What screening or diagnostic tools would you use for Phillip and why?
Paper instructions
Short Paper
Short Paper
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIntegration of Knowledge
10.0 to >8.0 pts
Demonstrates full understanding and application of course concepts integrated into own insights. Shows analysis and synthesis of ideas.
8.0 to >6.0 pts
Demonstrates that you understand and have applied course concepts for the most part. Shows some analysis and synthesis of ideas.
6.0 to >4.0 pts
Demonstrates that you understand and have applied course concepts to some extent. Some of conclusions are not supported in the paper.
4.0 to >2.0 pts
Demonstrates that you only partially understand and have applied course concepts. Most conclusions are not supported in the paper.
2.0 to >0 pts
The paper does not demonstrate that you have fully understand and applied course concepts.
10.0 pts
This criterion is linked to a Learning OutcomeTopic Focus
10.0 to >8.0 pts
The paper is appropriately focused. A thesis statement provides direction.
8.0 to >6.0 pts
The paper is mostly focused. The thesis statement provides some direction.
6.0 to >4.0 pts
The topic is focused but lacks direction.
4.0 to >2.0 pts
The topic is too broad or too narrow.
2.0 to >0 pts
The topic is not clearly defined.
10.0 pts
This criterion is linked to a Learning OutcomeDepth of Discussion
10.0 to >8.0 pts
Includes in-depth discussion and elaboration throughout the paper.
8.0 to >6.0 pts
Includes in-depth discussion and elaboration in most of the paper.
6.0 to >4.0 pts
In-depth discussion and elaboration in some of the paper.
4.0 to >2.0 pts
Pertinent content is omitted or content runs on excessively. Quotations from others outweigh your own ideas excessively.
2.0 to >0 pts
Only contains cursory discussion.
10.0 pts
This criterion is linked to a Learning OutcomeCohesiveness
10.0 to >8.0 pts
Ties together information from all sources. Paper flows from one point to the next. Demonstrates an understanding of the relationship among material obtained from all sources.
8.0 to >6.0 pts
For the most part, ties together information. Paper flows with only some disjointedness. Demonstrates an understanding of the relationship among material.
6.0 to >4.0 pts
Sometimes ties together information. Paper mostly does not flow and much disjointedness is apparent. Demonstrate only some understanding of the relationship among material.
4.0 to >2.0 pts
Rarely ties together information. Paper does not flow. Does not demonstrate an understanding of the relationship among material.
2.0 to >0 pts
Does not tie together information. Paper does not flow and appears to be about disparate issues. Does not demonstrate understanding of relationships.
10.0 pts
This criterion is linked to a Learning OutcomeWriting, Composition, Grammar, Spelling, References, and APA Format
10.0 to >8.0 pts
Excellently written and composed. No errors in format, references, spelling, and grammar.
8.0 to >6.0 pts
Well written and composed. A few minor errors in format, references, spelling, and/or grammar.
6.0 to >4.0 pts
Somewhat well written and composed. Many minor errors in format, references, spelling, and/or grammar.
4.0 to >2.0 pts
Poorly written and composed. Major errors in format, references, spelling, and/or grammar, but still understandable.
2.0 to >0 pts
Very poorly written and composed. Major errors in format, references, spelling, and/or grammar make it difficult to understand.
10.0 pts
Total Points: 50.0
Comments from Customer
it’s a fiction
Directions
Review the case study and then answer the questions that follow.
Case Study
photo of Phillip McCarthy
You are seeing Phillip McCarthy, a 60-year-old British man. He speaks in a clipped British accent and goes through his story rather rapidly, as though he just wants to get through the story quickly.
“Three months ago, I was taking my daughter and grandson to the park, when we were hit by a car. Apparently, another driver fell asleep and drove into our car from the side. I thought Daisy and Skip were flying about in the car like everything else and that they had died. Maybe she did not put on their seatbelts and Skip’s car seat broke? I do not know what I was really thinking at the time. After rolling twice, the car eventually landed on its four wheels. I tried to look around to see if they were safe, but I was trapped and could not see them. I had excruciating pain in my back. I couldn’t really move. I thought I had broken my back, although it turned out I had not.
“After the car stopped, it was dead silent. And I thought that meant they were dead. I couldn’t hear anything at all. And I started screaming for them. However, they had survived because Skip started screaming back at me. Daisy did have a broken arm but that was all.
“That was all. Skip had a few bruises. So did I. Old man. Car accident. Had a limp for a month. That was all.”
Phillip pauses and takes a large breath. He starts talking a bit more slowly as the words are difficult to say. “So, what’s wrong? Daily, I’m having intrusive memories of the accident in which I see the car spinning and flipping. I also picture what could have… have happened to Daisy and to Skip and I picture them dead in the backseat. It’s difficult to admit this, British stiff upper lip and all. But it’s driving me crazy. Sometimes when I’m driving, I even have flashbacks several times a week. I get all hot and sweaty. I grip the steering wheel hard as I can and power through, but I am terrified of the cars around me. I don’t drive on the highway, especially where the accident happened. I have started to avoid going anywhere if I can help it. I have been waking up almost nightly from nightmares. I have been trying to push the memories away. I try to think about something else, anything else especially at bedtime.
“But I think I need more help.”
During the rest of the interview, you determine that while Phillip can remember the trauma, he hadn’t remembered all the details clearly, such as that the car had rolled twice until he had been told by his daughter. Phillip has many hyperarousal symptoms, including difficulty sleeping, feeling irritable, trouble concentrating, and being overly alert.
Questions
From your perspective as Phillip’s psychiatric nurse practitioner, answer the following questions in a two- to three-page double-spaced paper (not including the reference page) and in APA format. Include at least three peer-reviewed, evidence-based references.
What screening or diagnostic tools would you use for Phillip and why? Identify additional questions you need to ask to determine the best treatment options.
Based on the information that you have, what diagnosis would you give Phillip? Please include differential diagnoses. Match his symptoms with the corresponding DSM-5 criteria.
What pharmacological treatment would you prescribe to Phillip? Please include rationale, starting dose, tapering schedule (if any), how the medication works, major drug/drug interactions, and patient education.
What community and support resources would you provide to Phillip?
Would you refer Phillip to therapy? If so, what type? Please provide evidence for your decision.
PLEASE FOLLOW DIRECTION AND INSTRUCTIONS, ANSWER ALL 5 QUESTIONS IN SEQUENCES WITH ALL SUPPORTING DETAILS REFERENCES SHOULD BE PEER REVIEW/EVIDENCES BASED PRACTICES YEAR 2016-2020. FOLLOW THE ATTACHED RUBRIC THE GRADING BASED ON THE RUBRIC
366109447_663_RUBRIC_4009324074044379
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APA
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