Week 10 Discussion: Creating And Facilitating A Learning Environment

Facilitating A Learning Environment

Step 1 Read the scenario.

You are at the local health center, distributing information about the community efforts to promote an active walking plan. The center is crowded, and several clients are requesting information.
You are providing written instructions and a brochure to a client. This client has requested information about participating in a community program that is directed toward improving physical activity by promoting a family walking program. At the end of the walking program, the family that has achieved the most steps in the walking program will receive a year’s membership to a local fitness center. Several of the participants are asking questions.
You notice that the client has not read the brochure or instructions. When you ask if the client’s family would participate in the free fitness center membership if they win, the client responds with a question. “A free family membership at the fitness center is the prize?” You appraise the situation and realize that the client might not be able to read the brochure.

Step 2 Post a response to the discussion board by Wednesday at 11:59 pm Mountain Time
Answer the following questions in your initial response:

• Describe two techniques used in your practice that you would use with the client to facilitate learning.
• Describe the steps you would take in creating a supportive learning environment or sharing information to support this client.
• Describe how you would informally assess the reading level of this client.

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pediatric patient

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-words, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

You are required to cite a minimum of three peer-reviewed sources to complete this Sources must be published within the last 5 years, appropriate for the, and relevant to nursing practice.

This assignment uses a rubric. Please review the rubric prior to beginning

You are required to submit this assignment to LopesWrite.

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Nursing Role

Nursing Role

Describe the nurse’s role and responsibility as health educator. What strategies, besides the use of learning styles, can a nurse educator consider when developing tailored individual care plans, or for educational programs in health promotion? When should behavioral objectives be utilized in a care plan or health promotion?

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Health Promotion Model

Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?

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Week 5 Lab Discussion

Please discuss one thing that you learned from lab this week.

• 1-2 paragraphs in length
• In APA format
   

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QUESTION

Client is a 27 year old female who reports she has always been an anxious person from a young age but since the pandemic her anxiety has started to effect her social and work life- has had to call off a couple of days of work because of her symptoms. Client reports she has tried it all to help her anxiety- OTC supplements, meditation, talk therapy, exercising, eating right and is still unable to shake it. Client reports anxiety is about a 7/10 on a day to day basis and cannot identify any specific triggers for her anxiety and that she worries about everything and anything. Client reports increasingly troublesome anxiety for the last seven months and no identifiable triggers. Client reports sleep is okay but has some trouble falling asleep. Client reports no change to appetite. Client reports some lack of motivation to get out of bed in the morning because she knows how much the anxiety will ruin her day. Client denies any panic attacks. Client reports she has been married now for about two years and would like to start family planning but feels like she needs her anxiety in a better place. Client would like to trial a medication for her mental health but is concerned about weight gain and personality changes that she sees depicted on TV shows.

Assessment Scores

GAD- 7- Pt score 16

MDQ- negative

ISI- negative

PHQ-9- Pt score 6

Other Pertinent Information

NKDA

Current Daily meds- none

No SI, HI or safety concerns

Question 1– What medication would you recommend the client to trial and why? How you would conceptualize the case to a colleague? Please type your response below *

————–

Question 2– Two weeks after starting the medication you prescribed, the client above reaches out to report that they are feeling worse and not getting any better. The client reports they are not having any side effects from the medication. What would you recommend as next best steps?*

—————————

QUESTION B

Please read the following client scenario below and answer the following questions about this client’s case.

Client is a 22 year old male who reports no one takes his symptoms seriously and is done with feeling this way. Client reports he has been having thoughts of suicide but has not had a plan and doesn’t think he would ever try. Client identifies his family and girlfriend as support.

Assessment Scores

GAD- 7- Pt score 5

MDQ- negative

ISI- negative

PHQ-9- Pt score 22

Other Pertinent Information

NKDA

Current Daily meds- multivitamin gummy when he remembers to take it (most days 5/7)

Past Psych History- Denies

What appropriate next steps would you take? (Select all that apply)*

A.

Perform the C-SSRS

B.

Initiate and document a safety plan

C.

Call the client’s Emergency Contact to take them to the hospital

D.

Initiate treatment plan with appropriate medication and/or therapy

E.

Call 911

QUESTION C

Tell me about the most complex behavioral health client you have taken care of. Include your assessment and treatment plan including any prescribed medication and collaboration you required/utilized. Include rationale for treatment choices.

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The Psychiatric Evaluation And Evidence-Based Rating Scales

The Psychiatric Evaluation

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

To Prepare:

• Review the Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis.
• Consider the elements of the psychiatric interview, history, and examination.
• Consider the assessment tool assigned to you by the Course Instructor.
   

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Assignment 2: Study Plan

Assignment 2: Study Plan

Your Name

Department of ABC, University of ABC

ABC 101: Course Name

Professor (or Dr.) Firstname Lastname

Date

2

Assignment 2: Study Plan

A study plan is essential for the purpose of staying on track and remaining focused during the completion of each progress goal and task. It will also help to avoid utter chaos and prevent stress related to confusion and procrastination (McKoy, 2018). The purpose of this paper is to explain the summary of the strengths and opportunities for improvement based on the test questions, create a study plan including three smart goals and associated tasks, and describe the resources to be used to complete the goals and tasks.

Summary of the Strengths and Opportunities for Improvement

My test grade was 70% out of 100%. Upon completion of the practice test questions, various strengths and opportunities for improvement were noted. Strengths comprised excellent skills in interviewing, assessment, intoxication and withdrawal; obtaining history and physicals; and the altered mental status. Opportunities for improvement include enhancing knowledge about how to use psychometrically validated tools such as the DSM-5, Beck Depression Inventory, the HEXACO, and the Adverse Childhood Experiences International Questionnaire. Also, I found myself to be very competent in the diagnosis and treatment sections, especially when distinguishing between different disorders. I also plan to improve my knowledge regarding ethical issues in the medical field.

SMART Goals and Tasks

Goal 1: To help me prepare for my national certification, I will study and follow the weekly readings in the course materials including the psychiatric interview.

Task one: Creating a timetable for studying specific material.

Task two: Specifying hours and the time needed for each material during the preparation of the national examination.

Task three: Consulting with my preceptor about the information I may need to know about as I prepare for my national certification.

Goal 2: To study the chapters of the “Psychiatric Mental Health Nurse Practitioner Certification Review Manual” by the end of the practicum period.

Task one: Following the weekly readings for each course.

Task two: Setting apart a specific day each week for reviewing the chapters assigned for the week.

Task three: Allocating a two hour period for studying.

Goal 3: To list the areas of my knowledge base that I consider weak and decide the topics I need to concentrate more on by week eleven.

Task one: Writing down my weaknesses.

Task two: Reviewing each of my weaknesses during the makeup hours allocated in my timetable.

Task three: Using weekly reading assignments to assess any additional witnesses.

To measure my progress, I will compare my overall main goals with the degree of accomplishment I experienced during specific milestones (for example, weekly milestones). I will also assess how well I completed my goals and go back to the already accomplished goals to determine any details that may have been missed initially (Kverno & Fenton, 2021). I will also use my assignment grades as a way of measuring my progress as well as utilizing the feedback I receive from my preceptor and instructors (Harper et al., 2017).

Resources to Accomplish the Goals and Tasks

I will utilize the Psychiatric Mental Health Nurse Practitioner Review Manual as a key resource during the progress of the course (Horowitz & Posmontier, 2020). Additionally, I will utilize my relationship with colleagues to form a study group using Internet applications like Microsoft Teams or Zoom. Also, I will utilize an online review course to obtain online educational tutoring as a resource for completing the goals and tasks (Peterson et al., 2019).

Conclusion

I plan to devote a lot of time and effort to perfecting my study plan and ensuring that it helps me achieve my goals and tasks. I will also stick to the plan and utilize every available resource to establish and achieve my goals. In the process, I will incorporate other process goals and objectives that will help me achieve my long-term goals. I will utilize several appropriate resources to prepare myself and make sure that I am confident and ready for my national certification exam.

References

Harper, D. C., McGuinness, T. M., & Johnson, J. (2017). Clinical residency training: Is it essential to the Doctor of Nursing Practice for nurse practitioner preparation?. Nursing outlook, 65(1), 50-57.

Horowitz, J. A., & Posmontier, B. (2020). A call to action: Reclaiming our PMH APN heritage. Archives of Psychiatric Nursing, 34(5), 351-354.

Kverno, K. S., & Fenton, A. (2021). Specialization Within a Specialty: Advanced Practice Psychiatric Nursing Pathways for the Greatest Good. Journal of psychosocial nursing and mental health services, 59(10), 13-18.

McCoy, K. T. (2018). Achieving full scope of practice readiness using evidence for psychotherapy teaching in web and hybrid approaches in psychiatric mental health advanced practice nursing education. Perspectives in psychiatric care, 54(1), 74-83.

Peterson, B. L., Pittenger, A. L., Kaas, M. J., & Lounsbery, J. L. (2019). Partnering for a sustainable interprofessional psychiatric mental health nurse practitioner education curriculum. Journal of Nursing Education, 58(12), 723-727.

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Fishbone Chart

Fishbone Chart

Fishbone Chart

Assessment Description

The purpose of this assignment is to use a Fishbone Diagram to complete a root cause analysis. Identify a problem in your practice environment and utilize the topic Resource “Fishbone Analysis Diagram Template” to work through the problem to the root cause. Refer to “Problem-Solving Your Fishbone Into a Wishbone,” located in the topic Resources to complete this assignment.

While APA style is not required for Part 1, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Prepare Part 2 of the template 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.

Rubric

Fishbone Diagram

The Fishbone Analysis Diagram is present and includes substantial relevant details.

A description of the purpose of progress tracking in project management is present and thorough.

A description of the how and when it is best to implement project adjustments is present and thorough.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

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RUA: Maternal – Discharge Teaching

RUA: Maternal – Discharge Teaching

RUA: Maternal – Discharge Teaching