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

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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

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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.

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

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2. My courses
3. NU-664CX-08-23PCS3
4. Week 10: Clinical Seminar
5. Week 10 Assignment 2: Client Encounter Journal Entry
6. Week 10 Assignment 2: Client Encounter Journal Entry

Week 10 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.  

pt had major depressive disorder  and is on 

cymbalta was off it for 4 days was behaving  bizzaire 

had sucidal thought, acting strange, his wife brought him to the psychiatrist which is the preceptor and found out because he was off his medication for 4 days, so he was advised to take it for one one and see if those symptoms will work, he actually felt better according to his wife after being compliant with the medication 

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

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

Week 1 Assignment 4: Client Encounter Journal Entry

Value: Complete/Incomplete

Due: Day 7

Grading Category: Complete/Incomplete

Instructions bipolar and depression

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.

Posting Your Journal Entry:

1. Select Start or Edit My Journal Entry.
2. Create your journal entry.
3. Select Save Changes.

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

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

Week 1 Assignment 4: Client Encounter Journal Entry

Value: Complete/Incomplete

Due: Day 7

Grading Category: Complete/Incomplete

Instructions I went for clinical rotation, my first time and I saw a 18 yr old male with anxiety and bipolar and depression, OCD and so on

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.

Posting Your Journal Entry:

1. Select Start or Edit My Journal Entry.
2. Create your journal entry.
3. Select Save Changes.

NU-650-15-23PCSP Adv Hlth Assessment/Nursing

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4. Week 8: Midterm
5. Week 8 Journal Entry: Midterm
6. Week 8 Journal Entry: Midterm

Week 8 Journal Entry: Midterm

Value: 100 points

Due: Day 7

Grading Category: Assignments: Discussions/Journal

Reflect on your clinical skill practice (in the clinical setting and/or for required videos) by writing your responses to the following prompts:

• Describe your experience with physical assessment over the first half of this course. (What components of the exam have you completed? With what aspects of assessment are you most familiar and confident? With what aspects of assessment are you least familiar and confident? What experience have you had with pediatric, adult, and geriatric patients?)
• Share the most exciting aspect of your skill practice to this point.
• Share the aspect of assessment you have found to be most challenging.
• How have your learning experiences in this course affected your current nursing role?
• What steps will you take to overcome challenges, and increase proficiency and efficiency in your performance?

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

Please use the attached document and instructions to complete this assignment.

Thank you

Journal Entry (450–500 words) – Check the Rubric Detail

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your clinical strengths and successes.

This week, you will write a Journal Entry, reflecting on your clinical strengths and opportunities for improvement. 

To prepare:

• Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in Week 1’s Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
• Refer to your “Clinical Skills and Procedures Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.

You will write a paper reviewing the three most challenging patients you had this practicum. Answer the following:

1. What made them challenging? 

2. What did you learn in dealing with these patients?

3.  What resources were you able to use? 

4. What evidence-based practices did you use in treating these patients? 

5. What new skills did you learn this practicum? 

6. What would you have done differently during this practicum if you could go back and do it over? 

7. How do you feel you’re doing in managing the amount of patients you’re seeing in the timeliness with which the patients are seen and dispatched?

• Also, reflect on how to improve on your skills and knowledge and how to communicate that back to your Preceptor.
• How are you doing? What is missing?
• What type of feedback are you receiving from your Preceptor?
•  

It requires the same APA requirements: Title page, headings, three (3) credible references (not your textbook), and APA formatting. 

Three most challenging patients:

Patient 1: 

Visit information and notes: Patient P is 19 years old who lives with his parents and two younger siblings. P has been shown a significant change in behavior since he broke up with her long-time girlfriend that they had planned to marry. In the last few months, P has been quiet, binge drinking, and irritable when someone speaks to him. When James first saw the GP, he told the doctor that the breakup brings him bad memories where the GP ruled out depression. The behavior has hardly changed, which implies the patient is suffering from psychotic episodes of schizophrenia because, during the final examination, the patient showed signs of delusions. 

Diagnosis: Psychotic episodes of schizophrenia 

Procedure: Physical examination and psychosis test 

Student treatment plan and notes: Chlorpromazine 25mg PO, taken three times daily, and cognitive-behavioral therapy to include three sessions per week for at least six weeks. The subsequent medical visit for the patient is within one week to assess the care outcomes and further care planning if required.

Patient 2:

Visit information and notes: Patient is a 70-year-old male who presents to the office with symptoms including general weariness, shortness of breath, and abdominal discomfort that have occurred for the past five days. His medical history incorporates hypertension and coronary artery disease. He had previously had a 90% LAD blockage and a 50% RCA occlusion, both of which had been treated with stents. 

Diagnosis: Heart failure. 

Procedure: An electrocardiogram test 

Student treatment plan and notes – Metoprolol, 50mg PO once daily. The patient is recommended to engage in physical workouts, sustain a healthy weight and diet with low sodium.

Patient 3: 

Visit information and notes: Patient is a 27-year-old female who arrives to the office two days after giving birth. She has significant abdominal discomfort and vaginal bleeding, according to her. However, she claims that her pregnancy was uneventful and that she had a regular vaginal delivery.

Diagnosis: Hypovolemic shock 

Procedure: A blood test is done to assess for electrolyte imbalances and an electrocardiogram to examine heart rhythm. 

Student treatment plan and notes: Care plan includes blood plasma transfusion and fluid replacement therapy.

Reflect on your clinical skill practice (in the clinical setting and/or for required videos) by writing your response to the following prompts:

• Describe your experience with physical assessment over the first half of this course. (What components of the exam have you completed? With what aspects of assessment are you most familiar and confident? With what aspects of assessment are you least familiar and confident? What experience have you had with pediatric, adult, and geriatric patients?)
• Share the most exciting aspect of your skill practice to this point.
• Share the aspect of assessment you have found to be most challenging.
• How have your learning experiences in this course affected your current nursing role?
• What steps will you take to overcome challenges, and increase proficiency and efficiency in your performance?

use abdominal, thoracic, lung assessement. See attached document for reference.

For each day that you volunteer, create a new journal entry in which the first line is the day, date, and time period that you worked that day. Put this information in bold font.

Write a paragraph that describes the type of duties you carried out that day (e.g., what you did, who else was there, whether you were a part of a team or were working alone, etc.).

Once each week, focus on one particular event or aspect of your work that week and describe why you found this particular task or event to be unusual or of special interest.

In a 250-300-word entry, relate this aspect of your volunteer experience to some specific knowledge that you have previously gained in your coursework to this point.

APA format is not required, but solid academic writing is expected.