Personality Disorders Decision Tree Case Study Assignment Example

Decision Tree: Personality Disorders

As described by the American Psychiatric Association (APA) (2013), ‘‘personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment’’. There are different types of personality disorders classified into three clusters. Cluster A individuals are described as the odd or eccentric, cluster B as the dramatic, emotional, or erratic and cluster C as the anxious or fearful. The purpose of this paper is to discuss the case study of a young woman with personality disorder. This Personality Disorders Decision Tree Case Study Assignment Example will explore threes decisions relating to differential diagnosis, psychotherapy and psychopharmacology based on the presented clinical manifestations.

ORDER A FREE- PLAGIARISM PAPER HERE

Decision One

The clinical manifestation presented in the case study are indicative of more than one personality disorder, specifically borderline personality disorder (BPD) and antisocial personality disorder (ASPD). Patients exhibits a fear of abandonment which aligns with BPD. The patient mentioned an interpersonal relationship involvement which she exhibited idolization for the man of her interest, and now is devaluing the man. This is also evident in BPD as outlined by diagnostic criteria set forth by the APA (2013).

My diagnosis for this patient is ASPD, because the client exhibits clinical manifestations of ASPD than BPD. One of the reasons that led me to the diagnosis of ASPD is the client’s lack of remorse. The client stole from a friend, instead of being sorry, client’s blames friend instead. Personality Disorders Decision Tree Case Study Assignment Example. Client exhibits lack of respect for social norm and failure to comply with the law as evidenced by more than one record of arrest. The client fails to upholding financial obligation and is deceitful. Client shows irresponsibility evidenced by inability to keep a job. These presentations are evident in clients with ASPD as outlined in the DSM-5.

The two personality disorders which are classified as cluster B personality disorders by the APA (2013) have clinical manifestations which overlap, thus needs to be ruled out as differential diagnoses for each other. As described on the DSM-5 diagnostic criteria, BPD and ASD have similar features of impulsivity, aggression and manipulative behaviors, which client exhibits in the case study. The differing manifestation between the two  is that in BPD, clients seek out interpersonal relationship, while ASPD client is unable to form any attachment to relationship. Clients with BPD exhibit self-mutilating behaviors and self-aggression, while in  ASPD,  aggression is directed on others. In ASPD clients are egocentric (also seen in narcisstic personality disorder), while BPD clients have a poor image of self Personality Disorders Decision Tree Case Study Assignment Example.

Decision Two

Since the client exhibits symptoms which are synonymous with one more than personality disorder, specifically borderline and antisocial; the best decision is to opt to conduct a psychological testing. This will to further help the practitioner to decipher between the two diagnoses or conclude that patient indeed has the two personality disorders which is a possible occurrence Personality Disorders Decision Tree Case Study Assignment Example. Psychological testing can be in the form of rating scales which includes questionnaires, checklists e.t c. According to Sadock, Sadock and Ruiz (2014), these scales are useful for monitoring patient overtime or to provide a comprehensive assessment information that was not obtained during a routine clinical interview.

There is limited evidence from existing literatures on the effectiveness of medications to target the core symptoms of ASPD. Khalifa et al. (2010) mentions that pharmacological interventions are not to be considered as monotherapy but as adjunctive intervention to target associated symptoms of ASPD such as depression, aggression etc.  The option of Haldol, an antipsychotic medication can be used to address aggression but does not treat the core features of the disorder such as lack of remorse, deceitfulness. Furthermore, the plethora of side effects known to be caused by the medication can increase noncompliance. Psychotherapy can be beneficial, but psychodynamic is not appropriate for this patient because it may require patient to address emotional states. Personality Disorders Decision Tree Case Study Assignment Example. According to Hesse (2010), probing about ‘feeling states’ is unhelpful because the ASPD client may have difficulty accessing such state and may become aggressive when made to confront personal shortcoming.

Decision Three

In decision three, the recommendation is for a group-based cognitive therapy. Latuda an antipsychotic can be used to treat aggression but not the core symptoms of ASPD. Dialectical behavioral therapy will be more appropriate in the client with BPD than in ASPD. The most cited effective psychotherapeutic approach used in ASPD is cognitive behavioral therapy (CBT). Personality Disorders Decision Tree Case Study Assignment Example. This approach helps the client address distorted beliefs about self, others and the world. CBT can be used to enhance social and intrapersonal functioning.

A group setting may be beneficial for these clients as they may be able to learn from others experience or information shared about self. Psychotherapy for ASPD should be met with skepticism, but Hesse (2010) suggested that approaches that includes employing moral reasoning, cognitive behavioral approach, applying a social information processing approach, and planning for relapse prevention should be used. Additionally, the clients need a high level of external structure that includes supervision of the patient and reinforcement of positive social behaviors to yield increased outcomes for ASPD clients (Hesse, 2010). Personality Disorders Decision Tree Case Study Assignment Example.

Ethical and Legal Considerations

Due to the clinical manifestation of ASPD, some clinicians believe that it is hopeless to treat ASPD clients due to their clinical manifestation of aggression, deceitfulness and manipulation. Clients tends to be noncompliant, fueling the clinician’s pessimism. Existence of pessimism can hinder practitioners from upholding the ethical principles to do no harm and to do the best for the patient to full capacity. Hatchet (2015), implores clinicians to turn to published studies to become more aware of treatment options and to avoid expert opinions or clinical myths in regards to treating clients with ASPD.  For these clients, autonomy may be purposely compromised to prevent harm to the patient and to others. This is seen in cases where patient refuse to comply with treatment plan or ordered into treatment and remain in treatment until deemed fit to come out of treatment.

Conclusion

It is essential for the practitioner to be knowledgeable about personality s disorder to effectively care for the patient. The practitioner should explore various options of medication, used to target accompanied symptoms. Psychotherapy, even though some might argue of its effectiveness, should not be ruled out. Assessment tools should be used to guide the clinicians, in diagnosing, especially with disorders that have overlapping symptoms Personality Disorders Decision Tree Case Study Assignment Example.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders

(5th ed.). Washington, DC: Author.

Khalifa, N., Duggan, C., Stoffers, J., Huband, N., Völlm, B. A., Ferriter, M., & Lieb, K. (2010). Pharmacological interventions for antisocial personality disorder. The cochrane database of systematic Reviews, (8). Doi: 10.1002/14651858.CD007667.pub2

Hatchett, G. T. (2015). Treatment guidelines for clients with antisocial personality disorder. Journal of mental health counseling, 37(1). Retrieved from Walden University Database

Hesse, M. (2010). What should be done with antisocial personality disorder in the new edition of the diagnostic and statistical manual of mental disorders (DSM-V)? Biomed central medicine, 8(66). DOI: 10.1186/1741-7015-8-66

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.

Assignment: Decision Tree

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

The Assignment:

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

At each Decision Point, stop to complete the following:

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

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

Case #2
Anxiety disorder, OCD, or something else?

BACKGROUND

Tyrel is an 8-year-old black male who is brought in by his mother for a variety of psychiatric complaints. Shaquana, Tyrel’s mother, reports that Tyrel has been exhibiting a lot of worry and “nervousness” over the past 2 months. She states that she notices that he has been quite “keyed up” and spends a great deal of time worrying about “germs.” She states that he is constantly washing his hands because he feels as though he is going to get sick like he did a few weeks ago, which kept him both out of school and off the playground. He was also not able to see his father for two weekends because of being sick. Shaquana explains that although she and her ex-husband Desmond divorced about 2 years ago, their divorce was amicable and they both endeavor to see that Tyrel is well cared for.

Shaquana reports that Tyrel is irritable at times and has also had some sleep disturbances (which she reports as “trouble staying asleep”). She reports that he has been more and more difficult to get to school as he has become nervous around his classmates. He has missed about 8 days over the course of the last 3 weeks. He has also stopped playing with his best friend from across the street.

His mother reports that she feels “responsible” for his current symptoms. She explains that after he was sick with strep throat a few weeks ago, she encouraged him to be more careful about washing his hands after playing with other children, handling things that did not belong to him, and especially before eating. She continues by saying “maybe if I didn’t make such a big deal about it, he would not be obsessed with germs.”

Per Shaquana, her pregnancy with Tyrel was uncomplicated, and Tyrel has met all developmental milestones on time. He has had an uneventful medical history and is current on all immunizations.

OBJECTIVE

During your assessment of Tyrel, he seems cautious being around you. He warms a bit as you discuss school, his friends at school, and what he likes to do. He admits that he has been feeling “nervous” lately, but when you question him as to why, he simply shrugs his shoulders.

When you discuss his handwashing with him, he tells you that “handwashing is the best way to keep from getting sick.” When you question him how many times a day he washes his hands, he again shrugs his shoulders. You can see that his bilateral hands are dry. Throughout your assessment, Tyrel reveals that he has been thinking of how dirty his hands are; and no matter how hard he tries to stop thinking about his “dirty” hands, he is unable to do so. He reports that he gets “really nervous” and “scared” that he will get sick, and that the only way to make himself feel better is to wash his hands. He reports that it does work for a while and that he feels “better” after he washes his hands, but then a little while later, he will begin thinking “did I wash my hands well enough? What if I missed an area?” He reports that he can feel himself getting more and more “scared” until he washes his hands again.

MENTAL STATUS EXAM

Tyrel is alert and oriented to all spheres. Eye contact varies throughout the clinical interview. He reports his mood as “good,” admits to anxiety. Affect consistent to self-reported mood. He denies visual/auditory hallucinations. No overt delusional or paranoid thought processes were apparent. He denies suicidal ideation.

Lab studies obtained from Tyrel’s pediatric nurse practitioner were all within normal parameters. An antistreptolysin O antibody titer was obtained for reasons you are unclear of, and this titer was shown to be above normal parameters. Personality Disorders Decision Tree Case Study Assignment Example.

Decision Point One

BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PMHNP GIVE TO TYREL?

In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

 Generalized Anxiety Disorder (GAD)

 Obsessive Compulsive Disorder

 Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (“PANDAS”)

ANSWER CHOOSEN: Obsessive Compulsive Disorder

Decision Point Two

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Begin Zoloft 50 mg orally daily

Begin Fluvoxamine immediate release 25 mg orally at bedtime

Begin Fluvoxamine controlled release 100 mg orally in the morning

Discontinue Zoloft and begin Fluvoxamine controlled release 100 mg orally every morning In terms of an actual diagnosis, the child’s main symptoms are most consistent with obsessive-compulsive disorder. There may also be an element of social phobia developing, but at this point, the PMHNP has not assessed the nature of the school avoidance—that is, why is the child avoiding school. Notice that nothing in the scenario tells us that the PMHNP has assessed this. Zoloft is FDA-approved to treat OCD in children. However, between ages 6 and 12, it should be started at 25 mg orally daily. If starting doses are too high, the child may experience side effects that he associates with the medication and as such, may refuse to take the medication. Starting at too high a dose can result in unfavorable side effects (gastrointestinal side effects are notable in this drug), and we can see that Tyrel is experiencing nausea and decreased appetite. In this case, it is recommended to wait to see if the side effects dissipate. Decreasing the dose to 12.5 mg orally daily for about 3 or 4 days, then going back to 25 mg orally daily may help to overcome the unfavorable side effects. If side effects persist, the PMHNP may need to consider switching to a different medication. Personality Disorders Decision Tree Case Study Assignment Example. Fluvoxamine controlled release is not FDA-approved for use in children with OCD (see “Special Populations: Children and Adolescents” in the Fluvoxamine monograph of Stahl’s Prescriber’s Guide for further details). Fluvoxamine 100 mg orally daily may not be tolerated in the morning secondary to the drug’s sigma-1 antagonist properties, which can cause sedation. Dosing of Fluvoxamine should be such that the larger dose is given in the evening to minimize daytime sedation. Personality Disorders Decision Tree Case Study Assignment Example It is also worth noting that nothing in the scenario tells us that the Zoloft will not be effective.

ANSWER CHOOSEN: Begin Fluvoxamine immediate release 25

mg orally at bedtime

• Client returns to clinic in four weeks
• Upon return to the clinic, Tyrel’s mother reported that he has had some decrease in his symptoms. She states that the frequency of the handwashing has decreased, and Tyrel seems a bit more “relaxed” overall. Personality Disorders Decision Tree Case Study Assignment Example.
• She also reports that Tyrel has not fully embraced returning to school, but that his attendance has improved. She reported that over this past weekend, Tyrel went outside to play with his friend from across the street, which he has not done in a while.

RESULTS OF DECISION POINT TWO

• Client returns to clinic in four weeks
• Upon return to the clinic, Tyrel’s mother reported that he has had some decrease in his symptoms. She states that the frequency of the handwashing has decreased, and Tyrel seems a bit more “relaxed” overall.
• She also reports that Tyrel has not fully embraced returning to school, but that his attendance has improved. She reported that over this past weekend, Tyrel went outside to play with his friend from across the street, which he has not done in a while.

Decision Point Three

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Increase Fluvoxamine to 50 mg orally at bedtime

Augment with an atypical antipsychotic such as Abilify

Augment treatment with cognitive behavioral therapy

 ANSWER CHOOSEN: Increase Fluvoxamine to 50 mg orally at

bedtime

Guidance to Student

In terms of an actual diagnosis, the child’s main symptoms are most consistent with obsessive-compulsive disorder. There may also be an element of social phobia developing, but at this point, the PMHNP has not assessed the nature of the school avoidance—that is, why is the child avoiding school. Notice that nothing in the scenario tells us that the PMHNP has assessed this. Personality Disorders Decision Tree Case Study Assignment Example.

Fluvoxamine immediate release is FDA-approved for the treatment of OCD in children aged 8 years and older. Fluvoxamine’s sigma-1 antagonist properties may cause sedation and as such, it should be dosed in the evening/bedtime.

At this point, it would be appropriate to consider increasing the bedtime dose, especially since the child is responding to the medication and there are no negative side effects.

Atypical antipsychotics are typically not used in the treatment of OCD. There is also nothing to tell us that an atypical antipsychotic would be necessary (e.g., no psychotic symptoms). Personality Disorders Decision Tree Case Study Assignment Example Additionally, the child seems to be responding to the medication, so there is no rationale as to why an atypical antipsychotic would be added to the current regimen.

Cognitive behavioral therapy is the psychotherapy of choice for treating OCD. The PMHNP should augment medication therapy with CBT. If further assessment determines that Tyrel has social anxiety disorder, CBT is effective in treating this condition as well.

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. 1253–1268)

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

• “Anxiety Disorders”

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

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

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

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

SEE ATTACHECD DECISION TREE ASSIGNMENT EXAMPLE

• Client returns to clinic in four weeks
• Upon return to the clinic, Tyrel’s mother reported that he has had some decrease in his symptoms. She states that the frequency of the handwashing has decreased, and Tyrel seems a bit more “relaxed” overall.
• She also reports that Tyrel has not fully embraced returning to school, but that his attendance has improved. She reported that over this past weekend, Tyrel went outside to play with his friend from across the street, which he has not done in a while. Personality Disorders Decision Tree Case Study Assignment Example.

• Client returns to clinic in four weeks
• Upon return to the clinic, Tyrel’s mother reported that he has had some decrease in his symptoms. She states that the frequency of the handwashing has decreased, and Tyrel seems a bit more “relaxed” overall.
• She also reports that Tyrel has not fully embraced returning to school, but that his attendance has improved. She reported that over this past weekend, Tyrel went outside to play with his friend from across the street, which he has not done in a while. Personality Disorders Decision Tree Case Study Assignment Example.

Public Health Law Short Report Midterm Project

“A Public Health Law Short Report”

Title of Midterm Project: “A Public Health Law (Short Report)”:

You will pick a US public health law – a law at the federal, state, country or city level that is designed to protect the health of the public. You will do a literature search and write a report about the law and how it has impacted the health of the public.  Note that this is a “short” report – only 1,000 words Public Health Law Short Report Midterm Project.

The public health law must be from one of the following three topic areas:

ORDER A FREE- PLAGIARISM PAPER HERE

1) Lead

2) Smoking

3) Immunization

Important tips on writing your midterm report:

Once you choose you main topic (lead, smoking or immunization), you should choose a law that addresses that topic that has been in effect at least for a few years. Search literature first to make sure that the law’s impact has been evaluated. For instance, “an evaluation study found that 5 years after the introduction of an anti-smoking law, smoking prevalence and incidence of asthma declined” Public Health Law Short Report Midterm Project.

Also, the law has to be very specific – for instance, “The Clean Indoor Air Act of NYS of 2003 (Public Health Law, Article 13-E)” instead of “Anti-smoking law in NYS”.

 The content of your midterm report should cover the following points:

1. Background

• Why was the law enacted?  Health, social, economic, and other contextual backgrounds

2. Description of the law

• Explain the law:  What, When, Where, How and Who

3. Evidence of the law’s impact on health

• Summarize evidence gathered from scientific studies and government reports that evaluated the law’s impact.

1. Brief concluding statement

• Include your own assessments including critiques of the law (lessons learned), and any limitations to report.

Format Requirements:

• Public Health Law Short Report Midterm Project Top of the first page: Title, your name, date of submission, and word count of the text*
• Abstract: up to 200 words to summarize your report
• Text: 1 inch margins, page numbered (lower right), single spaced, 12 point font.
• Citation Style:  The JAMA style is preferred (see attached guide). Other established styles (APA, Chicago, etc.) are acceptable.
• Bibliography/Citations: A minimum of 3 peer reviewed journal articles or credible government reports. All online materials should have URLs, and the date that you accessed them.
• Appendix (optional): graphs, tables, and photos. Limit: one page total. They should supplement, but not duplicate, your writing. All materials need proper citations or disclosure of sources.

*Word count: 1,000 words maximum, excluding the title section, abstract, bibliography, and appendix. Public Health Law Short Report Midterm Project.

Submission:

You will submit your midterm report in a Microsoft WORD document (uploading instructions are provided in the MIDTERM PROJECT SUBMISSION link below).

Due Date: Sunday 3/31 (11:59 PM at night)

Quality of report will be graded based on the following criteria:

• Compliance with the format requirements
• Quality of information (scientific value, accuracy)
• Organization of materials (clarity and consistency)
• Originality (of conclusion & interpretation)
• Citations (minimum of 3 citations from peer reviewed journals or credible government reports)

This assignment will be reviewed for plagiarism using SafeAssign. Review the syllabus for the full policy on Academic Dishonesty and plagiarism.

Resource:  NYS Lead Laws

https://www.health.ny.gov/regulations/public_health_law/article_13/title_10/index.htm#prevention Public Health Law Short Report Midterm Project

PCN 605 Case Study of Tina Essay Assignment

Case Study: Tina

PCN 605 Case Study of Tina

Tina is a 17-year-old Navajo female who is brought into a counselor’s office for symptoms of depression; her family has noticed that she is more withdrawn than usual and she is often observed crying and talking to herself. Through the intake interview, the counselor learns that Tina hears voices daily that command her to perform certain acts of hygiene (showering, combing her hair, etc.) PCN 605 Case Study of Tina Essay Assignment. She further reveals that she believes these voices to be the result of witchcraft that her boyfriend is using to control her. Tina also states that she has used methamphetamines heavily for the past several months. She and her mother ask the counselor to work with Tina for the depression, but claim that they wish to see a medicine man for hearing voices.

Where does the counselor begin with this client? Tina is clearly demonstrating symptoms of psychoses, yet it is difficult to determine what has caused them. Is she experiencing a severe depressive episode with psychotic features? Have the voices been induced by excessive drug use? Alternatively, should the counselor take into account the cultural acceptance of witchcraft and let the medicine man exclusively treat Tina? This case study is but one example of the way different cultures deviate in concept of mental illness as it presents itself in the counselor’s office.

ORDER A FREE- PLAGIARISM PAPER HERE

Viewing clients as devoid of their cultural backgrounds because notions of health and wellness differ greatly by who is defining them are unethical and unwise. In order to be as receptive as possible to a client’s position, counselors must constantly deconstruct and be aware of their own beliefs regarding psychopathology. This process of exploring a belief system has been given many names, one of which is social constructionism (Lemma, 2011).

Social constructionism is the concept that reality is formed and defined by the individual experience of it; the perceptions of any given society are constantly in flux as trends and knowledge shifts. PCN 605 Case Study of Tina Essay Assignment As such, the concept of psychology changes to meet the needs of each given culture. Ruder & Guterman (2007) state that “social constructionism is, itself, a social construction that is always changing and subject to reconstruction” (p. 387).

PCN 605 Case Study of Tina References

Rudes, J. & Guterman, J. (2007). The value of social constructionism for the counseling profession: A reply to Hansen. Journal of Counseling & Development,85(4), 387-392

PCN 605 Case Study of Tina Paper Details

Review the diagnostic criteria on pages 99-100; 160-161; 561-562 of the DSM-5.

A counselor’s own perception of psychopathology is extremely important in the diagnostic process.

Using the case study of “Tina”, write a 500-750 word essay in which you examine your thought process about her presenting issues. Include the following in your paper:

• Discuss the historic and cross-cultural perspectives of psychopathology that could potential impact the diagnosis and treatment of Tina.
• After reviewing the several diagnoses that could pertain to Tina from the latest version of the DSM, what is your diagnostic impression?
• Substantiate your diagnostic impression with appropriate criteria from the current version of the DSM. PCN 605 Case Study of Tina Essay Assignment.
• Discuss how historic misconceptions of psychopathology could potentially impact the treatment of this client. As part of this discussion, you may include a diagnosis, any referrals that you would make, and a general course of treatment. At least five scholarly references in addition to the textbook in your paper.

Prepare this PCN 605 Case Study of Tina assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. PCN 605 Case Study of Tina Essay Assignment.

This PCN 605 Case Study of Tina assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this PCN 605 Case Study of Tina assignment to Turnitin. Refer to the directions in the Student Success Center. PCN 605 Case Study of Tina Essay Assignment.

Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment

PSY 622 Assignment Case of Tarasoff v. Regents

Case of Tarasoff v. Regents of the University of California

Details:

In 750-1,000 words, consider the case of Tarasoff v. Regents of the University of California to answer the following:

• 1- Discuss why the case is important to mental health clinicians.
• 2- Describe the violence risk assessment instruments a clinician might use to meet the requirements provided for in Tarasoff. Case of Tarasoff v. Regents of the University of California. Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.
• 3- Discuss if a clinician should be held civilly liable for violent behavior of an inmate the clinician assessed.

Provide three to five peer reviewed resources to support your explanations.

Prepare this assignment on Case of Tarasoff v. Regents of the University of California according to the guidelines found in the APA Style Guide. Written from scratch.

Case of Tarasoff v. Regents of the University of California

PSY 622 Assignment Psychotropic Medications

Details:

Prepare a 12-15-slide PowerPoint presentation on the topic of Psychotropic Medications.

• 1.} The presentation must include a discussion of the following:
• Antipsychotic medication agents {listtext
• 2.} Antidepressant medication agents
• 3.} Mood stabilizers or antimanic medication agents
• 4.} Antianxiety medication agents
• 5.} Medication agents used in the treatment of substance abuse
• 6.} Mental health therapy in conjunction with the use of medication agents
• 7.} Criticism of any of the medication agents, including alternative treatments

Provide a minimum of three scholarly resources to support your explanations. Speaker notes of 75-100 words for each slide are required.Case of Tarasoff v. Regents of the University of California

PSY 622 DQ Consider groups like Alcoholics

Consider groups like Alcoholics Anonymous. Do such groups provide adequate solutions to people’s alcohol- or drug-related problems? Why or why not? Use scholarly resources to support your explanation. Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.

PSY 622 DQ Consider the growing American

Consider the growing American incarceration complex. With such an investment in incarceration, what place does rehabilitation have in the future? How may the American prison system encourage and fund rehabilitation efforts when that is not the primary focus? Use 1 scholarly resource and at least 220 words.

PSY 622 Grand Canyon DQ Should female offenders receive

Should female offenders receive the same program and service opportunities that male offenders receive, or are there any significant, substantive differences between men and women that warrant the provision of different services? If different services were provided, would this violate the equal protection clause of the 5th or 14thAmendment?

ORDER A FREE- PLAGIARISM PAPER HERE

PSY 622 Grand Canyon DQ Some people do not want to comply

Some people do not want to comply with societal behavioral norms. This may be exasperated in a correctional setting. how can a mental health professional be able to assist in changing anti social behavioral of disruptive inmates? how effective would these methods be in the face of irrational behavior? Must be 250 words with at least 1 scholarly resource reference. Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.

PSY 622 Grand Canyon DQ The psychologist/mental health

The psychologist/mental health professional must sometimes walk a fine line between the best interests of a juvenile offender and the desires of his or her parent or guardian. How can a psychologist/mental health professional develop a mutually beneficial agreement for a juvenile offender and parents or guardians? What pitfalls might exist for a psychologist/mental health professional placed into such a situation? 200 words with at least 1 scholarly source.

PSY 622 Grand Canyon DQ What special considerations

What special considerations must be made with an inmate who self-injures? What role can a psychologist or other mental health provider play to curb self-injury by inmates? 250 words and at least 1 scholarly resource

PSY 622 Grand Canyon Assignment Sexual Deviance

Details:

In 750-1,000 words, do the following:

• 1- Define sexual deviance in your own words.
• 2- Describe different forms of sexual deviance that exist.
• 3- Analyze whether sexual deviance may derive from psychological or biological issues.
• Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment
• 4- Analyze whether the field of psychopathology can provide solutions to the problem of sexual deviance.

Use three to five scholarly resources to support your explanations.

Prepare this assignment according to the 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.

You are required to submit this assignment to Turnitin.

PSY 622 Grand Canyon Assignment Substance Use in America

Details:

Consider the problem of substance use in America. In 1,250-1,500 words, do the following:

• 1- Define substance use in your own words.
• 2- Discuss why Americans seemingly have such a desire for illegal narcotics.
• 3- Explain how treatment for substance use would be different if it was considered a disease versus a choice or behavior change.
• Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment
• 4- Examine if the theories of psychopathology adequately explain substance use.

Provide three to five peer-reviewed sources to support your claims.

Prepare this assignment according to the 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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

This benchmark assignment assesses the following programmatic competencies: 5.3: Explain addictive behaviors and treatments Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.

NURS 3100 3101 Discussion: Nurses Make the Difference

Discussion – Week 3

Option 1- Provide an overview of a Magnet facility. Include explanation of how Magnet drives health care change in the institution.

 Magnet status of a healthcare facility means for an overall improvement in quality of care. Having a Magnet status isn’t just a reward given to an institution, but a credential (Laureate Education, 2009). When I think of a hospital having magnet status, I automatically think of nurses with a BSN degree, however, there is much more meaning than that. Magnet does have an increased % of BSN’s, as well as an increased % of certifications, notably in specialty areas. Hospitals of Magnet status are known to offer tuition reimbursement to nurses interested in advancing their education, and most often that comes with an increase in pay. Nurses in a Magnet facility are included in decision making, data collection, and research at every level. Nurses who are part of a Magnet institution are frequently active in community programs and community education programs, as well as any nursing organizations that may be present in their area (Tinkham, 2013). Magnet facilities want their nurses to be well known around their communities.

Having a Magnet status heavily revolves around the nursing profession, but that has been shown to lead to better outcomes for the patient (Laureate Education, 2009). A study also showed that Magnet hospitals have a significantly lower mortality rate. Magnet status has led to increased employee satisfaction, as well as, increased patient satisfaction. When patient satisfaction goes up, so does reimbursement for the facility. Clinical measures also play a role in Magnet status. These measures are normally key metrics that the hospital analyzes on a monthly/quarterly/yearly basis. These measures also play a part in reimbursements from insurance companies. Magnet hospitals are known to have better scores within these clinical measures. Leaders who advocate for their nurses and their patients, will be more successful in continuing to have satisfied employees. Accountability and teamwork are also crucial pieces of a Magnet facility. A hospital, in reality, is a business, but when you have satisfied nurses and satisfied patients, the hospital is always going to gain. NURS 3100 3101 Discussion: Nurses Make the Difference

Laureate Education (Producer). (2009b). Issues and trends in nursing: Professional practice models [Video file]. Baltimore, MD: Author.

Tinkham.M. R. (2013). Pursuing magnet designation: The role of structural empowerment. AORN Journal, 97(2), 253-256.

Week 3 Discussion 

I choose question 1;  “Provide an overview of a Magnet facility, include an explanation of how Magnet status drives health care change.

This feels like a loaded question when I take in to consideration that I was reared and raised in Cleveland, Ohio very close to the infamous Cleveland Clinic.  Noting that the Clinic has cared for Queens, Kings and Millionaires forces many a person to think very close and very hard about care and how and who its provided by even though as nurses we all know that most nurses learn the same skills.  From my own personal work experiences I would have to agree  with the some of the sentiments that are associated with Magnet facilities in that many of the programs and trainings are very different in that tend to have a more developed process/procedure when it comes down to training and continuing education in my perspective.  Job security is particularly sought throughout Magnet facilities and adorn a much higher percentage of satisfied Registered Nurses, immense decreases in employee turnover moreover the HCAP scores revealed both improvement and patient satisfaction. NURS 3100 3101 Discussion: Nurses Make the Difference

ORDER A PLAGIARISM FREE PAPER NOW

Although some critics hold the belief that  Magnet Hospitals don’t necessarily offer better working conditions though ultimately, the mass majority of nurses gravitate towards hospitals and facilities with Magnet status for the notoriety and prestige that it brings about although I found that they don’t typically pay anymore than any other well defined institution however, their benefits packages are typically very outstanding and commensurable.  If you are a nurse looking to further your education a Magnet facility would definitely be worth looking into as they invest in their employees immensely as it relates to education and continuing education and training.    Keeping in mind that most Magnet institutions are also on the cutting edge of technology and open up a vast world in advancements.

Discussion: Nurses Make the Difference

Health care organizations that adhere to or seek Magnet designation (Magnet hospitals) are exemplars in serving patients. They are recognized as organizations that have high nurse satisfaction and lower rates of nurse shortages. These organizations tend to have higher degrees of nurse involvement at all levels of decision making. Magnet hospitals also have improved patient outcomes.

For this Discussion, you explore how Magnet status contributes to health care change within an institution and the personal contribution nurses make to this process. NURS 3100 3101 Discussion: Nurses Make the Difference

To prepare

• Review the Discussion Rubric for Week 3, provided in the Course Information area or accessible through the link below.
• Review the Academic Writing Expectations (AWE) Checklist, Weeks 1–3, listed in this week’s Learning Resources.
• Review the video Issues and Trends in Nursing: Professional Practice Models (Laureate Education, 2009b).
• Review the following articles from this week’s Resources:
  • ANCC Magnet Recognition Program (American Nurses Credentialing Center, n.d.)
  • The Future of Nursing: Leading Change, Advancing Health (Institute of Medicine, 2010)
  • Pursuing Magnet Designation: The Role of Structural Empowerment (AORN Journal, 2013)

By Day 3

Post a 2-paragraph response (of at least 350 words) to either Option 1 or Option 2.

Use the writing resources, writing samples, and Discussion Rubric to develop your post. Reflect on your reading from this week, and then address one of the following:

Option 1

Provide an overview of a Magnet facility. Include an explanation of how Magnet status drives health care change in the institution. Develop and post cohesive paragraphs and use evidence to support your ideas. The practice of writing cohesive paragraphs is essential to good writing. Focus each paragraph on one main idea or goal. NURS 3100 3101 Discussion: Nurses Make the Difference

OR

Option 2

Describe the personal contribution a nurse might make in the process of seeking or maintaining Magnet designation. Develop and post cohesive paragraphs and use evidence to support your ideas. The practice of writing cohesive paragraphs is essential to good writing. Focus each paragraph on one main idea or goal.

By Day 7

Read two or more of your colleagues’ postings from the Discussion question.

Respond with a comment that asks for clarification from, provides support for, or contributes additional information to two or more of your colleagues.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your classmates made.

Post a discussion entry on 3 different days of the week.

Submission and Grading Information