Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.
2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines.

Discussion: Comprehensive Integrated Psychiatric Assessment

Photo Credit: Seventyfour / Adobe Stock

Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges. 

In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents. 

To Prepare

• Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.
• Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.

By Day 3 of Week 1

Based on the YMH Boston Vignette 5 video, post answers to the following questions:

• What did the practitioner do well? In what areas can the practitioner improve?
• At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
• What would be your next question, and why?

Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

• Explain why a thorough psychiatric assessment of a child/adolescent is important.
• Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
• Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents/guardians play in assessment.

Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

 

Choose one specific cultural group in the U.S. or elsewhere for which you have a particular interest.  You may wish to consider choosing a cultural group that you will be serving in your future advanced nursing role. Conduct a literature search for varied types of credible, peer-reviewed scholarly publications which may include journal articles, book chapters, white papers; government publications or sources such as credible professional nursing and healthcare organizations. Prepare a voice-narrated powerpoint slide presentation which concisely addresses key points in items one through five below as they apply to your chosen cultural group. Include a title slide which names the chosen culture, your name and academic credentials and a reference slide with only selected key citations cited in the slide presentation.

Required Content for Powerpoint Presentation

1. What are the appropriate interdisciplinary interventions for hereditary, genetic, and endemic diseases and high-risk health behaviors within this culture?
2. What are the influences of value systems in this culture on childbearing and bereavement practices?
3. What are the sources of strength, spirituality, and magico- religious beliefs associated with health and health care within this culture?
4. What are the healthcare practices for this culture such as  acute versus preventive care, barriers to healthcare, the meaning of pain and the sick role; and traditional folk medicine practices?
5. What are cultural issues related to learning styles, autonomy, and preparation of educational content for this culture?

 

1. Review the Discussion Board rubric prior to answering these questions.  MSN 602 Discussion Board Rubric FINAL.docx
2. Make your initial post by 11:59 EST Thursday.
3. Respond to at least one other classmates’ posts by 11:59 EST Sunday.

Discussion:

The focus of this assignment is for you to write a PICOT using the PICOT template.  You will also identify articles that relate to your PICOT.  Further, you will have an opportunity to do a basic critique of one of the quantitative articles that is included in your identified articles. 

1. By now you should realize that research is ongoing and there is often new or more information available.  We realize you developed a PICOT question in MSN 600 and did part of this assignment.  Now it is time to take it to another step and look at your subject deeper.  If you liked your question, you may use it again here.  It is now time to improve your question, do so now.  If you do not like your question, start afresh.  Researchers typically modify their research question many times before they finalize it.  Choose a problem or issue that you anticipate within your future advanced nursing role.  Describe this problem in 5 sentences or less.  You will be able to use it in the next assignment and in future courses.
2. Formulate your question using the PICOT format.  For those of you in clinical concentrations (NPs), your question needs to be a clinical question.  The NEL and NED students may develop a question within their concentration’s focus. This question will drive the literature search for your issue.   
3. To support and assist in choosing and writing your PICOT in question 1 of this discussion board, you should have reviewed a minimum of 6-10 articles with at least one being a quantitative design.  List the 6-10 articles here as a response to this #3 question.  The articles should be in alphabetical order and each article should be listed as a full citation using the APA format.
4. Choose one of those articles cited in #3 above that is a quantitative article and use Polit and Beck (2020), Box 4.3 – Guidelines for Critically Appraising Research Problems, Research Questions, and Hypotheses on page 65.   Answer each of the 8 questions and discuss the relationship of this article to your PICOT.

 

The following is from another student that i have to reply. 

APA, less than 10 % similarity

 

Suppose a 17-year-old male was in a sexual relationship with a female in her thirties. This is a willing relationship on both sides, perhaps even a relationship begun by the male. Now, if the genders were reversed and the male was the older member of the couple, the relationship would be considered sexual assault, pure and simple. But, in a situation with an older woman/younger man:

1. what do you think could or should be done? Anything?

2.Should the woman be prosecuted in this case? Should the young man (a willing participant) be considered as an adult, or as still under-aged?

Think again about the scenario as it stands, and then as it would be with reversed gender roles.

Did your opinions change from one to the other, and if so, how? Is this a double standard?

 

It is wrong for an adult to have a romantic relationship with a minor, even if both parties consent to the arrangement. Tener (2018) mentions that romantic relationships between an adult and minors are legally prohibited. Therefore, irrespective that the underage is male and consensual to the arrangement, the relationship should be reported to law enforcement and the welfare system. The woman should be charged in court to take advantage of a minor and exploit him sexually.

A sexual relationship between an underage male and an adult female is most likely to be perceived as sexual initiation rather than sexual exploitation. Expressly, it is likely that the 17-year-old is the one who pursued the woman. Notwithstanding, Hines and Finkelhor (2007) indicate that the arrangement is still considered statutory rape by law. In this case, the woman should be prosecuted for getting into a sexual relationship with a minor. Indeed, the 17-year-old should still be considered a minor. The law indicates that adults are persons of 18 years and above. Thus, a 17-year-old is still supposed to be under parental care and most likely in school. Moreover, the 17-year-old mind is not yet fully matured to handle the liability of sexual relationships, such as pregnancy or STIs.

A reversed role of the scenario is the most frequent statutory relationship. The law puts similar energy into minor and adult sexual relationships irrespective of which gender is the minor. Nonetheless, underage female and the adult male is more dangerous as the adolescent risks getting pregnant and bearing the financial burden of rearing a child.

References

Hines, D. A., Finkelhor, D. (2007). Statutory sex crime relationships between juveniles and adults: A

review of social scientific research. Aggression and Violent Behavior, 12, 300–314.

https://doi.org/10.1016/j.avb.2006.10.001

Tener, D. (2020). Perspectives on adolescent sexual relations with older persons: A systematic review

of the literature. Trauma, Violence, & Abuse, 21(2), 393–405. https://doi.org/10.1177/1524838018772287