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    – 2 years ago **files (2)** – ## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf – ## Assessment2_4000.docx **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf** Assessment 02 – Applying Research Skills For this assessment, you will research best practices…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (2)**

    – ## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf

    – ## Assessment2_4000.docx

    **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf**

    Assessment 02 – Applying Research Skills

    For this assessment, you will research best practices related to a current health care
    problem. Your selected problem or issue may be utilized again in a future assessment.
    Before you complete the instructions detailed in the courseroom, first select one of the
    following health care problems or issues:

    • Mental Health Stigma
    o Description: Many individuals with mental health conditions face stigma and

    discrimination, which can prevent them from seeking help and receiving
    appropriate care. This stigma can be perpetuated by societal attitudes, lack of
    awareness, and misinformation about mental health.

    o Interventions: Public awareness campaigns, mental health education in schools,
    workplace mental health programs, peer support groups, policy changes to
    protect individuals with mental health conditions, and training for healthcare
    providers on mental health issues.

    o Keywords: Mental health awareness, stigma reduction, mental health education,
    peer support, mental health policy, workplace mental health, mental health
    training, mental health services, mental health advocacy.

    • Chronic Disease Management
    o Description: Managing chronic diseases such as diabetes, hypertension, and

    heart disease can be challenging due to the need for ongoing medical care,
    lifestyle changes, and medication adherence. Poor management of chronic
    diseases can lead to complications and reduced quality of life.

    o Interventions: Patient education programs, chronic disease self-management
    workshops, telehealth for regular monitoring, integrated care models, community
    health programs, mobile health applications, and support for lifestyle changes
    such as diet and exercise.

    o Keywords: Chronic disease management, patient education, self-management,
    telehealth, integrated care, community health, mobile health, lifestyle changes,
    chronic disease prevention, chronic disease support.

    After you have selected one of the problems/issues from the list above, return to the detailed
    instructions in the courseroom to complete your assessment.

    1

    **## Assessment2_4000.docx**

    Assessment 2: 4000

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Introduction: NURSING!!!

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    Overview:

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    Prepare: Copy of the link, will be attached:

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    The paper:

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    Academic Requirements:

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

    **## Assessment2_4000.docx**

    Assessment 2: 4000

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Introduction: NURSING!!!

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    Overview:

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    Prepare: Copy of the link, will be attached:

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    The paper:

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    Academic Requirements:

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

    **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf**

    Assessment 02 – Applying Research Skills

    For this assessment, you will research best practices related to a current health care
    problem. Your selected problem or issue may be utilized again in a future assessment.
    Before you complete the instructions detailed in the courseroom, first select one of the
    following health care problems or issues:

    • Mental Health Stigma
    o Description: Many individuals with mental health conditions face stigma and

    discrimination, which can prevent them from seeking help and receiving
    appropriate care. This stigma can be perpetuated by societal attitudes, lack of
    awareness, and misinformation about mental health.

    o Interventions: Public awareness campaigns, mental health education in schools,
    workplace mental health programs, peer support groups, policy changes to
    protect individuals with mental health conditions, and training for healthcare
    providers on mental health issues.

    o Keywords: Mental health awareness, stigma reduction, mental health education,
    peer support, mental health policy, workplace mental health, mental health
    training, mental health services, mental health advocacy.

    • Chronic Disease Management
    o Description: Managing chronic diseases such as diabetes, hypertension, and

    heart disease can be challenging due to the need for ongoing medical care,
    lifestyle changes, and medication adherence. Poor management of chronic
    diseases can lead to complications and reduced quality of life.

    o Interventions: Patient education programs, chronic disease self-management
    workshops, telehealth for regular monitoring, integrated care models, community
    health programs, mobile health applications, and support for lifestyle changes
    such as diet and exercise.

    o Keywords: Chronic disease management, patient education, self-management,
    telehealth, integrated care, community health, mobile health, lifestyle changes,
    chronic disease prevention, chronic disease support.

    After you have selected one of the problems/issues from the list above, return to the detailed
    instructions in the courseroom to complete your assessment.

    1

    **## Assessment2_4000.docx**

    Assessment 2: 4000

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Introduction: NURSING!!!

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    Overview:

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    Prepare: Copy of the link, will be attached:

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    The paper:

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    Academic Requirements:

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

    **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf**

    Assessment 02 – Applying Research Skills

    For this assessment, you will research best practices related to a current health care
    problem. Your selected problem or issue may be utilized again in a future assessment.
    Before you complete the instructions detailed in the courseroom, first select one of the
    following health care problems or issues:

    • Mental Health Stigma
    o Description: Many individuals with mental health conditions face stigma and

    discrimination, which can prevent them from seeking help and receiving
    appropriate care. This stigma can be perpetuated by societal attitudes, lack of
    awareness, and misinformation about mental health.

    o Interventions: Public awareness campaigns, mental health education in schools,
    workplace mental health programs, peer support groups, policy changes to
    protect individuals with mental health conditions, and training for healthcare
    providers on mental health issues.

    o Keywords: Mental health awareness, stigma reduction, mental health education,
    peer support, mental health policy, workplace mental health, mental health
    training, mental health services, mental health advocacy.

    • Chronic Disease Management
    o Description: Managing chronic diseases such as diabetes, hypertension, and

    heart disease can be challenging due to the need for ongoing medical care,
    lifestyle changes, and medication adherence. Poor management of chronic
    diseases can lead to complications and reduced quality of life.

    o Interventions: Patient education programs, chronic disease self-management
    workshops, telehealth for regular monitoring, integrated care models, community
    health programs, mobile health applications, and support for lifestyle changes
    such as diet and exercise.

    o Keywords: Chronic disease management, patient education, self-management,
    telehealth, integrated care, community health, mobile health, lifestyle changes,
    chronic disease prevention, chronic disease support.

    After you have selected one of the problems/issues from the list above, return to the detailed
    instructions in the courseroom to complete your assessment.

    1

    **## Assessment2_4000.docx**

    Assessment 2: 4000

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Introduction: NURSING!!!

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    Overview:

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    Prepare: Copy of the link, will be attached:

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    The paper:

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    Academic Requirements:

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

  • [Solved] see below

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    Executive Solution Overview

    – 2 years ago **files (1)** – ## wk77.docx **## wk77.docx** Comparing humanistic existential psychotherapy with other approaches **To prepare:** · Review the humanistic-existential psychotherapy videos in this week’s Learning Resources. · Reflect on humanistic-existential psychotherapeutic approache…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## wk77.docx

    **## wk77.docx**

    Comparing humanistic existential psychotherapy with other approaches

    **To prepare:**

    · Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.

    · Reflect on humanistic-existential psychotherapeutic approaches.

    · Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.

    Medias

    · Grande, T.  (2019, January 9).
    [_Theories of counseling – Existential therapy_ Links to an external site.](https://www.youtube.com/watch?v=YvAvc2aWup0) [Video]. YouTube. https://www.youtube.com/watch?v=YvAvc2aWup0

    · PsychotherapyNet. (2009, June 29).
    [_James Bugental live case consultation psychotherapy video_ Links to an external site.](https://www.youtube.com/watch?v=Zl8tVTjdocI) [Video]. YouTube. https://www.youtube.com/watch?v=Zl8tVTjdocI

    · ThinkingallowedTV. (2010, September 20).
    [_James Bugental: Humanistic psychotherapy (excerpt) – A thinking allowed DVD w/ Jeffrey Mishlove_ Links to an external site.](https://www.youtube.com/watch?v=mjDNKGIvWPQ) [Video]. YouTube. https://www.youtube.com/watch?v=mjDNKGIvWPQ

    ASSIGNMENT

    .

    In a 2-3 page paper, address the following: (APA FORMAT)
    •    Briefly describe humanistic-existential psychotherapy and the second approach you selected.
    •    Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.
    •    Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.
    •    Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. km

    **## wk77.docx**

    Comparing humanistic existential psychotherapy with other approaches

    **To prepare:**

    · Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.

    · Reflect on humanistic-existential psychotherapeutic approaches.

    · Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.

    Medias

    · Grande, T.  (2019, January 9).
    [_Theories of counseling – Existential therapy_ Links to an external site.](https://www.youtube.com/watch?v=YvAvc2aWup0) [Video]. YouTube. https://www.youtube.com/watch?v=YvAvc2aWup0

    · PsychotherapyNet. (2009, June 29).
    [_James Bugental live case consultation psychotherapy video_ Links to an external site.](https://www.youtube.com/watch?v=Zl8tVTjdocI) [Video]. YouTube. https://www.youtube.com/watch?v=Zl8tVTjdocI

    · ThinkingallowedTV. (2010, September 20).
    [_James Bugental: Humanistic psychotherapy (excerpt) – A thinking allowed DVD w/ Jeffrey Mishlove_ Links to an external site.](https://www.youtube.com/watch?v=mjDNKGIvWPQ) [Video]. YouTube. https://www.youtube.com/watch?v=mjDNKGIvWPQ

    ASSIGNMENT

    .

    In a 2-3 page paper, address the following: (APA FORMAT)
    •    Briefly describe humanistic-existential psychotherapy and the second approach you selected.
    •    Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.
    •    Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.
    •    Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. km

  • [Solved] SOAP NOTE

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    Executive Solution Overview

    – 2 years ago **files (3)** – ## casestudy.docx – ## NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev.4.20224.docx – PRAC6675FocusedSOAPNoteTemplaterev12.2022.doc **## casestudy.docx** A 32-year-old female presented with a 3-month history of persistent low mood, anhedonia, fatigue, early mor…

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    – 2 years ago

    **files (3)**

    – ## casestudy.docx

    – ## NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev.4.20224.docx

    – PRAC6675FocusedSOAPNoteTemplaterev12.2022.doc

    **## casestudy.docx**

    A 32-year-old female presented with a 3-month history of persistent low mood, anhedonia, fatigue, early morning awakening, and decreased appetite. She denied suicidal ideation. Mental status exam revealed flat affect and psychomotor retardation. PHQ-9 score was 18, consistent with moderate depression. She was started on Sertraline 50 mg once daily, with counseling on potential side effects. She was referred for cognitive-behavioral therapy and encouraged to engage in regular exercise and sleep hygiene. A follow-up appointment was scheduled in 2 weeks to assess response and side effects.

    **## NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev.4.20224.docx**

    **NRNP/PRAC 6665 & 6675 Focused SOAP Psychiatric Evaluation Exemplar**

    INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY

    If you are struggling with the format or remembering what to include, follow the
    Focused SOAP Note Evaluation Template
    **_AND_** the Rubric
    as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. After reviewing full details of the rubric, you can use it as a guide.

    In the
    Subjective section, provide:

    · Chief complaint

    · History of present illness (HPI)

    · Past psychiatric history

    · Medication trials and current medications

    · Psychotherapy or previous psychiatric diagnosis

    · Pertinent substance use, family psychiatric/substance use, social, and medical history

    · Allergies

    · ROS

    Read rating descriptions to see the grading standards!

    In the
    Objective section, provide:

    · Physical exam documentation of systems pertinent to the chief complaint, HPI, and history

    · Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.

    Read rating descriptions to see the grading standards!

    In the
    Assessment section, provide:

    · Results of the mental status examination,
    _presented in paragraph form._

    · At least three differentials with supporting evidence. List them from top priority to least priority. Compare the
    _DSM-5_-TR diagnostic criteria for each differential diagnosis and explain what
    _DSM-5-TR_ criteria rules out the differential diagnosis to find an accurate diagnosis.
    _Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case_.

    ·
    Read rating descriptions to see the grading standards!

    Reflect on this case. Include: Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (
    **_demonstrate critical thinking beyond confidentiality and consent for treatment_**!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    (The FOCUSED SOAP psychiatric evaluation is typically the
    _follow-up visit_ patient note. You will practice writing this type of note in this course. You will be focusing more on the symptoms from your differential diagnosis from the comprehensive psychiatric evaluation narrowing to your diagnostic impression. You will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)

    EXEMPLAR BEGINS HERE

    **Subjective:**

    **CC** (chief complaint): A
    brief statement identifying why the patient is here. This statement is verbatim of the patient’s own words about why presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.

    **HPI**: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication and referral reason. For example:

    N.M. is a 34-year-old Asian male presents for medication management follow up for anxiety. He was initiated sertraline last appt which he finds was effective for two weeks then symptoms began to return.

    Or

    P.H., a 16-year-old Hispanic female, presents for follow up to discuss previous psychiatric evaluation for concentration difficulty. She is not currently prescribed psychotropic medications as we deferred until further testing and screening was conducted.

    Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.

    Paint a picture of what is wrong with the patient. First what is bringing the patient to your follow up evaluation? Document symptom onset, duration, frequency, severity, and impact. What has worsened or improved since last appointment? What stressors are they facing? Your description here will guide your differential diagnoses into your diagnostic impression. You are seeking symptoms that may align with many
    _DSM-5_ diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders.

    **Substance Use History:** This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.

    **Current Medications**: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.

    **Allergies**:
    Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.

    **Reproductive Hx**:
    Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse: oral, anal, vaginal, other, any sexual concerns

    **ROS**: Cover all body systems that may help you include or rule out a differential diagnosis. Please note: THIS IS DIFFERENT from a physical examination!

    You should list each system as follows:
    General:Head:
    EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

    Example of Complete ROS:

    GENERAL: No weight loss, fever, chills, weakness, or fatigue.

    HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.

    SKIN: No rash or itching.

    CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.

    RESPIRATORY: No shortness of breath, cough, or sputum.

    GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.

    GENITOURINARY: Burning on urination, urgency, hesitancy, odor, odd color

    NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.

    MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.

    HEMATOLOGIC: No anemia, bleeding, or bruising.

    LYMPHATICS: No enlarged nodes. No history of splenectomy.

    ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.

    **Objective:**

    **Diagnostic results**: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).

    **Assessment:**

    **Mental Status Examination:** For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudohallucinations, illusions, etc.)., cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.

    He is an 8-year-old African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.

    **Diagnostic Impression**:
    You must begin to narrow your differential diagnosis to your diagnostic impression. You must explain how and why (your rationale) you ruled out any of your differential diagnoses. You must explain how and why (your rationale) you concluded to your diagnostic impression. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.

    **Also included in this section is the reflection.** Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?

    Also include in your reflection a discussion related to legal/ethical considerations (
    **demonstrating critical thinking beyond confidentiality and consent for treatment!**), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    **Case Formulation and Treatment Plan**

    Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions including psychotherapy and/or psychopharmacology, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner.
    ***See an example below. You will modify to your practice so there may be information excluded/included. If you are completing this for a practicum, what does your preceptor document?**

    Risks and benefits of medications are discussed including non- treatment. Potential side effects of medications discussed (be detailed in what side effects discussed). Informed client not to stop medication abruptly without discussing with providers. Instructed to call and report any adverse reactions. Discussed risk of medication with pregnancy/fetus, encouraged birth control, discussed if does become pregnant to inform provider as soon as possible. Discussed how some medications might decreased birth control pill, would need back up method (exclude for males).

    Discussed risks of mixing medications with OTC drugs, herbal, alcohol/illegal drugs. Instructed to avoid this practice. Encouraged abstinence. Discussed how drugs/alcohol affect mental health, physical health, sleep architecture.

    Initiation of (list out any medication and why prescribed, any therapy services or referrals to specialist):

    Client was encouraged to continue with case management and/or therapy services (if not provided by you)

    Client has emergency numbers: Emergency Services 911, the Client's Crisis Line
    **1-800-_______**. Client instructed to go to nearest ER or call 911 if they become actively suicidal and/or homicidal. (only if you or preceptor provided them)

    Reviewed hospital records/therapist records for collaborative information; Reviewed PMP report (only if actually completed)

    Time allowed for questions and answers provided. Provided supportive listening. Client appeared to understand discussion. Client is amenable with this plan and agrees to follow treatment regimen as discussed. (this relates to informed consent; you will need to assess their understanding and agreement)

    Follow up with PCP as needed and/or for:

    Labs ordered and/or reviewed (write out what diagnostic test ordered, rationale for ordering, and if discussed fasting/non fasting or other patient education)

    Return to clinic:

    Continued treatment is medically necessary to address chronic symptoms, improve functioning, and prevent the need for a higher level of care.

    **References (move to begin on next page)**

    You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

    © 2022 Walden University Page 1 of 3

    **PRAC6675FocusedSOAPNoteTemplaterev12.2022.doc**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/prac6675focusedsoapnotetemplaterev12-2022-doc-10254573)

    **PRAC6675FocusedSOAPNoteTemplaterev12.2022.doc**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/prac6675focusedsoapnotetemplaterev12-2022-doc-10254573)

    **## casestudy.docx**

    A 32-year-old female presented with a 3-month history of persistent low mood, anhedonia, fatigue, early morning awakening, and decreased appetite. She denied suicidal ideation. Mental status exam revealed flat affect and psychomotor retardation. PHQ-9 score was 18, consistent with moderate depression. She was started on Sertraline 50 mg once daily, with counseling on potential side effects. She was referred for cognitive-behavioral therapy and encouraged to engage in regular exercise and sleep hygiene. A follow-up appointment was scheduled in 2 weeks to assess response and side effects.

    **## NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev.4.20224.docx**

    **NRNP/PRAC 6665 & 6675 Focused SOAP Psychiatric Evaluation Exemplar**

    INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY

    If you are struggling with the format or remembering what to include, follow the
    Focused SOAP Note Evaluation Template
    **_AND_** the Rubric
    as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. After reviewing full details of the rubric, you can use it as a guide.

    In the
    Subjective section, provide:

    · Chief complaint

    · History of present illness (HPI)

    · Past psychiatric history

    · Medication trials and current medications

    · Psychotherapy or previous psychiatric diagnosis

    · Pertinent substance use, family psychiatric/substance use, social, and medical history

    · Allergies

    · ROS

    Read rating descriptions to see the grading standards!

    In the
    Objective section, provide:

    · Physical exam documentation of systems pertinent to the chief complaint, HPI, and history

    · Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.

    Read rating descriptions to see the grading standards!

    In the
    Assessment section, provide:

    · Results of the mental status examination,
    _presented in paragraph form._

    · At least three differentials with supporting evidence. List them from top priority to least priority. Compare the
    _DSM-5_-TR diagnostic criteria for each differential diagnosis and explain what
    _DSM-5-TR_ criteria rules out the differential diagnosis to find an accurate diagnosis.
    _Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case_.

    ·
    Read rating descriptions to see the grading standards!

    Reflect on this case. Include: Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (
    **_demonstrate critical thinking beyond confidentiality and consent for treatment_**!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    (The FOCUSED SOAP psychiatric evaluation is typically the
    _follow-up visit_ patient note. You will practice writing this type of note in this course. You will be focusing more on the symptoms from your differential diagnosis from the comprehensive psychiatric evaluation narrowing to your diagnostic impression. You will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)

    EXEMPLAR BEGINS HERE

    **Subjective:**

    **CC** (chief complaint): A
    brief statement identifying why the patient is here. This statement is verbatim of the patient’s own words about why presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.

    **HPI**: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication and referral reason. For example:

    N.M. is a 34-year-old Asian male presents for medication management follow up for anxiety. He was initiated sertraline last appt which he finds was effective for two weeks then symptoms began to return.

    Or

    P.H., a 16-year-old Hispanic female, presents for follow up to discuss previous psychiatric evaluation for concentration difficulty. She is not currently prescribed psychotropic medications as we deferred until further testing and screening was conducted.

    Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.

    Paint a picture of what is wrong with the patient. First what is bringing the patient to your follow up evaluation? Document symptom onset, duration, frequency, severity, and impact. What has worsened or improved since last appointment? What stressors are they facing? Your description here will guide your differential diagnoses into your diagnostic impression. You are seeking symptoms that may align with many
    _DSM-5_ diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders.

    **Substance Use History:** This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.

    **Current Medications**: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.

    **Allergies**:
    Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.

    **Reproductive Hx**:
    Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse: oral, anal, vaginal, other, any sexual concerns

    **ROS**: Cover all body systems that may help you include or rule out a differential diagnosis. Please note: THIS IS DIFFERENT from a physical examination!

    You should list each system as follows:
    General:Head:
    EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

    Example of Complete ROS:

    GENERAL: No weight loss, fever, chills, weakness, or fatigue.

    HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.

    SKIN: No rash or itching.

    CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.

    RESPIRATORY: No shortness of breath, cough, or sputum.

    GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.

    GENITOURINARY: Burning on urination, urgency, hesitancy, odor, odd color

    NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.

    MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.

    HEMATOLOGIC: No anemia, bleeding, or bruising.

    LYMPHATICS: No enlarged nodes. No history of splenectomy.

    ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.

    **Objective:**

    **Diagnostic results**: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).

    **Assessment:**

    **Mental Status Examination:** For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudohallucinations, illusions, etc.)., cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.

    He is an 8-year-old African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.

    **Diagnostic Impression**:
    You must begin to narrow your differential diagnosis to your diagnostic impression. You must explain how and why (your rationale) you ruled out any of your differential diagnoses. You must explain how and why (your rationale) you concluded to your diagnostic impression. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.

    **Also included in this section is the reflection.** Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?

    Also include in your reflection a discussion related to legal/ethical considerations (
    **demonstrating critical thinking beyond confidentiality and consent for treatment!**), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    **Case Formulation and Treatment Plan**

    Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions including psychotherapy and/or psychopharmacology, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner.
    ***See an example below. You will modify to your practice so there may be information excluded/included. If you are completing this for a practicum, what does your preceptor document?**

    Risks and benefits of medications are discussed including non- treatment. Potential side effects of medications discussed (be detailed in what side effects discussed). Informed client not to stop medication abruptly without discussing with providers. Instructed to call and report any adverse reactions. Discussed risk of medication with pregnancy/fetus, encouraged birth control, discussed if does become pregnant to inform provider as soon as possible. Discussed how some medications might decreased birth control pill, would need back up method (exclude for males).

    Discussed risks of mixing medications with OTC drugs, herbal, alcohol/illegal drugs. Instructed to avoid this practice. Encouraged abstinence. Discussed how drugs/alcohol affect mental health, physical health, sleep architecture.

    Initiation of (list out any medication and why prescribed, any therapy services or referrals to specialist):

    Client was encouraged to continue with case management and/or therapy services (if not provided by you)

    Client has emergency numbers: Emergency Services 911, the Client's Crisis Line
    **1-800-_______**. Client instructed to go to nearest ER or call 911 if they become actively suicidal and/or homicidal. (only if you or preceptor provided them)

    Reviewed hospital records/therapist records for collaborative information; Reviewed PMP report (only if actually completed)

    Time allowed for questions and answers provided. Provided supportive listening. Client appeared to understand discussion. Client is amenable with this plan and agrees to follow treatment regimen as discussed. (this relates to informed consent; you will need to assess their understanding and agreement)

    Follow up with PCP as needed and/or for:

    Labs ordered and/or reviewed (write out what diagnostic test ordered, rationale for ordering, and if discussed fasting/non fasting or other patient education)

    Return to clinic:

    Continued treatment is medically necessary to address chronic symptoms, improve functioning, and prevent the need for a higher level of care.

    **References (move to begin on next page)**

    You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

    © 2022 Walden University Page 1 of 3

    **PRAC6675FocusedSOAPNoteTemplaterev12.2022.doc**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/prac6675focusedsoapnotetemplaterev12-2022-doc-10254573)

    **## casestudy.docx**

    A 32-year-old female presented with a 3-month history of persistent low mood, anhedonia, fatigue, early morning awakening, and decreased appetite. She denied suicidal ideation. Mental status exam revealed flat affect and psychomotor retardation. PHQ-9 score was 18, consistent with moderate depression. She was started on Sertraline 50 mg once daily, with counseling on potential side effects. She was referred for cognitive-behavioral therapy and encouraged to engage in regular exercise and sleep hygiene. A follow-up appointment was scheduled in 2 weeks to assess response and side effects.

    **## NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev.4.20224.docx**

    **NRNP/PRAC 6665 & 6675 Focused SOAP Psychiatric Evaluation Exemplar**

    INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY

    If you are struggling with the format or remembering what to include, follow the
    Focused SOAP Note Evaluation Template
    **_AND_** the Rubric
    as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. After reviewing full details of the rubric, you can use it as a guide.

    In the
    Subjective section, provide:

    · Chief complaint

    · History of present illness (HPI)

    · Past psychiatric history

    · Medication trials and current medications

    · Psychotherapy or previous psychiatric diagnosis

    · Pertinent substance use, family psychiatric/substance use, social, and medical history

    · Allergies

    · ROS

    Read rating descriptions to see the grading standards!

    In the
    Objective section, provide:

    · Physical exam documentation of systems pertinent to the chief complaint, HPI, and history

    · Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.

    Read rating descriptions to see the grading standards!

    In the
    Assessment section, provide:

    · Results of the mental status examination,
    _presented in paragraph form._

    · At least three differentials with supporting evidence. List them from top priority to least priority. Compare the
    _DSM-5_-TR diagnostic criteria for each differential diagnosis and explain what
    _DSM-5-TR_ criteria rules out the differential diagnosis to find an accurate diagnosis.
    _Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case_.

    ·
    Read rating descriptions to see the grading standards!

    Reflect on this case. Include: Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (
    **_demonstrate critical thinking beyond confidentiality and consent for treatment_**!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    (The FOCUSED SOAP psychiatric evaluation is typically the
    _follow-up visit_ patient note. You will practice writing this type of note in this course. You will be focusing more on the symptoms from your differential diagnosis from the comprehensive psychiatric evaluation narrowing to your diagnostic impression. You will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)

    EXEMPLAR BEGINS HERE

    **Subjective:**

    **CC** (chief complaint): A
    brief statement identifying why the patient is here. This statement is verbatim of the patient’s own words about why presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.

    **HPI**: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication and referral reason. For example:

    N.M. is a 34-year-old Asian male presents for medication management follow up for anxiety. He was initiated sertraline last appt which he finds was effective for two weeks then symptoms began to return.

    Or

    P.H., a 16-year-old Hispanic female, presents for follow up to discuss previous psychiatric evaluation for concentration difficulty. She is not currently prescribed psychotropic medications as we deferred until further testing and screening was conducted.

    Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.

    Paint a picture of what is wrong with the patient. First what is bringing the patient to your follow up evaluation? Document symptom onset, duration, frequency, severity, and impact. What has worsened or improved since last appointment? What stressors are they facing? Your description here will guide your differential diagnoses into your diagnostic impression. You are seeking symptoms that may align with many
    _DSM-5_ diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders.

    **Substance Use History:** This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.

    **Current Medications**: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.

    **Allergies**:
    Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.

    **Reproductive Hx**:
    Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse: oral, anal, vaginal, other, any sexual concerns

    **ROS**: Cover all body systems that may help you include or rule out a differential diagnosis. Please note: THIS IS DIFFERENT from a physical examination!

    You should list each system as follows:
    General:Head:
    EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

    Example of Complete ROS:

    GENERAL: No weight loss, fever, chills, weakness, or fatigue.

    HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.

    SKIN: No rash or itching.

    CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.

    RESPIRATORY: No shortness of breath, cough, or sputum.

    GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.

    GENITOURINARY: Burning on urination, urgency, hesitancy, odor, odd color

    NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.

    MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.

    HEMATOLOGIC: No anemia, bleeding, or bruising.

    LYMPHATICS: No enlarged nodes. No history of splenectomy.

    ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.

    **Objective:**

    **Diagnostic results**: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).

    **Assessment:**

    **Mental Status Examination:** For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudohallucinations, illusions, etc.)., cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.

    He is an 8-year-old African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.

    **Diagnostic Impression**:
    You must begin to narrow your differential diagnosis to your diagnostic impression. You must explain how and why (your rationale) you ruled out any of your differential diagnoses. You must explain how and why (your rationale) you concluded to your diagnostic impression. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.

    **Also included in this section is the reflection.** Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?

    Also include in your reflection a discussion related to legal/ethical considerations (
    **demonstrating critical thinking beyond confidentiality and consent for treatment!**), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    **Case Formulation and Treatment Plan**

    Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions including psychotherapy and/or psychopharmacology, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner.
    ***See an example below. You will modify to your practice so there may be information excluded/included. If you are completing this for a practicum, what does your preceptor document?**

    Risks and benefits of medications are discussed including non- treatment. Potential side effects of medications discussed (be detailed in what side effects discussed). Informed client not to stop medication abruptly without discussing with providers. Instructed to call and report any adverse reactions. Discussed risk of medication with pregnancy/fetus, encouraged birth control, discussed if does become pregnant to inform provider as soon as possible. Discussed how some medications might decreased birth control pill, would need back up method (exclude for males).

    Discussed risks of mixing medications with OTC drugs, herbal, alcohol/illegal drugs. Instructed to avoid this practice. Encouraged abstinence. Discussed how drugs/alcohol affect mental health, physical health, sleep architecture.

    Initiation of (list out any medication and why prescribed, any therapy services or referrals to specialist):

    Client was encouraged to continue with case management and/or therapy services (if not provided by you)

    Client has emergency numbers: Emergency Services 911, the Client's Crisis Line
    **1-800-_______**. Client instructed to go to nearest ER or call 911 if they become actively suicidal and/or homicidal. (only if you or preceptor provided them)

    Reviewed hospital records/therapist records for collaborative information; Reviewed PMP report (only if actually completed)

    Time allowed for questions and answers provided. Provided supportive listening. Client appeared to understand discussion. Client is amenable with this plan and agrees to follow treatment regimen as discussed. (this relates to informed consent; you will need to assess their understanding and agreement)

    Follow up with PCP as needed and/or for:

    Labs ordered and/or reviewed (write out what diagnostic test ordered, rationale for ordering, and if discussed fasting/non fasting or other patient education)

    Return to clinic:

    Continued treatment is medically necessary to address chronic symptoms, improve functioning, and prevent the need for a higher level of care.

    **References (move to begin on next page)**

    You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

    © 2022 Walden University Page 1 of 3

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