NRNP 6635 Assignment: Posttraumatic Stress Disorder
NRNP 6645 Week 9: Posttraumatic Stress Disorder
Posttraumatic Stress Disorder (PTSD) is a syndrome that is caused by exposure to actual or threatened serious injury or sexual assault. It is diagnosed after one month has passed since the traumatic incident. This paper seeks to discuss the neurobiological basis, diagnostic criteria, and psychotherapy treatment for PTSD.
Neurobiological Basis for PTSD Illness
The neurobiological basis for PTSD falls under neurochemistry and endocrinology changes. The neurochemistry theory describes that PTSD develops due to abnormal regulation of catecholamine, serotonin, amino acids, peptide, and opioid neurotransmitters (Stojek et al., 2018). These neurotransmitters are responsible for regulating and integrating fear and stress responses. Elevated Dopamine and Norepinephrine levels result in a rise in blood pressure and pulse and an increased startle response and arousal levels. Besides, they negatively affect fear conditioning as well as encoding and response to fear memories (Stojek et al., 2018). The endocrine theory explains that PTSD occurs due to abnormal hormone regulation in the HPA axis, the center of the neuroendocrine stress response (Stojek et al., 2018). The activation of the HPA axis increases Hypocortisolism and Corticotrophin releasing hormone. This results in an exaggerated response to stress, fear processing, and abnormal stress encoding.
NRNP 6645 Week 9: Posttraumatic Stress Disorder
DSM-5 Diagnostic Criteria for PTSD
The diagnostic criteria for PTSD as per the DSM V include: An individual must have been exposed to actual or threatened death, severe injury, or sexual violence. The traumatic event is constantly re-experienced through: Intrusive thoughts of the traumatic event; Nightmares; Flashbacks; Significant emotional distress when exposed to traumatic reminders; Strong physiologic reaction when exposed to traumatic reminders (APA, 2017). Persistent avoidance of stimuli linked with the traumatic event (APA, 2017). There should be adverse alterations in mood and cognition associated with the traumatic event. In addition, there are marked alterations in arousal and reactivity attributed to the traumatic event (APA, 2017). The disturbance should contribute to clinically significant impairment or distress in social, occupational, or other areas of functioning.
The client in the case study presents with adequate, pertinent symptoms supporting PTSD. Joe has PTSD symptoms attributed to being exposed to a threatened injury during the car crash. He persistently re-experiences the traumatic event through intrusion symptoms and distressing dreams about the accident (APA, 2017). In addition, Joe has a persistent avoidance of stimuli, as seen by avoiding memories about the accident. He also exhibits negative alterations in cognitions and mood attributed to the accident, such as difficulties recalling important aspects of the crash and exaggerated negative beliefs about the world (APA, 2017). Besides, Joe exhibits a marked alteration in arousal and reactivity as evidenced by angry outbursts, irritable behavior, and self-destructive behavior.
NRNP 6645 Week 9: Posttraumatic Stress Disorder
The other diagnoses, including major depressive disorder, Oppositional defiant disorder, Conduct disorder, and Separation Anxiety disorder, do not fit this patient’s symptoms. This is because the symptoms of physical aggression, irritability, and anger outbursts started after the crash and are due to negative alterations in arousal and reactivity from the traumatic event. In addition, the client’s anxiety seen when he is separated from the father can be connected to the intrusion symptoms associated with the crash rather than from separation anxiety.
Psychotherapy Treatment Option
Prolonged Exposure (PE) is a psychotherapy approach highly recommended to treat PTSD. PE is regarded as a gold standard treatment. It is based on the emotional processing theory, which explains that traumatic events are not processed emotionally during a traumatic event (Foa et al., 2018). PE relies heavily on behavioral therapy strategies to help PTSD patients manage trauma-related memories, emotions, and situations progressively (Foa et al., 2018). It aims at changing fear structures to ensure they are not causing problems. Clinicians are advised to utilize evidence-based treatments from clinical guidelines because they are effective and safe for different patient populations.
Conclusion
The neurological basis of PTSD explains that PTSD occurs due to abnormal regulation of transmitters, which regulate and integrate fear and stress responses. It is also caused by the abnormal hormone regulation in the HPA axis, which controls the neuroendocrine stress response. PTSD is characterized by: Persistent re-experiencing of the event, avoidance of traumatic triggers, Negative alterations in cognition and mood, and increased arousal. PE is used to address trauma-related memories, emotions, and situations.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- The is a great resource
References
American Psychiatric Association. (2017). Clinical practice guideline of PTSD.
Foa, E. B., McLean, C. P., Zang, Y., Rosenfield, D., Yadin, E., Yarvis, J. S., … & STRONG STAR Consortium. (2018). Effect of prolonged exposure therapy delivered over 2 weeks vs. 8 weeks vs. present-centered therapy on PTSD symptom severity in military personnel: A randomized clinical trial. Jama, 319(4), 354-364. https://doi.org/10.1001/jama.2017.21242
Stojek, M. M., McSweeney, L. B., & Rauch, S. A. (2018). Neuroscience informed prolonged exposure practice: Increasing efficiency and efficacy through mechanisms. Frontiers in behavioral neuroscience, 12, 281. https://doi.org/10.3389/fnbeh.2018.00281
NRNP 6645 Week 9: Posttraumatic Stress Disorder
Assignment: Posttraumatic Stress Disorder
Photo Credit: Getty Images/iStockphoto
It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.
To prepare:
- Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.
- View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.
- For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.
Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.
The Assignment
Succinctly, in 1–2 pages, address the following:
- Briefly explain the neurobiological basis for PTSD illness.
- Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
- Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.
NRNP 6645 Week 9 Posttraumatic Stress Disorder
Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
NRNP 6645 Week 9: Posttraumatic Stress Disorder
By Day 7
Submit your Assignment. Also attach and submit PDFs of the sources you used.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.
- Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.
- Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn+last name+first initial.(extension)” and click Open.
- If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
- Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 9 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 9 Assignment draft and review the originality report.
Submit your Assignment by Day 7
To Participate in this Assignment:
Week 9 Assignment
Name: NRNP_6645_Week9_Assignment_Rubric
| Excellent
90%–100% |
Good
80%–89% |
Fair
70%–79% |
Poor
0%–69% |
|
|---|---|---|---|---|
| Succinctly, in 1–2 pages, address the following: • Briefly explain the neurobiological basis for PTSD illness. |
Points Range: 14 (14%) – 15 (15%)
The response includes an accurate and concise explanation of the neurobiological basis for PTSD illness.
|
Points Range: 12 (12%) – 13 (13%)
The response includes an accurate explanation of the neurobiological basis for PTSD illness.
|
Points Range: 11 (11%) – 11 (11%)
The response includes a somewhat vague or inaccurate explanation of the neurobiological basis for PTSD illness.
|
Points Range: 0 (0%) – 10 (10%)
The response includes a vague or inaccurate explanation of the neurobiological basis for PTSD illness. Or, response is missing.
|
| • Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not? |
Points Range: 23 (23%) – 25 (25%)
The response includes an accurate and concise description of the DSM-5 diagnostic criteria for PTSD and an accurate explanation of how they relate to the symptomology presented in the case study. The response includes a concise explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates strong diagnostic reasoning and critical thinking skills. |
Points Range: 20 (20%) – 22 (22%)
The response includes an accurate description of the DSM-5 diagnostic criteria for PTSD and an adequate explanation of how they relate to the symptomology presented in the case study. The response includes an explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates adequate diagnostic reasoning and critical thinking skills. |
Points Range: 18 (18%) – 19 (19%)
The response includes a somewhat vague or inaccurate description of the DSM-5 diagnostic criteria for PTSD and a somewhat vague or inaccurate explanation of how they relate to the symptomology presented in the case study. The response includes a vague or inaccurate explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates somewhat inadequate diagnostic reasoning and critical thinking skills. |
Points Range: 0 (0%) – 17 (17%)
The response includes a vague or inaccurate description of the DSM-5 diagnostic criteria for PTSD and a vague or inaccurate explanation of how they relate to the symptomology presented in the case study. Or, response is missing. The response includes a vague or inaccurate explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates poor diagnostic reasoning and critical thinking skills. Or, response is missing. |
| • Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard” treatment from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners. |
Points Range: 27 (27%) – 30 (30%)
The response includes an accurate and concise explanation of one other psychotherapy treatment option for the client in this case study. The response clearly and concisely explains whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs. |
Points Range: 24 (24%) – 26 (26%)
The response includes an accurate explanation of one other psychotherapy treatment option for the client in this case study. The response adequately explains whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs. |
Points Range: 21 (21%) – 23 (23%)
The response includes a somewhat vague or incomplete explanation of one other psychotherapy treatment option for the client in this case study. The response provides a somewhat vague or incomplete explanation of whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs. |
Points Range: 0 (0%) – 20 (20%)
The response includes a vague and inaccurate explanation of one other psychotherapy treatment option for the client in this case study, or the treatment option is innappropriate. Or, response is missing. The response provides a vague or incomplete explanation of whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs. Or, response is missing. |
| · Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached. |
Points Range: 14 (14%) – 15 (15%)
The response is supported by specific examples from this week’s media and at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached.
|
Points Range: 12 (12%) – 13 (13%)
The response is supported by examples from this week’s media and three peer-reviewed, evidence-based sources from the literature that provide appropriate support for the rationale provided. PDFs are attached.
|
Points Range: 11 (11%) – 11 (11%)
The response is supported by examples from this week’s media and two or three peer-reviewed, evidence-based sources from the literature. Examples and resources selected may provide only weak support for the rationale provided. PDFs may not be attached.
|
Points Range: 0 (0%) – 10 (10%)
The response is supported by vague or inaccurate examples from the week’s media and/or evidence from the literature, or is missing.
|
| Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. |
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineates all required criteria. |
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. |
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic. |
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. |
| Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation |
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
|
Points Range: 4 (4%) – 4 (4%)
Contains 1 or 2 grammar, spelling, and punctuation errors.
|
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains 3 or 4 grammar, spelling, and punctuation errors.
|
Points Range: 0 (0%) – 3 (3%)
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, parenthetical/in-text citations, and reference list. |
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
|
Points Range: 4 (4%) – 4 (4%)
Contains 1 or 2 APA format errors.
|
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains 3 or 4 APA format errors.
|
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
|
| Total Points: 100 |
|---|
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