Unit 7 Assignment – Developmental Disorders Case Study

Case Study

You are working in a community health center as an NP.  Although you see children for mental health you will also see children for some basic “bridge” care until primary care providers have openings.  If the medical issue is complex then the clinic coordinator will escalate the referral for quicker appointment scheduling.

Presentation: Makala, who is 7, has come to the clinic with a suspected ear infection and as a referral for her daughter’s behaviors. Makala’s mother says that her daughter has been rocking rhythmically and clutching her ear at the same time. There has been some moisture on her pillow in the morning and Makala is reluctant to let her mother investigate what is wrong.

Makala is attempting to rock while she is seated on her mother’s knee and uses the same repetitive vocalization “Don’t wanna go to the shops” over and over again.

She has a history of speech delay but can now complete many full sentences.  She has also had some behavior and attention issues in school.  She disrupts the teacher often and then gets up from her seat during focus time to go to play centers.  She is not easily redirected and becomes argumentative.

She feels hot to touch and will not let healthcare practitioners approach her with any equipment. Her vocalization becomes louder and more insistent when you attempt the examination.

Recognizing possible autism as well as some ADHD diagnosis criteria, discuss the next steps in the answers to the questions.

Instructions

Write a 2-3 page paper answering the following questions.  Be sure to include a minimum of 2 scholarly articles to support your discussion.

  1. Discuss autism and ADHD diagnostic criteria.
  2. How should you approach examining Makala as a child, and strive to gain her trust?
  3. You suspect that autism may be a possibility. What should you do to ensure that your suspicions are correct and how should you go about referring Makala to the local autism team?
  4. Makala is showing signs and symptoms that may overlap between autism and ADHD. How do you differentiate autism from ADHD based on diagnostic criteria?

Rubric

NU674 Unit 7 Assignment – Developmental Disorders Case Study Rubric

NU674 Unit 7 Assignment – Developmental Disorders Case Study Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeContent

20 pts

Distinguished

All parts of the assignment are included and addressed, displaying thorough understanding and connection to the topic through supported opinions and ideas.

15 pts

Competent

All parts of the assignment are included and addressed, displaying comprehensive understanding and connection to the topic through supported opinions and ideas.

10 pts

Emerging

Components of the assignment are missing or uses clear and accurate expression but lacks connection to the topic. The assignment components need more substantive content.

5 pts

Novice

Components of the assignment display unclear connection to the topic and/or offers minimal expression of ideas and opinions.

0 pts

Level 0

Does not meet this section

20 pts

This criterion is linked to a Learning OutcomeAnalysis

10 pts

Distinguished

Assignment displays analysis that is thorough and aligns to the topic. Required elements show evidence of knowledge and understanding with breadth and depth supported by several examples.

8 pts

Competent

Assignment displays analysis that is justified and aligns to the topic. Required elements show evidence of comprehensive knowledge and understanding supported by few examples.

5 pts

Emerging

Assignment displays analysis that is basic without depth or breadth. Required elements show evidence of basic knowledge and understanding supported by limited examples.

2 pts

Novice

Assignment displays minimal analysis of the topic and/or is not supported by resources and/or examples.

0 pts

Level 0

Does not meet this section

10 pts

This criterion is linked to a Learning OutcomeOrganization

10 pts

Distinguished

The organization is logical, with clear identification of each required element. The assignment design/layout is purposeful with exemplary transitions between elements.

8 pts

Competent

The organization is logical with identification of each required element present. The assignment’s design/layout offers transitions between elements.

5 pts

Emerging

The organization is disjointed. The assignment’s design/layout does not offer clear or appropriate transitions between elements and/or elements may be missing.

2 pts

Novice

The organization affects the audience’s ability to view the elements or elements are missing that affect the overall purpose of the assignment.

0 pts

Level 0

Does not meet this section

10 pts

This criterion is linked to a Learning OutcomeResources

10 pts

Distinguished

Uses five or greater resources that extend learning, are relevant (within the last five years), and relate to the topic.

8 pts

Competent

Uses three to four resources that are relevant (within the last five years) and comprehensive to support the ideas and opinions submitted.

5 pts

Emerging

Uses one to two resources that are relevant (within the last five years) and comprehensive to support the ideas and opinions submitted.

2 pts

Novice

Uses resources that are not relevant (within the last five years) or not related to the topic.

0 pts

Level 0

Does not meet this section

10 pts

This criterion is linked to a Learning OutcomeAPA

10 pts

Distinguished

All sources are properly formatted following APA guidelines for in-text citations, references, headers, and title and reference pages.

8 pts

Competent

Attempted in-text citations, references, headers, and title and reference page following APA formatting with 1-2 errors.

5 pts

Emerging

Attempted in-text citations, references, headers, and title and reference page following APA formatting with 3-5 errors.

2 pts

Novice

In-text citations and/or references are missing or there are greater than 5 errors in APA formatting.

0 pts

Level 0

Does not meet this section

10 pts

Total Points: 60

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