In this assignment, you will examine your worldview using the personal commitments. This may be the first time you have thought deeply about what you believe, so give yourself time to reflect on each question. You will also have the opportunity to examine your worldview according to a test given in the textbook and to express what you think the Christian faith is all about.

Follow the directions in the “Personal Commitments Assessment” worksheet (attached).

Please place answers directly into the worksheet.

The Assignment

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

• At each decision point stop to complete the following:
  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

BACKGROUND INFORMATION

The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

• Client complained of feeling “sad”
• Mother reports that teacher said child is withdrawn from peers in class
• Mother notes decreased appetite and occasional periods of irritation
• Client reached all developmental landmarks at appropriate ages
• Physical exam unremarkable
• Laboratory studies WNL
• Child referred to psychiatry for evaluation
• Client seen by Psychiatric Nurse Practitioner

MENTAL STATUS EXAM

Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.

The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

RESOURCES

§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Decision Point One

Select what the PMHNP should do:

Begin Zoloft 25 mg orally daily

Begin Paxil 10 mg orally daily

Begin Wellbutrin 75 mg orally BID

Product Recall

Review the article “USPlabs Recalls OxyElite Pro Supplements Amid Links to Liver Illness” which can be found in your weekly reading. This article pertains to a recall of a popular health supplement. Assume you are the manager for the OxyElite Pro supplement. How can you use focus groups and surveys to determine your customer’s feelings about their products despite the recall that has occurred? Use your course materials and outside research to generate a solid analysis on why these methods would be helpful. Your analysis should be supported by research.

Directions for obtaining the file: Log into the Grantham University library by clicking on the Resources tab from the main page. You will then login to EBSCOHost. Once you have accessed the database, simply copy and paste the title of the article and press enter to search and you should now have the file accessible to review.

The requirements below must be met for your paper to be accepted and graded:

• Write between 750 – 1,250 words (approximately 3 – 5 pages) using Microsoft Word in APA style, see example below.
• Use font size 12 and 1” margins.
• Include cover page and reference page.
• At least 80% of your paper must be original content/writing.
• No more than 20% of your content/information may come from references.
• Use at least three references from outside the course material, one reference must be from EBSCOhost. Text book, lectures, and other materials in the course may be used, but are not counted toward the three reference requirement.
• Cite all reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) in the paper and list on a reference page in APA style.

References must come from sources such as, scholarly journals found in EBSCOhost, CNN, online newspapers such as, The Wall Street Journal, government websites, etc. Sources such as, Wikis, Yahoo Answers, eHow, blogs, etc. are not acceptable for academic writing.

A detailed explanation of how to cite a source using APA can be found here (link).

Download an example here.

Discovery Channel Program Exercise in Support and Credibility of Experts by Googling Parts 1 and 2 — minimum 5 pages of writing (approx. 1250 words) for each person you research— Yes, that means 10 pages

How can you tell which online information comes from reliable authorities? Anytime you use someone else’s words or ideas in your writing or formal speaking you should be aware who that person is; you can start now investigating the reliability of any sources you are thinking of quoting or paraphrasing.

We like to think that if information is in print, it is reliable. Unfortunately, that is not always the case. People with unjust biases and even those who want to sow hatred find their way into print. In general, works that appear in print go through a much more extensive vetting process than what appears online, but there are so-called vanity presses that will publish pretty much anything if the author will pay the cost. There are also all sorts of periodicals that express slanted—and often conflicting—points of view, some of them offensive to many of us. That’s what comes of freedom of the press.

When you go online, how can you start to weed through a list of results to find reliable authorities? For one thing, you can learn to “read” the list of results you get from Google or other search engines.

Please document the following by taking screen shots and explaining in prose as you work through your research in order to discover the possible credibility of two of the experts from the list. Please number each part of your assignment.

Choose two:

Dr. Robert Folk, a geologist

Dr. Monica Grady, a meteorite specialist

Dr. Michael Persinger, neurologist and geologist

Dr. Joe Nickell, a paranormal investigator

Dr. David M. Jacobs, an historian

Dr. Jack Cohen, a reproductive biologist

Garry Wood, an ambulance driver in Edinburgh, Scotland

Take a screen shot of the list of links that appear. Be sure to post this and all other screen shots in your paper. Before you click on a link, examine the first ten to fifteen entries in the resulting list. Yes, you may use Wikipedia as one source for this assignment. Look at each URL and see what you can learn from it. Also notice any other information that might affect your opinion of the source’s reliability or objectivity.

Are there sources that you immediately trust as reliable? Which ones, and why?

Are there any that you immediately assume will present a biased perspective? Which ones, and why?

Are there any that are completely unfamiliar to you? If so, choose two or three and speculate what type of source each might be.

Now click on a couple of the sources that you trusted as being reliable. Identify exactly who wrote the document that you have accessed. If you cannot find an author, what does that suggest? If there is an author, search that person’s name and see if you find convincing credentials that support the assumption that he or she is qualified to write on the subject at hand.

Do the same with at least two sources that you predicted would be biased. Does further investigation support your assumption?

Go to at least one of the sources that were unfamiliar to you. Once you look more closely at the source, do you find any evidence of its reliability or lack thereof? Explain.

Based on your research, do you think the expert is credible in his/her field? Give at least two examples why.

• CO6 Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)

Discussion

Distractions are everywhere. They may include cellphones, multiple alarms sounding, overhead paging, monitors beeping, and various interruptions that disrupt your clinical practice.

Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety?