the purpose of this paper is to address the following clinical scenario with the use of your textbook, external credible literature, and/or reliable electronic sources. Use the guide below to draft your paper and review the rubric to ensure you have met the assignment criteria. The expected length of the paper is 4-5 pages, which does not include the cover page and reference page(s).

Lisa Anderson, a 22 y.o., Caucasian single parent, is referred for genetic counseling by her pediatric Nurse Practitioner. She has a 3-year-old boy with developmental delay and small joint hyperextensibility. The pediatric Nurse Practitioner has diagnosed fragile X-associated mental retardation. She is currently pregnant with her second child at 14 weeks of gestation. The family history is unremarkable.

Please use the following headings/subheadings as a guide to draft your paper:

1. Introduction (including a brief      purpose statement)
2. Identify the genetic mutation      responsible for fragile X-associated mental retardation.
3. Describe and discuss how it      causes the clinical syndrome of developmental delay, joint      hyperextensibility, large testes, and facial abnormalities.
4. Identify which parent is the      probable carrier of the genetic mutation?
5. Explain why this parent and the      grandparents are phenotypically unaffected.
6. Discuss the likelihood that the      unborn child will be affected?

VII. Conclusion

In regard to APA format, please use the following as a guide:

• Include a cover page and      running head (this is not part of the 4–5-page limit)
• Include transitions in your      paper (i.e., headings or subheadings)
• Use in-text references      throughout the paper
• Use double space, 12-point      Times New Roman font
• Spelling, grammar, and      organization are appropriate
• Include a reference list (this      is not part of the 4–5-page limit)
• Attempt to use primary sources      only. That said, you may cite reliable electronic sources (i.e., ANA)

· Assignment 1 Rubric

Criteria

60 Points

55 Points

50  Points

40 Points

Earned Points

Content: Application   & Analysis

Responds correctly and/or appropriately to   all questions and criteria. Content is excellent.

Demonstrates a high level of critical   thinking, shows significant insight or creative thought about the topic, and   does not merely recite the text/resources. Uses concepts and terminology   correctly.  Detail rich and specific.

Responds correctly and/or appropriately to   all questions and criteria. Content is good.

Demonstrates some critical thinking   throughout the paper and may also show some insight or creative thinking   about the topic. Mostly uses concepts and terminology correctly (1-2 issues).   Minor detail inconsistencies (1-2).

Responds correctly and/or appropriately to   at least one question OR if only one question, partially responds to   question. Does not address all criteria. Content is minimal.

Demonstrates at least one critical thinking   skill in the paper.  Attempts to use concepts and terminology correctly.    Several detail inconsistencies (3-5).

Paper is unclear and does not address the   questions and/or criteria. Content does not meet requirements. Many   inconsistencies and conflicting information (6+).

/60

Criteria

20 Points

16 Points

14 Points

12 Points

Earned Points

Quality: Supporting   Research & Sources

All work is accurately cited (where   applicable) and appropriately supports content with research, text,   multimedia, and/or other resources.  References are relevant and enhance   the topic.

Most of the work is accurately cited (where   applicable) and adequately supports content with research, text, and/or   resources.  One issue with reference or use of one inappropriate   reference.  References are relevant to the topic.

2-3 issues with references, including the   use of inappropriate references to support content. May fail to provide   references to support content.  1-2 references are not relevant to the   topic and/or distract from the topic at hand.

4 or more issues with references, including   the use of inappropriate references to support content OR failure to include   references (where applicable).  No supporting references are used OR   they are used but 3+ references are not relevant to the topic.

/20

Criteria

10 Points

8 Points

7 Points

6 Points

Earned Points

Organization

Paper is well-organized. Ideas are clear and   arranged logically. Transitions are smooth, no flaws in logic.

Paper is organized. Ideas are usually clear   and arranged in an acceptable sequence (1-2 issues). Transitions are usually   smooth (1-2 issues), good support.

Paper lacks organization. There are many   problems with the approach (3-5 issues with organization). Some difficulty   understanding ideas.  Issues with support and transitions (3-5).

Paper is poorly organized and difficult to   understand. Many issues with support and transitions (6+). Ideas are arranged   illogically and do not make sense.

/10

Accuracy & Basic   Writing Mechanics

Error-free, including APA formatting,   reflecting clear understanding of various forms of expression and careful   editing.

Very few (less than 3) errors in spelling,   grammar, syntax, and/or punctuation. Very few (less than 3) issues with APA   formatting. Occasional poor choice of word.

4-5 errors in spelling, grammar, syntax,   and/or punctuation. 4-5 issues with APA Formatting. Writing may be difficult   to understand at times.

More than 5 errors in spelling, grammar,   syntax, and/or punctuation.  Many (6+ issues with APA formatting.    Writing is difficult to understand in many instances.

/10

·

 Fear,” according to the DSM-5, “is the emotional response to real or perceived imminent threat, whereas anxiety is anticipation of future threat” (APA, 2013). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease.

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5 criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5 criteria.

To Prepare:

• Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
• Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
• By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment?
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).