In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors.

Complete the assignment as outlined on the worksheet, including:

1.Biographical Data

2.Past Health History

3.Family History: Obstetrics History (if applicable) and Well Young Adult Behavioral Health History Screening

4.Review of Systems

5.Include all components of the health history

6.Use correct acronyms or abbreviations when indicated

7.Develop three Nursing Diagnoses for this client based on the health history and screening. Include: one actual nursing diagnosis, one wellness nursing diagnosis, one “Risk For” nursing diagnosis, and your rationale for the choice of each nursing diagnosis for this client.

8.Using the three nursing diagnoses you have identified, develop a wellness plan for the adolescent/young adult client

Health History and Screening of an Adolescent or Young Adult Client

Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.

Student Name: Date:
Biographical Data
Patient/Client Initials: Phone No:
Address:
Birth Date: Age: Sex:
Birthplace: Marital Status:
Race/Ethnic Origin:
Occupation: Employer:
Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)

Source and Reliability of Informant:

Past Use of Health Care System and Health Seeking Behaviors:

Present Health or History of Present Illness:

Past Health History
General Health: (Patient’s own words)

Allergies: (include food and medication allergies)

Reaction:

Current Medications:

Last Exam Date: Immunizations:

Childhood Illnesses:

Serious or Chronic Illnesses:

Past Health Screening (see “Well Young Adult Behavior Health Assessment History Screening” below)
Past Accidents or Injuries:

Past Hospitalizations:

Past Operations:

Family History
(Specify which family member is affected.)

Alcoholism (ETOH use/abuse):
Allergies:
Arthritis:
Asthma:
Blood Disorders:
Breast Cancer:
Cancer (Other):
Cerebral Vascular Accident (Stroke):
Diabetes:
Heart Disease:
High Blood Pressure:
Immunological Disorders:
Kidney Disease:
Mental Illness:
Neurological Disorder:
Obesity:
Seizure Disorder:
Tuberculosis:
Obstetric History (if applicable)
Gravida: Term: Preterm: Miscarriage/Abortions:
Course of Pregnancy (length of pregnancy, delivery date, method of delivery, length of labor, complications, baby’s weight, baby’s condition):

Analyzing a neuropsychological disorder

This week, you will analyze a neuropsychological disorder that is different from the topic you chose for your Final Project. Select a neuropsychological disorder from the following list, which is based on the DSM-5:

1. Schizophrenia

2. Major depressive disorder

3. Bipolar disorder

4. Anxiety – Choose and focus on one of the anxiety disorders, e.g., generalized anxiety disorder or social anxiety disorder.

5. Post-traumatic stress disorder

6. Obsessive-compulsive disorder

7. Substance use disorder (substance abuse and addiction) – Provide both an overview of this topic plus a focus on a single drug of your choice.

8. Neurodevelopmental disorder (autism spectrum disorder or attention-deficit hyperactivity disorder)

9. Neurocognitive disorder – Choose and focus on one of the neurocognitive disorders, e.g., one of the dementias.

10. Neurological disorder – Choose and focus on one neurological disorder, e.g., multiple sclerosis, spina bifida.

11. Sleep-wake disorder – Choose and focus on one of the sleep-wake disorders.

12. Feeding and eating disorder – Choose and focus on one of the feeding and eating disorders.

13. Sexual dysfunction or gender dysphoria – Choose and focus on one of the conditions in these categories

After choosing a disorder, your assignment should include an examination of the following factors as they relate to your selected disorder:

· A description of the pathological features and clinical criteria for diagnosis

· The biopsychological theories of the pathology

· Nervous system structure(s), neurotransmitter(s), receptor(s), and pathways implicated in the disorder

· Possible causes (etiology), including genetic, environmental, familial, lifestyle, and other identifiable risk factors

· Epidemiology of the disorder (demographics of those affected)

· Clinical presentation and natural history of the condition

· Potential complications (neurologic, psychiatric, and other medical or nonmedical)

· Current treatment options (pharmacologic and nonpharmacologic)

· Future directions for research and clinical management

In keeping with the focus of this class, the emphasis of your paper will be on the following neuroscience aspects of the disorder:

· Theories of etiology (causes)

· Associated factors in development of the disorder (genetic, environmental, familial, lifestyle)

· Pathology (abnormalities of physical structure and function, including genetic and biochemical aspects)

· Treatment options (pharmacologic and nonpharmacologic, with rationales for use based on current understanding of the disorder)

· Diagnostic and research technologies employed in clinical diagnosis, care, and basic science research

In the form of a research proposal briefly outline the practical steps that you would take to establish the psychometric properties of reliability, validity and norms for an assessment. Do not provide an overview of the steps in the statistical analyses.

Assignment 1: Written report on assessing the psychometric properties of a test.

Word limit: 1500

Outline the steps that you would take to establish the psychometric properties of reliability, validity and norms for an assessment. Keep in mind that there are different types of reliability and validity that need to be considered. Ensure that you include the following:

Define reliability
Define Cronbach’s Alpha and item-total correlations, and outline the levels that should be achieved in relation to both.
Define the different types of validity and the process that would enable you to demonstrate two type of validity of a measure. Indicate the strength of associations that you would want to see in relation to the two types of validity.
Define norms.
Each of the points above need to be supported with references to the empirical literature presented in APA format

Marking Guide: Assignment 1: Written report on assessing the psychometric properties of a test.

Word limit: 1500

In the form of a research proposal briefly outline the practical steps that you would take to establish the psychometric properties of reliability, validity and norms for an assessment. Do not provide an overview of the steps in the statistical analyses.

Define Cronbach’s Alpha and item-total correlations, and indicate the levels of each that should be achieved for use in the following contexts: clinical diagnosis and research.

Define test-retest reliability; provide a rationale with empirical support for the length of time between repeated measures. What level is indicative of good reliability?

Define convergent, divergent, and criterion related validity. Indicate the strength of associations that you would want to see in relation to the two types of validity.

Define norms and indicate what might be an appropriate sample size.

Briefly outline the steps you would take to assess the types of reliability and validity defined above.

Briefly outline the steps you would take to develop a norm.

Each of the points above need to be supported with references to the empirical literature presented in APA format.

Select a state regulation from a state of your choice on one of the following topics. Prepare an annotated copy of the regulation including the sections you reviewed to answer the questions in the following format:

Prepare a 3-4 pages response addressing all information in the following table. Highlight five to six notable parts to the regulations. For each of the parts describe how the patient, provider, product developer, health care organization, and payer may be impacted. Remember to write in narrative format except for titles. Use citations and attach the notated regulation. The instructor will set up a conference area to select one of the following or suggest your own with the approval of the instructor. No more than 3 students for each topic. First-come. First-served. The topics are as follows:

Frontline workers are required to be immunized for influenza and potentially other contagious diseases; Where does this requirement come from and how does the state regulation ensure compliance?
Health professionals have responsibility for reporting elder and child abuse and neglect. How do state regulations help to meet this expectation?
Long-term care facilities must offer certain services according to state standards. What are they?
Some states have a certificate of need program to assess the need for new health service providers. How does this work?
Lead paint screening is a federal initiative that takes place in nearly every state, how are these services regulated on the state level?
Sexually transmitted diseases are reportable under state regulation. What diseases and what regulations ensure this reporting properly.
Parental notification is required for the treatment of minors. Select a state and indicate how parental notification related to teen pregnancy in that state.
Patients must consent to participate in research studies, including granting permission to use their biological tissues for tissue banks or organ banks. Does this involve state regulations if not what laws govern this?
Health insurance is administered on a state level. What state regulations govern Health Information Exchange? (Note you must select a state with a Health Information Exchange in operation or close to operation.)
Alcohol and drug treatment varies widely across states. Select a state and note the specific regulations about drug treatment facilities.

Assignment 2: Health Policy Presentation

The purpose of this assignment is for you to identify an issue of concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issue which may negatively affect the patients with whom you work. All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider:
•Child and elder care
•Civil rights
•Domestic violence
•Drug abuse/addiction
•HIV/AIDS
•Homelessness
•Native American and migrant workers’ health
•Long-term care
•Immigration/illegal aliens
•Legislative issues affecting advanced practice nursing
•Barriers to practice
•Access to care

As you begin to work on the possible policy change: the following ideas and steps should be considered:
•Definition and description of the issue
•Exploration of the background of the issue
•Stakeholders
•Issue statement or statement of clarity
•Possible methods of addressing the issue
•Goals and options for changes
•Risks and benefits of the changes
•Evaluation methodology
•Recommendation or solution
Submit a Power Point presentation. This will include the notes pages to explain the content within each slide. Be sure to use APA style and include all of your references.

Grading Criteria
Maximum Points

Identify the type of legislation, such as state, federal, scope of practice, reimbursement, loan repayment, or others.
20

Review of the literature consists of a minimum of 3–4 peer-reviewed articles and 6–7 other outside sources.
30

Describe the current policy or health policy issue and specify how it would impact nursing or healthcare.

10

Describe the specific aspects of the proposed policy or policy change.
20

Identify the individuals who would benefit from the policy change and explain where support for the change would be found.
20

Describe the impact of the policy change on nursing practice and health care.
10

Provide an analysis of the policy from your point of view and how this will influence your practice.
20

Uses good writing skills, appropriate grammar, and application of APA formatting throughout paper, citations, and references.
10

Total: