Development and Implementation
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see attachment PICK ONE SCENARIO **files (2)** – ## Week4DiscussionPartI.pdf – ## week4DS.pdf **## Week4DiscussionPartI.pdf** Week 4 Discussion Part I Table 1 Innocent versus Pathologic Murmur Table 2 Pediatric Cardiac Conditions Auscultatory Findings- Innocent versus Pathologic Murmur Innocent Murm…
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PICK ONE SCENARIO
**files (2)**
– ## Week4DiscussionPartI.pdf
– ## week4DS.pdf
**## Week4DiscussionPartI.pdf**
Week 4 Discussion Part I
Table 1
Innocent versus Pathologic Murmur
Table 2
Pediatric Cardiac Conditions
Auscultatory Findings- Innocent versus Pathologic Murmur
Innocent Murmur – list 4 and describe the
auscultatory findings
Pathologic Murmur – list 4 and describe
the auscultatory findings
Complete the table.
Cardiac Condition Description Clinical Findings Treatment/
Management
Atrial Septal Defect
Ventricular Septal
Defect
Tetralogy of Fallot
Coarctation of the Aorta
Transposition of the
Great Arteries
Table 3
Differential Diagnoses for vomiting
Table 4
Do Not Miss GI Conditions
Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.
Differential Description Clinical Findings/
Presentation
Management
1.
2.
3.
4.
Fill in the following
Condition Description Clinical Features/
Presentation
Management
Foreign Body Ingestion
Appendicitis
Intussusception
Hirschsprung Disease
Pyloric Stenosis
Table 5
Enuresis
Table 6
GU Anomalies
List 4 differential diagnoses for enuresis.
Differentials Description Clinical Findings/
Presentation
Management
1.
2.
3.
4.
Complete the requested information related to Common Genitourinary Anomalies
Brief
Pathyphysiolog
y
Description Clinical
Features
Management
Hypospadias
Epispadias
Hydrocele
Cryptorchidis
m
Testicular
Torsion
Table 7
Respiratory Conditions in Children
Table 8
Differential Diagnoses for Pediatric Cough
Complete the information.
Condition Causative Agents Clinical Findings Treatment/
Management
URI "common cold"
Allergic rhinitis
Rhinosinusitis
Bronchiolitis
RSV
Pneumonia
Asthma
List the top 3 differential diagnoses for cc: “cough” in pediatric patients
Differentials Description Clinical Findings Treatment/
Management
1.
2.
3.
Table 9
National Asthma Education and Prevention Program Expert Panel Report (EPR3)
Complete the information below.
Asthma Classification
and Step Before
Treatment
Symptoms Nighttime
Symptoms
Lung Function
Step 1: Intermittent
Step 2: Mild Persistent
Step 3: Moderate
Persistent
Step 4: Severe
Persistent
**## week4DS.pdf**
Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
preschool, she has been a healthy child, and she is at the 50% for height and weight. On
exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.
• What additional information should the APRN know about Keisha?
• What tests should the APRN order?
• What should the APRN specifically include in the cardiac physical examination?
• How should the APRN approach referrals?
Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.
• What more does the APRN need to know about Clara’s symptoms?
• What should the APRN look for in the physical examination?
• What are the signs and symptoms of dehydration?
• What are 3 differentials the APRN should consider?
• What is the calculation for pediatric volume replacement?
• What type of anticipatory guidance should the APRN give Clara’s father?
Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
well-child exam. His mother reports that she is concerned that Mark wets his bed at
night 3 to 4 times per week. She is at her wit’s end and does not know what to do.
• What does the APRN need to know about Mark’s condition?
• What are some of the possible causes for Mark’s condition?
• What strategies should the APRN share with Mark’s mother to help him stay dry at
night?
Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
95%. She is alert and does not appear to be in distress. On exam, you note that she has
inspiratory and expiratory wheezes and mild tracheal retractions.
• What more does the APRN need to know about this child?
• What treatment(s) should the APRN provide in clinic today and why?
• What diagnostic tests should the APRN order today and why?
• What education should the APRN provide Lindsey and her family?
Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.
• What is the standardized Brodsky tonsils grading scale?
• What is the Centor Criteria?
• What diagnostic studies should the APRN consider?
• How should the APRN manage her symptoms? Be specific about treatment and
rationale. If prescribing, include dosages, precautions, and follow-up
• How would you manage Wendy’s treatment plan if she were allergic to penicillin? If
prescribing, include dosages, precautions, and follow-up.
• When can Wendy return to school?
Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
complex. He has had a chronic cough since moving into that apartment building 8 weeks
ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
times a week). Luis has had to miss school and is too tired to play with his friends.
• What diagnostic tests might you perform and why?
• What is the gold standard for diagnosing asthma?
• How would you manage his asthma symptoms?
• What type of education should you give parents and Luis?
• What is the proper way to use a metered dose inhaler?
**## week4DS.pdf**
Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
preschool, she has been a healthy child, and she is at the 50% for height and weight. On
exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.
• What additional information should the APRN know about Keisha?
• What tests should the APRN order?
• What should the APRN specifically include in the cardiac physical examination?
• How should the APRN approach referrals?
Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.
• What more does the APRN need to know about Clara’s symptoms?
• What should the APRN look for in the physical examination?
• What are the signs and symptoms of dehydration?
• What are 3 differentials the APRN should consider?
• What is the calculation for pediatric volume replacement?
• What type of anticipatory guidance should the APRN give Clara’s father?
Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
well-child exam. His mother reports that she is concerned that Mark wets his bed at
night 3 to 4 times per week. She is at her wit’s end and does not know what to do.
• What does the APRN need to know about Mark’s condition?
• What are some of the possible causes for Mark’s condition?
• What strategies should the APRN share with Mark’s mother to help him stay dry at
night?
Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
95%. She is alert and does not appear to be in distress. On exam, you note that she has
inspiratory and expiratory wheezes and mild tracheal retractions.
• What more does the APRN need to know about this child?
• What treatment(s) should the APRN provide in clinic today and why?
• What diagnostic tests should the APRN order today and why?
• What education should the APRN provide Lindsey and her family?
Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.
• What is the standardized Brodsky tonsils grading scale?
• What is the Centor Criteria?
• What diagnostic studies should the APRN consider?
• How should the APRN manage her symptoms? Be specific about treatment and
rationale. If prescribing, include dosages, precautions, and follow-up
• How would you manage Wendy’s treatment plan if she were allergic to penicillin? If
prescribing, include dosages, precautions, and follow-up.
• When can Wendy return to school?
Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
complex. He has had a chronic cough since moving into that apartment building 8 weeks
ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
times a week). Luis has had to miss school and is too tired to play with his friends.
• What diagnostic tests might you perform and why?
• What is the gold standard for diagnosing asthma?
• How would you manage his asthma symptoms?
• What type of education should you give parents and Luis?
• What is the proper way to use a metered dose inhaler?
**## Week4DiscussionPartI.pdf**
Week 4 Discussion Part I
Table 1
Innocent versus Pathologic Murmur
Table 2
Pediatric Cardiac Conditions
Auscultatory Findings- Innocent versus Pathologic Murmur
Innocent Murmur – list 4 and describe the
auscultatory findings
Pathologic Murmur – list 4 and describe
the auscultatory findings
Complete the table.
Cardiac Condition Description Clinical Findings Treatment/
Management
Atrial Septal Defect
Ventricular Septal
Defect
Tetralogy of Fallot
Coarctation of the Aorta
Transposition of the
Great Arteries
Table 3
Differential Diagnoses for vomiting
Table 4
Do Not Miss GI Conditions
Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.
Differential Description Clinical Findings/
Presentation
Management
1.
2.
3.
4.
Fill in the following
Condition Description Clinical Features/
Presentation
Management
Foreign Body Ingestion
Appendicitis
Intussusception
Hirschsprung Disease
Pyloric Stenosis
Table 5
Enuresis
Table 6
GU Anomalies
List 4 differential diagnoses for enuresis.
Differentials Description Clinical Findings/
Presentation
Management
1.
2.
3.
4.
Complete the requested information related to Common Genitourinary Anomalies
Brief
Pathyphysiolog
y
Description Clinical
Features
Management
Hypospadias
Epispadias
Hydrocele
Cryptorchidis
m
Testicular
Torsion
Table 7
Respiratory Conditions in Children
Table 8
Differential Diagnoses for Pediatric Cough
Complete the information.
Condition Causative Agents Clinical Findings Treatment/
Management
URI "common cold"
Allergic rhinitis
Rhinosinusitis
Bronchiolitis
RSV
Pneumonia
Asthma
List the top 3 differential diagnoses for cc: “cough” in pediatric patients
Differentials Description Clinical Findings Treatment/
Management
1.
2.
3.
Table 9
National Asthma Education and Prevention Program Expert Panel Report (EPR3)
Complete the information below.
Asthma Classification
and Step Before
Treatment
Symptoms Nighttime
Symptoms
Lung Function
Step 1: Intermittent
Step 2: Mild Persistent
Step 3: Moderate
Persistent
Step 4: Severe
Persistent
**## week4DS.pdf**
Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
preschool, she has been a healthy child, and she is at the 50% for height and weight. On
exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.
• What additional information should the APRN know about Keisha?
• What tests should the APRN order?
• What should the APRN specifically include in the cardiac physical examination?
• How should the APRN approach referrals?
Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.
• What more does the APRN need to know about Clara’s symptoms?
• What should the APRN look for in the physical examination?
• What are the signs and symptoms of dehydration?
• What are 3 differentials the APRN should consider?
• What is the calculation for pediatric volume replacement?
• What type of anticipatory guidance should the APRN give Clara’s father?
Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
well-child exam. His mother reports that she is concerned that Mark wets his bed at
night 3 to 4 times per week. She is at her wit’s end and does not know what to do.
• What does the APRN need to know about Mark’s condition?
• What are some of the possible causes for Mark’s condition?
• What strategies should the APRN share with Mark’s mother to help him stay dry at
night?
Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
95%. She is alert and does not appear to be in distress. On exam, you note that she has
inspiratory and expiratory wheezes and mild tracheal retractions.
• What more does the APRN need to know about this child?
• What treatment(s) should the APRN provide in clinic today and why?
• What diagnostic tests should the APRN order today and why?
• What education should the APRN provide Lindsey and her family?
Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.
• What is the standardized Brodsky tonsils grading scale?
• What is the Centor Criteria?
• What diagnostic studies should the APRN consider?
• How should the APRN manage her symptoms? Be specific about treatment and
rationale. If prescribing, include dosages, precautions, and follow-up
• How would you manage Wendy’s treatment plan if she were allergic to penicillin? If
prescribing, include dosages, precautions, and follow-up.
• When can Wendy return to school?
Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
complex. He has had a chronic cough since moving into that apartment building 8 weeks
ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
times a week). Luis has had to miss school and is too tired to play with his friends.
• What diagnostic tests might you perform and why?
• What is the gold standard for diagnosing asthma?
• How would you manage his asthma symptoms?
• What type of education should you give parents and Luis?
• What is the proper way to use a metered dose inhaler?
**## Week4DiscussionPartI.pdf**
Week 4 Discussion Part I
Table 1
Innocent versus Pathologic Murmur
Table 2
Pediatric Cardiac Conditions
Auscultatory Findings- Innocent versus Pathologic Murmur
Innocent Murmur – list 4 and describe the
auscultatory findings
Pathologic Murmur – list 4 and describe
the auscultatory findings
Complete the table.
Cardiac Condition Description Clinical Findings Treatment/
Management
Atrial Septal Defect
Ventricular Septal
Defect
Tetralogy of Fallot
Coarctation of the Aorta
Transposition of the
Great Arteries
Table 3
Differential Diagnoses for vomiting
Table 4
Do Not Miss GI Conditions
Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.
Differential Description Clinical Findings/
Presentation
Management
1.
2.
3.
4.
Fill in the following
Condition Description Clinical Features/
Presentation
Management
Foreign Body Ingestion
Appendicitis
Intussusception
Hirschsprung Disease
Pyloric Stenosis
Table 5
Enuresis
Table 6
GU Anomalies
List 4 differential diagnoses for enuresis.
Differentials Description Clinical Findings/
Presentation
Management
1.
2.
3.
4.
Complete the requested information related to Common Genitourinary Anomalies
Brief
Pathyphysiolog
y
Description Clinical
Features
Management
Hypospadias
Epispadias
Hydrocele
Cryptorchidis
m
Testicular
Torsion
Table 7
Respiratory Conditions in Children
Table 8
Differential Diagnoses for Pediatric Cough
Complete the information.
Condition Causative Agents Clinical Findings Treatment/
Management
URI "common cold"
Allergic rhinitis
Rhinosinusitis
Bronchiolitis
RSV
Pneumonia
Asthma
List the top 3 differential diagnoses for cc: “cough” in pediatric patients
Differentials Description Clinical Findings Treatment/
Management
1.
2.
3.
Table 9
National Asthma Education and Prevention Program Expert Panel Report (EPR3)
Complete the information below.
Asthma Classification
and Step Before
Treatment
Symptoms Nighttime
Symptoms
Lung Function
Step 1: Intermittent
Step 2: Mild Persistent
Step 3: Moderate
Persistent
Step 4: Severe
Persistent
**## week4DS.pdf**
Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
preschool, she has been a healthy child, and she is at the 50% for height and weight. On
exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.
• What additional information should the APRN know about Keisha?
• What tests should the APRN order?
• What should the APRN specifically include in the cardiac physical examination?
• How should the APRN approach referrals?
Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.
• What more does the APRN need to know about Clara’s symptoms?
• What should the APRN look for in the physical examination?
• What are the signs and symptoms of dehydration?
• What are 3 differentials the APRN should consider?
• What is the calculation for pediatric volume replacement?
• What type of anticipatory guidance should the APRN give Clara’s father?
Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
well-child exam. His mother reports that she is concerned that Mark wets his bed at
night 3 to 4 times per week. She is at her wit’s end and does not know what to do.
• What does the APRN need to know about Mark’s condition?
• What are some of the possible causes for Mark’s condition?
• What strategies should the APRN share with Mark’s mother to help him stay dry at
night?
Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
95%. She is alert and does not appear to be in distress. On exam, you note that she has
inspiratory and expiratory wheezes and mild tracheal retractions.
• What more does the APRN need to know about this child?
• What treatment(s) should the APRN provide in clinic today and why?
• What diagnostic tests should the APRN order today and why?
• What education should the APRN provide Lindsey and her family?
Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.
• What is the standardized Brodsky tonsils grading scale?
• What is the Centor Criteria?
• What diagnostic studies should the APRN consider?
• How should the APRN manage her symptoms? Be specific about treatment and
rationale. If prescribing, include dosages, precautions, and follow-up
• How would you manage Wendy’s treatment plan if she were allergic to penicillin? If
prescribing, include dosages, precautions, and follow-up.
• When can Wendy return to school?
Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
complex. He has had a chronic cough since moving into that apartment building 8 weeks
ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
times a week). Luis has had to miss school and is too tired to play with his friends.
• What diagnostic tests might you perform and why?
• What is the gold standard for diagnosing asthma?
• How would you manage his asthma symptoms?
• What type of education should you give parents and Luis?
• What is the proper way to use a metered dose inhaler?
**Respond** to **at least two** classmates on **two different days** in one or more of the following ways: – Ask a probing question, substantiated with additional background information, evidence, or research. – Share an insight from having read your classmates’ postings, synthesizing the informatio…
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Order on TutorsGallery →**Respond** to **at least two** classmates on **two different days** in one or more of the following ways:
– Ask a probing question, substantiated with additional background information, evidence, or research.
– Share an insight from having read your classmates’ postings, synthesizing the information to provide new perspectives.
– Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
– Validate an idea with your own experience and additional research.
– Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
– Expand on your classmates’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
**Note:** Your responses to classmates should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response, but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or offering a fresh viewpoint, and be constructive, thereby enhancing the learning experience for all students.
– [\
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Response-MEASURESUSEDINEPIDEMIOLOGY.docx](https://www.sweetstudy.com/files/response-measuresusedinepidemiology-docx "Response-MEASURESUSEDINEPIDEMIOLOGY.docx")
Evaluate the type of health information technology used in your current work settings and discuss the pros and the cons of the software. **Participation Requirements** The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the c…
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Order on TutorsGallery →Evaluate the type of health information technology used in your current work settings and discuss the pros and the cons of the software.
**Participation Requirements**
The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Wednesday, 11:59 p.m. Eastern Time of each week. Two scholarly sources references are required, unless stated otherwise by your professor.
The student provides a substantive response to the discussion question or topic on Wednesday day and posts a minimum **of two additional responses** to peers on another day(s). The answers to classmates must be posted by Saturday, 11:59 pm Eastern Time. We expect each student to participate in the discussion board in a respectful manner.
Please review the rubric before posting to ensure a maximum of points.
Here are the categories of the new discussion rubric:
**Initial Post** relevance to the topic of discussion, applicability, and insight. (20%)
**Quality of Written Communication** Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)
**Inclusion of DNP essentials explored in the discussion as well as the role-specific competencies as applicable.**(10%)
**Rigor, currency, and relevance of the scholarly references.** (Use articles that are below 5 years). (20%)
**Peer & Professor Responses.** The number of responses, quality of response posts. (20%)
**Timeliness of the initial post and the answers to the peers. (10%)**
**files (2)** – ## NUR650DisWk2response.pdf – ## NUR650Diss1-7.pdf **## NUR650DisWk2response.pdf** Neivis Socorro Garcia Harriet Needs Surgery I am located in Miami, Florida. In this case, Harriet is a 51-year-old married woman with a history of alcohol and cocaine use disorder who has been in remis…
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Order on TutorsGallery →**files (2)**
– ## NUR650DisWk2response.pdf
– ## NUR650Diss1-7.pdf
**## NUR650DisWk2response.pdf**
Neivis Socorro Garcia
Harriet Needs Surgery
I am located in Miami, Florida. In this case, Harriet is a 51-year-old married woman with a
history of alcohol and cocaine use disorder who has been in remission for the past four years.
She has been regularly attending Alcoholics Anonymous (AA) and Narcotics Anonymous (NA),
and she denies any current cravings. However, she now needs carpal tunnel surgery, and the use
of oxycodone during recovery is concerning because of her past substance use history. This
situation is important to approach carefully to reduce the risk of relapse.
During the first visit, the most important information to collect would include a detailed
substance use history, especially past triggers, relapse patterns, and coping strategies that have
helped her stay sober. It is also important to assess her current emotional state, including any
anxiety about the surgery or fear of relapse. The provider should explore her support system,
including her spouse, AA/NA involvement, and whether she has a sponsor or close support
network. Understanding how she feels about taking pain medication, especially opioids, is also
very important. Screening for depression, anxiety, and relapse risk should be included, since
medical stress can increase vulnerability even in patients who have been stable for years.
The main goal of treatment is to prevent relapse while still managing her pain safely.
According to current guidelines, patients with a history of substance use disorder should be
prescribed the lowest effective dose of opioids for the shortest time possible, along with close
monitoring and the use of non-opioid pain management when possible (Substance Abuse and
Mental Health Services Administration, 2020). Family involvement is also very important. The
goal is to help the family recognize early warning signs of relapse, support Harriet, and
encourage accountability. Open communication and strong coping strategies within the family
can help lower the risk of relapse during this stressful period.
In group therapy, different curative factors can be seen in each phase. In the initial phase,
instillation of hope is important, as Harriet can see others who have gone through similar
situations and remained stable. In the middle phase, universality helps her realize she is not alone
in her fears, which can reduce feelings of isolation. In the termination phase, interpersonal
learning becomes important, as she reflects on what she has learned and how she can continue
applying these skills after treatment.
In Miami, Florida, there are several agencies that can support Harriet. One option is New
Beginnings Recovery Center, which provides support for individuals in recovery and can help
reinforce relapse prevention during recovery from surgery. Another is Jackson Behavioral Health
Hospital, which offers mental health and substance use services, including outpatient care. A
third option is The Recovery Village Miami at Baptist Health, which provides structured
programs focused on relapse prevention and ongoing support.
These agencies were chosen because they offer a combination of mental health care,
substance use support, and counseling services. Having access to these resources can help
Harriet stay stable during recovery and reduce the chances of relapse.
Overall, Harriet’s case shows how important it is to balance pain management with relapse
prevention. With proper support, monitoring, and family involvement, she can go through
surgery safely while maintaining her sobriety.
Arlette Del Pino Vento
Harriet is a 51-year-old woman who has maintained sobriety from alcohol and cocaine for
the past four years, which is a significant strength. The clinical situation becomes more
complicated because the patient needs carpal tunnel surgery which requires postoperative pain
medications that include oxycodone. The first group visit requires information about her relapse
risk and her current coping strategies to be evaluated as the primary data for assessment. The
process requires her to share information about her substance use history and the factors that
trigger her addiction and the methods she used to achieve sobriety. It is also important to
understand how she feels about taking opioid medication, whether she feels confident, anxious,
or unsure, and whether she has a relapse prevention plan in place. Additionally, evaluating her
psychiatric stability, current stressors, support system, and any prior experience with prescribed
opioids is essential. Wakeman et al. (2020) emphasize that identifying both risk and protective
factors is key when managing pain in patients with a history of substance use.
The primary goal in addressing Harriet’s family related concerns is to strengthen her
support system while minimizing relapse risk. U.S. clinical guidelines support involving family
members in a way that promotes recovery without enabling harmful behaviors. In Harriet’s
situation, her spouse can provide emotional support, help monitor medication use if appropriate,
and reinforce healthy coping strategies. At the same time, it is important to maintain clear
boundaries so that Harriet retains responsibility for her recovery. The goal is to improve
communication, reduce stress within the home, and create a supportive environment that
prioritizes sobriety. According to SAMHSA (2021), appropriate family involvement can improve
outcomes and help sustain long-term recovery.
Group therapy can offer Harriet meaningful support throughout each phase of treatment.
The initial phase of the process requires universal healing elements to achieve their maximum
effect. When people who have experienced the same issues as Harriet speak about their battle
with addiction and need for medical help she discovers comfort in their shared experience. The
ability to connect with others creates a calming effect that helps people feel less anxious and
work together. The second phase of the process enables people to acquire knowledge through
their interactions with others. Through his practice sessions Harriet will learn to voice her needs
while receiving constructive criticism on her performance and developing effective stress
management techniques. The current phase enables individuals to develop through collective
activities while they enhance their understanding of themselves. The final phase of the process
requires participants to focus on their achievements while they develop their self-assurance.
Harriet uses her current position to evaluate her achievements while she builds better coping
mechanisms to help her sustain her recovery process. Research studies on group psychotherapy
demonstrate that these therapeutic factors receive strong validation (Yalom & Leszcz, 2020).
I am located in Miami, Florida, and three local agencies that could support Harriet include
Jackson Behavioral Health Hospital, New Hope CORPS, and South Miami Hospital Addiction
Treatment Services. The selected agencies deliver complete healthcare services which treat
patients who suffer from both mental health disorders and substance use disorders. Jackson
Behavioral Health Hospital offers a wide range of outpatient and inpatient services, making it a
strong option if Harriet needs additional support. New Hope CORPS provides its primary focus
to help people recover from addiction while preventing them from relapsing, which fits her long-
term sobriety needs. South Miami Hospital Addiction Treatment Services provides medically
integrated care, which is especially beneficial given her need for coordinated surgical and pain
management.
Overall, Harriet’s case highlights the importance of balancing effective pain management
with relapse prevention. With a thorough assessment, supportive family involvement, group
therapy, and access to local resources, Harriet can safely navigate her recovery while maintaining
her sobriety.
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
**## NUR650DisWk2response.pdf**
Neivis Socorro Garcia
Harriet Needs Surgery
I am located in Miami, Florida. In this case, Harriet is a 51-year-old married woman with a
history of alcohol and cocaine use disorder who has been in remission for the past four years.
She has been regularly attending Alcoholics Anonymous (AA) and Narcotics Anonymous (NA),
and she denies any current cravings. However, she now needs carpal tunnel surgery, and the use
of oxycodone during recovery is concerning because of her past substance use history. This
situation is important to approach carefully to reduce the risk of relapse.
During the first visit, the most important information to collect would include a detailed
substance use history, especially past triggers, relapse patterns, and coping strategies that have
helped her stay sober. It is also important to assess her current emotional state, including any
anxiety about the surgery or fear of relapse. The provider should explore her support system,
including her spouse, AA/NA involvement, and whether she has a sponsor or close support
network. Understanding how she feels about taking pain medication, especially opioids, is also
very important. Screening for depression, anxiety, and relapse risk should be included, since
medical stress can increase vulnerability even in patients who have been stable for years.
The main goal of treatment is to prevent relapse while still managing her pain safely.
According to current guidelines, patients with a history of substance use disorder should be
prescribed the lowest effective dose of opioids for the shortest time possible, along with close
monitoring and the use of non-opioid pain management when possible (Substance Abuse and
Mental Health Services Administration, 2020). Family involvement is also very important. The
goal is to help the family recognize early warning signs of relapse, support Harriet, and
encourage accountability. Open communication and strong coping strategies within the family
can help lower the risk of relapse during this stressful period.
In group therapy, different curative factors can be seen in each phase. In the initial phase,
instillation of hope is important, as Harriet can see others who have gone through similar
situations and remained stable. In the middle phase, universality helps her realize she is not alone
in her fears, which can reduce feelings of isolation. In the termination phase, interpersonal
learning becomes important, as she reflects on what she has learned and how she can continue
applying these skills after treatment.
In Miami, Florida, there are several agencies that can support Harriet. One option is New
Beginnings Recovery Center, which provides support for individuals in recovery and can help
reinforce relapse prevention during recovery from surgery. Another is Jackson Behavioral Health
Hospital, which offers mental health and substance use services, including outpatient care. A
third option is The Recovery Village Miami at Baptist Health, which provides structured
programs focused on relapse prevention and ongoing support.
These agencies were chosen because they offer a combination of mental health care,
substance use support, and counseling services. Having access to these resources can help
Harriet stay stable during recovery and reduce the chances of relapse.
Overall, Harriet’s case shows how important it is to balance pain management with relapse
prevention. With proper support, monitoring, and family involvement, she can go through
surgery safely while maintaining her sobriety.
Arlette Del Pino Vento
Harriet is a 51-year-old woman who has maintained sobriety from alcohol and cocaine for
the past four years, which is a significant strength. The clinical situation becomes more
complicated because the patient needs carpal tunnel surgery which requires postoperative pain
medications that include oxycodone. The first group visit requires information about her relapse
risk and her current coping strategies to be evaluated as the primary data for assessment. The
process requires her to share information about her substance use history and the factors that
trigger her addiction and the methods she used to achieve sobriety. It is also important to
understand how she feels about taking opioid medication, whether she feels confident, anxious,
or unsure, and whether she has a relapse prevention plan in place. Additionally, evaluating her
psychiatric stability, current stressors, support system, and any prior experience with prescribed
opioids is essential. Wakeman et al. (2020) emphasize that identifying both risk and protective
factors is key when managing pain in patients with a history of substance use.
The primary goal in addressing Harriet’s family related concerns is to strengthen her
support system while minimizing relapse risk. U.S. clinical guidelines support involving family
members in a way that promotes recovery without enabling harmful behaviors. In Harriet’s
situation, her spouse can provide emotional support, help monitor medication use if appropriate,
and reinforce healthy coping strategies. At the same time, it is important to maintain clear
boundaries so that Harriet retains responsibility for her recovery. The goal is to improve
communication, reduce stress within the home, and create a supportive environment that
prioritizes sobriety. According to SAMHSA (2021), appropriate family involvement can improve
outcomes and help sustain long-term recovery.
Group therapy can offer Harriet meaningful support throughout each phase of treatment.
The initial phase of the process requires universal healing elements to achieve their maximum
effect. When people who have experienced the same issues as Harriet speak about their battle
with addiction and need for medical help she discovers comfort in their shared experience. The
ability to connect with others creates a calming effect that helps people feel less anxious and
work together. The second phase of the process enables people to acquire knowledge through
their interactions with others. Through his practice sessions Harriet will learn to voice her needs
while receiving constructive criticism on her performance and developing effective stress
management techniques. The current phase enables individuals to develop through collective
activities while they enhance their understanding of themselves. The final phase of the process
requires participants to focus on their achievements while they develop their self-assurance.
Harriet uses her current position to evaluate her achievements while she builds better coping
mechanisms to help her sustain her recovery process. Research studies on group psychotherapy
demonstrate that these therapeutic factors receive strong validation (Yalom & Leszcz, 2020).
I am located in Miami, Florida, and three local agencies that could support Harriet include
Jackson Behavioral Health Hospital, New Hope CORPS, and South Miami Hospital Addiction
Treatment Services. The selected agencies deliver complete healthcare services which treat
patients who suffer from both mental health disorders and substance use disorders. Jackson
Behavioral Health Hospital offers a wide range of outpatient and inpatient services, making it a
strong option if Harriet needs additional support. New Hope CORPS provides its primary focus
to help people recover from addiction while preventing them from relapsing, which fits her long-
term sobriety needs. South Miami Hospital Addiction Treatment Services provides medically
integrated care, which is especially beneficial given her need for coordinated surgical and pain
management.
Overall, Harriet’s case highlights the importance of balancing effective pain management
with relapse prevention. With a thorough assessment, supportive family involvement, group
therapy, and access to local resources, Harriet can safely navigate her recovery while maintaining
her sobriety.
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
**## NUR650DisWk2response.pdf**
Neivis Socorro Garcia
Harriet Needs Surgery
I am located in Miami, Florida. In this case, Harriet is a 51-year-old married woman with a
history of alcohol and cocaine use disorder who has been in remission for the past four years.
She has been regularly attending Alcoholics Anonymous (AA) and Narcotics Anonymous (NA),
and she denies any current cravings. However, she now needs carpal tunnel surgery, and the use
of oxycodone during recovery is concerning because of her past substance use history. This
situation is important to approach carefully to reduce the risk of relapse.
During the first visit, the most important information to collect would include a detailed
substance use history, especially past triggers, relapse patterns, and coping strategies that have
helped her stay sober. It is also important to assess her current emotional state, including any
anxiety about the surgery or fear of relapse. The provider should explore her support system,
including her spouse, AA/NA involvement, and whether she has a sponsor or close support
network. Understanding how she feels about taking pain medication, especially opioids, is also
very important. Screening for depression, anxiety, and relapse risk should be included, since
medical stress can increase vulnerability even in patients who have been stable for years.
The main goal of treatment is to prevent relapse while still managing her pain safely.
According to current guidelines, patients with a history of substance use disorder should be
prescribed the lowest effective dose of opioids for the shortest time possible, along with close
monitoring and the use of non-opioid pain management when possible (Substance Abuse and
Mental Health Services Administration, 2020). Family involvement is also very important. The
goal is to help the family recognize early warning signs of relapse, support Harriet, and
encourage accountability. Open communication and strong coping strategies within the family
can help lower the risk of relapse during this stressful period.
In group therapy, different curative factors can be seen in each phase. In the initial phase,
instillation of hope is important, as Harriet can see others who have gone through similar
situations and remained stable. In the middle phase, universality helps her realize she is not alone
in her fears, which can reduce feelings of isolation. In the termination phase, interpersonal
learning becomes important, as she reflects on what she has learned and how she can continue
applying these skills after treatment.
In Miami, Florida, there are several agencies that can support Harriet. One option is New
Beginnings Recovery Center, which provides support for individuals in recovery and can help
reinforce relapse prevention during recovery from surgery. Another is Jackson Behavioral Health
Hospital, which offers mental health and substance use services, including outpatient care. A
third option is The Recovery Village Miami at Baptist Health, which provides structured
programs focused on relapse prevention and ongoing support.
These agencies were chosen because they offer a combination of mental health care,
substance use support, and counseling services. Having access to these resources can help
Harriet stay stable during recovery and reduce the chances of relapse.
Overall, Harriet’s case shows how important it is to balance pain management with relapse
prevention. With proper support, monitoring, and family involvement, she can go through
surgery safely while maintaining her sobriety.
Arlette Del Pino Vento
Harriet is a 51-year-old woman who has maintained sobriety from alcohol and cocaine for
the past four years, which is a significant strength. The clinical situation becomes more
complicated because the patient needs carpal tunnel surgery which requires postoperative pain
medications that include oxycodone. The first group visit requires information about her relapse
risk and her current coping strategies to be evaluated as the primary data for assessment. The
process requires her to share information about her substance use history and the factors that
trigger her addiction and the methods she used to achieve sobriety. It is also important to
understand how she feels about taking opioid medication, whether she feels confident, anxious,
or unsure, and whether she has a relapse prevention plan in place. Additionally, evaluating her
psychiatric stability, current stressors, support system, and any prior experience with prescribed
opioids is essential. Wakeman et al. (2020) emphasize that identifying both risk and protective
factors is key when managing pain in patients with a history of substance use.
The primary goal in addressing Harriet’s family related concerns is to strengthen her
support system while minimizing relapse risk. U.S. clinical guidelines support involving family
members in a way that promotes recovery without enabling harmful behaviors. In Harriet’s
situation, her spouse can provide emotional support, help monitor medication use if appropriate,
and reinforce healthy coping strategies. At the same time, it is important to maintain clear
boundaries so that Harriet retains responsibility for her recovery. The goal is to improve
communication, reduce stress within the home, and create a supportive environment that
prioritizes sobriety. According to SAMHSA (2021), appropriate family involvement can improve
outcomes and help sustain long-term recovery.
Group therapy can offer Harriet meaningful support throughout each phase of treatment.
The initial phase of the process requires universal healing elements to achieve their maximum
effect. When people who have experienced the same issues as Harriet speak about their battle
with addiction and need for medical help she discovers comfort in their shared experience. The
ability to connect with others creates a calming effect that helps people feel less anxious and
work together. The second phase of the process enables people to acquire knowledge through
their interactions with others. Through his practice sessions Harriet will learn to voice her needs
while receiving constructive criticism on her performance and developing effective stress
management techniques. The current phase enables individuals to develop through collective
activities while they enhance their understanding of themselves. The final phase of the process
requires participants to focus on their achievements while they develop their self-assurance.
Harriet uses her current position to evaluate her achievements while she builds better coping
mechanisms to help her sustain her recovery process. Research studies on group psychotherapy
demonstrate that these therapeutic factors receive strong validation (Yalom & Leszcz, 2020).
I am located in Miami, Florida, and three local agencies that could support Harriet include
Jackson Behavioral Health Hospital, New Hope CORPS, and South Miami Hospital Addiction
Treatment Services. The selected agencies deliver complete healthcare services which treat
patients who suffer from both mental health disorders and substance use disorders. Jackson
Behavioral Health Hospital offers a wide range of outpatient and inpatient services, making it a
strong option if Harriet needs additional support. New Hope CORPS provides its primary focus
to help people recover from addiction while preventing them from relapsing, which fits her long-
term sobriety needs. South Miami Hospital Addiction Treatment Services provides medically
integrated care, which is especially beneficial given her need for coordinated surgical and pain
management.
Overall, Harriet’s case highlights the importance of balancing effective pain management
with relapse prevention. With a thorough assessment, supportive family involvement, group
therapy, and access to local resources, Harriet can safely navigate her recovery while maintaining
her sobriety.
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
Assess how epidemiology and population health drive healthcare progress
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Order on TutorsGallery →Assess how epidemiology and population health drive healthcare progress
Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions. **Include the following sections:** **Step 1**: Identify your assigned client from the Week 6 Explore lesson. Your assignment is based on the first letter of your last…
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Have this question answered from scratch according to your specific instructions and deadline.
Order on TutorsGallery →Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.
**Include the following sections:**
**Step 1**: Identify your assigned client from the Week 6 Explore lesson. Your assignment is based on the first letter of your last name in the chart below. Review your assigned clinical application activity from the lesson. The client case link will take you to the page in the lesson where the respective case is located. Scroll to the bottom of the page to locate the client case.
[Nia Omari](https://chamberlain.instructure.com/courses/195312/pages/week-6-drugs-used-to-manage-anxiety-disorders "Week 6: Drugs Used to Manage Anxiety Disorders")
**Step 2**: Assess the client’s case and the prescription writing activity for that client within the lesson.
**Step 3**: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information.
1. **Application of Course Knowledge:**Answer all questions/criteria with explanations and detail.
1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?
2. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
3. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you want to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
please provide AI and Similarity report
– [\
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NiaOmari.docx](https://www.sweetstudy.com/files/niaomari-docx "NiaOmari.docx")
I need help with a capstone question
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In-depth study guidance and analytical solution covering discussion.
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Order on TutorsGallery →Full assignment prompt and step-by-step guidance are included in the downloadable solution file.