Develop diagnoses for clients receiving psychotherapy

Develop diagnoses for clients receiving psychotherapy*
Evaluate the efficacy of therapeutic approaches for clients*
Analyze legal and ethical implications of counseling clients with psychiatric disorders*
The Assignment related to this Learning:
.
Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum
Journal:
Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed
medications.
Using the DSM-5, explain and justify your diagnosis for this client.
Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected
outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
Explain any legal and/or ethical implications related to counseling this client.
Please do not use “I” use words such as the writer or as provider”. Use resources or sources that are peer review articles that are within 5 years. Please kindly read the instructions and follow exactly what the instruction states.
Optional Resources
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.).
New York, NY: Springer Publishing Company.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

A 67-year-old moderately obese woman examined today for increasing back and left shoulder pain 

The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following:

‘A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”

1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?

 

Musculoskeletal Systems Function

The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following:

‘A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”

1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?

 

What is hydrocephalus and how is it managed

1. Describe the clinical manifestations a nurse might observe in an infant compensating for increased intracranial pressure
2. Describe the six levels of consciousness in the pediatric patient
3. Describe a coup and contra coup head injury
4. Differentiate between a generalized seizure and a partial (focal) seizure. List the priority interventions for a pediatric patient having a seizure
5. What is hydrocephalus and how is it managed?