” CAPELLA UNIVERSITY NHS-FP5004 – Collaboration, Communication, and Case Analysisfor Master’sLearners Assessment 1 Scenario Use the following scenario as a basis to complete Assessment 1. Imagine that you work in a health care facility and your boss has just stopped by your office and says the following: Hi, I just have a couple of minutes – please forgive me for stopping in without advanced notice. One of the results of a recent employee survey at Lakeland Clinic indicates we have some issues to address. The data show 75% of the employees have concerns about at least one of the following: diversity issues, workplace incivility, and poor work-life balance. Senior leadership has asked me how I plan to respond, and my first inclination is to put you in charge of assembling a team to address one of the issues. You have demonstrated effective organizational and communication on other projects and I think you will be a great asset as we move forward. I have to run right now, but I’ll send you an email with more information before I leave today. See you later! Subsequent Email: Thanks for talking with me this morning. I just want you to know that this is really a great opportunity for you. I know you have been interested in taking steps to becoming a leader in this organization and now it’s time to realize your potential. As you know we opened the Lakeland Medical Clinic to serve area residents who were unable or unwilling to use the services offered at the main hospital. The first two months of operation saw strong patient volume. Since then, the numbers have dropped off dramatically. This prompted leadership to start asking some questions, which lead to the internal survey that I mentioned yesterday. I just met with leadership and they determined that the priority right now is the diversity issue because we have the opportunity to improve outcomes for both employees and the community. This is part of an e-mail I got from the clinic director last week: “…after careful examination of all aspects of the organization and talking with some neighborhood leaders we have concluded that residents in the community do not feel comfortable coming to the clinic. It seems the staff are lacking the ability to develop a trusting relationship with the residents primarily because they do not understand the cultural values and norms. The neighborhood residents, which you know are predominantly Haitian, often feel their beliefs, values, and health practices are notunderstood. 1             ” CAPELLA UNIVERSITY When staff members were hired, we only considered their past work experiences, education and potential. We may have failed to fully consider their ability to work with diverse populations.“ Hopefully the information gives you a better understanding of the issues to be addressed. Time to get started as things need to move quickly. I want you to assemble a committee to clearly define the problem and ultimately provide guidance on solutions. Before introducing you to the clinic director and executive team, I want to review your approach specific to leadership style and collaboration. I want two things from you in a written document. The first part is just for me, but the second part I intend to share with the clinic director. First, identify and describe a leader you would choose to lead a project like this and explain why. It can be anyone that is qualified, even someone famous. Your choice will tell me a lot about your leadership approach and priorities. Next, select one of the characteristics that make them successful and compare it against your leadership skills. The second item is related to leading and fostering teamwork and collaboration among a group of interdisciplinary professionals. We are looking for 4–6 members to serve on a committee who will be considering the diversity issue and ultimately making a recommendation on how to address it. I want you to: • Describe your role and approach to leading the group. How will you lead and communicate? Will you be an authoritative, collaborative, democratic, servant, or transformational type of leader? Analyze the strengths and weaknesses of your approach in the context of this project. • Describe how you would facilitate collaboration to maximize team effectiveness. You might consider: o Communication technologies. o Practices (accountability, decision making, delegating). o Techniques for sharing information and ideas. o Any others ideas you might have. Remember this information will be shared with the clinic director so keep it clear, focused, and professional. Creativity is important; however, we want to be sure that your ideas and approaches align with current health care organization trends and practices, so include references from current academic or professional resources to support your points. I have confidence in you! Lynnette  

 Assessment 1 Write a 3–4 page letter in which you analyze your leadership skills and how you would use them to lead a project requiring group collaboration. Assessments 1 and 2 are scenario-based, so you must complete them in the order in which they are presented. Leadership is an integral element in any job, regardless of the work title. However, it is important to recognize that leadership is not just one single skill; instead, success in leadership depends on a broad range of skills, among them decision making, collaboration, and communication. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Apply qualities, skills and practices used by effective healthcare leaders.  Describe the leadership qualities desirable for the proposed project.   Compare one’s own leadership skills against those of a chosen health care leader. Explain one’s role as project leader, using approaches from a selected leadership model. Competency 2: Apply practices that facilitate effective interprofessional collaboration.  Describe an approach to effectively facilitate collaboration among a professional team. Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.  Address assignment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.   
 Required Resources The following resources are required to complete the assessment. Assessment 1 Scenario [PDF]. Letter Template [DOCX].  Required Resources The following resources are required to complete the assessment. Assessment 1 Scenario [PDF]. Letter Template [DOCX].  SHOW LESS Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The NHS-FP5004 – Collaboration, Communication, and Case Analysis for Health Care Master’s Learners Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Assessment Example Assessment 1 Example [PDF].  Leadership Read the following resources on leadership characteristics and styles: Cote, R. (2017). Vision of effective leadership. Journal of Leadership, Accountability and Ethics, 14(4), 52–63.  Delmatoff, J., & Lazarus, I. R. (2014). The most effective leadership style for the new landscape of healthcare. Journal of Healthcare Management, 59(4), 245?249.  Eriksen, M., & Cooper, K. (2018). On developing responsible leaders. The Journal of Management Development, 37(6), 470–479. Hewes, R. (2017). Top ten traits of effective leaders. Retrieved from http://www.amanet.org/training/articles/top-ten-traits-of-great-leaders.aspx Reed, S. (2017). Five key attributes of leadership. Health Care Registration, 26(12), 4–7.  The textbook references below provide additional background. Rubino, L. G., Esparza, S. J., & Reid Chassiakos, Y. S. (2020). New leadership for today’s health care professionals: Concepts and cases (2nd ed.). Burlington, MA: Jones & Bartlett Learning. Available in the courseroom via the VitalSource Bookshelf link.  Chapter 1, “A Call for New Leadership in Health Care.” View Leadership Self-Assessment.  This self-assessment instrument will help you better understand your own leadership style, which is your perception of how leadership should be. Awareness of your style and recognition of the styles of others can help you more effectively strategize how you perform your leadership duties and how you manage situations from a leadership position.  Collaboration Working together is essential to meet the demands of health care.  Professionals must collaborate, share ideas, and look for ways to continually improve quality and safety.   Embree, J. L., Wagnes, L., Hendricks, S., LaMothe, J., Halstead, J., & Wright, L. (2018). Empowering nurses to lead interprofessional collaborative practice environments through a nurse leadership institute. The Journal of Continuing Education in Nursing, 49(2), 61–71.  Okpala, P. (2018). Balancing quality healthcare services and costs through collaborative leadership. Journal of Healthcare Management, 63(6), E148–E157.   NHS Learner Success Lab The NHS Learner Success Lab is a Capella resource specifically created for learners in NHS programs. It allows you to access degree-specific content and use the academic resources that are tied to learner success. It is also the place where you are encouraged to: Discover the key learner success resources offered by the Capella Writing Center and Career Center. Take time to view Videos for Success, such as Time Management, and Commencement. View the Learner Success Blogs written by learners, faculty, and staff for helpful tips. Participate in Capella community building and collaboration with peers.  All learners in your program have direct access to the NHS Learner Success Lab through links in first course courseroom. While these resources have been developed specifically to support and engage first course learners, this resource will be accessible and beneficial throughout your academic journey.  
 
 
 Preparation Read the Assessment 1 Scenario found in the Resources. Information in your assessment should be based on information from the scenario.   Instructions Develop a professional response to the supervisor using the template provided. The letter will have two main components: Identify the qualities of a successful leader and compare them to your own leadership characteristics. Make recommendations on how to lead and foster teamwork.  Please refer to the scoring guide for details on how you your assessment will be evaluated. Submission Requirements Your letter should be 3–4 double-spaced pages in length. Apply correct APA formatting to all in-text citations and references. Use Times New Roman, 12-point font. Express your main points, arguments, and conclusions coherently. Use correct grammar and mechanics. Support your claims, arguments, and conclusions with credible evidence from 2–3 current, scholarly or professional sources. Proofread your writing.  Please refer to the scoring guide for details on how you your assessment will be evaluated. Notes: You are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.  Your instructor may use the Writing Feedback Tool when grading this assignment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.  
 
 

Discussion: Treatment for a Patient With a Common Condition

Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.

Reference: Abbott, J. (2016). What’s the link between insomnia and mental illness? Health. https://www.sciencealert.com/what-exactly-is-the-link-between-insomnia-and-mental-illness#:~:text=Sleep%20problems%20such%20as%20insomnia%20are%20a%20common,bipolar%20disorder%2C%20and%20attention%20deficit%20hyperactivity%20disorder%20%28ADHD%29
Case: An elderly widow who just lost her spouse.

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:
Metformin 500mg BID
Januvia 100mg daily
Losartan 100mg daily
HCTZ 25mg daily
Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86

Post a response to each of the following:
List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?

QUESTION 1: After  viewing the video by Fr. Spitzer on the spiritual (trans-physical) soul of the human person, name and discuss 3 key truths that you found insightful, helpful or altogether new to you. 

QUESTION 2: What questions were raised for you by this video?

QUESTION 3:  In light of Fr. Spitzer’s primary point, namely that each person has a trans-physical (aka spiritual) soul that survives the death of the body, why do you think it is important for those of us working in healthcare to take into account the fact that each of our patients has a spiritual soul, which will endure beyond the death of the body?  If you are currently working in a healthcare setting with patients, do you have any examples you can share with the class regarding why this consideration is important?

QUESTION 4:  In our assigned reading from our course text, Spirituality of Nursing, it is mentioned that in order to understand another person’s spirituality, each nurse or health care practitioner needs to understand her or his own spirituality, as the basis from which one views the world.  Why is this?  Namely, the more we are in touch with our own spiritual journey, the better-able we are to accompany another person in her or his journey.  

In our assigned reading from chapter 1 of our course text, Spirituality in Nursing, Dr. O’Brien offers 4 aspects of what the spirituality of each human person refers to, when this term is used. These can be summarized as follows:

1) A relationship with the Supreme Being, God, that directs one’s beliefs, choices, and actions in a harmonious way, including one’s relationships with others.
2) The dimension of a person that is concerned with ultimate ends and the greater purpose of one’s life and existence.
3) An inner desire to transcend the material dimensions of this life and orient/understand one’s experiences in this life in terms of the Supreme Being Who transcends all.
4) Source of “inner-strength” and “sense of the sacred” derived from one’s relationship with the Supreme Being.

Which of these 4 aspects of spirituality stands out and offers meaning to you, personally speaking, as you reflect on your own spirituality? Tell us why – giving us some real “beef” in your answer.  Really give this question some real and deep thought — before writing your answer. 

For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.

• Review this week’s Learning      Resources and consider the insights they provide about assessing and      diagnosing psychotic disorders. Consider whether experiences of      psychosis-related symptoms are always indicative of a diagnosis of      schizophrenia. Think about alternative diagnoses for psychosis-related      symptoms.
• Download the      Comprehensive Psychiatric Evaluation Template, which you will use to      complete this Assignment. Also review the Comprehensive Psychiatric      Evaluation Exemplar to see an example of a completed evaluation      document. 
• By Day 1 of      this week, you will be assigned to a specific video case study for this      Assignment. View your assigned video case, keeping the requirements of the      documentation template in mind.
• Consider what      history would be necessary to collect from this patient.
• Consider what      interview questions you would need to ask this patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

• Subjective: What details did the patient      provide regarding their chief complaint and symptomology to derive your      differential diagnosis? What is the duration and severity of their      symptoms? How are their symptoms impacting their functioning in      life? 
• Objective: What observations did you make      during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental      status examination results. What were your differential diagnoses? Provide      a minimum of three possible diagnoses with supporting evidence, listed in      order from highest priority to lowest priority. Compare the DSM-5      diagnostic criteria for each differential diagnosis and explain what DSM-5      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.
• Reflection notes: What would you do differently      with this client if you could conduct the session over? Also include in      your reflection a discussion related to legal/ethical considerations      (demonstrate critical thinking beyond confidentiality and consent for      treatment!), 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.).

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

CC (chief complaint): 

HPI: 

Past Psychiatric History: 

· General Statement: 

· Caregivers (if applicable):

· Hospitalizations: 

· Medication trials: 

· Psychotherapy or Previous Psychiatric Diagnosis: 

Substance Current Use and History: 

Family Psychiatric/Substance Use History: 

Psychosocial History: 

Medical History: 

· Current Medications: 

· Allergies: 

• Reproductive Hx: 

ROS: 

· GENERAL: 

· HEENT: 

· SKIN: 

· CARDIOVASCULAR: 

· RESPIRATORY: 

· GASTROINTESTINAL: 

· GENITOURINARY: 

· NEUROLOGICAL: 

· MUSCULOSKELETAL: 

· HEMATOLOGIC: 

· LYMPHATICS: 

· ENDOCRINOLOGIC: 

Physical exam: if applicable

Diagnostic results: 

Assessment

Mental Status Examination: 

Differential Diagnoses: 

Reflections:

References

https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/training-title-24

Using what you have learned from the assigned readings for this module, analyze current and proposed uses of patient care technologies, including health information technology (HIT), in the collection, analysis, and dissemination of data to design and deliver cost-effective care. 

Identify a coordination activity and associated HIT example from the AHRQ Mechanisms for Achieving Care Coordination (Domains) table (Care Coordination: The Game Changer, Table 1, pp. 156). 

Discuss the impact of the activity/example on care coordination and the lateral integration of patient care within, across, and among healthcare providers in various healthcare settings. 

You must incorporate a minimum of one scholarly resource into the discussion beyond the text and required readings to support your short paper. 

Specifically, the following critical elements must be addressed: 

1. Patient Care Technologies: Analyze current and proposed uses of patient care technologies, including HIT, in the collection, analysis, and dissemination of data to design and deliver cost-effective care. 

2. Coordination Activity: Identify a coordination activity and associated HIT example from the AHRQ Mechanisms for Achieving Care Coordination (Domains) table (Care Coordination: The Game Changer, Table 1, pp. 156). 

3.Activity Impact: Discuss the impact of the activity/example on care coordination and the lateral integration of patient care within, across, and among healthcare providers in various healthcare settings. 

 Scholarly Resource: Incorporate a minimum of one scholarly resource beyond the text and required readings to support your short paper.

 Guidelines for Submission: Your paper should be submitted as a 2- to 3-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least one piece of resource material cited in APA 7th ed. format.