Stressor-Related Disorders

Stressor-Related Disorders

Nursing

Assignment Question to Case Study

  • What strategies would you employ to assess the patient for abuse? Explain why      you selected these strategies.
  • How  might exposure to the media and/or social media affect the patient?
  • What   type of mandatory reporting (if any) is required in this case? Why?
  • See attachment for case study and details.Week 4: Trauma and Stressor-Related Disorders in Childhood
    “He was drunk again, so I should have known better. I should have stayed away from the house, but that would have made him madder. He has done this before, but not nearly this bad. He broke my wrist as I was protecting my mom. The neighbor heard the screaming and called the cops. They hauled him away, but I know he will be back. She always lets him come back.”
    Avery, age 14
    In August of 2005, thousands of children lost their homes in Hurricane Katrina. On December 14, 2012, the students at Sandy Hook Elementary School experienced the death of 20 of their classmates and six of their teachers. Every day, children experience physical and sexual abuse and neglect by their parents or caregivers. These types of trauma have a lifelong impact on the children involved and those witnessing the events. As much as we try to prevent unwanted childhood trauma and stressors, the phenomena are present in our culture. Childhood trauma is a significant contributor to both physical and mental health problems in children and adults.
    This week, you examine several cases of child abuse and neglect, and you recommend strategies for assessing for abuse. You analyze influences of media and social media on mental health and evaluate the need for mandatory reporting of abuse. You also submit your Practicum Journal and Assignments.
    Photo Credit: StaffordStudios / Getty Images
     
    Learning Resources
    Required Readings
    Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
    · Chapter 31, “Child Psychiatry” (pp. 1216–1226)
    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
    · “Trauma- and Stressor-related Disorders”
    Note: You will access this book from the Walden Library databases.
     
    Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness. Journal of the American Academy of Child & Adolescent Psychiatry52(11), 1224–1238. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00550-9/pdf
     
    American Psychiatric Nurses Association. (2017). Childhood and adolescent trauma. Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageID=4545
     
    Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
     
    Optional Resources
    Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.
    · Chapter 50, “Provision of Intensive Treatment: Intensive Outreach, Day Units, and In-Patient Units” (pp. 648–664)
    · Chapter 58, “Disorders of Attachment and Social Engagement Related to Deprivation” (pp. 795–805)
    · Chapter 59, “Post Traumatic Stress Disorder” (pp. 806–821)
    · Chapter 64, “Suicidal Behavior and Self-Harm” (pp. 893–912)
    Discussion: Treating Childhood Abuse
    In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.
    In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.
    Learning Objectives
    Students will:
    · Recommend strategies for assessing for abuse
    · Analyze influences of media and social media on mental health
    · Evaluate the need for mandatory reporting of abuse
    To Prepare for this Discussion:
    · Read the Learning Resources concerning treating childhood abuse.
    · Read the Child Abuse Case Study in the Learning Resources. See Child Abuse Case Study
    Assignment Question to be addressed
    · What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.
    · How might exposure to the media and/or social media affect the patient?
    · What type of mandatory reporting (if any) is required in this case? Why?
    Child Abuse Case Study
    NURS 6660: Psychiatric Mental Health Nurse Practitioner Role I: Child
    and Adolescent
    Morgan, a 19-year-old male comes to your office to discuss his current mood and
    symptoms. This is his first visit to a mental health clinic. “I’ve had 26 jobs in the last 2
    years; I finally have a job that I like and I want to make it work.” As you begin to get to
    know him, he tells you that his mood is down and that he also has times where he has
    “more energy and motivation”: “That’s when I am able to get a new job.” He says that he
    has difficulty interacting with coworkers. “I feel like I can’t talk to them.” If it wasn’t for
    his supportive girlfriend, he wouldn’t be able to function. “She understands me and
    accepts me; she knows what I have been through.”
    As the PMHNP listens to the client and explores what he means by some of his
    statements, you try to put together his story. He mentions that he has been having
    nightmares and is not sleeping well. He says he startles easily. He becomes withdrawn
    when he begins to talk about the reason for the nightmares.
    “This all started a few weeks ago when a cousin of mine got out of jail.” He haltingly tells
    the story of his parents’ mental illness and how he had to live with various relatives.
    “One cousin who I stayed with a lot took advantage of me. He molested me.” They
    found out he also molested other children and he went to jail. “It gives me the creeps
    that he is out of jail. I have to face what he did to me.”
    Morgan asks about his diagnosis. The PMHNP tells him that he has some symptoms
    that sound like depression and anxiety, and that when a child has a traumatic
    experience, it can reoccur and stay with a person for many years. He acknowledges
    that he thought about PTSD but wasn’t sure what the symptoms look like.
    As you think about Morgan’s story, consider the following questions: Where did he fall
    between the cracks? Are there agencies who advocate for children like him?
    There are thousands of children like Morgan. They were in a vulnerable family situation
    and the “responsible” adult was not able to care for the child. Sometimes it takes years
    for clients to remember and disclose the abuse.

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    Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

    • Weekly Participation

    Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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    Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

    • Use of Direct Quotes

    I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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