Discussion: Foundational Neuroscience

As a psychiatric mental health nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat clients, you must not only understand the pathophysiology of psychiatric disorders, but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.

Learning Objectives

Students will:

· Analyze the agonist-to-antagonist spectrum of action of psychopharmacologic agents

· Compare the actions of g couple proteins to ion gated channels

· Analyze the role of epigenetics in pharmacologic action

· Analyze the impact of foundational neuroscience on the prescription of medications

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Post a response to each of the following: Include sub headings please.

1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents.

2. Compare and contrast the actions of g couple proteins and ion gated channels.

3. Explain the role of epigenetics in pharmacologic action.

4. Explain how this information may impact the way you prescribe medications to clients. Include a specific example of a situation or case with a client in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.

This is a CLC assignment.

As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

Assignment 2: Week 6 Practicum Journal: Reimbursement Rates

Reimbursement rates and medical coding can be almost as complicated as treating some mental illnesses. As a PMHNP, you will be faced with varying rates that may be different than other health care providers you may work with.

In this Practicum Journal Assignment, you will analyze reimbursement rates for mental health treatments you will likely use in your practice and compare those rates to other provider rates.

Learning Objectives

Students will:

• Analyze reimbursement rates for mental health treatments

To prepare for this Practicum Journal:

• Research reimbursement rates for various treatment modalities.
• Compare NP rates to other provider rates.

For this Practicum Journal:

Complete the Reimbursement Rate Template in your Learning Resources using the five types of services you are likely to use in your practice.

Instructions

Head-to-Toe Assessment

For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following:

• Topical headings to delineate systems.
• For any system for which you do not have equipment, explain how you would do the assessment.
• Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.
• An analysis of age-specific risk reduction, health screen, and immunizations.
• Your expectation of normal findings and what might indicate abnormal findings in your review of systems.
• The differential diagnosis (disease) associated with possible abnormal findings.
• A plan of care (including nursing diagnosis, interventions, evaluation).
• Client and age-appropriate evidenced based practice strategies for health promotion.
• Pharmacological treatments that can be used to address health issues for this client.

Provide your answers in a 6- to 7-page Microsoft Word document.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

  Week 7 Assignment: Essay – Creating Your Ideal State

• Due   Sunday by                  11:59pm
• Points 160
• Submitting a file upload

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 15, 16, 17
• Lesson

Instructions
Your country just overthrew its  dictator, and you are the newly elected President. Unfortunately, due to  the divisions in the country and the years of war, economic, military,  and political structures are non-existent. A group of loyalists to the  old dictator have been detonating bombs, murdering civilians,  assassinating leaders, and terrorizing towns with help from a  neighboring country’s dictator.

Create a comprehensive plan for your new government. While creating  this government identify 1) the governing style of your government and  the principles that govern your leaders (see rubric); 2) the functions  of various branches of government; 3) how to maintain public good in  domestic areas through at least two programs; 4) an economic structure  that is most beneficial to your citizens; 5) ways to create national  unity; 6) ways to combat terrorism and violence; and, 6) international  organizations to join.

See rubric for specific ways to meet the requirements of the paper.

Paper headings: (Use of APA paper format with headings required!)

• Introduction (1 paragraph)
  • Introduce your country
  • Briefly outline all of the parts of the paper
• Domestic Concerns (1-2 pages)
  • Identify governing style and principles that correlate to this style
  • Identify the branches of government and its functions
  • Development of two public good domestic programs and how they will meet the public good
  • Economic structure and reason why this should be used
  • Socializing citizens is noted with rationale for how it creates national unity
• Foreign Concerns (1-2 pages)
  • Two international organizations are noted, one for economics and one for security
  • Descriptions of both organizations
  • Rationales for joining these organizations
  • Steps to joining
  • Two ways your country will combat the neighboring country’s terrorist threat and the domestic threat
  • Two ways these will be effective
• Conclusion (1 paragraph)
  • Summarize information

Writing Requirements (APA format)

• Length: 3-4 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 2 scholarly sources)

Grading
This activity will be graded based on the essay rubric.

Course Outcomes (CO): 8, 9

Due Date: By 11:59 p.m. MT on Sunday

 

Rubric

Week 7 Assignment: Essay – Creating Your Ideal State      Week 7 Assignment: Essay – Creating Your Ideal State     Criteria Ratings        Pts              This criterion is linked to a Learning Outcome  Governing style and principles of the government.              25.0                    pts                  The  governing style is understandable and the principles support the choice  of the governing style. Provides  structure of power, source of power,  ideology of power.          20.0                    pts                  The governing style is unclear, the principles are unclear, or the governing style and principles do not support each other.          15.0                    pts                  Missing one part of the governing style and principles.          0.0                    pts                  Missing both parts of the governing style and principles.          25.0 pts
This criterion is linked to a Learning Outcome  Branches of government and its functions.              20.0                    pts                  Explains each branch of government and the function of the particular branch and how they support the governing style.          16.0                    pts                  The  branches of government and their functions do not match, or the branches  are discussed without talking about their functions AND how they  support the governing style.          12.0                    pts                  Only minimally discusses branches, and their functions or the branches do not support the governing style chosen.          0.0                    pts                  Does not discuss the branches and their functions.          20.0 pts
This criterion is linked to a Learning Outcome  Maintaining public good through at least two domestic programs              20.0                    pts                  Two domestic programs are created clearly explaining how public good is maintained with these programs.          16.0                    pts                  Two domestic programs are noted, but it’s unclear how they both benefit the public good.          12.0                    pts                  Only one domestic program is noted.          0.0                    pts                  No domestic program is noted.          20.0 pts
This criterion is linked to a Learning Outcome  Economic structure              15.0                    pts                  The economic structure is named and supports the governing style with a rationale for using the structure.          12.0                    pts                  The economic structure is named and supports the governing style, but the rationale is unclear.          9.0                    pts                  The economic structure is named, but does not support the governing style and the rationale is unclear.          0.0                    pts                  The economic structure is not addressed.          15.0 pts
This criterion is linked to a Learning Outcome  Political socializing to create national unity              15.0                    pts                  There  is at least one method the new government will use to socialize citizens  to create national unity and rationales for using these methods.          12.0                    pts                  The method described will create national unity, but rationale is not provided.          9.0                    pts                  The method described will not create national unity and rationale is not provided.          0.0                    pts                  No method for national unity is addressed.          15.0 pts
This criterion is linked to a Learning Outcome  International organizations              25.0                    pts                  At  least two different international organizations, one economic and one  for security, were identified to join with brief descriptions of the  purposes of these organizations, rationale for joining, and steps on how  to join.          20.0                    pts                  At  least two different international organizations, one economic and one  for security, were identified to join with brief descriptions of the  purposes of these organizations, rationale for joining, but no steps on  how to join were included.          15.0                    pts                  At  least two different international organizations, one economic and one  for security, were identified to join with brief descriptions of the  purposes of these organizations.          0.0                    pts                  International organizations were not addressed          25.0 pts
This criterion is linked to a Learning Outcome  Combatting terrorism and violence              20.0                    pts                  Two  ways were offered to combat terrorism and violence (one to deal with  international threat and one with domestic). Effective rationale for  solutions were offered.          16.0                    pts                  Two  ways were offered to combat terrorism and violence (one to deal with  international threat and one with domestic). Effective rationale for one  or both solutions were not offered.          12.0                    pts                  Only one way to combat violence and sound rationale on why to use that solution was offered.          0.0                    pts                  Ways to combat violence is not noted.          20.0 pts
This criterion is linked to a Learning Outcome  Scholarly resources              10.0                    pts                  Uses both the book and, at least, one outside scholarly source.          8.0                    pts                  Uses only the book or a scholarly source.          6.0                    pts                  Uses only a scholarly source and the source is not scholarly.          0.0                    pts                  Does not use the book or scholarly source.          10.0 pts
This criterion is linked to a Learning Outcome  APA              5.0                    pts                  All sources are properly cited and referenced according to APA standards.          4.0                    pts                  Sources are either properly cited or referenced, missing one of those elements.          3.0                    pts                  The citation and/or reference are incorrect.          0.0                    pts                  No APA format was used.          5.0 pts
This criterion is linked to a Learning Outcome  Writing              5.0                    pts                  Presents  information using clear and concise language in an organized manner  (minimal errors in English grammar, spelling, syntax, and punctuation).          4.0                    pts                  Presents  information using understandable language but is somewhat disorganized  (some errors in English grammar, spelling, syntax, and punctuation).          3.0                    pts                  Presents  information using understandable language but is very disorganized  (many errors in English grammar, spelling, syntax, and punctuation).          0.0                    pts                  Presents  information that is not clear, logical, professional or organized to  the point that the reader has difficulty understanding the message  (numerous errors in English grammar, spelling, syntax, and/or  punctuation).