NU 665 WEEK 7 DISCUSSION POST 1: EVALUATING A TREATMENT PLAN FOR A PATIENT WITH POST-TRAUMATIC STRESS DISORDER (PTSD)

Value: 100 points

Due: Create your initial post by Day 3 and reply to at least two of your peers by Day 7.

Grading Category: Discussions

Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the following prompt.

This is an exercise intended to help you identify the benefits and shortcomings of generative artificial intelligence (GAI) use in healthcare and education settings.

The following prompt was entered into ChatGPT™: “Create a PMHNP treatment plan for a 49-year-old female Latinx patient with a diagnosis of PTSD and alcohol use disorder”.

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Initial Post

Critique the Treatment Plan for PTSD developed by ChatGPT™ by creating a video up to five minutes long answering any two of the following prompts.

• Please provide a brief rationale for each test in the diagnostic tools section. Are they appropriate?
• Establishing treatment goals: Are the short-term and long-term goals appropriate?
  • Brief reflection: do you set clear treatment goals in clinical?
• Please describe the treatment plan you would choose for this patient.
  • Pharmacologic option for PTSD
  • Pharmacologic option for alcohol use disorder
  • Type of therapy and why
• Please briefly describe the strengths and shortcomings of
  • The non-pharmacologic treatment options for this patient
  • The patient education section
  • The follow up plan
  • Addressing of the patient’s cultural needs

You will need to cite at least two research-based resources for this discussion.

To create your video, follow the instructions for Zoom Tutorial and create an unlisted YouTube video. The following tools can be used to create your video: Zoom or your personal preference.

You will need to submit the YouTube video URL for this discussion. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4).

Replies

Reply to at least two of your peers. In each of your reply posts, write a maximum of two paragraphs (with two to three sentences each). Describe what you would do differently than your peer. Also explain something new you learned from your peer’s post. These paragraphs should synthesize one to two pieces of research.

Please make certain that your initial and reply posts are in APA format. Please refer to the Grading Rubric for details on how this activity will be graded.

The described expectations meet the passing level of 80%. You are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

Introduction

For this discussion, you will review and critique a ChatGPT-generated treatment plan developed for a 49-year-old Latinx female diagnosed with Post-Traumatic Stress Disorder (PTSD) and Alcohol Use Disorder (AUD). The purpose of this exercise is to critically evaluate the strengths and limitations of Generative Artificial Intelligence (GAI) in formulating psychiatric treatment plans, particularly in the context of cultural sensitivity, diagnostic accuracy, and clinical applicability. As artificial intelligence tools become increasingly integrated into healthcare and education, it is essential for psychiatric-mental health nurse practitioners (PMHNPs) to understand both their potential and their shortcomings in clinical decision-making.

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PTSD and AUD often coexist, creating complex challenges for treatment planning, adherence, and recovery. This case invites reflection on how GAI models conceptualize trauma-informed care, pharmacologic management, and evidence-based psychotherapy. It also encourages a closer look at whether AI-generated plans appropriately address cultural identity, language considerations, and the patient’s lived experiences, all of which are vital components of holistic and ethical mental health care.

In this discussion, I will focus on two key areas: (1) evaluating the appropriateness and rationale of the diagnostic tools used in the AI-generated treatment plan, and (2) examining the strengths and weaknesses of the non-pharmacologic and patient education components. The goal is to determine how well ChatGPT aligns with current clinical practice guidelines and to identify areas where human clinical judgment, empathy, and cultural competence remain irreplaceable.

By analyzing this AI-generated treatment plan through a professional nursing lens, this discussion aims to highlight how PMHNPs can responsibly integrate GAI tools into practice—leveraging their efficiency while maintaining critical thinking, cultural sensitivity, and evidence-based care.

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NU 665 WEEK 9 DISCUSSION 1: SLEEP DISORDERS

Dashboard My courses NU-665C-02-25PCSP Week 9: Sleep Disorders

Week 9 Discussion 1: Sleep Disorders

Value: 100 points

Due: Create your initial post Day 3 and

reply to at least one of your peers by Day

7.

Grading Category: Discussions

Note: In this type of discussion, you will

not see the responses of your classmates

until after you have posted your own

response to the following prompts.

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Initial Post

Please choose one of the patient

scenarios below and answer the

associated prompts.

Scenario 1

Mrs. Jones is an 85-year-old female,

widowed patient who lives alone in her

own one-story home. She has strong

family support in her children, and a strong

tie to her Christian faith. She tries to keep

busy but recognizes how dicult getting

older is, with the loss of many family

members and friends she once had. Other

than this loneliness and grief, she feels

well. She denies depressive symptoms,

states anxiety and panic symptoms are

well managed with her current medication

regimen. Her chief complaint today is

insomnia. She states despite her current

medication regimen, she still cannot

initiate or maintain sleep. Mrs. Jones

states, “I’ve just never been a good

sleeper!” Her current medications include:

Week 9 Discussion 1: Sleep Disorders

Dashboard My courses NU-665C-02-25PCSP Week 9: Sleep Disorders

Week 9 Discussion 1: Sleep Disorders

 

To do: Make forum posts: 1

 

Mirtazapine 7.5 mg PO QHS –

insomnia

Doxepin 10 mg PO QHS – insomnia

Gabapentin 100 mg PO TID – mild

idiopathic neuropathy

Zolpidem 5 mg PO QHS

Xanax 0.5 mg PO BID

Venlafaxine 225 mg PO daily

Answer the following prompts using 2-3

scholarly references:

1. Write an original patient education

script explaining Mrs. Jones’ current

medication regimen. (1–2

paragraphs)

2. Is there any further evaluation or

testing you would order? (1–2

paragraphs)

3. Are there any changes to her

medication regimen you would

make? If so, what would your

changes be? (1–2 paragraphs).

Scenario 2

James is a 15-year-old patient who

identi

es as male. James presents today

with his mother, who provides collateral

information. James has a diagnosis of

autism spectrum disorder. He is currently

prescribed:

Oxcarbazepine 300 mg PO BID – off

label for mood swings and irritability

Paroxetine 20 mg PO daily in the PM

– social anxiety

James states that he feels sluggish during

the day and has trouble waking up for

school. He states that if he had his way, he

would stay in bed and sleep all day. His

mother laughs and states, “You’d never

know it! He sure sounds like he’s sleeping,

with the way he snores!”

Upon interview, James reports the

following symptoms as positive when the

PMHNP screens for depression:

Depressed mood – some days

Insomnia or poor sleep – nearly

every day

Appetite – Intact

Suicidal ideation – None

 

Concentration – Impaired nearly

every day

Hobbies/Interests/Pleasure: Video

games (online gaming with friends)

– intact

Guilt/worthlessness/hopelessness:

None

Energy: Low nearly every day

This information was corroborated by the

patient’s mother.

Answer the following prompts using 2-3

scholarly references:

1. Write an original dialogue between

yourself and James and his mother,

including additional questions you

have for them. (1–2 paragraphs)

2. List the three most likely causes of

James’ current symptoms with brief

rationale. (1–2 paragraphs)

3. Given your differentials, what is your

next step in this case? How would

you explain the reasoning for this

step to James and his mother? (1–2

paragraphs)

Use the appropriate APA formatting as

listed in the syllabus.

Replies

Reply to at least one of your peers who

wrote about the opposite prompt. In your

reply post, respond with scholarly

discourse and an evidence-based

framework. Does your peers’ post follow

the current evidence? What might you do

differently in practice? Your assertions

should be backed by evidence that

references at least two scholarly sources.

Please refer to the Grading Rubric for

details on how this activity will be graded.

The described expectations meet the

passing level of 80%. You are directed to

review the Discussion Grading Rubric for

criteria which exceed expectations.

Introduction

For this discussion, you will review the Week 9 Sleep Disorders case, focusing on Scenario 1: Mrs. Jones, an 85-year-old female patient presenting with chronic insomnia despite multiple prescribed sleep medications. Sleep disorders are especially prevalent among older adults and can significantly impact both physical and mental health. In geriatric populations, sleep disturbances are often multifactorial—arising from physiological changes of aging, comorbid medical conditions, polypharmacy, grief, and psychosocial stressors such as loneliness or reduced social interaction. Understanding these contributing factors is essential for accurate diagnosis and the development of an effective, individualized treatment plan.

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Mrs. Jones’ case highlights the complexity of managing insomnia in elderly patients, particularly when several sedative and antidepressant medications are already in use. The overlapping pharmacologic effects, potential for drug interactions, and age-related alterations in metabolism must be carefully considered when evaluating her symptoms. Beyond the pharmacologic dimension, psychological factors such as bereavement and lifestyle adjustments may also play a role in her difficulty initiating and maintaining sleep.

This discussion will analyze Mrs. Jones’ medication regimen, explore appropriate diagnostic evaluations, and propose evidence-based treatment adjustments. By integrating pharmacologic principles with a holistic, patient-centered approach, the goal is to improve her sleep quality, minimize medication burden, and enhance her overall quality of life.

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NU 665 WEEK 10 DISCUSSION POST

For this discussion, you will review the Geriatric Case Study.

Create a video up to five minutes long addressing any two of the following prompts:

• Describe the factors influencing social determinants of health and how these might impact Midge’s care.
• Describe Midge through the lens of one of the developmental theorists (Erikson, Piaget, Kohlberg).
• Provide your list of differential diagnoses with rationales.
• Describe three evidence-based screening tools and why they would be appropriate here.
• What are some non-pharmacologic treatment options that might be helpful for Midge?
• What are some pharmacologic treatment options that might be helpful for Midge?
• Pretend Midge is your patient, and you are providing patient education for her on your decided-upon treatment plan.

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To create your video, follow the instructions for Zoom Tutorial and create an unlisted YouTube video. The following tools can be used to create your video: Zoom or your personal preference.

You will need to submit the YouTube video URL for this discussion. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4).

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Introduction

Hello everyone,

For this discussion, you will review the Geriatric Case Study focusing on Midge, an older adult whose health, lifestyle, and social circumstances highlight many of the key challenges faced by the aging population. In this presentation, I will be addressing two prompts that are central to understanding her overall well-being and care needs.

First, I will describe the factors influencing the social determinants of health and discuss how these may impact Midge’s access to care, treatment outcomes, and quality of life. Social determinants such as income, living environment, social support, and access to healthcare services play a critical role in shaping health disparities among older adults. Understanding these factors allows healthcare providers to develop a more comprehensive, person-centered care plan.

Next, I will examine Midge through the lens of Erik Erikson’s psychosocial development theory, particularly focusing on the stage of Ego Integrity versus Despair. This framework helps explain how Midge’s experiences, reflections, and sense of purpose in later life influence her emotional and psychological health. By applying Erikson’s theory, we can better understand her behaviors, attitudes toward aging, and potential coping mechanisms.

Through this discussion, I aim to integrate theory with practical application—exploring how Midge’s social context and developmental stage intersect to shape her care approach. By reviewing the Geriatric Case Study, I hope to emphasize the importance of holistic and empathetic care strategies for elderly patients like Midge.

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NU 665 WEEK 11 Assignment 1: Personality Disorders

Value: 100 points

Due: Day 7

Grading Category: Assignments

Instructions

Using your clinical experience, choose a patient you have seen diagnosed with a personality disorder.

• Download the Biopsychosocial Template (Word) to write about that client for this assignment.
• Use the template to create an evidence-based treatment plan using all the components within the template. Include the Personality Disorder Cluster in the DSM-5-TR. Follow HIPAA guidelines to avoid providing information that identifies the patient.

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Criteria for this paper:

• Answer template questions, integrating resources to provide rationale for all decisions.
• Use APA formatting for all components of your paper.
• Your paper should be two to three pages in length not including the reference page.
• Use at least one nursing journal reference from CINAHL (available through the Regis library) to support your rationale.

Please refer to the Grading Rubric for details on how this activity will be graded.

Introduction

Personality disorders represent some of the most complex and challenging conditions encountered in psychiatric–mental health nursing practice. These disorders are characterized by enduring patterns of inner experience and behavior that deviate markedly from cultural expectations, are pervasive and inflexible, and lead to significant distress or impairment in social, occupational, or other areas of functioning (American Psychiatric Association [APA], 2022). The DSM-5-TR classifies personality disorders into three clusters based on descriptive similarities: Cluster A (odd or eccentric behaviors), Cluster B (dramatic, emotional, or erratic behaviors), and Cluster C (anxious or fearful behaviors). Understanding these clusters provides a foundation for targeted assessment and individualized intervention planning.

In this paper, I will discuss a patient from my clinical experience diagnosed with a Borderline Personality Disorder, using the biopsychosocial model as the guiding framework for assessment and treatment. This model emphasizes the interaction between biological predispositions, psychological dynamics, and sociocultural influences that contribute to the development and maintenance of personality pathology (Paris, 2021). By applying this holistic approach, clinicians can better understand the complexity of each patient’s experience and design evidence-based interventions that address both symptom management and interpersonal functioning.

The purpose of this assignment is to develop a comprehensive, evidence-based treatment plan that integrates pharmacologic and psychotherapeutic strategies while maintaining a trauma-informed, recovery-oriented approach. The discussion will include a review of DSM-5-TR diagnostic criteria, relevant clinical features, and treatment rationales supported by scholarly nursing literature. All identifying information has been removed in accordance with HIPAA guidelines to ensure confidentiality and ethical integrity.

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NU 665 Week 12 Assignment 1: Care Plan for LGBTQIA+ Client

Value: 100 points

Due: Day 7

Grading Category: Assignments

After you complete the readings, choose a topic related to LGBTQIA+ behavioral/mental health. Examples include stigma, trauma, domestic violence, homelessness, bullying, or bipolar disorder.

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In a Word document, write a synthesis paper that addresses the following sections:

• Introduction to topic: How does this topic contribute to mental distress and diagnoses?
• Epidemiology and economic costs to society
• Overview of the assessment/tools to assess for DSM-5-TR disorder
• Pharmacological interventions plan of care to include holistic interventions and psychotherapeutic options.

Your paper should be two to three pages long not including the cover sheet or APA references list and it should follow APA formatting for all components.

Please refer to the Grading Rubric for details on how this activity will be graded.

To Submit Your Assignment

1. Select the Add Submissions button.
2. Drag or upload your file to the File Picker.
3. Select Save Changes.

Introduction

Mental health disparities among LGBTQIA+ populations remain a critical and persistent concern within contemporary behavioral healthcare. Lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexual or gender-diverse individuals continue to experience significantly higher rates of psychological distress, trauma exposure, and mental health diagnoses compared to their heterosexual and cisgender peers (Meyer, 2015). These disparities are largely shaped by the cumulative effects of minority stress, which encompasses experiences of discrimination, stigma, social rejection, and internalized prejudice (Hatzenbuehler & Pachankis, 2021). Such social and structural inequities create barriers to accessing safe, affirming, and culturally responsive mental health services, further exacerbating vulnerability to anxiety, depression, substance use disorders, and suicidal ideation.

This paper focuses on the impact of stigma on the mental health of transgender individuals, examining how the issue contributes to mental distress, diagnostic challenges, and broader public health consequences. The discussion will synthesize current evidence regarding the epidemiology and economic burden of the problem, highlighting its implications for individuals, healthcare systems, and society. A review of assessment approaches and validated tools aligned with DSM-5-TR criteria will then be presented to guide accurate diagnosis and culturally competent evaluation. The final section will outline a comprehensive plan of care that integrates pharmacological management, psychotherapeutic interventions, and holistic strategies aimed at promoting mental wellness and resilience within LGBTQIA+ populations.

By approaching this topic through an intersectional and affirming lens, this paper underscores the critical role of the Psychiatric-Mental Health Nurse Practitioner (PMHNP) in providing inclusive, evidence-based care that addresses both clinical symptoms and the systemic injustices that sustain mental health inequities.

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