Psychiatrist Mental Health Nurse Practitioner’s California State Practice Agreements

Psychiatrist Mental Health Nurse Practitioner’s California State Practice Agreements


Nurse Practitioners California State Practice AgreementsNurse Practitioners California State Practice Agreements
Psychiatrist Mental Health Nurse Practitioners California State Practice Agreements
A psychiatrist Mental Health Nurse Practitioner (PMHNP) is a registered nurse who has obtained a graduate degree in nursing that allows him or her to provide primary mental health care and other primary care services. PMHPNPs coordinate psychological, spiritual, biological, and social elements to offer holistic care for individuals, groups, and families. They offer a variety of mental health care services in the clinical nursing practice such as conducting diagnostic tests for psychiatric disorders, prescribing medications for mental health disorders, and offering psychotherapy services to individuals, families, and groups among others. The paper provides a comprehensive review of the practice guidelines for PMHNPs in California including the collaboration issues and their solutions.

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Practice Agreements for PMHNPs in California
The state nurse practice act governs the practice of PMHNPs and other nursing practitioners in California. The Board of Registered Nursing (BRN) has enacted laws that require PMHNPs to work under standardized procedures that authorizes such nurse practitioners (NPs) to perform overlapping medical functions. In California, the NPs offer healthcare services in collaboration with a consulting physician (Coffman et al., 2018).
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personality disorder

Personality Disorder


Personality Disorder
Borderline personality disorder (BPD) is characterized by variations in moods, behavior, and self-image. These symptoms usually lead to impulsive actions and challenges in relationships. A person with BPD will always portray excessive anxiety, anger, and depression. The DSM-5 (diagnostic and statistical manual of mental disorders) provides the diagnostic information for psychiatric disorders like BPD and other related conditions. For every disease, the DSM-5 documents the list of symptoms that includes a statement of the number of signs required to warrant the diagnosis of the disorder. The paper comprehensively explores the diagnostic criteria for BPD including the psychotherapy and psychopharmacological treatment and the clinical features of the disease.

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Diagnostic Criteria for BPD
BPD is a condition featured by unstable interpersonal relationships, intense emotions, and unstable self-image (American Psychiatric Association, 2013). The disease is also characterized by impulsivity among other symptoms as indicated by five (or more) of the clinical features listed below:
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Phobias

Phobias


Phobias

Adjustment disorder is a condition arising from abnormal and severe reaction to identifiable life stressors. On the other hand, anxiety disorders are a group of mental disorders that cause distress interrupting an individual from leading a normal life. They include panic disorder, specific phobias, social anxiety disorder, generalized anxiety disorder (GAD), post-traumatic stress disorder (PSTD), panic disorder, health anxiety, and obsessive-compulsive disorder (OCD) among others. The paper describes the differences between anxiety disorders and adjustment disorders and provides the diagnostic criteria for phobias anxiety disorder. Furthermore, the article discusses the evidence-based psychotherapy and psychopharmacological treatment for phobias anxiety disorder.

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Differences between Adjustment Disorder and Anxiety Disorders
Adjustment disorder arises from an unusual and extreme reaction to an identifiable life stressor. The reaction is often more severe and can lead to significant impairment in social, academic, and occupational functioning. On the other hand, anxiety disorders are a collection of mental conditions that cause distress interrupting an individual from leading a healthy lifestyle. The most significant difference between the two is that anxiety disorders do not arise from life stressor, or acute stress disorder and post-traumatic stress disorder that is typically linked to a more intense stressor.
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PMHNP and the DEA

PMHNP and the DEA


PMHNP and the DEA
The drug enforcement administration (DEA) is an agency that is responsible for enforcing laws which prevent the distribution of illegal drugs within the United States. The duty of the DEA is to ensure that the federal law relating to the manufacturing, distribution, sale and the use of drugs are adhered to. The controlled substance act is one of the primary federal law on drugs under the DEA. This act regulates the manufacturing, distribution, importation, possession and the use of a particular drug. The role of the DEA is to investigate the operations of drugs within the United States as well as the operation of international drugs that likely to affect the US or infiltrate states. A psychiatric mental health nurse practitioner (PMHNP), has a responsibility of prescribing medications to their patients. Improper prescription to a patient by a PMHNP can harm the patient, and thus the DEA has to work together will the pmhnp to ensure the rules they have set aside have been followed. Therefore when prescribing and administering drugs to patients, the PMHNP have to understand their responsibilities at the federal level as well as the at the state level (Balestra, 2018).

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In regard to the PMHNP, the DEA has the following responsibilities. Investing and prosecuting those who violate the law of controlled substances either at the state or national level. Managing the federal drug intelligence program. It is their mandate to educate the members of the public the effects of using unadministered drugs. It is their mandate to cooperate with other international agencies to stop the trafficking of narcotics within the international level thus halting the practice A DEA number refers to a specific number that is given to healthcare practitioners that gives them the mandate to prescribe drugs/ medications legally.
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Alzheimer disease

Alzheimer disease


Alzheimer disease
Alzheimer’s disease is a disorder which is an unhurriedly progressive neurocognitive with a preclinical phase in which a person may be asymptomatic for several years. Mild cognitive is a term used to define a period which follows after the preclinical phase of possible neuropsychiatric symptoms of decreased cognition short of a handy deficit. Symptoms that persons with Alzheimer’s disease develop dementia or neurocognitive condition with cognitive deficits, useful failure, and neuropsychiatric. Alzheimer disease is a key logical disease of unknown etiology.

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Evidenced-based psychotherapy and psychopharmacologic
A person who has been detected with neurocognitive illness due to Alzheimer disease should meet all the succeeding conditions, the criteria are met for key and insignificant neurocognitive disorder (Saman et al,2012). Key Neurocognitive disorder: Proof of important cognitive decline from a past close of routine in one or more mental domains based on Distress of the distinct, a well-informed informant or the clinician that there has been a momentous failure in intellectual meaning and rather a recognized considerable impairment in cognitive routine by homogeneous neuropsychological challenging or in its in deficiency another skilled clinical valuation. The cognitive deficits restrict with independence in day to day activities. The cognitive deficits do not arise merely in the background of restlessness .
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 Medical Administration to Schizophrenia Patients

Medical Administration to Schizophrenia Patients


Evidence-based treatment plans for schizophrenia adults vs. children and adolescents
Schizophrenia is a psychological condition that impairs a person’s mental health, making him/her to live under delusions and hallucinations. The next section compares two treatment plans, particularly, their side effects to children, adolescents and adults. They include medical intervention and cognitive remediation therapy. Also, it will examine how these plans vary when applied to adults, children and adolescents.

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Medical intervention
The most common prescription is second generation antipsychotic drugs, applied to all people regardless of their age. A research performed by Divac, Prostran, Jakovcevsk, & Cerovac (2014) on the adverse side effects of second generation antipsychotic established that this form of medication resulted in abnormal weight gain, which renders the patient vulnerable to other complications such as diabetes. Regardless of these common side effects to everybody, there are certain differences.
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Voluntary and Involuntary Commitment

Voluntary and Involuntary Commitment


Voluntary and Involuntary Commitment
Voluntary commitment refers to a case where a patient decides to get admitted into a mental hospital willingly (Amer, 2013). This is contrary to involuntary commitment, in which a patient is ordered by the law to accept treatment after being determined to be mentally sick (Johnson & Stern, 2014). As per the case provided, attempted suicide undermines the moral and religious values of life. However, it should be understood that most of such actions result from extreme psychological trauma, as presented here, whereby the boy is denied a chance to date someone he is considering the love of his life. From a professional point of view, the patient has mental impairment that needs attention.

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Therefore, he should be admitted involuntarily, given that he is unwilling to talk to any practitioner, which makes the process of helping him a bit complicated. Also, medical practitioners should have principles to work with so that they can withstand manipulations, biasness and blackmail that they encounter while at work. Threats from the patient’s mother should not be a reason not to admit the patient since it is for his well being.

Based on California State laws, particularly section 5008, this patient should not be detained in hospital, provided he has a supportive family that can help him recover safely (Snape, 2014).
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