Nurse Practitioner Roles Comprehensive Nursing Discussion Essay
What did the practitioner do well? In what areas can the practitioner improve?
The practitioner set up a relaxing and comfortable environment for the client. The environment enables the practitioner to develop a rapport with the client and build a collaborative interaction with the patient. A friendly and calm environment is one of the critical determinants of the outcomes of an assessment session (Russell & Gajos, 2020). Besides, the approach used by the practitioner allows the client to express their feelings and emotion with ease. The therapy breaks down words when the client is not able to express their feelings. The practitioner also acknowledged and addressed Tony’s problems which helped alleviate the present conditions of the client. However, at the start, the practitioner should improve on building a rapport with the client through verbal and non-verbal communication. Effective rapport has improves the client’s compliance with treatment, outcomes, and satisfaction levels.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
The client was not advised about his right to privacy at the start of the assessment. Furthermore, the assessment procedure did not include further information about the patient’s family and mental health history. The parent should have provided detailed information about the client’s health history, therapy, and medications. According to Lecavalier et al. (2019), low concentration is a crucial risk factor for mental health problems such as depression, anxiety, or attention-deficit hyperactivity disorder. The practitioner could have asked questions about why Tony was unhappy if he was hurt by someone.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
What would be your next question, and why?
Additional questions could have included whether the client or parents had concerns about the conducted assessment. According to Townsend et al. (2020), parents and families of children and teenagers should be included in the care delivery process to protect their rights, such as confidentiality and freedom. Therefore, questions about additional concerns would help alleviate anxieties that may be preventing the successful implementation of the therapy.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
Explain why a thorough psychiatric assessment of a child/adolescent is important.
A thorough psychiatric assessment of a child/adolescent is essential as it helps identify vital psychiatric experiences by the client. As reported in the study by Townsend et al. (2020), psychiatric assessment helps properly diagnose emotional, behavioral, or developmental problems. Therefore, this approach was necessary for the case patient as it was done based on the child’s behaviors. The child’s behaviors were assessed to understand how they affected his quality of life. Communicating the collected data from the patient with other health practitioners involved in the care process is vital.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
Young Mania Rating Scale (YMRS) is the frequently used rating for assessing manic symptoms. The scale has 11 items based on the patient’s subjective report of the clinical condition within the last 48 hours (Russell & Gajos, 2020). Additional information provided in this scale is based on the clinical observations made during the clinical interview.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
The Adolescent Psychopathology Scale (APS) scale evaluated the severity and presence of psychological disorders, symptoms, and distress in children and adolescents ages 12-19 (Russell & Gajos, 2020). Specifically, this tool comprises 346 items assessing DSM-IV symptoms of adolescent psychiatric disorders.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
Play therapy is a therapeutic approach that emphasizes the natural urge of the children to explore and harness it to meet and respond to their developmental and mental health needs (Lecavalier et al., 2019). Therefore, this method is used when the client is too young to provide a verbal account of adverse, abusive or potentially criminal events. Mentalization-based therapy is a therapeutic approach that emphasizes helping children grow into healthier individuals by allowing them to cope with their life struggles and become resilient to life challenges (Townsend et al., 2020). The mentalization-based therapy can reduce self-harm among children.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
Explain the role parents/guardians play in assessment.
During the interview sessions, parents may provide detailed background information about their children (Lecavalier et al., 2019). There is some information that the child may not recall, and it is the role of the parents to provide such information to the care provider to allow for a detailed and practical care process. The parents may also provide the psychologist with specific concerns about the child. All the included sources in this analysis are scholarly, as they were written by academics and experts in psychiatric health.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
References
Lecavalier, L., McCracken, C. E., Aman, M. G., McDougle, C. J., McCracken, J. T., Tierney, E., … & Scahill, L. (2019). An exploration of concomitant psychiatric disorders in children with autism spectrum disorder. Comprehensive Psychiatry, 88(4), 57-64.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
Russell, M. A., & Gajos, J. M. (2020). Annual Research Review: Ecological momentary assessment studies in child psychology and psychiatry. Journal of Child Psychology and Psychiatry, 61(3), 376-394.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
Townsend, L., Kobak, K., Kearney, C., Milham, M., Andreotti, C., Escalera, J., … & Kaufman, J. (2020). Development of three web-based computerized versions of the kiddie schedule for affective disorders and schizophrenia child psychiatric diagnostic interview: preliminary validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 59(2), 309-325.(Nurse Practitioner Roles Comprehensive Nursing Discussion Essay)
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