Nursing Assignment: Depression

FF 35-year-old African female client here for follow up depression. She has a medical history of multiple sclerosis which is has been hiding from all her family members since the diagnosis was pronounced 3 years ago after the birth of her son. The secret is only shared between her and her husband as she wishes. She reports feeling more depressed and suicidal in the past 2 weeks, feels hopeless, crying spells, sad, reduced appetite sometimes and have thoughts of hurting herself, she denies having any plans yet. She denies any psych origin from her family.

CC: “feeling more depressed and suicidal in the past 2 weeks”

PPHx: Depression,

PMHx: Multiple Sclerosis

Substance abuse: None

Allergies: NKA

FHx: lives with husband (good health) and 3 years son (good health)

Diagnosis: Adjustment disorder, Depression R/T Medical diagnosis

Current Medication:  Copaxone Injection for MS, Prozac 20mg PO depression

 

QUESTION
Select a client that you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

 

 

Rubric Detail

 

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Name: NURS_6640_Week4_Assignment2_Rubric

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		Satisfactory	Unsatisfactory
Quality of Work Submitted: The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking.		26 (26%) – 30 (30%) Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.	0 (0%) – 25 (25%) Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.
Quality of Work Submitted: The purpose of the paper is clear.		4 (4%) – 5 (5%) Purpose of the assignment is stated, yet is brief and not descriptive.	0 (0%) – 3 (3%) No purpose statement was provided.
Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to: Understand and interpret the assignment’s key concepts.		8 (8%) – 10 (10%) Demonstrates a clear understanding of key concepts.	0 (0%) – 7 (7%) Shows a lack of understanding of key concepts, deviates from topics.
Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to: Apply and integrate material in course rsources (i.e. video, required readings, and textook) and credible outside resources.		16 (16%) – 20 (20%) Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.	0 (0%) – 15 (15%) Includes and integrates specific information from 0 to 1 resource to support major points and point of view.
Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to: Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.		16 (16%) – 20 (20%) Summarizes information gleaned from sources to support major points, but does not synthesize.	0 (0%) – 15 (15%) Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.
Written Expression and Formatting Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.		4 (4%) – 5 (5%) Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.	0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time.
“Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation”		3 (3%) – 5 (5%) Contains a few (1-2) grammar, spelling, and punctuation errors.	0 (0%) – 2 (2%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
“Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.”		3 (3%) – 5 (5%) Contains a few (1-2) APA format errors.	0 (0%) – 2 (2%) Contains many (≥ 5) APA format errors.
Total Points: 100