NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders
Walden University NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders
Whether one passes or fails an academic assignment such as the Walden University NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders
The introduction for the Walden University NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders
After the introduction, move into the main part of the NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRNP 6665 ASSIGNMENT: Assessing, Diagnosing, and Treating Adults With Mood Disorders
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Subjective:
Client initials: P.P
DOB: July 1, 1995
Sex: Female
CC (chief complaint): “I am here for a mental health assessment.”
HPI:
P.P is a 26-year-old female who presented to the psychiatric clinic for a mental health assessment. The client reports that she has a history of taking medications and discontinuing them because she does not think they are beneficial. She feels like the medications crush her. She reports a history of depression which impairs her job productivity at the bookstore. Besides, she experiences episodes of excessive sleepiness 4-5 times yearly, accompanied by a lack of energy and motivation to carry out activities and a reduced interest in creativity. P.P reports that when she feels depressed, she perceives that she is unworthy since her creativity slips away. The depre
ssive episodes transpire after five days of writing, painting, and doing music. The client states that she is not certain whether it is depression, but it is likely exhaustion after working hard.
She gets creativity episodes lasting almost a week before she crashes then develops depression. When she is in the
creativity episodes, she does not like taking medication because they crush her. The creativity episodes are characterized by high energy levels to do many activities, and she can last 4-5 days with minimal sleep. As a result, she gets most activities done, although her friends say she talks excessively and seems scattered. She also hears voices telling her that she is great and wonderfully talented. Besides, she gets too busy to eat in the creative episodes, but when she is crashed and resting, she consumes everything she sees and sleeps 12-16 hours/day.
Substance Current Use: Smokes tobacco 1PPD.
History of alcohol intake, last drink at 19 years.
Used marijuana x1 caused paranoia.
Medical History: History of Hypothyroidism.
- Current Medications: Hormonal pills for Polycystic Ovaries and Levothyroxine for
- Allergies: No drug or food allergies
- Reproductive Hx: History of Polycystic Ovaries.
ROS:
- GENERAL: Low energy levels during depression episodes. High energy levels during creative episodes. Negative for fever, body weakness, or weight changes.
- HEENT: Negative for vision changes, hearing loss, ear discharge, rhinorrhea, hoarseness, or sore throat.
- SKIN: Negative for rashes, lesions, or discoloration.
- CARDIOVASCULAR: Denies palpitations, chest pain, or SOB.
- RESPIRATORY: Denies difficulties in breathing, chest pain, cough, or sputum production.
- GASTROINTESTINAL: Negative for nausea/vomiting, abdominal pain, or diarrhea/constipation.
- GENITOURINARY: Negative for pelvic pain or urinary symptoms.
- NEUROLOGICAL: Denies headache, fatigue, dizziness, or tingling sensations.
- MUSCULOSKELETAL: Negative for muscle or joint pain, joint stiffness, or back pain.
- HEMATOLOGIC: Negative for bruising.
- LYMPHATICS: Negative for enlarged lymph nodes.
- ENDOCRINOLOGIC: History of hypothyroidism. She denies excessive hunger, thirst, or perspiration. Negative for cold/heat intolerance.
Objective:
Diagnostic results: No diagnostic tests were ordered.
Assessment:
Mental Status Examination:
The patient is well-groomed and appropriately dressed for the occasion. She is alert and oriented to person, place, and time. Demonstrates a logical and coherent thought process. No current auditory or visual hallucinations, delusions, or obsessions were noted.
She denies having current suicidal ideations. Her short- and long-term memory is grossly intact. Lacks insight.
Diagnostic Impression:
Bipolar Disorder:
Bipolar disorder presents with episodes of a highly elevated or irritable mood (mania) that alternates with episodes of deep and prolonged depression (Vieta et al., 2018). Bipolar disorder is a differential diagnosis evidenced by the client’s history of experiencing creative episodes characterized by an elevated mood alternated by depressive episodes where the client crashes. The creative episodes are similar to bipolar manic episodes. The patient’s symptoms consistent with mania include very high energy levels, little need for sleep, easy distractibility, excessive talking, and a high engagement in goal-focused activities such as writing, painting, and sexual activity (APA, 2013). Besides, her depressive episodes are similar to those in Bipolar, based on symptoms of depressed mood, lack of motivation, reduced interest, low energy levels, and feelings of worthlessness (Vieta et al., 2018).
Major Depressive Disorder (MDD)
P.P has symptoms consistent with the DSM-V criteria of MDD, making it a differential diagnosis. MDD features present in the patient include depressed mood, diminished interest in previously pleasurable activities, lack of motivation, reduced energy levels, hypersomnia, and feelings of worthlessness (APA, 2013). However, the episodes of depressive symptoms alternate with episodes of mania, ruling out MDD as a primary diagnosis.
Schizophrenia
Schizophrenia presents with features of psychosis, including hallucinations, delusions, disorganized speech, and behavior. There is also diminished interest and drive, lack of motivation, and a reduced emotional range (APA, 2013). The patient’s symptoms consistent with the differential diagnosis of schizophrenia include the history of delusions and auditory hallucination (APA, 2013). P.P reports that during creative episodes, she hears voices telling her she is great and wonderfully talented.
Reflections:
The assignment enlightened me on the differential diagnoses for patients presenting with mood disorders. If I were to conduct the session again, I would utilize mental health screening tools such as the Mood Disorder Questionnaire, which measures the severity of Bipolar disorder and guide in developing a treatment plan (Wang et al., 2020). The PMHNP should adhere to ethical principles of autonomy, beneficence, and nonmaleficence when developing the treatment plan. In the patient follow-up, I would evaluate the patient’s progress by assessing the severity of manic and depressive symptoms. Besides, I would inquire about medication side effects to promote patient safety.
Case Formulation and Treatment Plan:
P.P presented with a history of manic episodes that alternate with depressive episodes. The features are consistent with Bipolar disorder. The patient’s treatment plan will include pharmacotherapy and psychotherapy.
Pharmacotherapy: Lithium 450 mg orally BD. Lithium was selected because it is the gold standard in bipolar disorder treatment. It reduces suicide risk in the long term (Shah et al., 2017).
Psychotherapy: Cognitive-behavioral therapy (CBT): CBT helps decrease the relapse rate of bipolar symptoms. It alleviates depressive and mania symptoms and improves psychosocial functioning (Chiang et al., 2017).
Health education: Treatment compliance, and smoking cessation.
Follow-up: The patient will be scheduled for a follow-up after four weeks to evaluate response to therapy.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Chiang, K. J., Tsai, J. C., Liu, D., Lin, C. H., Chiu, H. L., & Chou, K. R. (2017). Efficacy of cognitive-behavioral therapy in patients with bipolar disorder: A meta-analysis of randomized controlled trials. PloS one, 12(5), e0176849. https://doi.org/10.1371/journal.pone.0176849
Shah, N., Grover, S., & Rao, G. P. (2017). Clinical Practice Guidelines for Management of Bipolar Disorder. Indian journal of psychiatry, 59(Suppl 1), S51–S66. https://doi.org/10.4103/0019-5545.196974
Vieta, E., Berk, M., Schulze, T. G., Carvalho, A. F., Suppes, T., Calabrese, J. R., … & Miskowiak, K. W. (2018). Grande. Bipolar disorders. Nat Rev Dis Primers, 4, 18008. https://doi.org/10.1038/nrdp.2018.8
Wang, H. R., Bahk, W. M., Yoon, B. H., Kim, M. D., Jung, Y. E., Min, K. J., Hong, J., & Woo, Y. S. (2020). The Influence of Current Mood States on Screening Accuracy of the Mood Disorder Questionnaire. Clinical psychopharmacology and neuroscience: the official scientific journal of the Korean College of Neuropsychopharmacology, 18(1), 25–31. https://doi.org/10.9758/cpn.2020.18.1.25