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(Answer) NUR-620 – Discussion 4-Online Nursing Assignment Help

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icon   Depression Case


After studying Module 4: Lecture Materials & Resources, discuss the following:

Case Study Ms. Z is a 28-year-old assistant store manager who arrives at your outpatient clinic complaining of sadness after her boyfriend of 6 months ended their relationship 1 month ago. She describes a history of failed romantic relationships, and says, “I don’t do well with breakups.” Ms. Z reports that, although she has no prior psychiatric treatment, she was urged by her employer to seek therapy. Ms. Z has arrived late to work on several occasions because of oversleeping. She also has difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my legs weigh a ton.” She feels fatigued during the day despite spending over 12 hours in bed and is concerned that she might be suffering from a serious medical condition. She denies any significant changes in appetite or weight since these symptoms began.Ms. Z reports that, although she has not missed workdays, she has difficulty concentrating and has become tearful in front of clients while worrying about not finding a significant other. She feels tremendous guilt over “not being good enough to get married,” and says that her close friends are concerned because she has been spending her weekends in bed and not answering their calls. Although during your evaluation Ms. Z appeared tearful, she brightened up when talking about her newborn nephew and her plans of visiting a college friend next summer. Ms. Z denied suicidal ideation.
Questions: Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.

  1. Summarize the clinical case including the significant subjective and objective data.
  2. Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes.
  3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
  4. Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment.
  5. Describe a health promotion intervention that would be appropriate for this patient.

 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

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Grading Rubric


Your assignment will be graded according to the grading rubric.

 
Discussion Rubric
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts Distinguished – 4 points
Post is substantively accurate. Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts surrounding the assignment. Provides exceptional and thought-provoking analysis that directly addresses details and/or examples of the main topic.
Excellent – 3 points
Post is mostly related to the topic. Demonstrates understanding of most of the issues, problems, and concepts surrounding the assignment. It provides some supporting details and/or examples. Analyses not as clear as they could be.
Fair – 1-2 points
Demonstrates limited understanding of most of the issues, problems, and concepts surrounding the assignment. No details and/or examples are given.
Poor – 0 points
Post is off-topic, incorrect and/or irrelevant to the issues, problems, and concepts surrounding the assignment. Analyses are not well organized or clear.
4 points
APA Formatting Guidelines Distinguished – 2 points
The reference page contains at least the required current scholarly academic reference and text reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations.
Excellent – 1 point
The reference page contains one current scholarly academic resource and text reference. Follows most APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations.
Fair – 0.5 points
The reference page contains one current or outdated scholarly academic resource. Many errors of APA guidelines: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations.
Poor – 0 points
The reference page contains no current scholarly academic resources, only internet web pages, or no reference page. Lack of APA guidelines for references provided or in-text citations.
2 points
Writing Mechanics Distinguished – 2 points
Rules of grammar, usage, and punctuation are followed; spelling is correct.
Excellent – 1 point
Few grammatical errors, but sentences could be clearer and more precise.
Fair – 0.5 points
The paper contains a few grammatical, punctuation, and spelling errors.
Poor – 0 points
The paper contains numerous grammatical, punctuation, and spelling errors.
2 points
Response to Posts of Peers Distinguished – 2 points
Constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each.
Fair – 1 point
Constructively responded to one other post and either extended, expanded, or provided a rebuttal.
Poor – 0 points
Provided no response to a peer’s post. 
2 points
Total Points  10

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