WK4Assgn2NwokorieUNURS6660.docx - Assignment 1 Practicum...

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Assignment 1: Practicum: Decision Tree 1 Topic: Assignment 1: Practicum: Decision Tree 1 Ugonma Nwokorie NURS - 6660N; PMH Nurse Practitioner Role I: Child and Adolescent Vardah Seraphin Walden University 9/7/19
Assignment 1: Practicum: Decision Tree 2 Case Study : A Young Girl with Difficulties in School. Introduction Katie is an 8-year old Caucasian female even after been normal in her developmental milestones, is showing symptoms of poor coordination and organization issues, been inattentive, easily distracted, difficulty remembering things that had been thought to her, short tern attention duration, and spelling difficulties. Katie is having difficult time interacting socially in her classroom with her classmates and she plays by herself during recess. According to APA (2013), the criteria for ADHD using The Diagnostic and Statistical Manual of Mental Disorders (DSM- 5) standard states that any client suffering from ADHD will show easily distracted, inattentive, hyperactive for example not able to sit in one place, impulsive, talk incessantly, and not paying attention in class. Decision #1: Differential Diagnosis Decision I selected is : The decision that I picked is Attention Deficit Hyperactivity Disorder (ADHD), predominantly inattentive presentation. The reason for selecting this decision: “With the symptoms that I noticed from Katie which she has been present for six months, that will help me to diagnosis her with the disorder but as a provider, I will like to get more answers from the class teacher, peers, at home, and also from any adults that interact with Katie directly day in and day out” (Rose, 2013). The child should also be examined for other disorders that have the same symptoms which can be clarify before any diagnosis. The information collected from the teacher using Conner’s Rating Scale Revised (CRS-R) will be used and apply under DSM-5 guidelines which will support the diagnosis. What I am hoping to achieve: The main goal for this decision is making sure that the child does not have any other disorder and clarify the symptoms. Also to be able to explain the Katie’s diagnosis to her parents and that the symptoms that Katie is exhibiting is ADHD symptoms such hyperactivity, inattention, and impulsivity which their child is exhibiting is because of ADHD (APA, 2013). Not just diagnosing Katie but making sure that she is been treated accurately with the right medication for ADHD after been confirmed by the DSM-5. Difference between what you expected to achieve with Decision #1 and the results of the Decision: After the client returns in four weeks, I will not expect to see any results within that time due to waiting for the CRS-R examination to be completed because it supports the evaluation if the child has ADHD. This tool is used for children between the age of 3 and 17

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