TiffanyGardner-APSPediatric Mental HealthEsmeralda Chong Activity Report: Pediatric Mental Health-Latest Update with complete solution-Bradley University

ADVANCED PRACTICE SERIES® Activity Report: Pediatric Mental Health Attempts Progress Ramone Garcia Time Per Attempt #1 100% Score 29 mins Final 20/20 (100%) * Eligibility for CEUs requires a minimum total score of 80%, combined across all five complete patient encounters. Once 80% or higher is achieved in total, across all five patient encounters, a "Survey and Certificate" button will appear on your activity report. Notes Patient Notes 20/20 (100%) Ramone Garcia 1 Tiffany Gardner Bradley University Saturday, March 29, 2025 Time Spent: 2 hrs 56 mins 2 NONPF Core Behaviors Your performance has been mapped to the NONPF Nurse Practitioner Core Competencies. An overview of your strongest and weakest Core Behaviors has been included below, calculated from all completed patients within the simulation (up to 5). Top 3 Behaviors Demonstrating Competence 100% Applies science-based frameworks, theories, and models to inform clinical reasoning 100% Collaborates in interprofessional teams discussions regarding ethical risks, benefits, and outcomes, as indicated. 100% Student expresses integration of physiologic, behavioral, social, and diagnostic data to justify clinical reasoning and decision making. Top 3 Behaviors Needing Attention 100% Educates patient/caregiver and/or family members on accurate, evidenced based digital resources. 100% Judgment is consistent with scientific reasoning and current, available evidence. 100% Demonstrates quality patient-centered decision making. Tiffany Gardner Bradley University Saturday, March 29, 2025 Time Spent: 2 hrs 56 mins Patient: Ramone Garcia The Activity Report contains details on the most recent attempt. A summary of previous attempts, if applicable, are provided in the report Overview section. Summary Section Vitals Points Inquiry 1/1 Review of Systems (ROS) 1/1 2/2 Assessment 2/2 Diagnostics 5/5 Final Diagnosis 2/2 Plan of Care 5/5 Billing 2/2 Total (100%) 20/20 Completion of a brief survey is required to receive the CE Certificate. Your feedback is important for enhancing user experience and achievement of outcomes for future learners. To access, click on the "Survey and Certificate" button to the right of this prompt. EHR Vitals Knowledge Check: Which area of Information or Vital Signs is a TOP Points priority? 1/1 Age: Many children are diagnosed with behavior and/or mental health disorders between the ages of 6-17 years of age (Centers for Disease Control and Prevention, 2024b; Disla de Jesus et al., 2022) Inquiry Knowledge Check: Which area of the Inquiry, excluding CC or HPI, is a TOP priority? 1/1 Medications: Currently on medication for ADHD but still having difficulties (American Academy of Pediatrics, 2023) Inquiry Transcript 3 Tiffany Gardner Bradley University Saturday, March 29, 2025 Time Spent: 2 hrs 56 mins 4 Categor y Question Response Learne r SME (CC) What brings you in today? Ramone: My parents and teachers are mad at me because they say I don’t behave. (HPI) When did your symptoms start? Mom: Since he started to walk at about one year old, he didn’t stop moving. He is on the go all the time. (HPI) Any other behaviors? Mom: Ramone is easily distracted, inattentive, fidgets, is argumentative and impulsive. In school, he talks and interrupts, and at home, he instigates fights. Ramone, what do you think Ramone: I don’t want to hurt anyone. I just get mad (HPI) about what mom said? when kids don’t want to play with me. Mom: Then he yells at them and curses. Mom: He gets his games taken away and I have tried (HPI) How do you punish him? time out, but it is more work for me than a punishment for him. (HPI) Have you ever tried to Ramone: Sometimes, but usually I can’t stop it. change these behaviors? (PMH) Tell me about your medical Mom: He was diagnosed with ADHD two years ago. history. (PSH) Do you have any surgical Mom: None. history? What medications, if any, both prescribed and over- Mom: He takes 0.1 mg of clonidine every morning. It Medications the-counter do you take? was prescribed by pediatrician about two years ago. I How long have you been also give him 10 mg of melatonin at night. taking them? Health Practices / Do you participate in any Mom: No, but I would be willing to try anything. Preventative holistic wellness practices? Health Tell me about your family Mom: I have anxiety and bipolar disorder. Ramone’s (FMH) medical history. older brother and sister both have ADHD too, but they don’t act like him.