D346 Advanced Psychiatric Mental Health Care of Adults and Older Adults Across Care Settings sample papers, task by task

Reviewed by Signe Hallberg, MSN, RN Advanced Psychiatric Mental Health Care of Adults and Older Adults Across Care Settings Western Governors University Free custom samples in 24–48h

D346 takes psychiatric care into the settings adults and older adults are actually seen in, where a plan has to survive a transfer, a comorbidity and a long medication history. This shelf holds sample performance assessment papers written on composite cases.

How this shelf works

Send the exact assignment or rubric from your course of study and a custom sample written to it lands in 24 to 48 hours, the first one free. D346 is WGU’s Advanced Psychiatric Mental Health Care of Adults and Older Adults Across Care Settings course. It centers on treatment planning for adults and older adults wherever they are seen, from outpatient care and acute settings to long-term care and transfers between them. Searches like "d346 task 2 assignment example", "D346 sample paper", and "D346 task samples" land on this page.

What D346 is really about

D346 is where the pieces are supposed to arrive assembled. An adult or older adult presents with a psychiatric condition that rarely comes alone: a chronic illness alongside it, a medication list built over decades, cognitive change that has to be told apart from mood, a family carrying part of the load, and a setting that may change halfway through the plan. The competency is a plan that holds together across all of that, built from evidence and written so another clinician could pick it up. Cohort-free pacing lets you sit the task when you are ready, and the writing tends to expose whichever half of the plan you were less confident about.

What gets submitted is a performance assessment, and the reading is done aspect by aspect rather than as an overall impression. An evaluator who finds one aspect unmet returns that aspect and leaves the rest standing, which is why a revision here is usually a paragraph of work rather than a rewrite. Older-adult cases attract returns for a particular reason: the paper answers the psychiatric question and quietly skips the medical, functional or caregiver half that the rubric also wanted. Read the aspects before you outline, and if two of them look like they are asking for the same thing, ask your course instructor which distinction they are drawing.

What D346’s tasks ask for

Two shapes recur across versions of the written work. One is a case-centered plan: a composite adult or older adult worked up in full, with the psychiatric presentation set against physical comorbidity, functional status, cognition, social support and the setting the care is being delivered in, then a treatment plan drawing on both psychotherapeutic and pharmacological evidence. The other is broader, asking you to argue an approach for a population or a setting, defended with current literature and measured against outcomes you name in advance. Transitions of care, coordination with other clinicians, and follow-up almost always carry aspects of their own, so give each of them a section rather than a closing sentence.

Why D346 tasks come back for revision

The plan that comes back most often in this course is the one that offers a choice. It sets out the medication option, sets out the psychotherapy option, weighs them against each other and picks. That reads as a decision between two treatments when the rubric is asking for one plan with two arms. Say instead what each arm is for: which symptoms the pharmacological arm is expected to move and over what horizon, what the psychotherapeutic work is targeting that medicine will not reach, how the two are sequenced when a patient is too unwell to engage at first, and what you would review at each visit. Written as alternatives, the plan also loses the aspects on coordination, because nobody has to coordinate a single choice.

D346 grading scale at WGU: how the work is graded, from WGU Assignments
How WGU grades D346, visualized by WGU Assignments.

The D346 drawers

Task 1

D346 Task 1 example

Often a full case-based treatment plan for one composite adult or older adult. On request, free, 24-48h.

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Task 2

D346 Task 2 example

Typically an applied paper on care across settings, coordination and what follows discharge. On request, free, 24-48h.

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Different?

Your course of study shows something else?

Western Governors University revises courses; task counts and deliverables shift between terms. Send what your classroom shows and the desk matches it exactly.

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Using a D346 sample the right way

Use a sample to see how a long plan stays coherent. Track one composite patient from the presentation through to follow-up and watch the two arms of treatment stay braided rather than separating, notice where comorbidity and function change the plan instead of merely being listed, and see how the handover to another setting is written for the person receiving it. Then build your own, with your own composite patient and your own sources. Nothing here is clinical advice and no medication detail is written for a reader to act on. Send your task instructions and rubric if your version differs; the first custom sample is free and returns in 24-48h.

How these samples are written

The discipline behind every task here: aspects are the outline, each gets its section, artifacts match their narratives, and OA courses get prep-note treatment instead, because the sit is always yours. Send your portal's rubric with a request and the sample matches it, revisions included.

D346 questions, answered

How do I write one plan with two arms rather than a recommendation between them?

Give each arm its own purpose, target and review interval, then write a paragraph on how they inform each other. State what would change in the psychotherapeutic work if the pharmacological arm is not tolerated, and what would change in the medication review if therapy engagement improves. That paragraph is usually what the integration aspect is looking for.

My older adult case already takes several medicines. How much of that belongs in the paper?

Enough to show you reasoned about it. Name the combinations that matter for this person, say what altered handling with age does to the risk, and attach the checks that would catch a problem early. Then say what you would consider reducing and why. A plan that adds an agent to a long list without touching that reasoning reads as incomplete.

Does the safety plan change when the patient moves between settings?

It has to, and saying so is worth an aspect. Write who holds responsibility in each setting, what travels with the patient, which parts of the plan only work where supervision exists, and what the receiving clinician needs on the first day. A safety plan that reads the same in every setting has not been written for any of them.