Psychiatric Mental Healthcare I

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Week 2 clinical 300w. 3 references. Due 5.19.24 NU673 Psychiatric Mental Healthcare I

Course Description

This course prepares students to assess, diagnose, and manage mental health care needs across the lifespan. Emphasis will be placed on underlying acute and chronic psychiatric/mental health diagnoses. Clinical opportunities will be utilized for all PMHNP to apply concepts in primary and acute care settings with adults and families

  1. Clinical Highlights
    1. Using the course objective below discuss an encounter that was particularly interesting during clinical rotation and or work environment. What you learned from it and how does it apply to one of the course objective?
  2. Looking Ahead
    1. What clinical goal would you like to tackle next week?

Course Learning Objectives

By the end of this course, you will be able to:

  1. Apply knowledge, with mentor guidance and supervision, of chronic and acute psychiatric mental health disorders using the current edition of the Diagnostic and Statistical Manual for Mental Disorders diagnostic criteria to assess, diagnose and manage the patient populations across the lifespan including a focus on vulnerable populations at risk for mental health disorders.
  2. Integrate, with mentor guidance and supervision, complete mental health assessment, interview, history, and physical exam data collection with the knowledge of pathophysiology and psychopathology of psychiatric mental health disorders across the lifespan to form differential diagnoses and implement therapeutic, patient-centered treatment plans and interventions for patient populations across the lifespan.
  3. Merge, with mentor guidance and supervision, traditional and complementary pharmacological/non-pharmaceutical interventions into the treatment and management of psychiatric mental health disorders for patient populations across the lifespan.
  4. Examine, evaluate, and demonstrate, with mentor guidance and supervision, professional development in the role of the nurse practitioner in the diagnosis and management of health and wellness as well as acute and chronic psychiatric mental health disorders illnesses for patient populations across the lifespan as a member of an interprofessional team.
  5. Integrate, with mentor guidance and supervision, cultural, spiritual, and social competencies into therapeutic patient-centered treatment plans in connection with evidence-based findings to the diagnosis and management of individuals, groups, and families across the lifespan with acute, complex, and chronic psychiatric mental health disorders.
  6. Analyze, with mentor guidance and supervision, professional values and core ethical/legal standards into the practice of the Psychiatric Mental Health Nurse Practitioner role with relation to patient/staff safety, quality indicators, and health outcome improvement in the delivery of quality psychiatric mental health care to patients.
  7. Identifies, with mentor guidance and supervision, the highest level of professionalism and accountability for the PMHNP role for transition into clinical practice.

Resources

Carlat, D. J. (2023). The psychiatric interview (4th ed.). Philadelphia, PA: Wolters Kluwer. ISBN: 9781975212971

American Nurses Association & American Psychiatric Nurse Association. (2015). Psychiatric–mental health nursing: Scope and standards of practice (2nd ed.). Silver Spring, MD: American Nurses Credentialing. ISBN-13: 978-1558105553 ISBN-10: 1558105557

American Psychiatric Association. (2022).  Diagnostic and Statistical Manual of Mental Disorders, Text Revision Dsm-5-tr (5th ed.) (DSM-5). Washington DC: APA Press. ISBN: 978-0890425763

Johnson, K., & Vanderhoef, D. (2016). Psychiatric mental health nurse practitioner review manual (4th ed.). Silver Spring, MD: American Nurses Association. ISBN: 978-1-935213-79-6

Robert Joseph Boland, Verduin, M. L., Ruiz, P., Arya Shah, & Sadock, B. J. (2021). Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (12th ed.). Philadelphia, PA: Lippincott Williams, and Wilkins. 9781975145569

Recommended

Bickley, L. (2016). Bates’ Guide to Physical Examination and History-Taking [VitalSouce bookshelf version]. https://batesvisualguide.com/. Eleventh, North American Edition; Lippincott Williams & Wilkins: ISBN 1609137620

Corey, G. (2016). Theory and practice of counseling and psychotherapy (10th ed.). Boston, MA:Cengage. ISBN: 9781305263727

Heldt, J. P., MD. (2017). Memorable psychopharmacology. Create Space Independent Publishing Platform. ISBN-13: 978-1-535-28034-1

Shea, S. C. (2017). Psychiatric interviewing: The art of understanding (3rd ed.) Elsevier.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press. ISBN 978-1-107-68646-5

Stahl, S. M. (2020). Prescriber’s guide: Stahl’s essential psychopharmacology (7th ed.). Cambridge University Press. ISBN 978-1108926010

Psychiatric Mental Healthcare I

Clinical Highlights

During my clinical rotation, I encountered a particularly interesting case involving a middle-aged woman presenting with symptoms of major depressive disorder (MDD). The patient had a history of chronic depression, exacerbated by recent life stressors, including job loss and a family bereavement. The encounter was insightful as it allowed me to apply the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria to assess and diagnose her condition.

I conducted a comprehensive mental health assessment, including a detailed psychiatric interview and physical exam. The process highlighted the importance of understanding the interplay between pathophysiology and psychopathology. This encounter directly related to Course Learning Objective 2: integrating complete mental health assessments with knowledge of pathophysiology to form differential diagnoses and implement therapeutic, patient-centered treatment plans. I learned the significance of building rapport with patients to elicit accurate information and provide effective care. This experience underscored the need for empathetic communication and thorough assessment in psychiatric practice, emphasizing the importance of a holistic approach in mental health care (American Psychiatric Association, 2022).

Looking Ahead

Next week, I aim to enhance my skills in integrating complementary non-pharmacological interventions with traditional treatments for psychiatric disorders. I plan to focus on incorporating cognitive-behavioral therapy (CBT) techniques during patient interactions to provide a more comprehensive treatment approach. This goal aligns with Course Learning Objective 3: merging traditional and complementary interventions into the management of psychiatric mental health disorders. By achieving this goal, I hope to broaden my therapeutic toolkit and improve patient outcomes through evidence-based, holistic care (Carlat, 2023).

References

American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders, Text Revision Dsm-5-tr (5th ed.). Washington DC: APA Press.

Carlat, D. J. (2023). The psychiatric interview (4th ed.). Philadelphia, PA: Wolters Kluwer.

Johnson, K., & Vanderhoef, D. (2016). Psychiatric mental health nurse practitioner review manual (4th ed.). Silver Spring, MD: American Nurses Association.

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