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Theory of Caring in Nursing
Professional Roles and Dimension
Contoso
Pharmaceuticals
1
Objectives
A “unity of mind body spirit/nature” (Watson, 1996, p.147)
“Harmony, wholeness, and comfort” (Finkelman, 2019).
page 2
Contoso
Pharmaceuticals
2
Overview of the Theory or Model
.
page 3
Contoso
Pharmaceuticals
3
Why this theory closely represents your view of nursing
Declining Market
Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Financial
Etiam aliquet eu mi quis lacinia. Ut fermentum a magna ut
eleifend.
Trust
Integer convallis suscipit ante eu varius. Morbi a purus dolor.
Cost
Suspendisse sit amet ipsum varius finibus justo viverra blandit.
Margins
Ut congue quis tortor varius eget sodales.
page 4
Contoso
Pharmaceuticals
4
Prioritize
Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Authorize
Etiam aliquet eu mi quis lacinia.
Monetize
Integer convallis suscipit ante eu varius.
Relationships among concepts of theory
.
page 5
Contoso
Pharmaceuticals
5
Unique
Lorem ipsum dolor sit amet, consectetur adipiscing elit.
First to Market
Etiam aliquet eu mi. Ut fermentum a magna ut eleifend.
Tested
Integer convallis suscipit eu varius. Morbi a purus dolor.
Authentic
Suspendisse sit amet ipsum varius finibus justo viverra blandit.
Applying the Theory to Professional Nursing
.
page 6
Contoso
Pharmaceuticals
6
Conclusion
page 7
Contoso
Pharmaceuticals
7
References
Finkelman, A. (2019). Professional Nursing Concepts:
Competencies for Quality Leadership (4th ed.). Jones & Bartlett
Learning.
page 8
Contoso
Pharmaceuticals
8
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© 2020, Walden University
NRNP 6650: Psychiatric Mental Health Nurse Practitioner Role
I:
Child and Adolescent
Case Study: I am Feeling Like I’m Going Crazy
IDENTIFICATION: The patient is a 15-year-old male of Native
American descent who resides at home
with his mother and 6-year-old brother.
He is seen for the psychiatric evaluation on an inpatient crisis
unit. Collateral information was obtained
from the patient’s mother.
CHIEF COMPLAINT: “I am feeling like I’m going crazy”
HISTORY OF CHIEF COMPLAINT: Patient reports that he
intentionally cut his leg at school yesterday
before gym class. He realized that he would not be able to
participate in class because he could not
control the bleeding of the cuts. He went to the nurse and she
referred him to the ER for admission. The
ER provider admitted him to the acute psychiatric unit as he
was at risk of harming himself due to
suicidal ideation. He reports that he harmed himself by cutting
as he was feeling abandoned by his
boyfriend. He states that he is not emotionally supportive. He
reports that self-injurious behavior began
10 months ago, and he uses a disposable razor to cut his upper
arm or forearm. He reports problems
with sleep onset. He reports low self-esteem and low energy
level. He endorsed a history of two prior
suicide attempts by taking a palm-full of acetaminophen; the
most recent attempt was 2 months ago.
He did not report his attempt denies serious adverse effects. His
last suicidal ideation due to pressure of
getting good grades and low self-esteem. He used to participate
in the school band but stopped
attending rehearsals about 2 months ago because he was no
longer interested.
Patient’s mother expressed frustration and difficulty
understanding why the patient treats her
disrespectfully when she gives the patient everything the patient
wants, such as clothing and money to
go out with friends. The patient’s mother acknowledged that she
works a lot and is infrequently at
home, but stated that when she tries to spend time with the
patient and express interest in his life, the
patient shuts her out or states that he does not have time to
spend with her because she needs to finish
his homework. Patient’s mother additionally expresses
confusion about why the patient behaves so
differently than she did at that age, reporting that he was
expected to be respectful and comply with her
mother’s requests.
PAST PSYCHIATRIC HISTORY: No prior psychotherapy or
trials of psychiatric medication.
MEDICAL HISTORY: Multiple wounds noted on patient’s right
upper arm, which appear to be healing. No
known allergies. No acute or chronic medication conditions.
Review of systems is negative. Patient
appears to be average height and weight. He denies any recent
changes in weight.
HISTORY OF DRUG OR ALCOHOL ABUSE: No alcohol use.
States that he tried marijuana once 3 months
ago. Denies use of any other illicit substances.
© 2020, Walden University
FAMILY HISTORY: Patient’s parents were both born in the
US. The patient was born in the United States.
Patient reports that her parents got divorced when she was 5
years old. His father currently lives in Los
Angeles and he has minimal contact with him. Family history
of mental illness denied.
Personal History
Perinatal: No known perinatal complications.
Childhood/Adolescence: The patient attends the local private
high school where he used to get good
grades in her classes, mostly As and Bs; however, he states her
grades have declined recently and she is
in danger of failing several classes. He reports recent loss of
close friends due to interpersonal conflict.
He identifies as pansexual and is currently dating a male peer.
They have been dating for the past 2
months. He states that she would like to have sex with him, but
he is not ready yet.
TRAUMA/ABUSE HISTORY: Patient denies trauma or abuse
history.
Mental Status Examination
Appearance: Good grooming and hygiene. Cooperative.
Behavior and psychomotor activity: no increased or decreased
psychomotor agitation. Sits quietly in
chair.
Consciousness: Alert.
Orientation: To person, place, time.
Memory: Not formally assessed but appears to be intact based
on patient’s ability to relate details from
the past.
Concentration and attention: Not formally assessed, but no
indication of abnormalities.
Visuospatial ability: Not formally assessed.
Abstract thought: Intact.
Intellectual functioning: Appears to be above average.
Speech and language: Quiet volume, regular rate and rhythm.
Perceptions: No evidence of perceptual disturbance. Patient
denies auditory and visual hallucinations.
Thought processes: Coherent and goal directed.
Thought content: Distressed about peer relationships.
Suicidality or homicidality:
Denies current suicidal or homicidal ideation; however, reports
suicidal thoughts yesterday on the way
to the hospital.
Mood: “Depressed”
Affect: Constricted.
© 2020, Walden University
Impulse control: Limited as evidenced by impulsive self-
injurious behavior.
Judgment/Insight/Reliability: Poor/Poor/Fair

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Theory of Caring in NursingProfessional Roles and Dimensio

  • 1. Theory of Caring in Nursing Professional Roles and Dimension Contoso Pharmaceuticals 1 Objectives A “unity of mind body spirit/nature” (Watson, 1996, p.147) “Harmony, wholeness, and comfort” (Finkelman, 2019). page 2
  • 2. Contoso Pharmaceuticals 2 Overview of the Theory or Model . page 3 Contoso Pharmaceuticals 3 Why this theory closely represents your view of nursing Declining Market Lorem ipsum dolor sit amet, consectetur adipiscing elit. Financial Etiam aliquet eu mi quis lacinia. Ut fermentum a magna ut eleifend.
  • 3. Trust Integer convallis suscipit ante eu varius. Morbi a purus dolor. Cost Suspendisse sit amet ipsum varius finibus justo viverra blandit. Margins Ut congue quis tortor varius eget sodales. page 4 Contoso Pharmaceuticals 4 Prioritize Lorem ipsum dolor sit amet, consectetur adipiscing elit. Authorize Etiam aliquet eu mi quis lacinia.
  • 4. Monetize Integer convallis suscipit ante eu varius. Relationships among concepts of theory . page 5 Contoso Pharmaceuticals 5 Unique Lorem ipsum dolor sit amet, consectetur adipiscing elit. First to Market Etiam aliquet eu mi. Ut fermentum a magna ut eleifend.
  • 5. Tested Integer convallis suscipit eu varius. Morbi a purus dolor. Authentic Suspendisse sit amet ipsum varius finibus justo viverra blandit. Applying the Theory to Professional Nursing . page 6 Contoso Pharmaceuticals 6
  • 6. Conclusion page 7 Contoso Pharmaceuticals 7 References Finkelman, A. (2019). Professional Nursing Concepts: Competencies for Quality Leadership (4th ed.). Jones & Bartlett Learning. page 8 Contoso Pharmaceuticals 8 image2.jpeg
  • 8. .MsftOfcThm_Accent3_Fill { fill:#BC9230; } image11.png image15.png image16.svg .MsftOfcThm_Accent1_Fill { fill:#31B0C1; } image17.png image18.svg .MsftOfcThm_Accent2_Fill { fill:#CB488B; } image19.png image20.svg .MsftOfcThm_Accent3_Fill { fill:#BC9230; } image21.jpeg image27.svg .MsftOfcThm_Accent4_Fill { fill:#126974; }
  • 9. image28.jpeg image22.png image23.svg .MsftOfcThm_Accent1_Fill { fill:#31B0C1; } image24.png image25.svg .MsftOfcThm_Accent3_Fill { fill:#BC9230; } image26.png image1.png image29.jpeg image30.jpeg image31.jpeg © 2020, Walden University NRNP 6650: Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent Case Study: I am Feeling Like I’m Going Crazy
  • 10. IDENTIFICATION: The patient is a 15-year-old male of Native American descent who resides at home with his mother and 6-year-old brother. He is seen for the psychiatric evaluation on an inpatient crisis unit. Collateral information was obtained from the patient’s mother. CHIEF COMPLAINT: “I am feeling like I’m going crazy” HISTORY OF CHIEF COMPLAINT: Patient reports that he intentionally cut his leg at school yesterday before gym class. He realized that he would not be able to participate in class because he could not control the bleeding of the cuts. He went to the nurse and she referred him to the ER for admission. The ER provider admitted him to the acute psychiatric unit as he was at risk of harming himself due to suicidal ideation. He reports that he harmed himself by cutting as he was feeling abandoned by his boyfriend. He states that he is not emotionally supportive. He reports that self-injurious behavior began 10 months ago, and he uses a disposable razor to cut his upper arm or forearm. He reports problems with sleep onset. He reports low self-esteem and low energy level. He endorsed a history of two prior
  • 11. suicide attempts by taking a palm-full of acetaminophen; the most recent attempt was 2 months ago. He did not report his attempt denies serious adverse effects. His last suicidal ideation due to pressure of getting good grades and low self-esteem. He used to participate in the school band but stopped attending rehearsals about 2 months ago because he was no longer interested. Patient’s mother expressed frustration and difficulty understanding why the patient treats her disrespectfully when she gives the patient everything the patient wants, such as clothing and money to go out with friends. The patient’s mother acknowledged that she works a lot and is infrequently at home, but stated that when she tries to spend time with the patient and express interest in his life, the patient shuts her out or states that he does not have time to spend with her because she needs to finish his homework. Patient’s mother additionally expresses confusion about why the patient behaves so differently than she did at that age, reporting that he was expected to be respectful and comply with her mother’s requests.
  • 12. PAST PSYCHIATRIC HISTORY: No prior psychotherapy or trials of psychiatric medication. MEDICAL HISTORY: Multiple wounds noted on patient’s right upper arm, which appear to be healing. No known allergies. No acute or chronic medication conditions. Review of systems is negative. Patient appears to be average height and weight. He denies any recent changes in weight. HISTORY OF DRUG OR ALCOHOL ABUSE: No alcohol use. States that he tried marijuana once 3 months ago. Denies use of any other illicit substances. © 2020, Walden University FAMILY HISTORY: Patient’s parents were both born in the US. The patient was born in the United States. Patient reports that her parents got divorced when she was 5 years old. His father currently lives in Los Angeles and he has minimal contact with him. Family history of mental illness denied. Personal History Perinatal: No known perinatal complications.
  • 13. Childhood/Adolescence: The patient attends the local private high school where he used to get good grades in her classes, mostly As and Bs; however, he states her grades have declined recently and she is in danger of failing several classes. He reports recent loss of close friends due to interpersonal conflict. He identifies as pansexual and is currently dating a male peer. They have been dating for the past 2 months. He states that she would like to have sex with him, but he is not ready yet. TRAUMA/ABUSE HISTORY: Patient denies trauma or abuse history. Mental Status Examination Appearance: Good grooming and hygiene. Cooperative. Behavior and psychomotor activity: no increased or decreased psychomotor agitation. Sits quietly in chair. Consciousness: Alert. Orientation: To person, place, time. Memory: Not formally assessed but appears to be intact based on patient’s ability to relate details from the past.
  • 14. Concentration and attention: Not formally assessed, but no indication of abnormalities. Visuospatial ability: Not formally assessed. Abstract thought: Intact. Intellectual functioning: Appears to be above average. Speech and language: Quiet volume, regular rate and rhythm. Perceptions: No evidence of perceptual disturbance. Patient denies auditory and visual hallucinations. Thought processes: Coherent and goal directed. Thought content: Distressed about peer relationships. Suicidality or homicidality: Denies current suicidal or homicidal ideation; however, reports suicidal thoughts yesterday on the way to the hospital. Mood: “Depressed” Affect: Constricted. © 2020, Walden University Impulse control: Limited as evidenced by impulsive self- injurious behavior.