Category: Nursing

Home visit with Sallie Mae Fisher’s Health History and Discharge Orders Essay Assignment Paper

Sallie Mae Fisher Health History

Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.

Ms. Fisher
is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.Home visit with Sallie Mae Fisher’s Health History and Discharge Orders Essay Assignment Paper.

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Hospital Discharge Instructions

Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.

Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O
2
at 2 liters per nasal prongs PRN.

Prescriptions given at discharge:

Digoxin 0.25 mg once a day

Lasix 80 mg twice a day

Calan 240 mg once a day

Order written to continue other home meds. Home visit with Sallie Mae Fisher’s Health History and Discharge Orders Essay Assignment Paper.

Sallie Mae’s Home Medication List

Zocar 50 mg once a day

Minipres 1 mg once a day

Vasotec 10 mg twice a day

Prilosec 20 mg once a day

Furosemide 40 mg once a day

Effexor 37.5 mg at bedtime

Lanoxin 0.125 mg every other day

Multivitamin once a day

Potassium 40 mEq once a day

Ibuprofen 400 mg q 4 hours as needed for pain

Darvocet N 100 mg q 4 hours as needed for pain

Nitroglycerin ointment, apply 1 inch every day

Sallie Mae Fisher’s Health History

and Discharge Orders

Sallie Mae Fisher Health History

Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain. Home visit with Sallie Mae Fisher’s Health History and Discharge Orders Essay Assignment Paper.

Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.

Hospital Discharge Instructions

Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety. Home visit with Sallie Mae Fisher’s Health History and Discharge Orders Essay Assignment Paper.

Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O
2
at 2 liters per nasal prongs PRN.

Prescriptions given at discharge:

Digoxin 0.25 mg once a day

Lasix 80 mg twice a day

Calan 240 mg once a day

Order written to continue other home meds.

Home visit with Sallie Mae Fisher’s Health History and Discharge Orders Essay Assignment Paper

Sallie Mae’s Home Medication List

Zocar 50 mg once a day

Minipres 1 mg once a day

Vasotec 10 mg twice a day

Prilosec 20 mg once a day

Furosemide 40 mg once a day

Effexor 37.5 mg at bedtime

Lanoxin 0.125 mg every other day

Multivitamin once a day

Potassium 40 mEq once a day

Ibuprofen 400 mg q 4 hours as needed for pain

Darvocet N 100 mg q 4 hours as needed for pain

Nitroglycerin ointment, apply 1 inch every day

Home visit with Sallie Mae Fisher’s Health History and Discharge Orders Essay Assignment Paper

A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay

BACKGROUND

In psychopharmacology you met Katie, an 8-year-old Caucasian female, who was brought to your office by her mother (age 47) and father (age 49). You worked through the case by recommending possible ADHD medications. As you progress in your PMHNP program, the cases will involve more information for you to sort through.

For this case, you see Katie and her parents again. The parents have reported that the medication given to Katie does not seem to be helping. This has prompted you to reconsider the diagnosis of ADHD. You will consider other differential diagnoses and determine what information you need to accurately assess the DSM-5 criteria to make the diagnosis of ADHD or another disorder with similar diagnostic features.

When parents bring their child to your office, they may have read symptoms on the internet or they may have been told by the school “your child has ADHD”. Your diagnosis will either confirm or refute that diagnosis. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine a differential diagnosis and to begin medication, if indicated. The PMHNP makes this diagnostic decision based on interviews and observations of the child, her parents, and the assessment of the parents and teacher.

To start, consider what assessment tools you might need to evaluate Katie.

Child Behavior Check List

Conners’ Teacher Rating Scale

The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised” 
(Available at: https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/GetPdf.cgi?id=phd000099.1 )
. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, makes careless mistakes in her schoolwork, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. She has difficulty interacting with peers in the classroom and likes to play by herself at recess. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

When interviewing Katie’s parents, you ask about pre- and post-natal history and you note that Katie is the first born with parents who were close to 40 years old when she was born. She had a low 5 minute Apgar score. The parents say that she met normal developmental milestones and possibly had some difficulty with sleep during the pre-school years. They notice that Katie has difficulty socializing with peers, she is quiet at home and spends a lot of time watching TV.

SUBJECTIVE

You observe Katie in the office and she is not able to sit still during the interview. She is constantly interrupting both you and her parents. Katie reports that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds some subjects boring or too difficult, and sometimes hard because she feels “lost”. She admits that her mind does wander during class. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay. “Sometimes” Katie reports “I will just be thinking about something else and not looking at the teacher or other students in the class.”

Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. She offers no other concerns at this time.

Katie’s parents appear somewhat anxious about their daughter’s problems. You notice the mother is fidgeting with her rings and watch while you are talking. The father is tapping his foot. Other than that, they seem attentive and straight forward in the interview process.

MENTAL STATUS EXAM

The client is an 8-year-old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is neutral. Katie says that she doesn’t hear any ‘voices’ in her head but does admit to having an imaginary friend, ‘Audrey’. No reports of delusional or paranoid thought processes. Attention and concentration are somewhat limited based on Katie’s short answers to your questions.

Decision Point One

BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHAT IS YOUR DIAGNOSIS FOR KATIE?

In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

 
299.00 Autism Spectrum Disorder (ASD), mild and co-occurring; 300.23 Social Anxiety Disorder

Decision Point One

299.00 Autism Spectrum Disorder (ASD), mild and co-occurring; 300.23 Social Anxiety Disorder

Decision Point One

299.00 Autism Spectrum Disorder (ASD), mild and co-occurring; 300.23 Social Anxiety Disorder

RESULTS OF DECISION POINT ONE

 Client returns to clinic in four weeks

 You have selected Autism Spectrum Disorder along with co-occurring Social Anxiety Disorder. Based on this choice, outline the remainder of the diagnostic evaluation that you will conduct on this child and their parents. Be sure to include standardized assessment instruments that you would administer. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

Decision Point Two

Based on your diagnosis and the parents’ concerns, you decided to begin Risperal 0.5 mg po BID

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Upon her return to the clinic in 4 weeks, Katie’s parents feel that Katie is calmer, but no changes in her school performance have been noted. Additionally, her parents have noticed that she seems more “tired” than usual, and report that she seems to ‘space out’ more often. They further report that she has been falling asleep during her usual television shows.

Decision Point Three

Increase Risperdal to 1 mg po BID

Guidance to Student

The information provided in the scenario is not suggestive of the diagnostic criteria for autism spectrum disorder (ASD) or co-occurring social anxiety disorder. Even if it were, Risperdal is not routinely used to treat autism-spectrum disorder- in fact, there are no FDA approved drugs for treatment of this disorder. Antipsychotics are only used to treat violent or self-injurious behaviors in ASD, and in those cases, used off-label. Antipsychotics did slow Katie down, but also gave her a other side effects, and did nothing to treat the primary presenting problems of inattention.

While CBT has evidence of efficacy in both autism spectrum disorder and social anxiety disorder, and while video modeling and video-self modeling therapy has some evidence for efficacy in ASD, these therapies will not, in and of themselves, help Katie as she does not have ASD with co-occurring social anxiety disorder.

 

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Based on your diagnosis and the parents’ concerns, you decided to begin Risperal 0.5 mg po BID

Decision Point Two

Based on your diagnosis and the parents’ concerns, you decided to begin Celexa 20 mg po daily

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

 Katie’s parents feel that Katie is no calmer, and that there have been no changes in her school performance. Her parents are also concerned that Katie has been asking them “odd” questions such as “where do you go when you die?” and “when you die, do you get to see your pets that have died?” Her parents indicated that she had never had such questions before.

Decision Point Three

Increase Celexa to 40 mg PO daily

Guidance to Student

The information provided in the scenario is not suggestive of the diagnostic criteria for autism spectrum disorder (ASD) or co-occurring social anxiety disorder. Even if it were, Celexa is not routinely used to treat autism-spectrum disorder- in fact, there are no FDA approved drugs for treatment of this disorder. Antidepressants may be considered if the child has co-occurring depression and/or anxiety disorder, but only after careful consideration of risk/benefits associated with antidepressant therapy in a child. The Celexa did nothing to alter Katie’s behavior, and in fact, Katie developed what appeared to be some morbid thoughts, possibly suggesting a fascination with death. While there is insufficient information to suggest that she was entertaining suicidal ideation, her parents clearly indicated that she was not having these thoughts before the antidepressant therapy was initiated.

While CBT has some evidence for efficacy in ASD and social anxiety disorder, it will not help Katie as she does not have either of these diagnoses. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

 

Based on your diagnosis and the parents’ concerns, you decided to begin Celexa 20 mg po daily

Decision Point One

 
299.00 Autism Spectrum Disorder (ASD), mild and co-occurring; 300.23 Social Anxiety Disorder

RESULTS OF DECISION POINT ONE

 Client returns to clinic in four weeks

 You have selected Autism Spectrum Disorder along with co-occurring Social Anxiety Disorder. Based on this choice, outline the remainder of the diagnostic evaluation that you will conduct on this child and their parents. Be sure to include standardized assessment instruments that you would administer

Decision Point Two

Based on your diagnosis and the parents’ concerns, you decided to begin Celexa 20 mg po daily

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Katie’s parents feel that Katie is no calmer, and that there have been no changes in her school performance. Her parents are also concerned that Katie has been asking them “odd” questions such as “where do you go when you die?” and “when you die, do you get to see your pets that have died?” Her parents indicated that she had never had such questions before.

Decision Point Three

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Increase Celexa to 40 mg PO daily

Guidance to Student

The information provided in the scenario is not suggestive of the diagnostic criteria for autism spectrum disorder (ASD) or co-occurring social anxiety disorder. Even if it were, Celexa is not routinely used to treat autism-spectrum disorder- in fact, there are no FDA approved drugs for treatment of this disorder. Antidepressants may be considered if the child has co-occurring depression and/or anxiety disorder, but only after careful consideration of risk/benefits associated with antidepressant therapy in a child. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay. The Celexa did nothing to alter Katie’s behavior, and in fact, Katie developed what appeared to be some morbid thoughts, possibly suggesting a fascination with death. While there is insufficient information to suggest that she was entertaining suicidal ideation, her parents clearly indicated that she was not having these thoughts before the antidepressant therapy was initiated. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.While CBT has some evidence for efficacy in ASD and social anxiety disorder, it will not help Katie as she does not have either of these diagnoses.

Augment with CBT

Reconsider Diagnosis

Based on your diagnosis and the parents’ concerns, you decided to begin Olanzapine 5 mg po daily.

 

Decision Point One

 
315.0 Specific Learning Disorder with Impairment in Reading and 315.1 Impairment in Mathematics

RESULTS OF DECISION POINT ONE

 Client returns to clinic in four weeks

 You have selected 315.0 Specific Learning Disorder with Impairment in Reading and 315.1 Impairment in Mathematics. Based on this choice, outline the remainder of the diagnostic evaluation that you will conduct on this child and their parents. Be sure to include standardized assessment instruments that you would administer. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

Decision Point Two

Begin Donepezil 10 mg po daily

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Katie’s parents feel that Katie is no different. She has had no changes in school performance, but has been having trouble falling asleep at night

 Additionally, Katie has reported having “scary dreams” to her parents and has been feeling “stomach sick”

Decision Point Three

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Explain that the side effects will abate with time and increase to 15 mg orally daily. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

Augment with Trazodone 50 mg po at HS.

Reconsider Diagnosis

315.0 Specific Learning Disorder with Impairment in Reading and 315.1 Impairment in Mathematics

 
314.00 Attention Deficit Hyperactivity Disorder, predominantly inattentive presentation

Decision Point One

 
314.00 Attention Deficit Hyperactivity Disorder, predominantly inattentive presentation

RESULTS OF DECISION POINT ONE

 Client returns to clinic in four weeks

 You selected Attention deficit hyperactivity disorder, predominantly inattentive presentation. Based on this choice, outline the remainder of the diagnostic evaluation that you will conduct on this child and their parents. Be sure to include standardized assessment instruments that you would administer

Decision Point Two

Begin Wellbutrin 75 mg orally daily

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Katie’s parent report that the teacher has indicated that Katie seems to be paying more attention during class. They have also noticed that Katie is able to attend more closely to her homework. However, her parents are somewhat concerned that Katie has been asking them “odd” questions such as “where do you go when you die?” and “when you die, do you get to see your pets that have died?” Her parents indicated that she had never had such questions before. A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay.

Decision Point Three

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

Assure the parents that the questions Katie are asking are age-appropriate and increase dose of Wellbutrin to 150 mg daily

Implement psychodynamic therapy

Change drug to Concerta 18 mg orally daily in the morning A young girl with difficulties in school – Child Abuse Case study – Katie ADHD Essay

NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions

Describe a scenario in which there was a conflict between nurses working in your current or previous work environment. What was the primary cause of the conflict? What conflict resolution strategies would you employ to manage this conflict and promote civility in the workplace and why?

 

Compare and contrast servant leadership with another leadership style or theory such as transformational leadership. What are the primary characteristics of each? What appeals to you about them and what strengths and drawbacks do you see with each in terms of influencing organizational culture as a nurse leader? NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.

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Discuss organizational factors that can drive the change within a health care organization. Also, discuss the ethical, social, legal, economic, or political implication of the change within an organization and on the profession of nursing. Integrate a specific example of organizational change you have witnessed in your response.

 

You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee?

 

Imagine you are working in an outpatient specialty office. Your nursing director has informed you that due to “accountable care” your office might be penalized by having too many diabetic patients that are above the hemoglobin A1C (HBA1C) goal of 8. The national benchmark is that only 20% of your population should be above 8 and your office shows 40%. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Your physicians have also been informed by their management of the same issue.

Develop a plan using enhanced communications with patients to reach the benchmark goal. What might you do if you had the resources to accomplish this? You should consider all the technology you might be able to use such as a patient portal, wireless home monitor, texting, and secure messaging for example. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.

 

What challenges do current reimbursement models pose for nurse leaders in their obligations to promote quality, cost effective patient What strategies can effective nurse leaders use to overcome those challenges? Discuss any specific examples you may have witnessed a leader implement in the practice environment in your response.

 

Review the Graduate QSEN Competencies. Focusing on the areas of Quality Improvement (QI), Safety, and Informatics, summarize the essential knowledge, skills and attitudes that an advanced registered nurse should possess to competently promote the use of health care data and information to improve care in the clinical setting. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Discuss two specific ways information and technology can improve clinical practice, administration, education, or research in your response.

 

 

Discuss a key event in the evolution of nursing informatics and the characteristics of nursing informatics as a specialty. In what ways do the roles of informatics nurses and nurse leaders intersect?

 

What are the primary challenges related to interoperability and the exchange of health information in the practice environment and how might these impact patients’ access to the best care? NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Discuss a particular challenge with clinical provide order entry (CPOE) in your response.

 

 

Discuss the benefits and drawback of clinical decision support systems, including the challenges of avoiding alert fatigue. Considering your interactions with patients and systems in the clinical environment, what best practices related to human factors and user-centered design would you recommend to designers of such systems?

 

Discuss an example of a personal health, mobile heath, or telehealth-related application that you think can improve patient care. What are some of the primary challenges with integrating data from a mobile device or application with data within an EHR? Do you think most patients are comfortable with sharing their personal data in the clinical environment? Supposing the sharing of such information is beneficial for their health, what can be done to help patients overcome their reticence?

 

 

Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.

 

What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.

 

 

There are several project management methodologies available to nurse leaders for supporting the implementation of quality and performance improvement initiatives in the practice environment. Two well-known ones are Lean and Six Sigma. Compare and contrast two project management methodologies you think are promising in the health care environment. Discuss their relative benefits and drawbacks and discuss why you think they can be successful for implementing quality improvement initiatives. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.

Safe Prescribing DEA PMHNP essay assignment example

Assignment : Safe Prescribing

1. Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.

2. Explain your responsibilities when having a DEA number.

3. Explain how you apply for a DEA number.

4. Explain MARYLAND state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements. Safe Prescribing DEA PMHNP essay assignment example.

5. Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

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Safe Prescribing

The Food and Drug Administration oversees the Drug Enforcement Administration. Drug Enforcement Administration (DEA) was founded in 1973 for the enforcement of controlled substances. The DEA protect the safety of the public within the United States. They help to make sure that drugs are not misused for an illicit purpose. In the US there are over 6 million prescription drug abusers (DEA, n.d.). Controlled substances are categorized into five schedules which are schedule I, II, III IV and V.   Schedule I have the highest potential for abuse and as the schedule number gets higher the potential for abuse gets lower. Safe Prescribing DEA PMHNP essay assignment example.

Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP                                                    

A nurse practitioner that is board certified and caring for patient must be licensed and DEA certified to prescribe control substance. The DEA work with practitioners to prevent drugs diversion for an illicit purpose. The DEA work with state professional licensing boards, local and state law enforcement authorities to guarantee controlled substances are prescribed, administered and distributed for authentic medical reasons, according to the federal and state laws. Safe Prescribing DEA PMHNP essay assignment example.

The DEA can investigate practitioner at any time if there is any suspicion of violations of federal or state law. At any time, there is a violation, the state board withdraws the practitioner license, and the DEA will make sure that the practitioner voluntarily surrenders their DEA registration. A lack of compliance requires corrective action, for example, administrative action or in extraordinary cases, civil, or criminal act. These actions are taken to stop the practitioner the ability to divert or abusing controlled substances and protect the health and safety of the public. Safe Prescribing DEA PMHNP essay assignment example.

T
he PMNHP responsibilities when having a DEA number

As a practitioner, it is important to proper prescribe, administer, and distribute controlled substances because can affect patients’ health and the safety of the public. Practitioners must prescribe substance-controlled medication as authorized by the state in which they practice. Safe Prescribing DEA PMHNP essay assignment example. The practitioner acts only within the scope of employment in the institution where they work. The practitioner prescribes medication under the employer registration and is assigns a specific internal code as authorized by their employer (DEA, n.d.).

As a practitioner, it is essential to keep all prescription blanks in a safe place. It is crucial to writing out the exact amount of prescription to prevent altercations of the prescription order. Prescription blanks should not be used as notes. It is significant to assist the pharmacist when they call to verify the prescription order. It is important not to sign a blank prescription pad in advance and use a tamper-resistant prescription pad. Safe Prescribing DEA PMHNP essay assignment example. The practitioner should be careful not to be manipulated by drug-abuser. Drugs diversion may result in drug overdose, drug- related emergency room visits, drug addictions and death. All suspicious prescription activities should be reported to the nearest DEA office immediately.

                                          Explain how you apply for a DEA number

A practitioner is required by their state and DEA to apply for a DEA number by registering using DEA form 224. It can be done online or hard copy or mailed. The phone is 1-800-882-9539, and the online websites are www.DEAdiversion.usdoj.gov. and cost about $700 (DEA, n.d.).

An active license for the state of practice is required. The online registration consists of six-part which are Personal/ business information, Activity, state license, background information, payment, and confirmation. It is crucial to know that the application fees are not refundable. Safe Prescribing DEA PMHNP essay assignment example. For online application take note of the registration ID number and call after three business days to verify if the application has been approved.

Anybody who purposely or intentionally furnishes false or deceitful data in the form is liable to a term of detainment of not over four years, and a fine under Title 18 of not more than $250,000, or both (DEA, n.d.).

Explain your state’s requirements for a safe prescribing and prescription monitoring

     program. Explain your responsibility as a PMHNP to follow these requirements.

All practitioner in Maryland must be registered with Prescription Drug Monitoring Program. It helps the state to monitor prevent diversion of substance medication. As a practitioner is mandatory to follow the requirement of the state to prevent any civil or criminal charge or suspension of license. A nurse practitioner must comply with the state law of Health Occupations Article, §12-505, Annotated Code of Maryland, record the order of the prescription drug on the patient’s chart, permit the division of drug control to enter and review the practitioner office at any time. Safe Prescribing DEA PMHNP essay assignment example. A practitioner is required to stamp all schedule III, IV, V prescription with the letter “C’ in a red link (MBON, 2017). Only starter dosages or samples medication without charges, furnish the patient with a written prescription order. A practitioner should maintain two separate records one for schedule II medication and the other for other prescription and keep records for five years. The practitioner can prepare and distribute a starter dosage of any drug they want as authorized and record it in the patient chart. Safe Prescribing DEA PMHNP essay assignment example.

Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

The Schedule II drug levels have a high possibility for abuse which may lead to severe physical or psychological dependence. There is no federal time limit to numbers of drugs prescribed. Safe Prescribing DEA PMHNP essay assignment example. An oral order can be given in an emergency situation. Examples of Schedule II narcotics are hydromorphone, oxycodone and methylphenidate (Gabay, 2013).

Schedule III-Substances have a lesser potential for abuse than schedule I or II with moderate physical and psychological dependence. Example is buprenorphine (Gabay, 2013).

  Schedule IV- is a controlled substance with a little potential for abuse than schedule I, II and III. Example is Tramadol, Ambien and clonazepam
(Gabay, 2013).

   Schedule V as the lowest potential for abuse of all and it contain limited number of certain narcotics. Example Lyrica and Robitussin AC
(Gabay, 2013). Safe Prescribing DEA PMHNP essay assignment example.

 

References

Drug Enforcement Administration (n.d.). Drug Scheduling. Retrieved on September 23, 2018.https://www.dea.gov/drug-scheduling

Gabay, M. (2013). Federal Controlled Substances Act: Controlled Substances Prescriptions. Hospital Pharmacy, 48(8), 644–645. Retrieved on September 23, 2018   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847977/. Safe Prescribing DEA PMHNP essay assignment example.

Maryland Board of Nursing (2017). Division of State Documents. Retrieved on September 23, 2018.
https://mbon.maryland.gov/Pages/advanced-practice-index.aspx

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Safe Prescribing DEA PMHNP essay assignment example.

Antisocial Personality Disorder essay research case study example

Assignment : Antisocial Personality Disorder

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

Antisocial Personality Disorder essay research case study example

THE CASE STUDY

Antisocial Personality Disorder

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BACKGROUND

SUBJECTIVE

Rhonda is a 32-year-old Hispanic female who presents to your office for her initial appointment. When you ask what brought her to your office, she states: “I’m at the end of my rope, I don’t know what else to do.” She then bursts into tears. Rhonda explains that she has very few friends left, and everyone seems to have “abandoned” her. Rhonda explains that she goes out of her way to help other people, and to be nice to them, but this does not seem to help.

Rhonda then stands up and begins to pace around your office at times using wild hand gestures to explain the circumstances that led up to her making the appointment with you. She describes the recent breakup with her boyfriend as traumatic and explains “when we first met, he was the best guy in the world. He treated me really well. But he just became a complete monster! Even though he broke off the relationship with me, I was glad to see it end. I hate his guts!” Antisocial Personality Disorder essay research case study example.

Rhonda explains that her current financial situation is also precarious. She states that she recently purchased an automobile, and is not certain how she is going to pay for it. She states that she had a car that was repossessed last year at that time, and that she borrowed some money from a friend to help pay for the car; the friend later turned around and accused her of theft. “It was my friend’s fault. She told me she would loan me the money and then backed out. I only took the money because she said she would loan it to me … people just can’t go back on their word like that when other people are counting on them.”

Rhonda reports that she was “always in trouble” as a kid. She states that people were always picking on her, to which she adds: “the other kids my age were just stupid. Antisocial Personality Disorder essay research case study example. They didn’t know how to have fun.” She says “I have always been impulsive, but it’s fun. Sometimes people can be such prudes … you only go around life once, so you have to make the best of it.”

OBJECTIVE

Rhonda is currently single. She has no children. Educationally, she had completed two semesters toward her bachelor of arts degree in fine arts. Rhonda currently works as a waitress at a local restaurant. She has held this job for about 2 weeks. Prior to this, Rhonda worked as a housekeeper for a local hotel chain. She states that she was fired from this job because her coworkers were jealous of her and “planted” evidence of her stealing from hotel patrons. She was also arrested for cashing checks under an alias, for which she spent 120 days in jail. Antisocial Personality Disorder essay research case study example.

Rhonda has a history of multiple incarcerations for offences ranging from larceny to possession of controlled substances to possession of an illegal firearm. She was also arrested several times for fighting and on at least one occasion, used a baseball bat to beat up a girl who she thought was trying to “set her up” with the police.

MENTAL STATUS EXAM

Rhonda is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. She reports her mood as “terrible!” Affect is labile and seems to change rapidly with the subject being discussed. Her eye contact is normal, but at times, she appears to stare at you. Rhonda is oriented to person, place, and time. She denies visual/auditory hallucinations, no overt paranoia or delusional thought processes noted. Rhonda denies any suicidal or homicidal ideation. Antisocial Personality Disorder essay research case study example.

.

Decision Point One

1. Diagnosis: Antisocial Personality Disorder

Decision Point Two

2.Refer to psychologist for psychological testing

RESULTS OF DECISION POINT TWO

– Client returns to clinic in four weeks

– The psychologist’s report indicates that a comprehensive psychological battery was performed for the purposes of diagnostic clarification. The end result suggested that Rhonda has traits of multiple personality disorders, but scores highest in antisocial personality traits, suggesting antisocial personality disorder. Antisocial Personality Disorder essay research case study example.

-When Rhonda returns to the office, you review the psychologist’s report with her. Rhonda seems upset, but also states “well, that’s why I am here, to get better … what do I need to do?”

Decision Point Three

3. Refer to group-based cognitive behavior therapy

Guidance to Student

Referral to a psychologist was appropriate for the purposes of diagnostic clarification. Psychological tests can help tease out the actual personality disorder that Rhonda has. In this case, Rhonda’s symptoms are most consistent with antisocial personality disorder, but as you can see, she has signs/symptoms of other personality disorders.

Of the available choices, group-based cognitive behavior therapy may be useful in treating individuals with this personality disorder, but all “improvement” in signs/symptoms should be met with great skepticism. Antisocial Personality Disorder essay research case study example.

Dialectical behavior therapy is ineffective in people with APD.

Beginning Latuda is not appropriate, as there are currently no FDA-approved medications to treat APD. Also, prescribing medications to someone with antisocial personality disorder could lead to misuse or diversion. Antisocial Personality Disorder essay research case study example.

The Assignment:

.

At each Decision Point, stop to complete the following:

Decision #1: Antisocial Personality Disorder

Which Decision did you select?

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Antisocial Personality Disorder essay research case study example.

o Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

Decision #3: Treatment Plan for Psychopharmacology

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Antisocial Personality Disorder essay research case study example.

o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients and their families. Antisocial Personality Disorder essay research case study example.

Antisocial Personality Disorder essay

Antisocial personality disorder (ASPD) is a powerlessness to fit in with the social standards that customarily govern numerous parts of a person’s behavior (Sadock, Sadock & Ruiz, 2014). A person with ASPD are often called sociopathy, is a psychological condition in which a person reliably demonstrates no respect for good and bad and disregards the rights and feelings of others. Individuals with the above disorder tend to estrange, unstable, aggressive, control or treat others cruelly or with hard aloofness. They demonstrate no blame or regret for their conduct. Ms. Rhonda is a 32year old Hispanic with no children. In the scenario She presently works at local restaurant as a waitress and in college with two semesters left from graduation. She is alert and oriented × 4. She is well spoken, speech is clear, normal eye contact, goal directed, and spontaneous. She verbalized having a terrible mood. She appears to change discussed subject quickly with a labile affect. She denies any auditory or visual hallucinations, homicidal or suicidal ideation (Laureate Education, 2017a). Antisocial Personality Disorder essay research case study example.

She is manipulating, exploiting impulsive, others and violated the right of others. She is also irresponsible with her work and finances. According to the American Psychiatric Association (2013), there are four diagnostic criteria for ASPD: Individual with ASPD violate others rights deceitful, impulsive, irritability, aggressiveness, irresponsible, and lack remorse with an onset before 15 years. They must be 18 years old to be diagnoses with ASPD.

                                                     Differential Diagnosis

It is important to determine which started first, if the patient started abusing drugs before their antisocial behavior began may have behavior caused from the impacts of their drug addiction. Antisocial Personality Disorder essay research case study example.

                                                        Expected Result

Ms. Rhonda showed behavior indicative of ASPD. She is deceitful with friends. She stated that she has “always been impulsive” which she finds funny (Laureate Education, 2017a). She is consistently irresponsible (her current financial situation risky/ awful). She does not know her car note will be paid for. She stated that her last car was repossessed last year because of her friends, who promised to loan her money but later backed out. Antisocial Personality Disorder essay research case study example. She expresses that she was terminated from a job because her colleagues were envious of her and “planted” proof of her stealing from hotel patrons. She was arrested for cashing checks using fake name, for which she was imprison for 120 days (lack remorse).

Rhonda has a background of various detainments for offenses running from possession of an unlawful gun to stealing to possession of controlled substances. Antisocial Personality Disorder essay research case study example. She was arrested a few times for combating and on somewhere around one event, utilized a baseball bat to thrash a young lady who she thought was attempting to “set her up” with the police (lack remorse) (Laureate Education, 2017a).

              Difference Between Expected Result and the Achieved Result

There is no difference between the expected result and achieved result since Ms. Rhonda exhibited signs and symptoms indicative of ASPD.

                                                      Decision Point Two

                                      Refer to psychologist for psychological testing

The explanation behind this choice is because diagnosing ASPD is based on psychological evaluation. Patient will be referred to psychologist for psychological testing this will enable the psychologist to even more likely comprehend the patient and her behavior. psychological testing is a procedure of critical thinking in which the psychologist attempts and decide the main components of a patient’s mental or mental health problems, Intellectual Functioning IQ, personality, behavioral or some other component. It is additionally a procedure that aides distinguish a person strength and weakness (Laureate Education, 2017a). Antisocial Personality Disorder essay research case study example.

Expected Result with this Decision

There is no different between expected result and the actual result because the psychologist report shows that a thorough psychological battery was performed for the motivations behind diagnostic elucidation. The psychological report stated that although Rhonda had other qualities of multiple personality disorder. She scored highest in antisocial personality disorder test indicating that she has ASPD.

                     Difference between what you expected to achieve with Decision #2

Rhonda was referred to psychologist so that she can get the best treatment need for her symptoms.  Rhonda has a lots of other personality disorder symptoms. The psychological tests will enable persuade to out the actual personality disorder that Rhonda possess
.
Rhonda’s indications are most predictable with reserved ASPD, however as should be obvious, she has signs/side effects of other identity issue (Laureate Education, 2017a).

                                                        Decision Point Three

                                Refer to group-based cognitive behavior therapy

Reason for Decision

There is at present no FDA-approve medication for the treatment of ASPD so prescribing medication to the patient may result to diversion or abuse. Antisocial Personality Disorder essay research case study example. Psychotherapy is effective in the treatment of ASPD. Group-based cognitive behavior has proven to be effective with ASPD.CBT uses cognitive restructuring, exposure, behavior modification, psychoeducation, and skills education.

                                            Expected Result with this Decision.

Group-based cognitive behavior has proven to be effective with ASPD. Cognitive behavioral relapse prevention theory is linked with successful correctional treatment programs (Davidson, 2008). It focuses on challenging dysfunctional beliefs and teaches the patient tactics, exercises and behavioral experiments to acquire more socially acceptable behavior. It deals with the premise that antisocial behavior is learned, motivated and strengthened within the person and within the environment factors. Antisocial Personality Disorder essay research case study example. There a few cognitive behavioral strategies can be used to acknowledge new cognitive and behavioral techniques to break the sequences of antisocial behavior (Davidson, 2008).

      Difference between Expected Result and the Achieved Result with Decision

The expected result and achieved result are the same. Ms. Rhonda returned to the clinic showing empathy, compassion, remorseful for her action and demonstrating acceptable social behavior.

                                                      Ethical
Considerations

People with ASPD are responsible for an extreme amount of social discomfort, crime, and violence and pose a critical burden to society causing distress to others, to a great extent because of the violations they commit and their antisocial behavior.  Working with ASPD patients can be challenging. ASPD is a mental disorder and requires clinicians to give proper consideration and treatment nonjudgmental (De Brito & Hodgins, 2009). Antisocial Personality Disorder essay research case study example.

 

                                                        References

Davidson K.M. (2008). Cognitive therapy for personality disorders: a guide for clinicians. Second Edition.  Routledge: Hove

De Brito S, Hodgins S (2009) Antisocial personality disorder. In: McMurran M, Howard R, editors. Personality, Personality Disorder and Risk of Violence: An Evidence-Based Approach. West Sussex, UK: John Wiley and Sons. Antisocial Personality Disorder essay research case study example.

Framingham, J. (2016). Types of Psychological Testing.
Psych Central
. Retrieved on September 23, 2018, from https://psychcentral.com/lib/types-of-psychological-testing/

Laureate Education. (2017a). A woman with personality disorder [Interactive media file] Baltimore, MD: Author.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Antisocial Personality Disorder essay research case study example.

Maryland Nursing Certification Plan Essay Example

Assignment: Certification Plan

1. Describe the PMHNP practice environment for MARLAND state, highlighting restrictions or limitations for practice.

2. Compare the PMHNP practice environment in MARYLAND State with a neighboring state or a state in which you would like to practice.

3. Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process. Maryland Nursing Certification Plan Essay Example.

4. Develop a checklist for passing the national certification exam, including a detailed timeline that includes academic preparation (study plan), registration, financial preparation, etc

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Certification Plan                                                                                                   

Nurse Practitioner is advance practiced registered nurse with higher education to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and articulate treatment plans. According to the American Association of Nurse Practitioners, a nurse practitioner has a masters or doctoral level education. To practice professional licensure and certification are required in every state (AANP, 2018). They deliver care to patients in need of primary, acute, chronic, and specialty care. In some states, they can independently manage patient care and educate patients and families about illnesses. Maryland Nursing Certification Plan Essay Example.

PMHNP Practice Environment in Maryland – Maryland Nursing Certification Plan Essay Example

Licensure laws vary contingent on the state. The Maryland Board of Nursing approves the licensure of nurse practitioners who graduates from an accredited school. To practice as an NP, the NP student must sit for certification after graduating from an accredited school with one of the national credentialing associations (NPAM, 2018). As indicated by Maryland Scope of Practice (2018), preceding full practice authority can be given in Maryland, an NP must have a coordinated shared relationship for 18 months with an NP or a Doctor with a full practice authority. They have a limitation for prescribing schedule II-V controlled element, which can only be done with certification.  NP’s in Maryland has a limitation as medical staff membership. The State law doesn’t indicate Maryland’s necessities for medical staff composition.

                             PMHNP practice environment in neighboring states

The state of Virginia and the District of Columbia law have stricter laws than the state of Maryland because in the District of Columbia NPs’ cannot sign disable person placard forms and death certificates while in Virginia NPs’ cannot practice independently. They need a joint agreement with a physician to practice. The state law did not outline if NPs’ can be a primary care provider (Barton Associates, 2018).

   Professional and/or Clinical practice issue a new PMNHP will need to consider and address with the certification, licensure, credentialing, or relocation process.Maryland Nursing Certification Plan Essay Example.

One of the issues a new NP may be in the part of credentialing which is unique in relation to certification. The credentialing process incorporates the validation of education, licensure, reference checks, and accreditation. In the process of relocation an NPs may be faced with restriction of practice despite the fact they have the same educational qualification base on the state of practice for example DC, Maryland and Virginia all have different scope of practice.

Checklist for Passing the National Certification Exam

It is crucial to work towards graduating from the NP program and then proceed with getting certification. The school which the NP student graduate from sending an official transcript to the American Academy of Nurse Practitioners (AANP), or the American Nurses Credentialing Center (ANCC). The student after confirming that the AANP or ANCC have received their transcript can now register for the NP certification exam. Maryland Nursing Certification Plan Essay Example. The student is sent a candidate’s eligibility to Test notice is sent to, and candidates are expected to review the candidate handbook for the exam for relevant information about the application process, testing content, and testing procedures. The student is expected to test during an a120-day window

My plan is after my final exams in school. I will take time out from my job and read my purple book and practice Board vitals and Pocket prep questions. My aims are to read and understand the purple book and go for a review class with Barkley & Associates.

 

References

American Association of Nurse Practitioners. (2018). Nurse Practitioner Credibility. Retrieved from https://www.aanp.org/membership/107-all-about-nps/what-s-an-np-accordion/570-why-nps-are-important. Maryland Nursing Certification Plan Essay Example.

Barton Associates, (2018). Nurse Practitioner Scope of Practice Laws. Retrieved from https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws/ Maryland Scope of Practice (2018).

Maryland Scope of Practice Policy: State Profile. Retrieved from http://scopeofpracticepolicy.org/states/md/. Maryland Nursing Certification Plan Essay Example.

Nurse Practitioner Association in Maryland. (2018). What is a Nurse Practitioner? Retrieved from https://www.npamonline.org/page/4

Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999

Online Master of Science in Nursing (MSN) with a Specialization in Nurse Educator Courses

Master of Science in Nursing (Specialization in Nurse Educator)

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Offered at South University, Online Programs.

Nurse educators combine clinical expertise and a passion for teaching into rich and rewarding careers. These professionals, who work in the classroom and the practice setting, are responsible for preparing and mentoring current and future generations of nurses. Nurse educators play a pivotal role in strengthening the nursing workforce, serving as role models and providing the leadership needed to implement evidence-based practice. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999.

Nurse educators are responsible for designing, implementing, evaluating and revising academic and continuing education programs for nurses. These include formal academic programs that lead to a degree or certificate, or more informal continuing education programs designed to meet individual learning needs. Students will complete 176 practicum hours during progression through the program.

Specialization Outcomes

Graduates should be able to:

Create a variety of successful instructional methods to meet the needs of targeted learner populations.

Develop plans of study in nursing education based on appropriate curricular principles, pedagogical principles and strategies, and learning assessment strategies.

Integrate clinical expertise with appropriate strategies of instruction when engaged in educational experiences.

Master of Science in Nursing (Specialization in Nurse Educator): 54 Credits

MSN Core 20 Credits

NSG5000 Role of the Advanced Practice Nurse: Transformational Leadership in Advanced Practice, 4 Credit Hours

NSG5002 Advanced Theoretical Perspectives for Nursing, 4 Credit Hours

NSG5003 Advanced Pathophysiology, 4 Credit Hours

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practice, 4 Credit Hours

NSG6101 Nursing Research Methods, 4 Credit Hours

Specialization in Nurse Educator: 34 Credits

NSG6003 Teaching and Learning Strategies in Nursing, 4 Credit Hours

NSG6005 Advanced Pharmacology, 4 Credit Hours

NSG6020 Advanced Health and Physical Assessment, 6 Credit Hours

NSG6102 Evaluation of Educational Outcomes in Nursing, 4 Credit Hours

NSG6103 Curriculum Design and Evaluation in Nursing Education, 4 Credit Hours

NSG6203 Practicum in Nursing Education I, 4 Credit Hours

NSG6204 Practicum in Nursing Education II, 4 Credit Hours

NSG6999 Graduate Project in Nursing, 4 Credit Hours

Note(s):

South University, Online Programs may not be available to residents of all states.  Please contact an admissions representative for further information. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

**
NOTE: Minnesota residents are not eligible to enroll in the online programs for the Doctor of Nursing Practice, Post Graduate Certificates in Nursing, the Master of Science in Nursing or the RN to Master of Science in Nursing.

Master of Science in Nursing (MSN)**

The Master of Science in Nursing degree program (MSN) is designed to develop and enhance the knowledge and skills of registered nurses. It is also designed for those nurses who want to pursue advanced positions in today’s challenging healthcare environment. The program, based on the American Association of Colleges of Nursing Master’s Essentials, blends nursing theory with advanced practice concepts that prepare students to work within a healthcare organization or educational setting.

All applicants to the MSN program must hold a current and unencumbered license in the state in which they are completing program requirements. Additionally, all applicants must successfully complete a criminal background check and a drug screening. Clinical affiliation agencies may require additional personal testing.

The program consists of five core courses and courses in an area of specialization in education, administration, informatics, and various nurse practitioner programs. Program includes practica and experiences in areas of specialization. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

Courses may be waived if the individual’s master’s transcript indicates that s/he has successfully completed the required course or its equivalent. Waivers and exceptions will be determined on the written request of individual students through a transcript analysis as determined by the Program Director, Chair, or College Dean.

Program Student Learning Outcomes

Graduates should be able to:

Synthesize theories and concepts from nursing and other disciplines for application in advanced nursing roles.

Analyze current scientific research for application of findings to initiate change and to improve practice.

Create comprehensive plans of action that address the health promotion and disease prevention needs of individual, family, and community populations.

Formulate a plan for ongoing contributions to improvement of healthcare delivery and development of health policy in a cost-effective manner.

Apply an ethical decision-making process in professional practice and an analysis of systems of healthcare.

Model a professional leadership role that fosters improvement of healthcare and advocates scholarly activities to advance self and profession.

Employ informatics and technology in various aspects of the advanced nursing leadership role.

Practice within ethical-legal guidelines, professional policies and regulations, and standards of practice associated with a specialty area of advanced nursing practice.

Active-Visible2018-08-06 13:29:072018-08-06 13:29:07

Clinical APEA Policy

Clinical (NP and NE) APEA Policy

This policy establishes guidelines and grading criteria for the use of the Advanced Practice Education Associates (APEA) products in the Family Nurse Practitioner (FNP) and Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) programs.  This policy provides a framework for consistent usage and application of APEA products.

APEA Testing

The APEA assessments are used as a component of formative and summative academic assessment in the MSN/PGC/FNP, AGPCNP and for NE (the 3P exam only) programs. The APEA online testing center provides documentation of completion of assigned proctored/non-proctored APEA exams. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

The APEA 3P exam measures competency of the core criteria for advanced health assessment, advanced pathophysiology and advanced pharmacology. This exam evaluates clinical readiness prior to entering the practicum setting. A minimum score of ≥ 67 (minimum score may change based on exam psychometrics) is the goal. This exam is administered during week eight/nine of NSG6020 Advanced Health and Physical Assessment, in NSG6021 Pre-Clinical Evaluation. Students who do not achieve the minimum score will be enrolled in NSG6022 Nurse Practitioner Enhancement, a 4 credit, 10/11-week remediation course. A new 3P exam version will be administered in week 10/11. Students who are unsuccessful after two cumulative (2) attempts will be programmatically dismissed from the MSN nurse practitioner programs. The Grading Rubric is presented in Table 1.1 below.

Table 1.1  APEA 3P Grading Rubric

APEA 3P Exam Grading Criteria

Letter Grade

Points/Percent of Grade

Score on APEA Post-predictor Exam is ≥67%

P

100 pts/100%

Score on APEA Post-predictor Exam of <67% F 0 pts/100% The APEA Pre-Predictor exam measures competency in patient management: assessment, diagnosis, planning and intervention, pharmacotherapeutics, and evaluation The Pre-Predictor Exam identifies weaknesses in knowledge areas and testing domains for remediation in preparation for the APEA Post-Predictor exam. This exam is administered for MSN AGNP students in week two of NSG6340: Practicum III: Adult Health: Primary Care and for MSN FNP students in week two of NSG6440: Practicum IV: Family Health: Primary Care. A minimum score of ≥70% is the goal. The Pre-Predictor exam is 15% of the MSN FNP NSG6440 and MSN AGNP NSG6430 course grade. The Grading Rubric is presented in Table 1.2 below. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Table 1.2 APEA Pre-Predictor Grading Rubric APEA Pre-Predictor Exam Grading Criteria Points/Percent of Grade Score on APEA Pre-predictor Exam is > 70%

100 pts/15%

Score on APEA Pre-predictor Exam of 65-69%

75 pts/15%

Score on APEA Pre-predictor Exam of < 65% 55 pts/15% Note: Score ranges may change based on exam psychometrics The APEA Post-Predictor exam measures competency in patient management by testing knowledge areas and testing domains that include: assessment, diagnosis, planning and intervention, pharmacotherapeutics, and evaluation. The APEA Post-Predictor exam identifies weaknesses in knowledge areas and testing domains for remediation in preparation for the certification exam The APEA Post-Predictor exam considered a national standardized exam or exit exam. This exam is administered for MSN AGNP students in week eight/nine of NSG6340: Practicum III: Adult Health: Primary Care and for MSN FNP students in week eight/nine of NSG6440: Practicum IV: Family Health: Primary Care. A minimum score of ≥70% is the goal. The Post-Predictor exam is worth 40% of the final grade in MSN FNP ( NSG6440) and AGNP ( NSG6340). The Grading Rubric is presented in Table 1.3 below. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Table 1.3 APEA Post-Predictor Grading Rubric APEA Post-Predictor Exam Grading Criteria Points/Percent of Grade Score on APEA Post-predictor Exam is > 70%

100 pts/40%

Score on APEA Post-predictor Exam of 65-69%

75 pts/40%

Score on APEA Post-predictor Exam of < 65% 55 pts/40% Note: Score ranges may change based on exam psychometrics Remediation Individualized remediation provides an opportunity for students to review study and acquire additional knowledge. Remediation is intended to help students recover important information that was missed when taking the assessment. Remediation is required for all APEA assessments. Students must utilize their test results to complete remediation. Content areas with a score of ≤ 66 on the 3P exam and ≤ 69% on the pre and post predictor exams require remediation (minimum score may change based on exam psychometrics). Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Failure to comply with the APEA testing policy may result in a course failure. Retesting is required for any student not achieving a minimum grade of ≥ 67% (minimum score may change based on exam psychometrics) on the APEA 3P exam or a minimum grade of ≥ 70% on the APEA Pre-Predictor or Post-Predictor exams (minimum scores may change based on exam psychometrics). Retesting of the APEA 3P exam will take place during the final week of NSG6021. A different test version will be utilized for retesting.Students who achieve a minimum grade of ≥ 67% on the retest of the 3P exam will receive an 80% for the APEA grade. Students who are unsuccessful after two (2) attempts on the 3P exam will be programmatically dismissed from the MSN nurse practitioner programs. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Comprehensive APEA Program Students have access to and are assigned the APEA resources to be used. Courses are listed in Table 3.1 and identifies APEA resources to be used in the corresponding courses. Table 3.1 Courses with Corresponding APEA Resources Course Resource NSG5003 – Advanced Pathophysiology (FNP and AGPCNP) Require Students Purchase APEA Resource: Clinical Guidelines in Primary Care. Students are required to cite clinical guidelines resources in papers and presentations throughout the program as identified in the ACOs. NSG6005 – Pharmacology (FNP and AGPCNP) APEA Resource: Begin QBank Pharmacology 6 months’ access. Students must complete 50 Pharmacology QBank questions per week in tutor mode. In week 10, students must complete a 75-question exam mode assessment with a required score of ≥ 80%. Students may repeat the exam to achieve the required 80%. Students must complete all questions. Course Percentage: 10%. Suggest Students Purchase APEA Resource: Pharm in Flash cards from APEA. NSG6001 – Advanced Nursing Practice I (FNP & AGPCNP) and practicum courses. Suggest Students Purchase APEA Resource: APEA Guide to Coding. Students are required to include ICD-10, E & M and CPT codes for all diagnoses, levels of care and procedures referenced in papers, presentations and clinical documentation (comprehensive and focused SOAP notes) throughout the program as identified in the ACOs. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . NSG6020 – Advanced Health and Physical Assessment (FNP , AGNP & NE) APEA Resource: Begin QBank Patient Assessment Questions with 6 months’ access. Students must complete 50 Assessment Q bank questions per week in tutor mode. In week, 9 students will complete a 75 questions exam mode assessment with a required score of ≥ 80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions. Course Percentage: 10%. Suggest Students Purchase APEA Resource: Dermatology DDx Deck/ Pediatric  Dermatology DDx Deck. NSG6021 Pre-Clinical Evaluation 3P Exam: Administer Week 8/9 Content areas with a score ≤66% require remediation. NSG6420 (FNP) or NSG6320 (AGNP) – Practicum I: Family or Adult Health: Adults and Gerontology APEA Resource: Continue QBank Patient Assessment. Students must complete 50 Assessment Q bank questions per week in tutor mode. In week 9, students will complete a 75-question exam mode assessment with a required score of ≥ 80%. Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculcated in the final course grade. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Students must complete all questions. Course Percentage: 10%. APEA Resource: Begin FNP or AGNP Online Video Review Course 12 months; 2 views. Students must complete the appropriate sections for their track, sections 1 through 5 of the review course by the end week 9 or receive a zero “0” for the assignment. NSG6430 (FNP) or NSG6330 (AGNP) – Practicum II Family or Adult Health: Women’s Health APEA Resource: Begin QBank Patient Management 12 months’ access. Students must complete 50 Management Q bank questions per week in tutor mode. In week 9 students must complete a 75 question exam mode assessment with a required score of ≥ 80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions. Course Percentage: 10% APEA Resource: Continue FNP or AGNP Online Video Review Course 12 months; 2 views Students must complete the appropriate sections for their track, sections 6 through 10 of the review course by the end week 9 or receive a zero “0” for the assignment. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . NSG6435 (FNP) – Practicum III: Family Health: Pediatrics APEA Resource: Continue QBank Patient Management. Students will complete 50 Management Q bank questions per week in tutor mode. In week, 9 students will complete a 75-question exam mode assessment with a required score of ≥ 80%. Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions. Course Percentage: 10%. APEA Resource: Continue FNP Online Video Review Course 12 months; 2 views. Students must complete sections 11 through 15 of the review course by the end week 9 or receive a zero “0” for the assignment. NSG6340 (AGNP) – Practicum III: Adult Health: Primary Care APEA Resource: Continue QBank Patient Management. Students will complete 50 Management Q bank questions per week in tutor mode. In week, 9 students will complete a 75-question exam mode assessment with a required score of ≥ 80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Students must complete all questions. Pass/Fail APEA Resource: Continue AGNP Online Video Review Course 12 months; 2 views. Students must complete sections 11 through 16 of the review course by the end week 9. Complete all the practice questions and the evaluation. Then submit the certificate of completion from APEA or receive an incomplete for the course. Pre-Predictor Exam (AGNP): Administer Week 2 Post-Predictor Exam (AGNP): Administer Week 8/9 NSG6440 (FNP) – Practicum IV (IV: Family Health: Primary Care APEA Resource: Continue QBank Patient Management. Students must complete 50 Management Q bank questions per week in tutor mode. In week 9 students will complete a question exam mode assessment with a required score of  ≥  80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions or receive an incomplete for the course. Pass/Fail APEA Resource: Continue FNP Online Video Review Course Students must complete sections 16 through 19 of the review course by the end week 10. Complete all the practice questions and the evaluation. Then submit the certificate of completion from APEA or receive an incomplete for the course. Pre-Predictor Exam (FNP): Administer Week 2 Post-Predictor Exam (FNP): Administer Week 8/9. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

Borderline Personality Disorder Essay Discussion Post

Discussion: Treatment of Personality Disorders

Personality disorders occur in 10–20% of the population. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

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In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research.

Learning Objectives

Students will:

Analyze diagnostic criteria for personality disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatments for personality disorders

Analyze clinical features of clients with personality disorders

Align clinical features with DSM-5 criteria.  Borderline Personality Disorder Essay Discussion Post .

Compare differential diagnostic features of personality disorders

To prepare for this Borderline Personality Disorder Essay Discussion Post :

By Day 5 of Week 2, your Instructor will have assigned you a personality disorder, which will be your focus for your initial post for this Borderline Personality Disorder Essay Discussion Post .

Review the Learning Resources.

By Day 3

Post:

Explain the diagnostic criteria for your assigned personality disorder(Borderline Personality Disorder).

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder(Borderline Personality Disorder).

Describe clinical features from a client that led you to believe this client had this disorder(Borderline Personality Disorder). Align the clinical features with the DSM-5 criteria.  Borderline Personality Disorder Essay Discussion Post .

Support your rationale with references to the Learning Resources or other academic resources.

By Day 6

Respond to at least two of your colleagues Borderline Personality Disorder Essay Discussion Post  by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. What are their similarities and differences? How might you differentiate the two diagnoses?  Borderline Personality Disorder Essay Discussion Post .

NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers

NURS 6002 Foundations for Graduate Study: Welcome & Course Readings

Welcome & Course ReadingsWelcome to your course guide

NURS 6002 Course Readings

Other Readings

Welcome to your course guide

Please find your required library readings below. If you have problems with the links below, please contact the Library. If you have APA questions about these materials, please contact the Writing Center.

NURS 6002 Course Readings

After clicking on a citation below, enter your myWalden user name and password at the prompt.

Please Ask a Librarian if you have any questions about the links. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

Bahrieni, F., Azodi, P. Hajivandi, A. & Jahanpour, F. (2017). The effect of education in nurse’s moral sensitivity. Journal of Pharmaceutical Sciences and Research, 9(10), 1817–1821.

Casey, D. & Egan, D. (2013). The use of professional portfolios for career enhancement. British Journal of Nursing, 15(11), 547–552.

Glasper, A. (2016). Does cheating by students undermine the integrity of the nursing profession? British Journal of Nursing, 25(16), 932–933.

Hoskins, K., Grady, C. & Ulrich, C. (2018). Ethics education in nursing: Instruction for future generations of nurses. OJIN: The Online Journal of Issues in Nursing, 23(1).

Kauffman, H. (2015). A review of predictive factors of student success in and satisfaction with online learning. Research in Learning Technology, 23, 1–13. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

Smith, L. S. (2011). Showcase your talents with a career portfolio. Nursing, 41(7), 54–56.

Thompson, T. L. (2011). Electronic portfolios for professional advancement. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 25(4), 169–170. doi:10.1097/NUR.0b013e318222a680

Other Readings

Optional or supplemental readings may or may not be available in the library. Find further information about optional readings here.

If you have questions about your required course textbooks, please contact Student Support at support@waldenu.edu

NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers

A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. What action would the nurse perform next?

A. Auscultate the abdomen using an orderly clockwise approach to all abdominal quadrants

B. Percuss all quadrants of the abdomen in a systematic clockwise manner to identify masses, fluid, or air in the abdomen.

C. Lightly palpate over the abdominal quadrants; first checking for any areas of pain or discomfort.

D. Deeply palpate over the abdominal quadrants, noting muscular resistance, tenderness, organ enlargement, or masses. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

A

A nurse is administering a large-volume cleansing enema to a patient prior to surgery. Once the enema solution is introduced, the patient complains of severe cramping. What would be the appropriate nursing intervention in this situation.

A. Elevate the head of the bed 30 degrees and reposition the rectal tube

B. Place the patient in a supine position and modify the amount of solution

C. Lower the solution container and check the temperature and flow rate

D. Remove the rectal tube and notify the PCP

C

If the solution is too cold or the flow rate too fast, severe cramping may result.

A nurse working in a hospital includes abdominal assessment as part of patient assessment. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? Select all that apply. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

A. A patient diagnosed with peritonitis

B. A patient who is on prolonged bedrest

C. A patient who has diarrhea

D. A patient who has gastroenteritis

E. A patient who has an early bowel obstruction

F. A patient who has paralytic ileus caused by surgery

A, B, F

Decreased or absent bowel sounds, evidenced by only after listening for 5 minutes, signify the absence of bowel motility, commonly associated with peritonitis, paralytic ileus, and/or prolonged immobility. Hyperactive bowel sounds indicate increased motility, commonly caused by diarrhea, gastroenteritis, or early bowel obstruction

A nurse assesses the stool of patients who are experiencing GI problems. In which patients would diarrhea be a possible finding? Select all that apply. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

A. A patient who is taking narcotics for pain

B. A patient who is taking laxatives

C. A patient who is taking diuretics

D. A patient who is dehydrated

E. A patient who is taking amoxicillin for an infection

F. A patient taking OTC antacids

B, E, F

Diarrhea is a potential effect of treatment with amoxicillin clavulanate, laxatives, or OTC antacids. Narcotics, diuretics, and dehydration may lead to constipation.

A patient has a fecal impaction. The nurse correctly administers an oil-retention enema by:

A. Administering a large volume of solution (500-1000 mL)

B. Mixing milk and molasses in equal parts for an enema

C. Instructing the patient to retain the enema for at least 30 minutes

D. Administering the enema while the patient is sitting on the toilet

C

The usual amount of solution administered with a retention enema is 150-200 mL for enema for an adult. The milk and molasses mixture is a carminative enema that helps expel flatus. The patient should be instructed to lie on the left side of the bed as dictated by patient condition and comfort. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

A nurse prepares to assist a patient with her newly created ileostomy. Which recommended patient teaching points would the nurse stress. Select all that apply.

A. “When you inspect the stoma, it should be dark purple-blue.”

B. “The size of the stoma will stabilize within 2 weeks.”

C. “Keep the skin around the stoma site clean and moist.”

D. “The stool from an ileostomy is normally liquid.”

E. “You should eat dark green vegetables to control the odor of the stool.”

F. “You may have a tendency to develop food blockages.”

D, E, F

The nurse should encourage the intake of dark green leafy vegetables because they contain chlorophyll, which helps deodorize the feces. Patients wth ileostomies need to be aware they may experience a tendency to develop food blockages, especially when high-fiber foods are consumed. The stoma should be dark pink to red and moist. Stoma size should stabilize within 4-6 weeks, and the skin around the stoma site should be kept clean and dry.

A nurse is preparing a hospitalized patient for a colonoscopy. Which nursing action is the recommended preparation for this test?

A. Have the patient follow a clear liquid diet 24-48 hours before the test.

B. Have the patient take Dulcolax and ingest a gallon of bowel cleaner on day 1.

C. Prepare the patient for the use of general anesthesia during the test.

D. Explain that barium contrast mixture will be given to drink before the test.

A

Prep for a colonoscopy includes a clear liquid diet 24 to 48 hours before the test along with a 2-day bowel prep of a strong cathartic and Dulcolax on day 1 and enema on day 2 or a 1-day bowel prep that consists of ingestion of a gallon of bowel cleanser in a short period of time. Conscious sedation, not general anesthesia, will be given for a colonoscopy. Barium contrast mixture is given to drink before an upper GI and small-bowel series of tests.

A nurse is performing digital removal of stool on a 74-year-old female patient with a fecal impaction. During the procedure the patient tells the nurse that she is feeling dizzy and nauseated, and then she vomits. What should be the nurse’s next action? NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

A. Reassure the patient that this is a normal reaction to the procedure.

B. Stop the procedure, prepare to administer CPR, and notify the physician.

C. Stop the procedure, assess vital signs, and notify the physician.

D. Stop the procedure, wait 5 minutes, and then resume the procedure.

C

When a patient complains of dizziness or lightheadedness, nausea, and vomiting during digital stool removal, the nurse should stop the procedure, assess heart rate and blood pressure, and notify the physician. The vagal nerve may have been stimulated.

A nurse is scheduling tests for a patient who has been experiencing epigastric pain. The physician ordered the following tests: a. a barium enema, b. fecal occult blood test, and c. endoscopic studies, and D. upper GI series. What is the correct order in which the tests would normally be performed?

A. c, b, d, a

B. d, c, a, b

C. a, b, d, c

D. b, a, d, c

D

A fecal occult blood test should be done first to detect GI bleeding. Barium studies should be performed next to visualize GI structures and reveal inflammation, ulcers, tumors, strictures, and other lesions. A barium enema and routine radiography should precede an upper GI series because retained barium from an upper GI series could take several days to pass through the GI tract and cloud anatomic detail on the barium enema studies. Noninvasive procedures usually take precedence over invasive procedures, such as endoscopic studies, when sufficient diagnostic data can be obtained from them. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

A nurse is caring for a patient who has a NG tube in place for gastric decompression. Which nursing actions are appropriate when irrigating a NG tube connected to suction? Select all that apply.

NURS 6003 Foundations for Graduate Study: Welcome & Course Readings

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Welcome & Course ReadingsWelcome to your course guide

NURS 6003 Course Readings

Other Readings

Welcome to your course guide

Please find your required library readings below. If you have problems with the links below, please contact the Library. If you have APA questions about these materials, please contact the Writing Center. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

NURS 6003 Course Readings

After clicking on a citation below, enter your myWalden user name and password at the prompt.

Please Ask a Librarian if you have any questions about the links.

Boykins, A., & Gilmore, M. (2012). Ethical decision making in online graduate nursing education and implications for professional practice. Online Journal of Health Ethics, 8(1), 1–18. https://doi.org/10.18785/ojhe.0801.04

Casey, D. & Egan, D. (2013). The use of professional portfolios for career enhancement. British Journal of Nursing, 15(11), 547–552. doi:10.12968/bjcn.2010.15.11.79625

Glasper, A. (2016). Does cheating by students undermine the integrity of the nursing profession? British Journal of Nursing, 25(16), 932–933. doi:10.12968/bjon.2016.25.16.932

Kaufffman, H. (2015). A review of predictive factors of student success in and satisfaction with online learning. Research in Learning Technology, 23, 1–13.

Norris, T., Herrin-Griffith, D., Mckeon, L., & Webb, S. (2012). Using portfolios to introduce the clinical nurse leader to the job market. The Journal of Nursing Administration, 42(1), 47–51. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

Smith, L. S. (2011). Showcase your talents with a career portfolio. Nursing, 41(7), 54–56. doi:10.1097/01.NURSE.0000398641.62631.8e.

Thompson, T. L. (2011). Electronic portfolios for professional advancement. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 25(4), 169–170.

Other Readings

Optional or supplemental readings may or may not be available in the library. Find further information about optional readings here.

If you have questions about your required course textbooks, please contact Student Support at support@waldenu.edu. NURS 6002 and 6003 Foundations for Graduate Study nursing essay assignment papers.

Financial Proposal: Allocation of Resources

Complete the following components below:

Develop a strategy to request additional resources.

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Justify an allocation of resources, with examples in details that may include:

Staff

Hours Per Patient Day (HPPD)

Full-Time Equivalents (FTE)

Skill Mix (How do you determine the amount of staff you already have and how many more you may need?

Develop a communication plan with information about the concepts of costs to share with staff.

Develop a plan to interpret cost accounting.

Justify value-based purchasing. (describe why value-based purchasing is important and justify value-based purchasing)

*Should be APA formatted

*Cite 5 scholarly peer-reviewed articles. Financial Proposal: Allocation of Resources.