Mr. T is a 21-year-old man
| Mr. T is a 21-year-old man who is brought to the ER by his mother after he began talking about “aliens” who were trying to steal his soul. Mr. T reports that aliens left messages for him by arranging sticks outside his home and sometimes send thoughts into his mind.On exam, he is guarded and often stops talking while in the middle of expressing a thought. Mr. T appears anxious and frequently scans the room for aliens, which he thinks may have followed him to the hospital. He denies any plan to harm himself but admits that the aliens sometimes want him to throw himself in front of a car, “as this will change the systems that belong under us.”The patient’s mother reports that he began expressing these ideas a few months ago, but that they have become more severe in the last few weeks. She reports that during the past year, he has become isolated from his peers, frequently talks to himself, and has stopped going to community college. He has also spent most of his time reading science fiction books and creating devices that will prevent aliens from hurting him. She reports that she is concerned because the patient’s father, who left while the patient was a child, exhibited similar symptoms many years ago and has spent most of his life in a psychiatric hospital. | |
| Questions: | Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.Summarize the clinical case including the significant subjective and objective data.Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.Describe a health promotion intervention that would be appropriate for this patient. |
Submission Instructions:
- Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
- All replies must be constructive and use literature where possible.
- Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
- Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
- You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Requirements: more than 500 words
PMHNP Discussion Rubric
| Criteria | Ratings | Pts | |
|---|---|---|---|
| This criterion is linked to a Learning OutcomeIdentification of Main Issues, Problems and Concepts | 4 to >3.0 ptsDistinguishedPost substantively accurate. Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts surrounding the assignment. Provides exceptional and thought-provoking analysis that directly addresses details and/or examples of the main topic.3 to >2.0 ptsExcellentPost is mostly related to the topic. Demonstrates understanding of most of the issues, problems, and concepts surrounding the assignment. It provides some supporting details and/or examples. Analyses not as clear as they could be.2 to >0.0 ptsFairDemonstrate limited understanding of most of the issues, problems, and concepts surrounding the assignment. No details and/or examples are given.0 ptsPoorPost is off-topic, incorrect and/or irrelevant to the issues, problems, and concepts surrounding the assignment. Analyses are not well organized or clear. | 4 pts | |
| This criterion is linked to a Learning OutcomeAPA Formatting Guidelines | 2 ptsDistinguishedThe reference page contains at least the required current scholarly academic reference and text reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent and in-text citations.1 ptsExcellentReferences page contains one current scholarly academic resource and text reference. Follows most APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations.0.5 ptsFairReferences page contains one current or outdated scholarly academic resource. Many errors of APA guidelines: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations0 ptsPoorReferences page contains no current scholarly academic resources, only internet webpages or no reference page. Lack of APA guidelines for references provided or in-text citations. | 2 pts | |
| This criterion is linked to a Learning OutcomeWriting Mechanics | 2 ptsFull MarksRules of grammar, usage and punctuation are followed; spelling is correct.1 ptsExcellentFew grammatical errors, but sentences could be clearer and more precise.0.5 ptsFairPaper contains few grammatical, punctuation and spelling errors.0 ptsPoorPaper contains numerous grammatical, punctuation, and spelling errors. | 2 pts | |
| This criterion is linked to a Learning OutcomeResponse to Peers | 2 ptsDistinguishedConstructively responded to two other posts and either extended, expanded, or provided a rebuttal to each.1 ptsExcellentConstructively responded to one other post and either extended, expanded, or provided a rebuttal.0 ptsPoorProvided no response to a peer\’s post. | 2 pts | |
| Total Points: 10 | |||
Order Material(s)
Completed File(s)
Answer preview to Mr. T is a 21-year-old man
APA
766 words
