PURPOSE:

It is important to understand how middle-range theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practice. In this assignment, you will explore and apply middle-range theory to solve the specific problem that you identified in the previous assignment.

DIRECTIONS:

Consider the problem that you described in the previous assignment and the instructor feedback about that assignment.

Write a paper (1,000 to 1,500 words) that describes how middle-range theory can be applied to the identified problem. The paper should include the following:

1. A brief summary      of the problem.
2. A description of      a middle-range theory that could be applied to the problem. Is this      middle-range theory appropriate to your identified problem?
3. A brief      discussion of the middle-range theory’s origins.
4. A discussion of      how the middle-range theory has been previously applied.
5. A discussion of      the application of the middle-range theory to the identified problem. How      would your practice change by incorporating this theory?

Prepare this assignment according to guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

                                             Early Onset Schizophrenia

Children and adolescents with schizophrenia have more difficulty functioning in academic or work settings, and significant impairment usually persists into adulthood. They may have speech or language disorders and in some cases borderline intellectual functioning. These individuals are more likely to complete suicide attempts or die from other accidental causes. Schizophrenia is characterized by positive and negative symptoms. Positive symptoms include hallucinations, delusions, and behavior disturbance. Negative symptoms include blunted affect and attention, apathy, and lack of motivation and social interest.

Early-onset schizophrenia is a rare and severe mental illness in which children interpret reality abnormally. There are a range of problems with cognitive functioning, behavior, and emotions. Perceptions may be distorted and children or their parents may report that they have difficulty distinguishing reality. This is a diagnosis that is difficult to confirm in the early stages.

                                            The Assignment (2 pages)

· Compare at least two evidence-based treatment plans for adults diagnosed with 

  schizophrenia with evidence-based treatment plans for children and adolescents 

  diagnosed with schizophrenia.

· Explain the legal and ethical issues involved with forcing children diagnosed with 

  schizophrenia to take medication for the disorder and how a   

  Psychiatric Mental Health Nurse Practitioner (PMHNP) may address those  

  issues.  

PLEASE REMEMBER to include a title page, introduction, summary, and references

                                                             Learning Resources

Required Readings

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

• Chapter      31, “Child Psychiatry” (pp. 1268–1283)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

• “Schizophrenia Spectrum and Other Psychotic Disorders”

McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf

Giles, L. L., & Martini, D. R. (2016). Challenges and promises of pediatric psychopharmacology. Academic Pediatrics, 16(6), 508–518. doi: 10.1016/j.acap.2016.03.011

Hargrave, T. M., & Arthur, M. E. (2015). Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. International Journal of Psychiatry in Medicine, 50(1), 60–72. Retrieved from http://search.proquest.com.ezp.waldenulibrary.org/docview/1702699596?accountid=14872

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

Module 2 – SLP

DESCRIPTIVE STATISTICS

For the second SLP, using the data that you collected for the Module 1 SLP, please do the following:

1. Calculate the mean, median, mode, variance, and standard deviation of the measurements taken in Module 1 SLP. Show your work and be sure to express each value in units.
2. Discuss which measure of central tendency you think most accurately describes the variable that you measured. Provide a thorough explanation.
3. Describe the spread/distribution of your data. Be sure to describe the variance of distribution and the concept of standard deviation as a measure of dispersion in your response.
4. Conduct a scholarly search on the internet to find reported health statistics on the variable that you are measuring. For example, if you are measuring your total daily caloric intake, American Dietetic Association. Identify the source.

Submit your (2-3 pages) paper by the end of this module.

SLP Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment. 

Module 3 – Case

INTRODUCTION TO HYPOTHESIS TESTING

Assignment Overview

Suppose that a 2012 National Health Interview Survey gives the number of adults in the United States which gives the number of adults in the United States (reported in thousands) classified by their age group, and whether or not respondents have ever been tested for HIV. Here are the data:

Age Group

Tested

Never Tested

18–44 years

50,080

56,405

45–64 years

23,768

48,537

65–74 years

2,694

15,162

75 years and older

1,247

14,663

Total

77,789

134,767

Discuss probability. What is its history? What is the theory of probability? How is it calculated? What are the advantages and disadvantages of using this technique?

1. Identify and discuss the two major categories of probability interpretations, whose adherents possess conflicting views about the fundamental nature of probability.
2. Based on this survey, what is the probability that a randomly selected American adult has never been tested? Show your work. Hint: using the data in the two total rows, this would be calculated as p (NT) /( p (NT) + p (T)), where p is probability.
3. What proportion of 18- to 44-year-old Americans have never been tested for HIV? Hint: using the values in the 18–44 cells, this would be calculated as p (NT) / ( p (NT) + p (T)), where p is probability. Show your work.

Submit your (2-3 pages) paper by the end of this module.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment.

INSTRUCTIONS

The Case of Marisol

Marisol is a 40-year old single female from a tight knit Puerto Rican family. She is employed full time as a data analyst for a technology company. She has steadily progressed in her career by working for relatively small companies where her role allowed her to work relatively independently. Unfortunately, working for small organizations was less stable financially so she has been working for a larger company for the past four years. Interacting with a larger work group has challenged her comfort zone. She prefers to spend time with a network of close friends she has known most of her life whom she visits with one on one. Her family lives in the area, and she sees them frequently. Her parents and older brother have always provided a support system and practical help. She enjoys quiet evenings alone or at the home of her brother and his family. Her friends and family privately wonder why she’s never dated or wanted to travel.

For each case study, you will complete a descriptive diagnosis using tools you select from the list of assessment tools provided later in the assignment. Each case requires the following information to be addressed:

• Identify presenting concerns from the client’s perspective as described in the video and accompanying narrative. Include relevant cultural and systemic considerations that frame the client’s presentation.
• Describe what information is still needed to make a differential diagnosis and evaluate how at least one assessment tool, which is listed in the List of Assessment Tools resource, will aid in obtaining that information. The Differential Diagnosis Decision Tree may be helpful to guide this process.
• Present DSM-5 and ICD-10 codes, including relevant V and Z codes.
• Provide a descriptive rationale for the DSM diagnosis that best fits the information provided including relevant ICD codes. This should be written in a narrative form using complete sentences. Support your rationale with scholarly sources. Optional readings found in the course syllabus may be particularly relevant.
• Determine if a medication consultation is appropriate and provide a rationale with support from scholarly sources.

LIST OF ASSESSMENT TOOLS AND SUPPORTING RESOURCES

• Beck, A. T., Epstein, N., Brown, G., & Steer, R. (1988). Beck Anxiety Inventory. Psyctests, doi:10.1037/t02025-000
  • Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta‐analysis of the English version of the Beck Anxiety Inventory. Journal of Counseling & Development, 94(3), 356–373.
    • Review this source to review how to interpret the Beck Anxiety Inventory.
• Derogatis, L. R. (1977). Symptom checklist-90–revised. Psyctests, doi:10.1037/t01210-000
  • Grande, T. L., Newmeyer, M. D., Underwood, L. A., & Williams, C. R. (2014). Path analysis of the SCL-90-R: Exploring use in outpatient assessment. Measurement and Evaluation in Counseling and Development, 47(4), 271–290.
    • Review this source to review how to interpret the SCL-90-R.
• Prevatt, F., Dehili, V., Taylor, N., & Marshall, D. (2015). Anxiety Symptom Checklist. Psyctests, doi:10.1037/t39906-000
• Beck Depression Inventory–II
  • Erford, B. T., Johnson, E., & Bardoshi, G. (2016). Meta-analysis of the English version of the Beck Depression Inventory–Second edition. Measurement and Evaluation in Counseling and Development, 49(1), 3–33.
    • This resource will help you use the Beck Depression Inventory-II if you access that assessment tool.

SUBMISSION REQUIREMENTS

• Written communication: Written communication must be grammatically correct and free of errors that detract from the overall message. Writing should be consistent with graduate level scholarship.
• APA formatting: Title page, main body, and references should be formatted according to the current APA style and formatting.
• Number of resources: Minimum of six scholarly resources. Distinguished submissions typically exceed this minimum.
• Length of paper: 5–7 typed double-spaced pages. Abstract and Table of Content pages are not necessary.
• Font: Times New Roman, 12 point.