course materials

1. Mental health- Schizoaffective disorder
Mental health- Schizoaffective disorderMental health- Schizoaffective
disorderPermalink: https:// /mental-health-sc…fective-disorder/Mental health-
Schizoaffective disorderPaper details:Disorder Analysis Project The purpose/objective of
this assignment is the development of a scholarly case study presentation. The student will
apply mental health clinical assessment and scholarly literature review to the development
of an evidence-based care plan for a client of the student pair’s choosing. Elements of the
assignment include: 1. Detailed mental status examination 2. Development of a relevant
clinical PICOT question 3. Completion of a literature review to answer the PICOT question 4.
Development of an evidence-based nursing care plan for the specific client described. 5. The
case study will be presented as a scholarly presentation to your professional peers ed by a
professional level PowerPoint presentation. Assignment Requirements: This assignment
builds in stages. • The student pair will choose a client from their clinical setting with a
diagnosis of a mood disorder, a psychotic disorder, PTSD, or a co-occurring substance abuse
disorder (in addition to any of the prior diagnoses). Other diagnoses may be considered
with approval of the instructor. • The first step is the completion of a mental status
examination on the chosen client and development of a problem list. • Next the students
develop a research question based on the client’s clinical needs, using the most important of
your three nursing diagnoses. (The focus of the literature search and the care plan will be to
answer this question.) • The students will then complete a literature search for a minimum
of five scholarly research and evidence-based practice articles. Each article which will be
analyzed using the worksheets provided and turned as a research bundle of the completed
worksheets. • The final version of the disorder analysis presentation will be completed
according to the detailed rubric below and presented to your clinical group on the last
clinical day of the semester. Sources of information: Direct interview of client, personal
observation of milieu, consultation with treating staff (psychiatrist and other
multidisciplinary clinical team members), other academic psychiatric literature (e.g.
psychiatric textbooks), research studies from peer reviewed mental health/nursing journals
and evidence based practice articles from peer reviewed nursing journals are required.
Secondary sources are not acceptable unless approved by the instructor. Presentation: The
presentation should be no more than 20 minutes long, ed by a PowerPoint presentation.
Assignment weight/points: Combined pre-writing assignments and final presentation is
worth 10 % of course grade. DAP Pre-writing Assignments a. Mental Status Examination
(MSE): See rubric for Mental Status Examination. The MSE provides the clinical database for

2. your presentation. Graded by the clinical instructor. b. Research Question: Based on your
assessment, develop a question in modified PICOT format. Submit to lecture instructor.
Research Question should include: • Client Problem: What is the significant client problem
to which evidence-based care will be applied? • Research direction: What area of evidence-
based practice do you intend to explore? • Intervention: What do you hope to learn in the
literature review to your care plan interventions? (Specific therapies, medications,
education, etc.) • Outcome: What measurable client outcomes do you seek? (Less symptoms,
no symptoms, sobriety, medication adherence etc.) • Time: What is the time frame? The
time frame should be realistic in the care setting. c. Research Bundle The purpose of the
Research Bundle is to gather and critically evaluate reference material related to your
PICOT question. Your Halter text is not an acceptable source. Submit to lecture instructor a
completed worksheet for each study. Note that there are two forms. One is for research
studies. The other is for all other types of scholarly sources. Evaluate four sources, possibly
including: A) Theoretical books and/or articles to understand the disorder. B) Research
studies (qualitative and/or quantitative) related to the dynamics of the disorder,
medication management, and/or clinical management. C) Scholarly nursing research
studies, consensus papers, and other scholarly sources regarding evidence-based practices
related to the client’s care planning and/or medication needs. Disorder Analysis Paper
Research Bundle Worksheets Research Study: (citation in APA format) Why was the study
done? (What was the problem under investigation and the purpose (research question) of
the study?) How closely does the focus of the study relate to your area of interest? Who was
studied? Describe the population included in the study sample. Include the number of
participants. What concerns do you have about generalizing from this population to your
client? How was the study done? A. Identify the research methodology: 1. Quantitative: e.g.
descriptive, correlational, cohort, randomized controlled, quasi-experimental 2. Qualitative:
e.g. ethnography, grounded theory, phenomenology 3. Mixed method: a bit of both (e.g.
descriptive survey plus phenomenology) B. What was the intervention? Discuss how the
study was carried out? What variables were measured and/or compared? How were the
variables measured? What was the outcome? Briefly summarize the research results. How
you will apply this data to your DAP care plan? Summary of strengths/limitations/relevance
of the study and its findings for use in your DAP? Scholarly Review or Theoretical Article:
(citation in APA format) Description of source? (Integrative review, systematic review,
meta-analysis, Meta-synthesis, Evidence-based clinical practice guideline? See Davies and
Logan, p. 31) Significant data/evidence based practices? Strengths/limitations of the
data/evidence presented? For example, did the author present sufficient scholarly for
practice implications or other conclusions? Relevance of the clinical/theoretical material
presented to your client/ PICOT question? What concerns do you have about generalizing
from this information to your client’s care planning needs? How can you use the results?
Briefly describe the implications (i.e. how this study can /cannot be applied) to your
problem of interest and your DAP care plan. Disorder Analysis Project Presentation The
final presentation will be evaluated for thesis, audience, following directions, , and
professional writing style/grammar/usage/spelling, professional presentation, and APA
references. Note that this assignment description is quite detailed. The time limit of 20

3. minutes will be strictly adhered to. Therefore, all information must be summarized and
bulleted effectively to achieve a successful presentation. See below for suggested slide
layout. Slides should include citations for referenced data and a reference list in APA format.
Disorder Analysis Project PowerPoint Presentation Guidelines Slide #1: The title of your
project Slide #2: Research question with discussion of the significance of the question. Slide
#3: Introduce your client by using the demographic data and Axes I-V on the first page of
the Mental Status Examination (MSE) form. Slide #4: Present only the pertinent/positive
findings of the MSE. There is no need to mention those sections of the MSE, which reflect no
problem. Slide #5: Medication table. The client may be taking many medications but you
should focus only on the psychotropic medications and why this particular client is taking
them. Cite a minimum of two scholarly references in addition to Halter on this slide. Sample
Medication Table Medication Classification Action Dosage and Route Side Effects Rationale
for use in this client Aricept (Donepezil hydrochloride) Cholinesterase inhibitor Inhibits the
breakdown of endogenously released acetylcholine. 5 mg po every morning Monitor for
gastrointestinal bleeding. Mild drowsiness, headache, metallic aftertaste, allergic dermatitis
Used for the treatment of mild to moderate dementia of the Alzheimer’s type. This client
currently exhibits moderate memory loss. Zyprexa (Olanzapine) Atypical Antipsychotic
Blocks serotonin receptors and D2 receptors. 10 mg/day po every evening Somnolence,
agitation, nervousness, insomnia, dizziness, weight gain, constipation, dry mouth, increased
appetite, Used for the treatment of psychotic symptoms of dementia. This client exhibits
auditory hallucinations and paranoid delusions. Slide #6: The three most important nursing
diagnoses for the subject of your presentation and which of these diagnoses led to the
formulation of your PICOT question. Briefly discuss rationale for this nursing diagnosis
based client problem and literature findings. Slides #7 +: The nursing interventions for the
chosen nursing diagnosis for this client and how these interventions are ed by the
literature. Based on your research, develop three interventions with rationales that are: a)
Client specific b) Behaviorally measurable with timeframes c) Realistic and appropriate to
the clinical setting. d) Based on the student’s literature search (with citations). Evaluation: If
you were able to implement the intervention, discuss the actual client response. If not
implemented, discuss the hoped-for result and how it would be behaviorally evaluated. As
in all care plans, evaluation criteria must be client specific, setting specific, measureable,
and have a clear timeframe. When a source is cited, please make sure you note it on the slide
in APA format just as you would in a paper. There may be research articles, which don’t
your proposed nursing interventions. However, the preponderance of scholarly citations
should the interventions you would use with this client. This section should be heavily
referenced, but your Halter textbook is not an acceptable source for this section. Cite a
minimum of two primary research studies in your discussion. In addition, scholarly books
and theoretical articles from peer-reviewed journals are appropriate. Slide: #? Conclusion:
This slide should briefly summarize your presentation and answer your research question.
Briefly identify practice implications and needs for further study. Slide: #? References: All
sources cited in the presentation are listed at the end of the Power Point presentation in
APA format and should be in 20-point font in order for the audience to be able to see them.
Use as many slides as needed. DAP Presentation Grading Rubric Category Exemplary Meets

4. Requirements Needs Improvement Score Article Selection Maximum 5 points All articles
published in past 5 years unless instructor permission is received. Highly relevant research
from scholarly source. Relevance of articles to the topic is apparent in most of the articles.
All articles are current within past 5 years unless instructor permission is received.
Relevance of articles is not apparent. Some articles older than 2009 without instructor
permission. Fewer than 5 articles are included or articles were not all from scholarly
sources. Introduction and research question Maximum 5 points Topic and research
question for the case study are introduced and defined; significance to the client’s care and
direction of the presentation explicit. Topic and research question for the case study are
identified and defined. Significance to the client’s care and direction are identified. Topic
and purpose is unclear to the reader. Significance to the client’s care is unclear. Client
Problem and Assessment 15 points Data are presented in a concise, relevant manner
incorporating all pertinent clinical data and clearly identifying significance of key findings.
Data are presented in a relevant manner, which identifies the significance of key findings.
Significant data is missing or clinical significance is unclear to the reader. Dynamics of the
Disorder Maximum 15 points Thoughtful and in-depth synthesis of literature findings
related to clinical problem. Organized presentation. Content vocabulary used appropriately
and precisely. Topic addressed adequately. Information provides reader with sufficient
knowledge of topic. Themes/issues evident. Content vocabulary generally accurate. Topic
not addressed adequately. Information provides little knowledge on topic. Lacks
organization. Significant errors in content vocabulary. Nursing Management 15 points
Problem list is logically prioritized; care plan clearly incorporates evidence-based practices
in a client/clinical setting-specific manner. Interventions, outcomes and evaluation are
client specific, measurable, relevant and thoroughly evaluated. Problem list is logically
prioritized; narrative care plan incorporates evidence based practices manner relevant to
the client’s needs and clinical setting. Interventions, outcomes, and evaluation are client
specific, measurable, and relevant. Problem list is poorly prioritized. Evidence-based
rationale for interventions, outcomes and evaluation criteria are unclear, minimally
relevant to the client’s needs and clinical setting and/or not measurable. Analysis and
Conclusion Maximum 15 points Clear conclusions and analysis of research question.
Insights and inferences appropriate and well ed from the literature reviewed and client
assessment. Implications are strongly connected to findings. Conclusions regarding
research question are based on findings. Inferences appropriate. Implications are identified
and ed by findings. Conclusions not connected to findings. Research question not
answered. Inferences inappropriate or general. Implications missing or poorly linked to
findings. Grammar & Spelling Max. 5 points No grammar or spelling errors. 1-2 minor
errors. 3 or more errors. APA Format, Citations, References, and Formatting 10 points
Citations present when needed without errors. All citations and references include all
elements of APA formatting, according examples in APA 7.01. Uses Word functions
appropriately. Font readable on all slides and in handout format. Slides attractive and
professional in appearance. No more than 2 minor errors in including and formatting
citations in APA style formatting in all citations and references. Follows examples in APA
7.01. Follows all formatting guidelines; minor problems with Word functions. Font smaller

5. than comfortable to read in some slides. Slides neat and professional in appearance More
than two minor errors or one significant error in including and formatting citations and
references. Does not follow APA 7.01. Formatting errors; page length incorrect; poor use of
Word functions. Font too small to read on slides and handout format. Slide format distracts
from presentation. Presentation 15 points Presentations clear, concise and coherent.
Student presents information in logical, interesting sequence, demonstrates command of
knowledge, is easy to understand (elocution and volume) Presentation clear logically
presented. Student presents information in organized manner and answers question
appropriately. Presentation does not flow or is without logical organization. Student is
unable to provide detailed answers to question. Low volume or poor enunciation interferes
with audience understanding of content. Total points (100 possible):