Nursing Discussion 2025

Post your initial response to one of the scenarios below. Scenario 1 You are admitting a 27-year-old woman to your unit for work-up of weight loss. While conducting an admission interview, you learn that she has recently lost her job and has a strong family history of depression and suicide. How would you construct your interview? What measures would you take with the information you have gathered? Why? Scenario 2 You are admitting a 12-year-old child to your unit. The mother states that the child has a history of unexplained blackout episodes, headaches, sleep disturbances, and is presently exhibiting tremors. What is the most likely cause of these symptoms? What actions would you take during the interview process? Explain. Scenario 3 A young 33-year-old man is admitted to your unit with a chief complaint of “tiredness and morning headaches” even after sleeping. How you would perform a comprehensive analysis of symptoms? What are the possible causes of the symptoms? What examinations would be crucial to determine the cause of his problems? Why?

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Assignment 2: Practicum – Assessing Client Progress Week7 2025

To prepare: Reflect on the client you selected for the Week 3 Practicum Assignment. Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format. The Assignment Part 1: Progress Note Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations): Treatment modality used and efficacy of approach Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals) Modification(s) of the treatment plan that were made based on progress/lack of progress Clinical impressions regarding diagnosis and/or symptoms Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.) Safety issues Clinical emergencies/actions taken Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them) Treatment compliance/lack of compliance Clinical consultations Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.) Therapist’s recommendations, including whether the client agreed to the recommendations Referrals made/reasons for making referrals Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions) Issues related to consent and/or informed consent for treatment Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported Information reflecting the therapist’s exercise of clinical judgment Note: Be sure to exclude any information that should not be found in a discoverable progress note. Part 2: Privileged Note Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment. The privileged note should include items that you would not typically include in a note as part of the clinical record. Explain why the items you included in the privileged note would not be included in the client’s progress note. Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

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