more acute sleep disturbance.

    Example Question:

    How long have your sleeping difficulties lasted?

  • Finding:

    Asked about frequency of symptoms


  • Finding:

    Reports difficulty sleeping at least four or five times a week

    (Found)

    Pro Tip: A precise question the number of occurrences of the issue in an allotted span of time will give you the most accurate estimation of frequency. In Tina’s case, it is important to know that she is suffering sleep disturbances for the majority of nights in a given week.

    Example Question:

    How many nights a week do you have trouble sleeping?

  • Finding:

    Asked about aggravating factors


  • Finding:

    Reports sleeping becomes more difficult when she can not redirect her thoughts from the things she is worried about

    (Available)

    Pro Tip: An open question about aggravating factors can be used to assess what could be exacerbating the patient’s complaint, as well as her knowledge of those factors. For Tina, it is important to understand what she thinks makes it more difficult for her to fall asleep.

    Example Question:

    What makes it harder to sleep?

  • Finding:

    Denies naps during the day

    (Found)

    Pro Tip: A closed question about factors that are known to aggravate the complaint will help you to eliminate the most salient possibilities. Though one short nap a day is fine, frequent or extended naps could have been making it more difficult for Tina to fall asleep, and could also indicate an inability to stay awake during her activities of daily living.

    Example Question:

    Do you take naps?

  • Finding:

    Reports drinking caffeine to stay alert

    (Available)

    Pro Tip: A closed question about factors that are known to aggravate the complaint will help you to eliminate the most salient possibilities. Though caffeine helps Tina to stay alert, drinking too much caffeine could interfere with her sleep.

    Example Question:

    Do you drink caffeine?

  • Finding:

    Reports stopping caffeine use after 4 P.M.

    (Available)

    Pro Tip: This follow-up question is needed to assess how likely it is that caffeine consumption is interfering with sleep. If Tina were drinking caffeine late in the afternoon or at night, it would very likely be aggravating, or even causing, her sleep disturbance.

    Example Question:

    When do you usually have your last caffeinated drink?

  • Finding:

    Denies alcohol use before bed

    (Available)

    Pro Tip: A closed question about factors that are known to aggravate the complaint will help you to eliminate the most salient possibilities. Alcohol consumption before bed has been shown to interfere with homeostasis, which regulates sleep, and can even lead to insomnia, so it is important to know if Tina is drinking it to fall asleep.

    Example Question:

    Do you drink alcohol before bed?

  • Finding:

    Denies drug use before bed

    (Available)

    Pro Tip: A closed question about factors that are known to aggravate the complaint will help you to eliminate the most salient possibilities. It is important to know if Tina is using drugs to help her fall asleep because they could, in fact, be contributing to her sleep disturbance.

    Example Question:

    Do you use drugs before bed?

  • Finding:

    Reports respiratory problems are controlled and not interfering with sleep

    (Available)

    Pro Tip: A closed question about factors that are known to aggravate the complaint will help you to eliminate the most salient possibilities. Tina has asthma, and it is important to rule out respiratory issues as a contributing factor to, or even because of, her sleep disturbance. Tina also has an albuterol prescription, which, if she were using it before bed, could be aggravating or causing her anxiety.

    Example Question:

    Do you think your sleep problems could be due to breathing issues?

  • Finding:

    Asked about relieving factors


  • Finding:

    Reports sleeping more easily if she can distract herself from her “racing thoughts”

    (Found)

    Pro Tip: An open question about alleviating factors can be used to assess what brings relief to the patient, as well as her knowledge of those factors. For Tina, it is important to understand what she thinks makes it easier for her to fall asleep.

    Example Question:

    What helps you sleep?

  • Finding:

    Reports no exercise

    (Found)

    Pro Tip: A closed question about factors known to alleviate the complaint will help you diagnose and treat the issue. Exercise is known to improve sleep, so it is important to assess Tina’s exercise level.

    Example Question:

    Do you exercise?

  • Finding:

    Asked about impact of sleeping problems on daily living


  • Finding:

    Reports feeling tired and “out of it” most of the time during the day due to lack of sleep

    (Found)

    Pro Tip: An open question about the effects of the complaint on a patient’s daily life will help you to get a general idea of the severity of the issue as well as allow you to understand how the patient is dealing with and affected by it. In Tina’s case, though her focus and energy is hampered by her sleep disturbance, she is able to perform all of her usual activities of daily living, meaning her insomnia is not severe, but it is debilitating.

    Example Question:

    How does your lack of sleep affect your daily life?

  • Finding:

    Reports no increased chance of drifting off during the day despite lack of sleep

    (Found)

    Pro Tip: A closed question about a specific effect on daily life commonly seen with a patient’s complaint can help you to assess severity, diagnose, and treat it. If Tina were falling asleep without intending to, it could indicate a more severe sleep disorder as well as a more debilitating effect on her daily life.

    Example Question:

    Have you been falling asleep when you didn’t mean to?

  • Finding:

    Followed up about patient’s experience feeling “out of it”


  • Finding:

    Reports feeling slowed down and tired, having trouble focusing, and generally feeling “less sharp”

    (Found)

    Pro Tip: When a patient uses phrasing that is unclear or not specific enough, it is important to ask a follow-up to ensure your understanding of the issue. Asking Tina what she means by “out of it” will help you to gain a more detailed idea of her state of mind during the day, and how it is affected by her sleep disturbance.

    Example Question:

    What do you mean when you say you feel out of it?

  • Finding:

    Asked about anxiety symptoms


  • Finding:

    Reports feelings of anxiety as “thoughts she can’t turn off” and “being on edge”

    (Available)

    Pro Tip: If a patient may have anxiety, asking about symptoms will aid diagnosis and determine severity. An open question about how Tina’s anxiety feels will help you to get a general idea of its character.

    Example Question:

    Can you tell me about how your anxiety feels?

  • Finding:

    Reports worry about the future, but no sense of impending doom

    (Available)

    Pro Tip: If a patient may have anxiety, a sense of impending doom could indicate a panic disorder. Asking Tina about this will help you to come to a diagnosis and to determine severity.

    Example Question:

    Do you ever have a sense of impending doom?

  • Finding:

    Reports no panic attacks

    (Found)

    Pro Tip: If a patient may have anxiety, it is important to determine if she is having panic attacks. Asking Tina about this will help you to come to a diagnosis and to determine severity, especially if she is experiencing panic before bed.

    Example Question:

    Have you been having panic attacks?

  • Finding:

    Reports difficulty concentrating due to fatigue from lack of sleep

    (Available)

    Pro Tip: Difficulty concentrating is an important indicator of generalized or situational anxiety. Asking Tina about this will help you to come to a diagnosis and to determine severity.

    Example Question:

    Have you been having trouble concentrating?

  • Finding:

    Reports only restlessness occurs just before bed

    (Available)

    Pro Tip: Restlessness is an important indicator of generalized or situational anxiety. Asking Tina about this will help you to come to a diagnosis and to determine severity.

    Example Question:

    Do you feel restless?

  • Finding:

    Reports slight irritability due to fatigue

    (Available)

    Pro Tip: Irritability is an important indicator of generalized or situational anxiety. Asking Tina about this will help you to come to a diagnosis and to determine severity.

    Example Question:

    Do you feel irritable?

  • Finding:

    Asked about impact of anxiety on daily living


  • Finding:

    Reports stress only interferes with daily life because it interrupts her sleep

    (Found)

    Pro Tip: The effects of any complaint on a patient’s daily life are important. Asking Tina about the effects of her anxiety on her daily life will help you to come to a diagnosis and to determine severity.

    Example Question:

    How does your anxiety interfere with your daily life?

  • Finding:

    Reports stress does not prevent her from completing her usual activities

    (Found)

    Pro Tip: The effects of any complaint on a patient’s daily life are important. Asking Tina about the effects of her anxiety on her daily life will help you to come to a diagnosis and to determine severity.

    Example Question:

    Does your anxiety prevent you from completing your usual activities?

  • Finding:

    Asked about sleep quality


  • Finding:

    Reports falling asleep often takes more than an hour

    (Available)

    Pro Tip: Sleep disorders may manifest in different ways, including difficulty falling asleep. In Tina’s case, it is important to know that falling asleep takes more than an hour, while normal sleep latency is only 15-20 minutes.

    Example Question:

    How long does it take you to fall asleep?

  • Finding:

    Reports waking up two or three times during the night for “at least ten minutes”

    (Available)

    Pro Tip: Sleep disorders may manifest in different ways, including frequent awakenings. In Tina’s case, it is important to know how often she is waking often during the night, as well as how long it takes her to fall back asleep. shadow health tina jones mental health assessment Subjective Data.

    Example Question:

    How often do you wake during the night?

  • Finding:

    Reports waking in the morning feeling “out of it” and not rested

    (Available)

    Pro Tip: In assessing the severity of a sleep disorder, it is important to determine how rested a patient feels when she wakes up in the morning. Tina is waking up feeling tired and “out of it,” meaning her sleep disturbance is having a noticeable effect on her quality of sleep.

    Example Question:

    How do you feel when you wake up in the morning?

  • Finding:

    Asked about sleep habits


  • Finding:

    Reports going to bed “around midnight,” but feeling “too nervous” to sleep

    (Found)

    Pro Tip: A specific question about a patient’s bed time will elicit the information you need about when they try to fall asleep. In Tina’s case, it is important to know that she is getting into bed long before she falls asleep.

    Example Question:

    When do you go to bed?

  • Finding:

    Reports actually falling asleep at 2 or 3 AM

    (Available)

    Pro Tip: A specific question about when a patient falls asleep will determine sleep latency as well as how much sleep the patient is actually getting. In Tina’s case, it is important to know that she often falls asleep long after she gets into bed.

    Example Question:

    When do you fall asleep?

  • Finding:

    Reports reading before bed

    (Found)

    Pro Tip: A specific question about what a patient does before bed will help you to assess whether something she is doing could be contributing to the sleep disturbance. In Tina’s case, it is important to know that she reads before bed rather than immediately trying to fall asleep.

    Example Question:

    What do you usually do before bed?

  • Finding:

    Reports no screen use (television or computer) before bed

    (Available)

    Pro Tip: The use of electronics before bed has been shown to stimulate brain activity, which can disturb sleep, and the artificial light from most screens may also affect melatonin levels, which regulate sleep cycles. It is important to know that Tina does not watch television or use a computer before bed to eliminate screen use as a possible contributing factor to her sleep disorder.

    Example Question:

    Do you watch television or use the computer before bed?

  • Finding:

    Reports average wake time of 8 AM

    (Available)

    Pro Tip: A specific question about when a patient wakes up can determine if their sleep disturbance is causing early awakening. It is important to know that Tina is waking up at 8 AM, and that it is due to her schedule, not a result of sleep disturbance.

    ORDER A PLAGIARISM-FREE PAPER NOW

    Example Question:

    When do you usually wake up?

  • Finding:

    Reports sleeping an average of 4 or 5 hours a night

    (Available)

    Pro Tip: Asking for the average number of hours of sleep a patient gets in one night will elicit the specific information you need to assess the severity of her sleep disorder. In Tina’s case, she is getting less sleep per night than is considered healthy.

    Example Question:

    How many hours of sleep do you get a night?

  • Finding:

    Reports sleeping alone in a quiet room

    (Available)

    Pro Tip: A patient’s sleep environment can interfere with sleep. It is important to know that Tina has a quiet bedroom to herself to rule out anything from her environment that could be interrupting her sleep with or without her knowledge.

    Example Question:

    Can you describe where you sleep?

  • Finding:

    Asked about stress quality


  • Finding:

    Reports feeling nervous and worrying about the future, with racing thoughts

    (Found)

    Pro Tip: Stress can mean different things to different patients, so understanding how a patient experiences stress is essential. In Tina’s case, gathering details about her stress can help you to understand if it is situational or chronic, and how it could be aggravating or causing her sleep disturbance.

    Example Question:

    How do you feel when you are stressed?

Medical History


  • Finding:

    Confirmed use of medications


  • Finding:

    Confirms medications (no new medications reported)

    (Found)

    Pro Tip: Even if you have seen a patient before, it is important to ask about medications in case they have changed since the last visit. In Tina’s case, a new medication she is taking could be causing or aggravating her sleep disturbance.

    Example Question:

    Are you taking any new medications?

  • Finding:

    Followed up about sleep medication use


  • Finding:

    Denies taking OTC sleep medications

    (Found)

    Pro Tip: Even if you have seen a patient before, it is important to ask about medications in case they have changed since the last visit, especially if they are taking anything to treat their chief complaint. In Tina’s case, asking about over the counter sleep medications is important in understanding possible alleviating factors as well as if an over the counter sleep medication could be contributing to her drowsiness during the day.

    Example Question:

    Have you been taking over the counter medications to help you sleep?

  • Finding:

    Denies taking prescription sleep medications

    (Found)

    Pro Tip: Even if you have seen a patient before, it is important to ask about medications in case they have changed since the last visit, especially if they are taking anything to treat their chief complaint. If Tina were taking prescription sleep medication, it could indicate that she has seen someone else about her sleep disturbance or that she has been treated for this problem in the past.

    Example Question:

    Have you been taking prescribed medication to help you sleep?

  • Finding:

    Confirmed allergies


  • Finding:

    Confirms allergies (no new allergies reported)

    (Found)

    Pro Tip: It’s best practice to ask a patient about her allergies each visit, even with an established patient, to uncover any new allergy triggers or symptoms.

    Example Question:

    Have you had any new allergies?

  • Finding:

    Asked about history of sleep problems


  • Finding:

    Reports usually falls asleep very easily and “sleeps like a log”

    (Found)

    Pro Tip: Assessing the history of a patient’s present illness is essential to diagnosis and treatment of the complaint. Knowing that until recently Tina hadn’t had similar sleep issues will help you narrow down possible causes.

    Example Question:

    Do you have a history of sleep problems?

  • Finding:

    Reports only past sleep problems occurred for a few months after her father died, but they resolved on their own

    (Found)

    Pro Tip: Assessing the history of a patient’s present illness is essential to diagnosis and treatment of the complaint. Knowing that Tina had similar sleep problems during a difficult time in her life, and that the problem resolved itself, is integral to diagnosis and treatment.

    Example Question:

    Have you had difficulty falling asleep before?

Psychological History


  • Finding:

    Asked about history of psychiatric illness


  • Finding:

    Denies history of depression

    (Found)

    Pro Tip: Differentiating between depression and anxiety can sometimes be difficult, and often a patient will have both. Depression is also often a contributing factor in sleep disturbance, and sleep disturbance can also often contribute to depression. If Tina had a history of depression, it could be contributing to her sleep issues.

    Example Question:

    Have you ever had depression?

  • Finding:

    Denies history of anxiety

    (Found)

    Pro Tip: Anxiety is a common cause of sleep disturbance, and lack of sleep can also contribute to anxiety issues. If Tina had a history of anxiety, it could be causing or aggravating her current sleep disturbance.

    Example Question:

    Do you have a history of anxiety?

  • Finding:

    Denies current psychiatric illness

    (Available)

    Pro Tip: When performing a mental health assessment, it is essential to do a complete mental status exam. However, asking a patient about possible current psychiatric illness in order to understand her mental health status is also important. In Tina’s case, you should ask her generally about her mental health, and you should also ask about specific psychiatric disorders to rule them out. shadow health tina jones mental health assessment Subjective Data.

    Example Question:

    Do you have a psychiatric illness?

  • Finding:

    Denies history of psychiatric illness

    (Available)

    Pro Tip: As with any patient interview, it is important to ask about any relevant medical history. Tina is here for her mental health, so asking about her history of psychiatric illness is essential.

    Example Question:

    Do you have a history of psychiatric illness?

  • Finding:

    Denies bipolar disorder

    (Available)

    Pro Tip: When performing a mental health assessment, it is essential to do a complete mental status exam. However, asking a patient about possible current psychiatric illness in order to understand her mental health status is also important. In Tina’s case, you should ask her generally about her mental health, and you should also ask about bipolar disorder to rule it out.

    Example Question:

    Do you have bipolar disorder?

  • Finding:

    Denies schizophrenia

    (Available)

    Pro Tip: When performing a mental health assessment, it is essential to do a complete mental status exam. However, asking a patient about possible current psychiatric illness in order to understand her mental health status is also important. In Tina’s case, you should ask her generally about her mental health, and you should also ask about schizophrenia to rule it out.

    Example Question:

    Do you have schizophrenia?

  • Finding:

    Denies obsessive compulsive disorder

    (Available)

    Pro Tip: When performing a mental health assessment, it is essential to do a complete mental status exam. However, asking a patient about possible current psychiatric illness in order to understand her mental health status is also important. In Tina’s case, you should ask her generally about her mental health, and you should also ask about obsessive compulsive disorder to rule it out.

    Example Question:

    Do you have obsessive compulsive disorder?

  • Finding:

    Denies past psychiatric treatment

    (Available)

    Pro Tip: Even if a patient has not been diagnosed with a psychiatric illness, she could have seen a counselor, therapist, psychologist, or psychiatrist in the past. Asking Tina about past treatment could give you important context for diagnosis.

    Example Question:

    Do you have a history of psychiatric illness?

  • Finding:

    Denies past psychotropic medications

    (Available)

    Pro Tip: Knowledge of past medications is integral to the history of the present illness. Tina is here for a mental health assessment, so it is important to ask her about any past medications for psychiatric illness.

    Example Question:

    Have you ever taken psychotropic medication?

  • Finding:

    Asked about symptoms to determine depression risk


  • Finding:

    Reports belief she does not have depression symptoms

    (Available)

    Pro Tip: While a patient with depression does not always know she has it, it is important to ask. If Tina had depression, it could be contributing to her sleep disturbance, or her sleep disturbance could be causing or aggravating or depression.

    Example Question:

    Do you have symptoms of depression?

  • Finding:

    Reports no difficulty making decisions

    (Found)

    Pro Tip: Difficulty making decisions is an important indicator of depression. Asking Tina about this will help you to come to a differential diagnosis and determine severity.

    Example Question:

    Do you have difficulty making decisions?

  • Finding:

    Reports slightly decreased energy due to lack of sleep

    (Available)

    Pro Tip: An uncharacteristic lack of energy is an important indicator of depression. Asking Tina about this will help you to come to a differential diagnosis and determine severity.

    Example Question:

    Have you had less energy than usual?

  • Finding:

    Denies feelings of guilt or worthlessness

    (Available)

    Pro Tip: Feelings of guilt or worthlessness are important indicators of depression. Asking Tina about this will help you to come to a differential diagnosis and determine severity.

    Example Question:

    Have you been feeling guilty for no reason?

  • Finding:

    Denies feelings of hopelessness

    (Found)

    Pro Tip: Feelings of hopelessness are important indicators of depression. Asking Tina about this will help you to come to a differential diagnosis and determine severity.

    Example Question:

    Have you been feeling hopeless?

  • Finding:

    Denies loss of enjoyment in activities usually found enjoyable

    (Available)

    Pro Tip: A loss of enjoyment in activities usually found enjoyable is an important indicator of depression. Asking Tina about this will help you to come to a differential diagnosis and determine severity.

    Example Question:

    Have you had trouble enjoying your usual activities?

  • Finding:

    Reports slightly less appetite because she feels “a little queasy” from lack of sleep

    (Available)

    Pro Tip: An unusual increase or decrease in appetite is an important indicator of depression. Asking Tina about this will help you come to a differential diagnosis and determine severity.

    Example Question:

    Have you had a change in appetite?

  • Finding:

    Denies feelings of sadness

    (Available)

    Pro Tip: Feeling sad is an important indicator of depression. Asking Tina about this will help you to come to a differential diagnosis and determine severity.

    Example Question:

    Have you been feeling sad?

  • Finding:

    Asked about suicidal tendencies


  • Finding:

    Denies suicidal thoughts

    (Found)

    Pro Tip: When assessing mental health risk factors, it is important to rule out your patient as a suicide risk. Tina would be considered a suicide risk if she had been thinking about or planning to commit suicide.

    Example Question:

    Have you ever had suicidal thoughts?

  • Finding:

    Denies suicidal behaviors

    (Available)

    Pro Tip: When assessing mental health risk factors, it is important to rule out your patient as a suicide risk. Tina would be considered a suicide risk if she had ever engaged in suicidal behavior.

    Example Question:

    Have you ever done something that could end your life?

  • Finding:

    Denies past suicide attempts

    (Available)

    Pro Tip: When assessing mental health risk factors, it is important to rule out your patient as a suicide risk. Tina would be considered a suicide risk if she had attempted suicide recently or in the past.

    Example Question:

    Have you attempted suicide in the past?

  • Finding:

    Asked about self-harm


  • Finding:

    Denies history of self-harm

    (Found)

    Pro Tip: Self-harm is an indicator of psychiatric disorders as well as a potential risk for suicide. Knowing if Tina has engaged in self-harm is important to assessing her mental health and her safety.

    Example Question:

    Have you ever intentionally hurt yourself?

  • Finding:

    Asked about past trauma


  • Finding:

    Denies past trauma

    (Found)

    Pro Tip: Recurring traumatic memories could indicate post-traumatic stress disorder, a significant aspect of a patient’s mental health and well-being. If Tina had traumatic memories, it would be important to assess PTSD as a risk factor.

    Example Question:

    Have you ever had repeated, disturbing memories of a stressful experience from the past?

  • Finding:

    Asked about history of violent thoughts


  • Finding:

    Denies angry outbursts

    (Available)

    Pro Tip: Difficulty controlling anger is an indicator of psychiatric illness as well as a potential risk to others. Asking Tina about anger is important in assessing her mental health and safety.

    Example Question:

    Have you ever had angry outbursts?

  • Finding:

    Denies past violent behavior

    (Found)

    Pro Tip: Violence is an indicator of psychiatric illness as well as a potential risk to others. Asking Tina about violence is important in assessing her mental health and safety.

    Example Question:

    Have you ever behaved violently?

  • Finding:

    Denies desire to harm others

    (Available)

    Pro Tip: Homicidal ideation or a desire to harm others is an indicator of psychiatric illness as well as a potential risk to others. Asking Tina about any potential desire to harm other people is important in assessing her mental health and safety.

    Example Question:

    Have you ever wanted to hurt someone else?

Social History – Education and Work


  • Finding:

    Asked about employment status


  • Finding:

    Currently employed

    (Found)

    Pro Tip: It is important to know whether or not a patient is employed when assessing her mental status. In Tina’s case, a change in her employment status could be a result of her mental health, or could be affecting it. The fact that she is employed lets you know she is financially secure, but it could also mean work is a source of her stress.

    Example Question:

    Are you employed?

  • Finding:

    Works for a shipping company

    (Found)

    Pro Tip: A patient’s employment can be an indicator of financial stability, education level, personal interests, and level of responsibility. In Tina’s case, a different workplace could signal instability in her life, which could be a source of her stress. The fact that she is still employed by the same company indicates stability in this area of her life.

    Example Question:

    Where do you work?

  • Finding:

    Works 32 hours a week

    (Available)

    Pro Tip: A patient’s work schedule is an indicator of her financial situation, as well as how demanding her employment may be on her time. In Tina’s case, her work schedule could be contributing to her stress levels.

    Example Question:

    How many hours a week do you work?

  • Finding:

    Reports rarely missing work

    (Available)

    Pro Tip: Mental health issues can cause a patient to miss work; anxiety and depression, for instance, can make a patient less able to perform her daily responsibilities. If Tina were missing work lately, it could be an important indicator of a change in her mental health status.

    Example Question:

    How often do you miss work?

  • Finding:

    Asked about education and learning ability


  • Finding:

    About to receive B.A. in Accounting

    (Found)

    Pro Tip: A patient’s educational history can be an important indicator of economic and mental status, as well as her personal history and interests and any past developmental issues she may have had. In Tina’s case, she is about to achieve an educational milestone, which is a partial source of her stress, so it is especially important to ask her about it.

    Example Question:

    What is your highest education level?

  • Finding:

    Denies past special education courses

    (Available)

    Pro Tip: A patient’s past developmental issues can be important indicators of mental status. Asking Tina about past specialized education is an important part of understanding her development. shadow health tina jones mental health assessment Subjective Data.

    Example Question:

    Did you ever take special education classes?

  • Finding:

    Denies learning disabilities

    (Available)

    Pro Tip: A patient’s past learning issues can be important indicators of mental status. Asking Tina about learning differences is an important part of understanding her development.

    Example Question:

    Do you have any learning differences?

  • Finding:

    Denies speech problems

    (Available)

    Pro Tip: A patient’s speech development can be an important indicator of mental status. Asking Tina about speech difficulties is an important part of understanding her development.

    Example Question:

    Do you have difficulties with speech?

  • Finding:

    Denies hearing problems

    (Available)

    Pro Tip: A patient’s hearing ability can be an important indicator of her mental status. Asking Tina about her hearing is an important part of understanding her development.

    Example Question:

    Do you have hearing difficulties?

  • Finding:

    Asked about hobbies


  • Finding:

    Hobbies are reading and watching television

    (Found)

    Pro Tip: A patient’s hobbies can help you to get to know her personality and interests better. Any recent change in hobbies, or a loss of interest in them, could indicate a change in mental health. Asking Tina about hobbies is also important in assessing her stress levels and the demands of her current schedule.

    Example Question:

    What do you do for fun?

  • Finding:

    Asked about legal history


  • Finding:

    Denies past legal issues

    (Found)

    Pro Tip: Recent or past legal issues are considered a significant indicator of mental status. If Tina had had any recent legal issues, it could indicate an important change in her mental health.

    Example Question:

    Have you ever had a legal problem?

  • Finding:

    Asked about military service


  • Finding:

    Denies military service

    (Found)

    Pro Tip: The demands and experiences of military service can have a profound effect on a patient’s mental health. If Tina had a history of military service, it would be an important part of understanding her feelings of stress and anxiety, and would indicate a need to explore the possibility of PTSD and other trauma.

    Example Question:

    Have you served in the military?

Social History – Housing and Support Network


  • Finding:

    Asked about living situation


  • Finding:

    Lives in a house

    (Found)

    Pro Tip: A patient’s housing is an indicator of finances and comfort. If Tina had recently undergone a change in housing, it could be contributing to her stress.

    Example Question:

    Can you tell me about your housing?

  • Finding:

    Lives at home with mother and sister

    (Found)

    Pro Tip: A patient who lives with friends or family has a definite support system, so it is important to ask her about her living situation. If Tina had recently stopped living with her mother and sister, or if living with family were causing problems, this could be contributing to her stress.

    Example Question:

    Do you live with anyone?

  • Finding:

    Asked about family dynamics


  • Finding:

    Has a brother and a sister

    (Available)

    Pro Tip: A patient’s siblings can form part or all of her support network, and her relationship with them can indicate mental health status and/or childhood experiences, so asking about them is important. Tina lives with her sister and sees her brother often, which means they could be a source of support or stress for her.

    Example Question:

    Do you have siblings?

  • Finding:

    Father died in a car accident almost two years ago

    (Available)

    Pro Tip: A patient’s parents can form part or all of her support network, and her relationship with them can indicate mental health status and/or child experiences, so asking about them is important. Tina lost her father almost two years ago, so assessing her feelings about that loss is important to assessing her mental health. Tina also lives with her mother, so their relationship could be an important source of support or stress.

    Example Question:

    Can you tell me about your parents?

  • Finding:

    Reports family is “tight knit” and gets along well

    (Found)

    Pro Tip: How a patient gets along with family is an important indicator of the existence of a support network, childhood experiences, and/or mental health. Tina sees her family as her responsibility, but also as a source of support, so it is important to ask her about them in order to assess if they could be contributing to her stress.

    Example Question:

    Does your family get along well?

  • Finding:

    Asked about support network


  • Finding:

    Reports close group of friends from middle and high school as well as from church

    (Found)

    Pro Tip: It is important to ask a patient about her support network, including her friends. Asking Tina about her relationships with her friends is also important in assessing her stress levels and the demands of her current schedule.

    Example Question:

    Who are your friends?

  • Finding:

    Spends time with friends “a few times a month,” though less so with her recent schedule

    (Available)

    Pro Tip: It is important to ask a patient about her support network, including her friends. Asking Tina about her relationships with her friends is also important in assessing her stress levels and the demands of her current schedule.

    Example Question:

    How often do you spend time with friends?

  • Finding:

    Asked about spirituality


  • Finding:

    Identifies as Baptist

    (Found)

    Pro Tip: Spirituality can be a significant factor in a patient’s mental status and coping strategies. Tina is a lifelong Baptist and regularly attends church, so it is important to ask her about her spirituality in order to assess her mental health.

    Example Question:

    What are your religious beliefs?

  • Finding:

    Reports attending Baptist church regularly since childhood

    (Found)

    Pro Tip: Spirituality can be a significant factor in a patient’s mental status and coping strategies. Tina is a lifelong Baptist and regularly attends church, so it is important to ask her about her spirituality in order to assess her mental health.

    Example Question:

    Do you attend church regularly?

Social History – Substance Use


  • Finding:

    Asked about substance use


  • Finding:

    Reports past marijuana use

    (Found)

    Pro Tip: Substance abuse can be an indicator of, or a contributing factor to, psychiatric illness. Assessing Tina’s history of drug use is important to understanding her risk factors.

    Example Question:

    Have you ever used drugs?

  • Finding:

    Denies current substance use

    (Found)

    Pro Tip: Substance abuse can be an indicator of, or a contributing factor to, psychiatric illness. Assessing Tina’s current drug use is important to understanding her risk factors.

    Example Question:

    Do you currently use drugs?

  • Finding:

    Followed up on past marijuana use


  • Finding:

    Reports smoking marijuana for “five or six years”

    (Available)

    Pro Tip: How long a patient used drugs can help you to assess any possibilities of addiction or relapse, as well as any potential negative effects on her physical or mental health. Asking Tina how long she smoked marijuana could help you to understand how her past drug use fits into her psychiatric history.

    ORDER A PLAGIARISM-FREE PAPER NOW

    Example Question:

    How long did you smoke marijuana?

  • Finding:

    Reports last smoked marijuana when she was “20 or 21” years old

    (Found)

    Pro Tip: Any past substance use can be considered a risk factor, but if a patient had recently stopped using drugs it could indicate a potential for relapse or that drug use could still be affecting her mental health. Asking Tina how long ago she stopped smoking marijuana could help you to understand how her past drug use fits into her psychiatric history.

    Example Question:

    When did you stop smoking marijuana?

  • Finding:

    Reports quitting marijuana because it “just wasn’t fun anymore” and was bad for her asthma

    (Available)

    Pro Tip: A patient may have stopped using substances due to adverse effects on her mental and physical wellbeing. Asking Tina why she stopped smoking marijuana could help you to understand how her substance use affected her mentally and physically.

    Example Question:

    Why did you stop smoking marijuana?

  • Finding:

    Reports marijuana use was for recreation, not to treat or mitigate specific symptoms

    (Available)

    Pro Tip: A patient may use substances as a form of self-medication for psychiatric illness. Asking Tina why she smoked marijuana could help you to understand how her past drug use fits into her psychiatric history.

    Example Question:

    Why did you smoke marijuana?

  • Finding:

    Asked about alcohol use


  • Finding:

    Confirms alcohol use

    (Found)

    Pro Tip: Alcohol abuse can be an indicator of, or a contributing factor to, psychiatric illness. Tina’s alcohol use could be a risk factor, so it is important to assess her alcohol consumption in order to rule out addiction or dependency.

    Example Question:

    Do you drink alcohol?

  • Finding:

    Reports going out “a couple times a month”

    (Found)

    Pro Tip: Alcohol abuse can be an indicator of, or a contributing factor to, psychiatric illness. Tina drinks alcohol, so it is important to ask her follow-up questions in order to rule out dependency and addiction when assessing her mental health. Knowing how often she drinks alcohol will help you to asses if her use of it is a risk factor.

    Example Question:

    How often do you drink alcohol?

  • Finding:

    Reports having “a few drinks” when she goes out

    (Found)

    Pro Tip: Alcohol abuse can be an indicator of, or a contributing factor to, psychiatric illness. Tina drinks alcohol, so it is important to ask her follow-up questions in order to rule out dependency and addiction when assessing her mental health. Knowing how much alcohol she drinks will help you to asses if her use of it is a risk factor.

    Example Question:

    How much alcohol do you drink?

  • Finding:

    Reports 10-12 alcoholic drinks per month

    (Found)

    Pro Tip: Alcohol abuse can be an indicator of, or a contributing factor to, psychiatric illness. Tina drinks alcohol, so it is important to ask her follow-up questions in order to rule out dependency and addiction when assessing her mental health. It is essential, when checking for risk of alcohol dependency, to ask specific questions in order to discern exactly how many drinks she has per month. shadow health tina jones mental health assessment Subjective Data.

    Example Question:

    How many drinks do you have per month?

  • Finding:

    Reports drinking to “relax and blow off steam”

    (Available)

    Pro Tip: Alcohol abuse can be an indicator of, or a contributing factor to, psychiatric illness. Asking Tina why she drinks alcohol can help you to rule out self-medication and/or dependency.

    Example Question:

    Why do you drink alcohol?

  • Finding:

    Denies that anyone has asked her to stop drinking

    (Available)

    Pro Tip: Alcohol abuse can be an indicator of, or a contributing factor to, psychiatric illness. If people close to Tina had asked her to stop drinking, it would be an important indicator of possible alcohol dependency.

    Example Question:

    Has anyone asked you to stop drinking?

  • Finding:

    Denies guilt associated with drinking

    (Available)

    Pro Tip: Alcohol abuse can be an indicator of, or a contributing factor to, psychiatric illness. If Tina felt guilty after drinking, it could indicate she was drinking too much, and/or engaging in risky or uncharacteristic behavior when under the influence, which would be an important indicator of possible alcohol dependency.

    Example Question:

    Do you ever feel guilty after drinking?

  • Finding:

    Asked about drinking and driving


  • Finding:

    Reports that she and her friends “usually take a cab”

    (Found)

    Pro Tip: Driving under the influence is dangerous, and it can indicate alcohol dependency. If Tina were driving drunk, or riding in cars with a drunk driver, it would indicate alcohol dependency as a risk factor.

    Example Question:

    How do you get home when you have been drinking?

  • Finding:

    Asked about tobacco use


  • Finding:

    Denies history of tobacco use

    (Found)

    Pro Tip: Tobacco can affect mental health, so it is important to ask a patient about her tobacco use. Asking Tina about tobacco is recommended because it can contribute to stress and feelings of anxiety.

    Example Question:

    Have you ever used tobacco?

  • Finding:

    Denies current tobacco use

    (Found)

    Pro Tip: Tobacco can affect mental health, so it is important to ask a patient about her tobacco use. Asking Tina about tobacco use is recommended because tobacco can contribute to stress and feelings of anxiety.

    Example Question:

    Do you use tobacco?

  • Finding:

    Asked about prescription drug abuse


  • Finding:

    Denies prescription drug abuse

    (Found)

    Pro Tip: Abuse of prescription drugs can be an indicator of, or a contributing factor to, psychiatric illness. If Tina were abusing prescription drugs it would be a definite risk factor for her mental health.

    Example Question:

    Have you taken drugs not prescribed to you?

Social History – Relationship and Sexual History


  • Finding:

    Asked about relationship status


  • Finding:

    Currently single

    (Found)

    Pro Tip: Romantic and sexual relationships are an important part of a patient’s support system, but they can also be a source or indicator of stress. If Tina were in a relationship, it would be important to follow-up for more details on the nature and quality of that relationship.

    Example Question:

    Are you in a relationship?

  • Finding:

    Asked about relationship history


  • Finding:

    Reports past relationships

    (Found)

    Pro Tip: Understanding a patient’s relationship history is integral to assessing her mental health. In Tina’s case, a change in her relationship status could be a source of her current stress.

    Example Question:

    Have you been in a relationship in the past?

  • Finding:

    Last relationship ended three years ago

    (Found)

    Pro Tip: Understanding a patient’s relationship history is integral to assessing her mental health. In Tina’s case, a change in her relationship status could be a source of her current stress.

    Example Question:

    When was your last relationship?

  • Finding:

    Most recent relationship lasted three years

    (Available)

    Pro Tip: Understanding a patient’s relationship history is integral to assessing her mental health. In Tina’s case, a change in her relationship status could be a source of her current stress.

    Example Question:

    How long was your last relationship?

  • Finding:

    Reports she has never been married

    (Available)

    Pro Tip: Understanding a patient’s marital history is integral to assessing her mental health. If Tina had been married, it could be a current source of her stress.

    Example Question:

    Have you ever been married?

  • Finding:

    Asked about sexual history


  • Finding:

    Reports past sexual relationships

    (Available)

    Pro Tip: Understanding a patient’s sexual history and experiences is integral to assessing her mental health. If Tina had anxiety about her sexual history, it could indicate past trauma, or if Tina had a recent change in her sexual pattern it could indicate a change in her mental status.

    Example Question:

    Have you had sex in the past?

  • Finding:

    Reports three previous sexual partners

    (Available)

    Pro Tip: Understanding a patient’s sexual history and experiences is integral to assessing her mental health. If Tina had anxiety about her sexual history, it could indicate past trauma, or if Tina had a recent change in her sexual pattern it could indicate a change in her mental status.

    Example Question:

    How many sexual partners have you had?

  • Finding:

    Reports last sexual encounter was with boyfriend three years ago

    (Available)

    Pro Tip: Understanding a patient’s sexual history and experiences is integral to assessing her mental health. If Tina had anxiety about her sexual history, it could indicate past trauma, or if Tina had a recent change in her sexual pattern it could indicate a change in her mental status.

    Example Question:

    When did you last have sex?

  • Finding:

    Asked about abuse history


  • Finding:

    Denies history of abuse

    (Found)

    Pro Tip: A history of abuse can have an enormous effect on a patient’s mental health. If Tina had suffered abuse, it could mean her feelings of stress and anxiety were related to that past trauma.

    Example Question:

    Do you have a history of abuse?

  • Finding:

    Denies past physical abuse

    (Found)

    Pro Tip: Physical abuse can have an enormous effect on a patient’s mental health. If Tina had suffered abuse, it could mean her feelings of stress and anxiety were related to that past trauma.

    Example Question:

    Have you ever been physically abused?

  • Finding:

    Denies past verbal abuse

    (Found)

    Pro Tip: Verbal abuse can have an enormous effect on a patient’s mental health. If Tina had suffered abuse, it could mean her feelings of stress and anxiety were related to that past trauma.

    Example Question:

    Have you ever been verbally abused?

Social Determinants of Health


  • Finding:

    Asked about stress causes


  • Finding:

    Reports feeling stressed about studying and the future

    (Found)

    Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

    Example Question:

    What seems to be causing your stress?

  • Finding:

    Reports CPA professional qualifying exam in one month

    (Found)

    Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

    Example Question:

    What test are you trying to study for?

  • Finding:

    Reports upcoming graduation from college and need to secure employment

    (Found)

    Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

    Example Question:

    What about the future is causing you stress?

  • Finding:

    Asked about stress coping


  • Finding:

    Reports coping with stress by going to church

    (Found)

    Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

    Example Question:

    How do you cope with stress?

  • Finding:

    Reports coping with stress by staying organized

    (Found)

    Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

    Example Question:

    How do you manage stress?

  • Finding:

    Reports coping with stress by talking to friends and family

    (Found)

    Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

    Example Question:

    Who do you talk to about stress?

  • Finding:

    Reports usual stress coping strategies are less effective

    (Found)

    Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

    Example Question:

    Do your coping strategies help your stress?

Family History


  • Finding:

    Asked about relevant family history


  • Finding:

    Denies psychiatric illness in the family

    (Found)

    Pro Tip: Many psychiatric illnesses are hereditary, so knowing the patient’s family psychiatric history is essential to assessing her mental health. In Tina’s case, a family history of anxiety or depression could be significant in reaching a diagnosis.

    Example Question:

    Has anyone in your family had a psychiatric illness?

  • Finding:

    Reports uncle has a “problem with alcohol”

    (Available)

    Pro Tip: Substance abuse and addiction often runs in families, so knowing the patient’s family history of substance abuse is essential to assessing her mental health. In Tina’s case, a significant family history of addiction could be considered a risk factor.

    Example Question:

    Do you have a family history of alcohol dependency?

  • Finding:

    Denies family history of drug addiction

    (Available)

    Pro Tip: Substance abuse and addiction often runs in families, so knowing the patient’s family history of substance abuse is essential to assessing her mental health. In Tina’s case, a significant family history of addiction could be considered a risk factor. shadow health tina jones mental health assessment Subjective Data.

    Example Question:

    Do you have a family history of drug addiction?

  • Finding:

    Denies family history of suicide

Psychotherapy has biological basis Essay

Psychotherapy has biological basis Essay

Psychotherapy has biological basis, for instance, an individual might suffer from depression because they are overweight. For this client, a weight loss regimen might be incorporated into therapy. During researching articles, the article about anorexia nervosa and its treatment plan grasped my attention. According to Wozniak et al. (2012) “The treatment approach combination of behavior therapy and supportive psychotherapy. It is very important the approaching way of the person, in order to develop positive behavior. This includes the learning of behavior, and then follows the learning and relearning, without seeking the causes of the previous pathologic behavior. The aim of this behavior treatment is to restore the normal way of eating”.  The disorder is caused by both biological and social culture factors. The biological factors includes hypothalamus dysfunction, over secretion of cortisol, and heredity.

ORDER A PLAGIARISM-FREE PAPER NOW

Culture, religion, and socioeconomic can negatively impact an individual value of psychotherapy treatment. Some individuals might assume that they will be viewed as being crazy for seeking treatment. As far as culture, the individual can be afraid of being an outcast or viewed in a negative way. Furthermore, some religions view mental illness as being possessed or as evil spirits. However, some religions can be a support system to the client.Educating the public is important to eliminate negative views and to let individuals know that they are not the only ones that are suffering from a particular disorder. With rapid treatment and therapy, death rates can be decreased. “Therapists need to be aware and enquire about the patient’s self-perceptions and attributions regarding ethnicity, race, social class and religion. While there is evidence that ethnicity per se does not impact on psychotherapy referral and compliance and that culturally sensitive psychotherapy has refuted many cultural stereotypes, there is a need to integrate knowledge of the unique cultural and religious values and beliefs during assessments and planning of therapy” Jacob &  Kuruvilla (2012). When individuals are educated and feel included in their care, their value of psychotherapy will increase.

Jacob, K. S., & Kuruvilla, A. (2012). Psychotherapy across  cultures: the form-content dichotomy. Clinical Psychology & Psychotherapy, 19(1), 91-95. doi:10. 1002/cpp.736

Wozniak, G., Rekleiti, M., & Roupa, Z. (2012). Contribution of  social and family factors in anorexia nervosa. Health

Science Journal, 6(2), 257-269

Psychotherapy has biological basis Essay

Assessment and Diagnosis in Psychotherapy

Assessment and Diagnosis in Psychotherapy

“A sensitively crafted intake assessment can be a powerful therapeutic tool. It can establish rapport between patient and therapist, further the therapeutic alliance, alleviate anxiety, provide reassurance, and facilitate the flow of information necessary for an accurate diagnosis and appropriate treatment plan.”

—Pamela Bjorklund, clinical psychologist

Whether you are treating patients for physical ailments or clients for mental health issues, the assessment process is an inextricable part of health care. To properly diagnose clients and develop treatment plans, you must have a strong foundation in assessment. This includes a working knowledge of assessments that are available to aid in diagnosis, how to use these assessments, and how to select the most appropriate assessment based on a client’s presentation.

ORDER A PLAGIARISM-FREE PAPER NOW

This week, as you explore assessment and diagnosis in psychotherapy, you examine assessment tools, including their psychometric properties and appropriate use. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

mental health shadow health assessment Education & Empathy

Education & Empathy: 4 of 4 (100.0%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

  • Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
  • Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
  • Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient. mental health shadow health assessment Education & Empathy

ORDER A PLAGIARISM-FREE PAPER NOW

1 Symptoms
Followed Up

Description: Tina describes problems sleeping and stress-symptoms like racing thoughts.

This is your avatar.

What brings you in today?

Question
07:26 PM CDT

Tina Jones

I decided to come in because I’m tired all the time now. . . I have this really important exam coming up, and I’m stressed and too foggy to study most of the time. I really need help sleeping so I can focus on preparing for my exam.

This is your avatar.

I’m sorry to hear about your trouble sleeping and stress. I’m glad you came in today. let me learn more about what you’re experiencing, and i will try to help

Empathize
07:31 PM CDT

Tina Jones

I appreciate you saying that.

Model Statement: “I’m sorry to hear about your trouble sleeping and stress. I’m glad you came in. Let me learn more about what you’re experiencing, and I will try to help.”

2 Stress
Followed Up

Description: Tina describes how busy she is with school and work.

This is your avatar.

What is causing the stress

Question
07:43 PM CDT

Tina Jones

I’m stressed now because I can’t sleep, but I can’t sleep because I keep worrying about all this other stuff, like graduating, and passing this exam that’s coming up, and getting a job, and finding my own place to live. . . it’s a lot.

This is your avatar.

It sounds like you have a lot on your plate. I am sorry you are dealing with so much stress

Empathize
07:44 PM CDT

Tina Jones

I appreciate you telling me that.

Model Statement: “It sounds like you have a lot on your plate. I’m sorry you’re dealing with so much stress.”

3 Sleep
Followed Up

Description: Tina describes her sleep hygiene and routine.

This is your avatar.

What is causing the stress

Question
07:43 PM CDT

Tina Jones

I’m stressed now because I can’t sleep, but I can’t sleep because I keep worrying about all this other stuff, like graduating, and passing this exam that’s coming up, and getting a job, and finding my own place to live. . . it’s a lot.

This is your avatar.

It sounds like you have a lot on your plate. I am sorry you are dealing with so much stress

Empathize
07:44 PM CDT

Tina Jones

I appreciate you telling me that.

This is your avatar.

What were you thinking about when you couldn’t sleep?

Question
07:46 PM CDT

Tina Jones

Mostly I start out worrying about this exam I have coming up, and how much I need to study, and then I start thinking about what happens if I don’t pass the exam, and even if I do, whether I’ll actually be able to find an accounting job once I graduate, and then if I do find a job, what if I’m bad at it. . . it just sort of builds on itself like that, just, like, worry upon worry.

This is your avatar.

what are your sleep patterns (Clarified to: What are your sleep habits?)

Question
07:47 PM CDT

Tina Jones

Well. . . I usually get into bed around midnight, but at that point I feel too nervous to sleep, so I’ll read to try and wind down for maybe an hour, sometimes longer. Then I turn out the light and try to sleep. If it takes a really long time, then sometimes I’ll turn the light back on and read a little more until I feel sleepier. (Clarified to: what my sleep habits are)

This is your avatar.

It”s hard to function at our best when we don’t get enough sleep. I know you are busy with work and school, but let’s talk about some strategies to help you get more sleep and make sure you’re getting good quality sleep.

Empathize
07:49 PM CDT

Tina Jones

Thanks.

Model Statement: “It’s hard to function at our best when we don’t get enough sleep. I know you’re very busy with work and school, but let’s talk about some strategies to help you get more sleep and make sure you’re getting good quality sleep.”

4 Coping and Support Systems
Followed Up

Description: Tina describes her coping mechanisms and support systems.

This is your avatar.

Do you get along with your family

Question
07:57 PM CDT

Tina Jones

Things are pretty good between all of us–we’re a tight knit family. I think we’re pretty special, the way we all get along.

This is your avatar.

Do you have religious preference?

Question
07:58 PM CDT

Tina Jones

Yeah. We go to First Baptist, and we do a lot with our church community. We socialize before and after church, and I go to Bible study on Wednesdays, too.

This is your avatar.

does your family support you

Question
07:59 PM CDT

Tina Jones

Yeah, definitely. We’re all pretty tight knit. I think we’re a pretty special family, the way we all get along. My brother moved in with his fiance, but we still see him once a week at least, and I eat dinner with my mom and sister as much as possible, plus they always go to church with me on Sundays.

This is your avatar.

It sounds like you have a healthy support system through your family and friends which is great. it sounds like you work hard to manage your time effectively, too. remember to take out to relax or take a walk

Empathize
08:04 PM CDT

Tina Jones

Thanks for understanding.

Model Statement: “It sounds like you have healthy support systems through your family and friends, which is great. It sounds like you work hard to manage your time effectively, too. Remember to take time out to relax or take a walk.”