Journal Entry

I have attached the first weeks paper plus the soap note you have done before to help with this journal entry. I have attached the paper instructiins. please check       

Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.

·       Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?

·       What did you learn from this experience?

·       What resources were available?

·       What evidence-based practice did you use for the patients?

·       What would you do differently?

·       How are you managing patient flow and volume?

·       How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

·       Reflect on how you might improve your skills and knowledge, and communicate those efforts to your Preceptor.

·       Answer the questions: How am I doing? What is missing?

·       Reflect on the formal and informal feedback you received from your Preceptor.

NU-664CX-08-23PCS3 Clinical Seminar:Virtual
Dashboard
My courses
NU-664CX-08-23PCS3
Week 16: Clinical Seminar
Week 16 Assignment 6: Client Encounter Journal Entry
Week 16 Assignment 6: Client Encounter Journal Entry
Week 16 Assignment 6: Client Encounter Journal Entry
Value: Complete/Incomplete

Due: Day 7

Grading Category: Complete/Incomplete

Instructions
Journaling is a continual reflection on clinical experiences and your related thoughts, feelings, and behaviors surrounding those experiences. You will not be graded on the experiences you have had, but instead on your commitment to reflecting on those experiences and utilizing those reflections to improve your professional identity and skillset. Your journal is a place where you can record thoughts regarding a specific client encounter. Think of the journal as a personal, one-to-one communication tool between you and your instructor. Journal entries are viewable only by you and your instructor. All clinical discussion or communication will protect the confidentiality of clients.

While being mindful of integrating critical thinking into the management of clients during the clinical experience, you will also be evaluating health promotion and maintenance for children, adolescents, adults and/or older adults, to include medically underserved groups. The PMHNP role also encompasses analyzing cultural proficiency and spirituality in the assessment, diagnosis, treatment, and management of clients with mental health conditions.

Your entry must be about a client encounter you had this week and should be no more than 500 words. Journal entries should also include an analysis of the nurse practitioner role or the potential role in the clinical setting. Select one of the following options to help guide you:

Option 1
Write about a situation that you felt you handled well. What did you do? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 2
Write about a situation where you felt unsure of yourself. What happened? What made you question your decision-making? If faced with the same situation in the future, how would you like to handle it differently? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 3
Write about a situation that you felt you handled incorrectly. What happened? How would you change your actions to result in a different outcome? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 4
Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.
30 yr old male with anxiety, came for follow up, reports his co-worker triggers his anxiety and want to leave the job. preceptor encourage coping strategies and compliance with his med to help conquer his trigers

NU-664CX-08-23PCS3 Clinical Seminar:Virtual

1. Dashboard
2. My courses
3. NU-664CX-08-23PCS3
4. Week 15: Clinical Seminar
5. Week 15 Assignment 3: Client Encounter Journal Entry
6. Week 15 Assignment 3: Client Encounter Journal Entry

Week 15 Assignment 3: Client Encounter Journal Entry

Value: Complete/Incomplete

Due: Day 7

Grading Category: Complete/Incomplete

Instructions

Journaling is a continual reflection on clinical experiences and your related thoughts, feelings, and behaviors surrounding those experiences. You will not be graded on the experiences you have had, but instead on your commitment to reflecting on those experiences and utilizing those reflections to improve your professional identity and skillset. Your journal is a place where you can record thoughts regarding a specific client encounter. Think of the journal as a personal, one-to-one communication tool between you and your instructor. Journal entries are viewable only by you and your instructor. All clinical discussion or communication will protect the confidentiality of clients.

While being mindful of integrating critical thinking into the management of clients during the clinical experience, you will also be evaluating health promotion and maintenance for children, adolescents, adults and/or older adults, to include medically underserved groups. The PMHNP role also encompasses analyzing cultural proficiency and spirituality in the assessment, diagnosis, treatment, and management of clients with mental health conditions.

Your entry must be about a client encounter you had this week and should be no more than 500 words. Journal entries should also include an analysis of the nurse practitioner role or the potential role in the clinical setting. Select one of the following options to help guide you:

Option 1

Write about a situation that you felt you handled well. What did you do? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 2

Write about a situation where you felt unsure of yourself. What happened? What made you question your decision-making? If faced with the same situation in the future, how would you like to handle it differently? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 3

Write about a situation that you felt you handled incorrectly. What happened? How would you change your actions to result in a different outcome? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 4

Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.  

28yr old female with depression, anxiety and alcohol dependence, pt is on natrason pill which she complains that makes her nausea, and was skipping the pills, preceptor decided to prescribe vivitol injection once every month

NU-664CX-08-23PCS3 Clinical Seminar:Virtual

1. Dashboard
2. My courses
3. NU-664CX-08-23PCS3
4. Week 13: Clinical Seminar
5. Week 13 Assignment 2: Client Encounter Journal Entry
6. Week 13 Assignment 2: Client Encounter Journal Entry

Week 13 Assignment 2: Client Encounter Journal Entry

Value: Complete/Incomplete

Due: Day 7

Grading Category: Complete/Incomplete

Instructions

Journaling is a continual reflection on clinical experiences and your related thoughts, feelings, and behaviors surrounding those experiences. You will not be graded on the experiences you have had, but instead on your commitment to reflecting on those experiences and utilizing those reflections to improve your professional identity and skillset. Your journal is a place where you can record thoughts regarding a specific client encounter. Think of the journal as a personal, one-to-one communication tool between you and your instructor. Journal entries are viewable only by you and your instructor. All clinical discussion or communication will protect the confidentiality of clients.

While being mindful of integrating critical thinking into the management of clients during the clinical experience, you will also be evaluating health promotion and maintenance for children, adolescents, adults and/or older adults, to include medically underserved groups. The PMHNP role also encompasses analyzing cultural proficiency and spirituality in the assessment, diagnosis, treatment, and management of clients with mental health conditions.

Your entry must be about a client encounter you had this week and should be no more than 500 words. Journal entries should also include an analysis of the nurse practitioner role or the potential role in the clinical setting. Select one of the following options to help guide you:

Option 1

Write about a situation that you felt you handled well. What did you do? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 2

Write about a situation where you felt unsure of yourself. What happened? What made you question your decision-making? If faced with the same situation in the future, how would you like to handle it differently? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 3

Write about a situation that you felt you handled incorrectly. What happened? How would you change your actions to result in a different outcome? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 4

Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Please refer to the Grading Rubric for details on how this activity will be graded.  

1. 38 yr old female with depression and anxiety she was on zolof which she developed itching, started cymbolta, and she developed weight gain, now the preceptor gave her trintellix which she reports much improvement with focus and thinking

NU-664CX-08-23PCS3 Clinical Seminar:Virtual

1. Dashboard
2. My courses
3. NU-664CX-08-23PCS3
4. Week 12: Clinical Seminar
5. Week 12 Assignment 2: Client Encounter Journal Entry
6. Week 12 Assignment 2: Client Encounter Journal Entry

Week 12 Assignment 2: Client Encounter Journal Entry

Value: Complete/Incomplete

Due: Day 7

Grading Category: Complete/Incomplete

Instructions

Journaling is a continual reflection on clinical experiences and your related thoughts, feelings, and behaviors surrounding those experiences. You will not be graded on the experiences you have had, but instead on your commitment to reflecting on those experiences and utilizing those reflections to improve your professional identity and skillset. Your journal is a place where you can record thoughts regarding a specific client encounter. Think of the journal as a personal, one-to-one communication tool between you and your instructor. Journal entries are viewable only by you and your instructor. All clinical discussion or communication will protect the confidentiality of clients.

While being mindful of integrating critical thinking into the management of clients during the clinical experience, you will also be evaluating health promotion and maintenance for children, adolescents, adults and/or older adults, to include medically underserved groups. The PMHNP role also encompasses analyzing cultural proficiency and spirituality in the assessment, diagnosis, treatment, and management of clients with mental health conditions.

Your entry must be about a client encounter you had this week and should be no more than 500 words. Journal entries should also include an analysis of the nurse practitioner role or the potential role in the clinical setting. Select one of the following options to help guide you:

Option 1

Write about a situation that you felt you handled well. What did you do? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 2

Write about a situation where you felt unsure of yourself. What happened? What made you question your decision-making? If faced with the same situation in the future, how would you like to handle it differently? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 3

Write about a situation that you felt you handled incorrectly. What happened? How would you change your actions to result in a different outcome? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 4

Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Please refer to the Grading Rubric for details on how this activity will be graded.   

75 yr old male have been seen the psychiatrist since 2001 his complain then was his wife brought  her mother  and sister and was spending all his money on them, they had two daughters the mother couldn’t help to look after them he had life struggles with his wife’s family, he developed anxiety and depression which brought him to the preceptor in 2001, now his wife drinks and is about to leave the marriage of 50yrs due to her father died of heart attack she is scared of dying because , they just lost two of their houses and their car has been repossessed, they now live in rented, apartment, he is on trazadon and buspar, now he does what he loves doing to take away the anxiety and depression, he cuts, the grass, goes for exercise listen to music, just coping strategies and the preceptor encouraged never to miss his medication what is happening around him now can trigger his anxiety

NU-664CX-08-23PCS3 Clinical Seminar:Virtual

1. Dashboard
2. My courses
3. NU-664CX-08-23PCS3
4. Week 11: Clinical Seminar
5. Week 11 Assignment 2: Client Encounter Journal Entry
6. Week 11 Assignment 2: Client Encounter Journal Entry

Week 11 Assignment 2: Client Encounter Journal Entry

Value: Complete/Incomplete

Due: Day 7

Grading Category: Complete/Incomplete

Instructions

Journaling is a continual reflection on clinical experiences and your related thoughts, feelings, and behaviors surrounding those experiences. You will not be graded on the experiences you have had, but instead on your commitment to reflecting on those experiences and utilizing those reflections to improve your professional identity and skillset. Your journal is a place where you can record thoughts regarding a specific client encounter. Think of the journal as a personal, one-to-one communication tool between you and your instructor. Journal entries are viewable only by you and your instructor. All clinical discussion or communication will protect the confidentiality of clients.

While being mindful of integrating critical thinking into the management of clients during the clinical experience, you will also be evaluating health promotion and maintenance for children, adolescents, adults and/or older adults, to include medically underserved groups. The PMHNP role also encompasses analyzing cultural proficiency and spirituality in the assessment, diagnosis, treatment, and management of clients with mental health conditions.

Your entry must be about a client encounter you had this week and should be no more than 500 words. Journal entries should also include an analysis of the nurse practitioner role or the potential role in the clinical setting. Select one of the following options to help guide you:

Option 1

Write about a situation that you felt you handled well. What did you do? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 2

Write about a situation where you felt unsure of yourself. What happened? What made you question your decision-making? If faced with the same situation in the future, how would you like to handle it differently? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 3

Write about a situation that you felt you handled incorrectly. What happened? How would you change your actions to result in a different outcome? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Option 4

Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.

Please refer to the Grading Rubric for details on how this activity will be graded. 

THis week I encountered tourette syndrome, she was whistling with a vocal voice, she is on hadol, the preceptor educated us on how it is related to ocd , pt with strep throat have the tendency to have ocd, so it is advice to cut off the tonsil to prevent ocd in the future.

Please use the attached information to complete this assignment. Include conclusion paragraph. 

Thank you