NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and

Walden University NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

Whether one passes or fails an academic assignment such as the Walden University NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

The introduction for the Walden University NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

After the introduction, move into the main part of the NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRNP 6675 Week 3 Focused SOAP Note for Anxiety, PTSD, and OCD

Subjective:

CC (chief complaint): Dev’s mother reports that Dev has been anxious and worried all the time.

HPI: Dev Cordoba is a 7-year-old boy who visited Dr. Jenny while accompanied by the mother, Miss Cordoba, for a psychiatric evaluation. Ms Cordoba reports that the son has been worried and anxious all the time as Dev fears that the mother may die or fail to pick him up from school. The mother reports that Dev has been throwing things around while at home and school, which has caused a lot of trouble while at school. Additionally, he has difficulties paying attention in class as he constantly looks outside the window, which made his teacher switch his sitting position. Dev also has difficulty sleeping as he gets up frequently despite the mother leaving the lights on and the door open to reassure him of her presence. He also experiences nightmares about being lost and not being able to locate his mother and brother.

The mother also reports that Dev has been having stomachaches, headaches, loss of appetite, and a weight loss of three pounds in the last three weeks. The mother reports that Dev’s father died during a military deployment, but Dev thinks the father is on vacation, which stems a lot of worry as he feels the father abandoned them. The psychiatric evaluation was a referral from his pediatrician, who feels the symptoms are not due to a physical cause. Miss Cordoba also reports that Dev has a bedwetting problem that is unresponsive to DDVAP treatment.

Substance Current Use: There is no history of substance use in this patient.

Medical History:

Current Medications: Dev is currently on DDVAP due to nocturnal incontinence.
Allergies: None

Reproductive Hx: None

ROS:

GENERAL: Patient reports of loss of appetite, abdominal pain, and headaches but denies any major discomfort.
HEENT: The patient denies blurred vision, hearing loss, and nasal congestion.
SKIN: The patient denies any pruritus, bruises, and pigmentation changes.
CARDIOVASCULAR: The patient has some palpitations when he is anxious but denies orthopnea and paroxysmal nocturnal dyspnea.
RESPIRATORY: The patient denies any chest pain, cough, and dyspnea.
GASTROINTESTINAL: The patient has had abdominal pain, loss of appetite, and weight loss.
GENITOURINARY: The patient has nocturnal enuresis but denies dysuria and hematuria.
NEUROLOGICAL: The patient has had some episodes of headache but denied any loss of consciousness, vertigo, or loss of sensation.
MUSCULOSKELETAL: The patient denied joint pain, myalgia, and muscle weakness.
HEMATOLOGIC: The patient denied experiencing epistaxis, easy fatiguability, and unexplained fevers.
LYMPHATICS: There was no lymph node swelling.
ENDOCRINOLOGIC: The patient denied excessive thirst and urination, heat or cold intolerance, and pubertal changes.

Objective:

Diagnostic results: Diagnostic tests were not done.

Assessment:

Mental Status Examination:

The patient was alert, relaxed, cooperative, well-groomed, and oriented in time, place, and person. He had a normal speech tone and rate. He also had a depressed mood, appropriate affect, and coherent thoughts, but there were no hallucinations or delusions. He had a normal attention and concentration span and an intact memory. He also had good judgment and partial insight.

Diagnostic Impression:

Separation Anxiety Disorder (SAD): DSM-V classifies SAD as an example of an anxiety disorder characterized by excessive fear or worry that exceeds the developmental stage that occurs when separation from an attachment figure or home is anticipated (Phillips et al., 2020). This worry may result from fear of losing the attachment figure, which makes the patient reluctant to go away, avoid being alone, and refuse to sleep when the person is not around. The patients may also experience nightmares and have somatic symptoms like headaches and stomachaches. In this case, Dev is experiencing most symptoms as he is constantly afraid his mother will go away and not come back, which has resulted in some somatic symptoms, nightmares, refusal to go to school, and difficulties sleeping alone.

Pediatric Major Depressive Disorder (MDD): Pediatric MDD is a condition characterized by a depressed or irritable mood among children affected. DSM-V describes that patients with MDD may also have anhedonia, significant appetite and weight changes, changes in sleep patterns, psychomotor agitation or retardation, loss of energy, suicidal thoughts, and feeling worthless (Christensen et al., 2020). In Dev’s case, he is often irritable and feels sad, and has had loss of appetite and weight loss, psychomotor agitation, and challenges sleeping.

Attention Deficit Hyperactive Disorder (ADHD): DSM-V describes ADHD as a condition characterized by persistent inattention and hyperactivity (Cabral et al., 2020). In this case, Dev has some ADHD symptoms, such as difficulty paying attention while at school, being easily distracted, being unable to remain seated during his classes, and having some impulsivity. However, he does follow instructions, complete his schoolwork, and lacks most hyperactive symptoms, such as excessive talking seen in ADHD.

Case Formulation and Treatment Plan:

Psychotherapy: I would advise cognitive-behavioral therapy (CBT), which is the first-line treatment for SAD. CBT would allow Dev to understand the cause of his current mood symptoms and provide him with alternative coping strategies to manage his symptoms (Walkup et al., 2023).
Pharmacotherapy: I would prescribe sertraline 25 mg PO OD.
Alternative therapy: I would recommend interpersonal and family therapy to solve problematic interpersonal behavior patterns and promote cohesion and communication between Dev and his mother.

Health promotion and patient education: I would encourage Miss Cordoba to inform Dev of his father’s death and reassure him that she will always be present for him (Phillips et al., 2020).

I would also advise Miss Cordoba to engage Dev in activities he enjoys doing while at home and when he is with his friends to reduce the anxiety symptoms.

Reflections: In my next session, I would engage Dev and his mother in a conversation regarding his father to enable him to express his concerns. I would also ensure there is a comfortable environment to help the mother inform Dev about his father’s death. I would need to follow up to inquire about Dev’s school environment, how he relates with his classmates as he had previously stated he feels not loved by his fellow students, and understand how it has impacted his school life as he has also been getting in trouble frequently. It is crucial to obtain a signed informed consent form from Miss Cordoba, as Dev is still a minor, to allow Dev’s further evaluation.

References

Cabral, M. D. I., Liu, S., & Soares, N. (2020). Attention-deficit/hyperactivity disorder: diagnostic criteria, epidemiology, risk factors and evaluation in youth. Translational Pediatrics, 9(Suppl 1), S104–S113. https://doi.org/10.21037/tp.2019.09.08

Christensen, M. C., Johnny Wong, C. M., & Baune, B. T. (2020). Symptoms of Major Depressive Disorder and Their Impact on Psychosocial Functioning in the Different Phases of the Disease: Do the Perspectives of Patients and Healthcare Providers Differ? Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00280

Phillips, K. E., Norris, L. A., & Kendall, P. C. (2020). Separation Anxiety Symptom Profiles and Parental Accommodation Across Pediatric Anxiety Disorders. Child Psychiatry and Human Development, 51(3), 377. https://doi.org/10.1007/s10578-019-00949-7

Walkup, J. T., Tomer Shechner, & Strawn, J. R. (2023). Anxiety Disorder in Youth: Separation Anxiety, Social Anxiety, and Generalized Anxiety Disorders. Springer EBooks, 1–23. https://doi.org/10.1007/978-3-030-42825-9_22-1