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DSM-IV codes online.

DSM-IV code table

Code table for conditions listed in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, 6th printing.

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DSM-IV code table

Code

Title (NOS= Not Otherwise Specified)

2900

Dementia of the Alzheimers type with late onset Uncomplicated

29010

Dementia of the Alzheimers type with early onset Uncomplicated, Dementia due to Pick’s Disease or Creutzfeld-Jacob Disease

29011

Dementia of the Alzheimers type with early onset With delirium

29012

Dementia of the Alzheimers type with early onset With Delusions

29013

Dementia of the Alzheimers type with early onset With Depressed Mood

29020

Dementia of the Alzheimers type with late onset With Delusions

29021

Dementia of the Alzheimers type with late onset With Depressed Mood

2903

Dementia of the Alzheimers type with late onset With Delirium

29040

Vascular Dementia Uncomplicated

29041

Vascular Dementia With Delirium – DSM-IV codes online

29042

Vascular Dementia With Delusions

29043

Vascular Dementia With Depressed Mood

2910

Alcohol Intoxication Delirium or Alcohol Withdrawal Delirium

2911

Alcohol-Induced Persisting Amnestic Disorder

2912

Alcohol-Induced Persisting Dementia DSM-IV codes online

2913

Alcohol-Induced Psychotic Disorder With Hallucinations

2915

Alcohol-Induced Psychotic Disorder With Delusions

29181

Alcohol Withdrawal

29189

Alcohol-Induced Anxiety, Mood or Sleep Disorder or Sexual Dysfunction

2919

Alcohol-Related Disorder NOS

2920

Substance Withdrawal, Sedative, Hypnotic or Anxiolytic Withdrawal

29211

Substance-Induced Psychotic Disorder, With Delusions

29212

Substance-Induced Psychotic Disorder, With Hallucinations

29281

Substance Intoxication Delirium

29282

Substance-Induced Persisting Dementia

29283

Substance-Induced Persisting Amnestic Disorder

29284

Substance-Induced Mood Disorder

29289

Substance-Induced Intoxication, Sleep, Anxiety, Sexual or Perception Disorder

2929

Substance-Related Disorder NOS

2930

Delirium (Due to General Medical Condition)

29381

Psychotic Disorder (Due to General Medical Condition) With Delusions

29382

Psychotic Disorder (Due to General Medical Condition) With Hallucinations

29383

Mood Disorder (Due to General Medical Condition)

29384

Anxiety Disorder (Due to General Medical Condition)

29389

Catatonic Disorder (Due to General Medical Condition)

2939

Mental Disorder NOS (Due to General Medical Condition)

2940

Amnestic Disorder (Due to General Medical Condition) DSM-IV codes online

2941

Dementia Due to HIV Infection or General Medical Condition

2948

Dementia NOS or Amnestic Disorder NOS

2949

Cognitive Disorder NOS

29510

Schizophrenia Disorganised Type

29520

Schizophrenia Catatonic Type

29530

Schizophrenia Paranoid Type

29540

Schizophreniform Disorder

29560

Schizophrenia Residual Type DSM-IV codes online

29570

Schizoaffective Disorder

29590

Schizophrenia Undifferentiated Type

29600

Bipolar I Disorder, Single Manic Episode Unspecified

29601

Bipolar I Disorder, Single Manic Episode Mild

29602

Bipolar I Disorder, Single Manic Episode Moderate

29603

Bipolar I Disorder, Single Manic Episode Severe without psychotic features

29604

Bipolar I Disorder, Single Manic Episode Severe with psychotic features

29605

Bipolar I Disorder, Single Manic Episode In partial remission

29606

Bipolar I Disorder, Single Manic Episode In full remission

29620

Major Depressive Disorder, Single Episode Unspecified

29621

Major Depressive Disorder, Single Episode Mild

29622

Major Depressive Disorder, Single Episode Moderate

29623

Major Depressive Disorder, Single Episode Severe without psychotic features

29624

Major Depressive Disorder, Single Episode Severe with psychotic features

29625

Major Depressive Disorder, Single Episode In partial remission

29626

Major Depressive Disorder, Single Episode In full remission

29630

Major Depressive Disorder, Recurrent Unspecified

29631

Major Depressive Disorder, Recurrent Mild

29632

Major Depressive Disorder, Recurrent Moderate

29633

Major Depressive Disorder, Recurrent Severe Without Psychotic Features

29634

Major Depressive Disorde, Recurrent Severe With Psychotic Features

29635

Major Depressive Disorder, Recurrent In Partial Remission

29636

Major Depressive Disorder, Recurrent In Full Remission

29640

Bipolar I Disorder, Most Recent Episode Manic, Hypomanic, Unspecified

29641

Bipolar I Disorder, Most Recent Episode Manic Mild

29642

Bipolar I Disorder, Most Recent Episode Manic Moderate DSM-IV codes online

29643

Bipolar I Disorder, Most Recent Episode Manic Severe Without Psychotic Features

29644

Bipolar I Disorder, Most Recent Episode Manic Severe With Psychotic Features

29645

Bipolar I Disorder, Most Recent Episode Manic In Partial Remission

29646

Bipolar I Disorder, Most Recent Episode Manic In Full Remission

29650

Bipolar I Disorder, Most Recent Episode Depressed Unspecified

29651

Bipolar I Disorder, Most Recent Episode Depressed Mild

29652

Bipolar I Disorder, Most Recent Episode Depressed Moderate

29653

Bipolar I Disorder, Most Recent Episode Depressed Severe without psychotic features

29654

Bipolar I Disorder, Most Recent Episode Depressed Severe with psychotic features

29655

Bipolar I Disorder, Most Recent Episode Depressed In partial remission

29656

Bipolar I Disorder, Most Recent Episode Depressed In full remission

29660

Bipolar I Disorder, Most Recent Episode Mixed Unspecified

29661

Bipolar I Disorder, Most Recent Episode Mixed Mild

29662

Bipolar I Disorder, Most Recent Episode Mixed Moderate

29663

Bipolar I Disorder, Most Recent Episode Mixed Severe without psychotic features

29664

Bipolar I Disorder, Most Recent Episode Mixed Severe with psychotic features

29665

Bipolar I Disorder, Most Recent Episode Mixed In partial remission

29666

Bipolar I Disorder, Most Recent Episode Mixed In full remission

2967

Bipolar I Disorder, Most Recent Episode Unspecified

29680

Bipolar Disorder NOS

29689

Bipolar II Disorder

29690

Mood Disorder NOS

2971

Delusional Disorder

2973

Shared Psychotic Disorder

2988

Brief Psychotic Disorder

2989

Psychotic Disorder NOS

29900

Autistic Disorder

29910

Childhood Disintegrative Disorder

29980

Rett’s Disorder, Asperger’s Disorder, Pervasive Developmental Disorder NOS

30000

Anxiety Disorder NOS

30001

Panic Disorder Without Agoraphobia

30002

Generalised Anxiety Disorder

30011

Conversion Disorder

30012

Dissociative Amnesia

30013

Dissociative Fugue

30014

Dissociative Identity Disorder

30015

Dissociative Disorder NOS

30016

Factitious Disorder with Predominantly Psychological Signs and Symptoms

30019

Factitious Disorder NOS, With Predominantly Physical Signs and Symptoms, With Combined Psychological and Physical Signs and Symptoms. DSM-IV codes online.

30021

Panic Disorder With Agoraphobia

30022

Agoraphobia Without History of Panic Disorder

30023

Social Phobia DSM-IV codes online

30029

Specific Phobia

3003

Obsessive-Compulsive Disorder

3004

Dysthymic Disorder

3006

Depersonalisation Disorder

3007

Hypochondriasis or Body Dysmorphic Disorder

30081

Somatisation Disorder

30082

Somatoform Disorder NOS, Undifferentiated Somatoform Disorder

3009

Unspecified Mental Disorder (nonpsychotic)

3010

Paranoid Personality Disorder

30113

Cyclothymic Disorder

30120

Schizoid Personality Disorder

30122

Schizotypal Personality Disorder

3014

Obsessive-Compulsive Personality Disorder

30150

Histrionic Personality Disorder

3016

Dependent Personality Disorder

3017

Antisocial Personality Disorder

30181

Narcissistic Personality Disorder

30182

Avoidant Personality Disorder

30183

Borderline Personality Disorder

3019

Personality Disorder NOS

3022

Pedophilia

3023

Transvestic Fetishism

3024

Exhibitionism

3026

Gender Identity Disorder in Children or Gender Identity Disorder NOS DSM-IV codes online

30270

Sexual Dysfunction NOS

30271

Hypoactive Sexual Desire Disorder

30272

Female Sexual Arousal Disorder or Male Erectile Disorder

30273

Female Orgasmic Disorder

30274

Male Orgasmic Disorder

30275

Premature Ejaculation

30276

Dyspareunia (Not Due to a General Medical Condition)

30279

Sexual Aversion Disorder

30281

Fetishism

30282

Voyeurism

30283

Sexual Masochism

30284

Sexual Sadism

30285

Gender Identity Disorder in Adolescents or Adults

30289

Frotteurism

3029

Paraphilia NOS or Sexual Disorder NOS

30300

Alcohol Intoxication

30390

Alcohol Dependence

30400

Opioid Dependence

30410

Sedative, Hypnotic, or Anxiolytic Dependence

30420

Cocaine Dependence

30430

Cannabis Dependence

30440

Amphetamine Dependence

30450

Hallucinogen Dependence

30460

Inhalant or Phencyclidine Dependence

30480

Polysubstance Dependence

30490

Other (or Unknown) Substance Dependence

30500

Alcohol Abuse

30510

Nicotine Dependence

30520

Cannabis Abuse

30530

Hallucinogen Abuse

30540

Sedative, Hypnotic, or Anxiolytic Abuse

30550

Opioid Abuse

30560

Cocaine Abuse

30570

Amphetamine Abuse

30590

Caffeine Intoxication, Inhalant Abuse, Other (or Unknown) Substance Abuse, Phencyclidine Abuse

30651

Vaginismus (Not Due to a General Medical Condition)

3070

Stuttering

3071

Anorexia Nervosa

30720

Tic Disorder NOS

30721

Transient Tic Disorder

30722

Chronic Motor or Vocal Tic Disorder

30723

Tourette’s Disorder

3073

Stereotypic Movement Disorder

30742

Insomnia Related to Axis 1 or Axis 11 Disorder, Primary Insomnia

30744

Hypersomnia Related to Axis 1 or Axis 11 Disorder, Primary Hypersomnia DSM-IV codes online

30745

Circadian Rhythm Sleep Disorder

30746

Sleep Terror Disorder or Sleepwalking Disorder

30747

Dyssomnia NOS or Nightmare Disorder or Parasomnia NOS

30750

Eating Disorder NOS

30751

Bulimia Nervosa

30752

Pica

30753

Rumination Disorder

30759

Feeding Disorder of Infancy or Early Childhood

3076

Enuresis (Not Due to a General Medical Condition)

3077

Encopresis Without Constipation and Overflow Incontinence

30780

Pain Disorder Associated With Psychological Factors

30789

Pain Disorder Associated With Psychological Factors and a General Medical Condition

3079

Communication Disorder NOS

3083

Acute Stress Disorder

3090

Adjustment Disorder With Depressed Mood

30921

Separation Anxiety Disorder

30924

Adjustment Disorder With Anxiety

30928

Adjustment Disorder With Mixed Anxiety and Depressed Mood

3093

Adjustment Disorder With Disturbance of Conduct

3094

Adjustment Disorder With Mixed Disturbance of Emotions and Conduct

30981

Posttraumatic Stress Disorder

3099

Adjustment Disorder Unspecified

3101

Personality Change (Due to a General Medical Condition)

311

Depressive Disorder NOS

31230

Impulse-Control Disorder NOS

31231

Pathological Gambling

31232

Kleptomania

31233

Pyromania

31234

Intermittent Explosive Disorder

31239

Trichotillomania

31281

Conduct Disorder, Childhood-Onset Type

31282

Conduct Disorder, Adolescent-Onset type

31289

Conduct Disorder, Unspecified Onset

3129

Disruptive Behavior Disorder NOS

31323

Selective Mutism

31381

Oppositional Defiant Disorder

31382

Identity Problem

31389

Reactive Attachment Disorder of Infancy or Early Childhood

3139

Disorder of Infancy, Childhood, or Adolescence NOS

31400

Attention-Deficit/Hyperactivity Disorder Predominantly Inattentive Type

31401

Attention-Deficit/Hyperactivity Disorder Combined Type or Predominantly Hyperactive-Impulse Type

3149

Attention-Deficit/Hyperactivity Disorder NOS

31500

Reading Disorder

3151

Mathematics Disorder

3152

Disorder of Written Expression

31531

Expressive Language Disorder

31532

Mixed Receptive-Expressive Language Disorder

31539

Phonological Disorder

3154

Developmental Coordination Disorder

3159

Learning Disorder NOS

316

Psychological Factors Affecting a Medical Condition

317

Mild Mental Retardation

3180

Moderate Mental Retardation

3181

Severe Mental Retardation

3182

Profound Mental Retardation

319

Mental Retardation, Severity Unspecified

3321

Neuroleptic-Induced Parkinsonism

3331

Medication-Induced Postural Tremor

3337

Neuroleptic-Induced Acute Dystonia

33382

Neuroleptic-Induced Tardive Dyskinesia

33390

Medication-Induced Movement Disorder NOS

33392

Neuroleptic Malignant Syndrome

33399

Neuroleptic-Induced Acute Akathisia

347

Narcolepsy

60784

Male Erectile Disorder (Due to a General Medical Condition)

60889

Other Male Sexual Dysfunction (Due to a General Medical Condition)

6250

Female Dyspareunia (Due to a General Medical Condition)

6258

Other Female Sexual Dysfunction (Due to a General Medical Condition)

78009

Delirium NOS

78052

Sleep Disorder (Due to a General Medical Condition) Insomnia Type

78054

Sleep Disorder (Due to a General Medical Condition), Hypersomnia Type

78059

Breathing-Related Sleep Disorder or Sleep Disorder (Due to a General Medical Condition), Parasomnia or Mixed Type DSM-IV codes online

7809

Age-Related Cognitive Decline

7876

Encopresis, With Constipation and Overflow Incontinence

7999

Diagnosis or Condition Deferred on Axis I or Diagnosis Deferred on Axis II

9952

Adverse Effects of Medication NOS

99552

Neglect of Child (if focus of attention is on victim)

99553

Sexual abuse of child (if focus of attention is on victim)

99554

Physical abuse of child (if focus of attention is on victim)

99581

Physical abuse of adult (if focus of attention is on victim)

99583

Sexual abuse of adult (if focus of attention is on victim)

V1581

Noncompliance With Treatment

V6110

Partner Relational Problem

V6112

Physical or Sexual Abuse of Adult (if by partner)

V6120

Parent-Child Relational Problem

V6121

Sexual or Physical Abuse or Neglect of Child

V618

Sibling Relational Problem

V619

Relational Problem Related to a Mental Disorder of General Medical Condition

V622

Occupational Problem

V623

Academic Problem

V624

Acculturation Problem

V6281

Relational Problem NOS

V6282

Bereavement

V6283

Physical or Sexual Abuse of Adult (if by person other than partner)

V6289

Phase of Life Problem, Religious or Spiritual Problem or Borderline Intellectual Functioning

V652

Malingering

V7101

Adult Antisocial Behavior

V7102

Child or Adolescent Antisocial Behavior

V7109

No Diagnosis or Condition on Axis I or Axis II

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DSM-IV-TR: numerical listing of codes and diagnoses

To maintain compatibility with ICD-9-CM, some DSM-IV-TR diagnoses share the same code numbers.

NOS
 = 
Not Otherwise Specified

Code

Diagnosis

290.40

Vascular Dementia
, Uncomplicated

290.41

Vascular Dementia
, With 
Delirium

290.42

Vascular Dementia
, With 
Delusions

290.43

Vascular Dementia
, With 
Depressed
 Mood

291.0

Alcohol
 
Intoxication Delirium

291.0

Alcohol
 
Withdrawal Delirium

291.1

Alcohol
-Induced 
Persisting Amnestic Disorder

291.2

Alcohol
-Induced 
Persisting Dementia

291.3

Alcohol
-Induced 
Induced Psychotic Disorder
, With
Hallucinations

291.5

Alcohol
-Induced 
Psychotic Disorder
, With 
Delusions

291.81

Alcohol Withdrawal
 (new code as of 10/01/96)

291.82

Alcohol
-Induced 
Sleep Disorder
 (new code as of 10.01.2005)

291.89

Alcohol
-Induced 
Anxiety Disorder
 (new code as of 10/01/96)

291.89

Alcohol
-Induced 
Mood Disorder
 (new code as of 10/01/96)

291.89

Alcohol
-Induced 
Sexual Dysfunction
  (new code as of 10/01/96)

291.89

Alcohol
-Induced 
Sleep Disorder
 (10.01.1996-10.01.2005)

291.9

Alcohol
-Related Disorder 
NOS

292.0

Amphetamine Withdrawal

292.0

Cocaine Withdrawal

292.0

Nicotine Withdrawal

292.0

Opioid Withdrawal

292.0

Other (or Unknown) Substance Withdrawal

292.0

Sedative, Hypnotic, or Anxiolytic Withdrawal

292.11

Amphetamine
-Induced 
Psychotic Disorder
, With 
Delusions

292.11

Cannabis
-Induced 
Psychotic Disorder
, With 
Delusions

292.11

Cocaine
-Induced 
Psychotic Disorder
, With 
Delusions

292.11

Hallucinogen
-Induced 
Psychotic Disorder
, With 
Delusions

292.11

Inhalant
-Induced 
Psychotic Disorder
, With 
Delusions

292.11

Opioid
-Induced 
Psychotic Disorder
, With 
Delusions

292.11

Other (or Unknown) 
Substance Induced Psychotic Disorder
, With 
Delusions

292.11

Phencyclidine
-Induced 
Psychotic Disorder
, With 
Delusions

292.11

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Psychotic Disorder
, With 
Delusions

292.12

Amphetamine
-Induced 
Psychotic Disorder
, With
Hallucinations

292.12

Cannabis
-Induced 
Psychotic Disorder
, With 
Hallucinations

292.12

Cocaine
-Induced 
Psychotic Disorder
, With 
Hallucinations

292.12

Hallucinogen
-Induced 
Psychotic Disorder
, With
Hallucinations

292.12

Inhalant
-Induced 
Psychotic Disorder
, With 
Hallucinations

292.12

Opioid
-Induced 
Psychotic Disorder
, With 
Hallucinations

292.12

Other (or Unknown) 
Substance-Induced Psychotic Disorder
, With 
Hallucinations

292.12

Phencyclidine
–
Induced Psychotic Disorder
, With
Hallucinations

292.12

Sedative
, 
Hypnotic
, or 
Anxiolytic
–
Induced Psychotic Disorder
, With 
Hallucinations

292.81

Amphetamine
 
Intoxication Delirium

292.81

Cannabis
 
Intoxication Delirium

292.81

Cocaine
 
Intoxication Delirium

292.81

Hallucinogen
 
Intoxication Delirium

292.81

Inhalant
 
Intoxication Delirium

292.81

Opioid
 
Intoxication Delirium

292.81

Other (or Unknown) 
Intoxication Delirium

292.81

Phencyclidine
 
Intoxication Delirium

292.81

Sedative
, 
Hypnotic
, or 
Anxiolytic
 
Intoxication Delirium

292.81

Sedative
, 
Hypnotic
, or 
Anxiolytic
 
Withdrawal Delirium

292.82

Inhalant
-Induced 
Persisting Dementia

292.82

Other (or Unknown) 
Substance-Induced Persisting Dementia

292.82

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Persisting Dementia

292.83

Other (or Unknown) 
Substance-Induced Persisting Amnestic Disorder

292.83

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Persisting Amnestic Disorder

292.84

Amphetamine
-Induced 
Mood Disorder

292.84

Cocaine
-Induced 
Mood Disorder

292.84

Hallucinogen
-Induced 
Mood Disorder

292.84

Inhalant
-Induced 
Mood Disorder

292.84

Opioid
-Induced 
Mood Disorder

292.84

Other (or Unknown) 
Substance-Induced Mood Disorder

292.84

Phencyclidine
-Induced 
Mood Disorder

292.84

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Mood Disorder

292.85

Amphetamine
-Induced 
Sleep Disorder
 (new code as of 10.01.2005) DSM-IV codes online.

292.85

Caffeine
-Induced 
Sleep Disorder
 (new code as of 10.01.2005)

292.85

Cocaine
-Induced 
Sleep Disorder
 (new code as of 10.01.2005)

292.85

Opioid
-Induced 
Sleep Disorder
 (new code as of 10.01.2005)

292.85

Other (or Unknown) 
Substance-Induced Sleep Disorder
(new code as of 10.01.2005)

292.85

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Sleep Disorder
(new code as of 10.01.2005)

292.89

Amphetamine
-Induced 
Anxiety Disorder

292.89

Amphetamine
-Induced 
Sexual Dysfunction

292.89

Amphetamine
-Induced 
Sleep Disorder
 (before 10.01.2005)

292.89

Amphetamine Intoxication

292.89

Caffeine
-Induced 
Anxiety Disorder

292.89

Caffeine
-Induced 
Sleep Disorder
 (before 10.01.2005)

292.89

Cannabis
-Induced 
Anxiety Disorder

292.89

Cannabis Intoxication

292.89

Cocaine
-Induced 
Anxiety Disorder

292.89

Cocaine
-Induced 
Sexual Dysfunction

292.89

Cocaine
-Induced 
Sleep Disorder
 (before 10.01.2005)

292.89

Cocaine Intoxication

292.89

Hallucinogen
-Induced 
Anxiety Disorder

292.89

Hallucinogen Intoxication

292.89

Hallucinogen Persisting Perception Disorder

292.89

Inhalant
-Induced 
Anxiety Disorder

292.89

Inhalant Intoxication

292.89

Opioid
-Induced 
Sexual Dysfunctiona> 

292.89

Opioid
-Induced 
Sleep Disorder
 (before 10.01.2005)

292.89

Opioid Intoxication 

292.89

Other (or Unknown) 
Substance-Induced Anxiety Disorder

292.89

Other (or Unknown) 
Substance-Induced Sexual Dysfunction

292.89

Other (or Unknown) 
Substance-Induced Sleep Disorder
(before 10.01.2005) DSM-IV codes online

292.89

Other (or Unknown) 
Substance Intoxication

292.89

Phencyclidine
-Induced 
Anxiety Disorder

292.89

Phencyclidine Intoxication

292.89

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Anxiety Disorder

292.89

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Sexual Dysfunction

292.89

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Induced 
Sleep Disorder
 (before 10.01.2005)

292.89

Sedative, Hypnotic, or Anxiolytic Intoxication

292.9

Amphetamine
-Related 
Disorder
 
NOS

292.9

Caffeine
-Related 
Disorder
 
NOS

292.9

Cannabis
-Related 
Disorder
 
NOS

292.9

Cocaine
-Related 
Disorder
 
NOS

292.9

Hallucinogen
-Related 
Disorder
 
NOS

292.9

Inhalant
-Related 
Disorder
 
NOS

292.9

Nicotine
-Related 
Disorder
 
NOS

292.9

Opioid
-Related 
Disorder
 
NOS

292.9

Other (or Unknown) 
Substance-Related Disorder
 
NOS

292.9

Phencyclidine
-Related 
Disorder
 
NOS

292.9

Sedative
, 
Hypnotic
, or 
Anxiolytic
-Related 
Disorder
 
NOS

293.0

Delirium Due to…[Indicate the General Medical Condition]

293.81

Psychotic Disorder Due to…[Indicate the General Medical Condition]
, With 
Delusions

293.82

Psychotic Disorder Due to…[Indicate the General Medical Condition]
 , With 
Hallucinations

293.83

Mood Disorder Due to…[Indicate the General Medical Condition]

293.84

Anxiety Disorder Due to… (new code as of 10/01/96) [Indicate the General Medical Condition] 

293.89

Catatonic Disorder Due to…[Indicate the General Medical Condition]

293.9

Mental Disorder 
NOS
 Due to…[Indicate the General Medical Condition]

294.0

Amnestic Disorder Due to
…[Indicate the General Medical Condition], Without Behavioral Disturbance

294.10

Dementia
 Due to…[Indicate the General Medical Condition], Without Behavioral Disturbance

294.10

Dementia of the Alzheimer’s Type
, With Early Onset, Without Behavioral Disturbance DSM-IV codes online

294.10

Dementia of the Alzheimer’s Type
, With Late Onset, Without Behavioral Distrubance

294.11

Dementia
 Due to…[Indicate the General Medical Condition], With Behavioral Disturbance

294.11

Dementia of the Alzheimer’s Type
, With Early Onset, With Behavioral Disturbance

294.11

Dementia of the Alzheimer’s Type
, With Late Onset, With Behavioral Disturbance

294.1x

Dementia Due to Creutzfeldt-Jakob Disease

294.1x

Dementia Due to Head Trauma

294.1x

Dementia Due to HIV Disease

294.1x

Dementia Due to Huntington’s Disease

294.1x

Dementia Due to Parkinson’s Disease

294.1x

Dementia Due to Pick’s Disease

294.1x

Dementia Due to…[Indicate the General Medical Condition not listed above]
 (also code the general medical condition on Axis III)

294.8

Amnestic Disorder
 
NOS

294.8

Dementia
 
NOS

294.9

Cognitive Disorder 
NOS

294.9

Cognitive Disorder (new code as of 10/01/96) DSM-IV codes online

295.10

Schizophrenia, Disorganized Type

295.20

Schizophrenia, Catatonic Type

295.30

Schizophrenia, Paranoid Type

295.40

Schizophreniform Disorder

295.60

Schizophrenia, Residual Type

295.70

Schizoaffective Disorder

295.90

Schizophrenia, Undifferentiated Type

296.00

Bipolar I Disorder, Single Manic Episode
, Unspecified

296.01

Bipolar I Disorder, Single Manic Episode
, Mild

296.02

Bipolar I Disorder, Single Manic Episode
, Moderate

296.03

Bipolar I Disorder, Single Manic Episode
, Severe Without Psychotic Features

296.04

Bipolar I Disorder, Single Manic Episode
, Severe With Psychotic Features

296.05

Bipolar I Disorder, Single Manic Episode
, In Partial Remission

296.06

Bipolar I Disorder, Single Manic Episode
, In Full Remission

296.20

Major Depressive Disorder, Single Episode
, Unspecified

296.21

Major Depressive Disorder, Single Episode
, Mild

296.22

Major Depressive Disorder, Single Episode
, Moderate

296.23

Major Depressive Disorder, Single Episode
, Severe Without Psychotic Features

296.24

Major Depressive Disorder, Single Episode
, Severe With Psychotic Features

296.25

Major Depressive Disorder, Single Episode
, In Partial Remission

296.26

Major Depressive Disorder, Single Episode
, In Full Remission

296.30

Major Depressive Disorder, Recurrent
, Unspecified

296.31

Major Depressive Disorder, Recurrent
, Mild

296.32

Major Depressive Disorder, Recurrent
, Moderate

296.33

Major Depressive Disorder, Recurrent
, Severe Without Psychotic Features

296.34

Major Depressive Disorder, Recurrent
, Severe With Psychotic Features

296.35

Major Depressive Disorder, Recurrent
, In Partial Remission

296.36

Major Depressive Disorder, Recurrent
, In Full Remission

296.40

Bipolar I Disorder, Most Recent Episode Hypomanic

296.40

Bipolar I Disorder, Most Recent Episode Manic
, Unspecified

296.41

Bipolar I Disorder, Most Recent Episode Manic
, Mild

296.42

Bipolar I Disorder, Most Recent Episode Manic
, Moderate

296.43

Bipolar I Disorder, Most Recent Episode Manic
, Severe Without Psychotic Features DSM-IV codes online

296.44

Bipolar I Disorder, Most Recent Episode Manic
, Severe With Psychotic Features

296.45

Bipolar I Disorder, Most Recent Episode Manic
, In Partial Remission

296.46

Bipolar I Disorder, Most Recent Episode Manic
, In Full Remission

296.50

Bipolar I Disorder, Most Recent Episode Depressed
, Unspecified

296.51

Bipolar I Disorder, Most Recent Episode Depressed
, Mild

296.52

Bipolar I Disorder, Most Recent Episode Depressed
, Moderate

296.53

Bipolar I Disorder, Most Recent Episode Depressed
, Severe Without Psychotic Features

296.54

Bipolar I Disorder, Most Recent Episode Depressed
, Severe With Psychotic Features

296.55

Bipolar I Disorder, Most Recent Episode Depressed
, In Partial Remission DSM-IV codes online

296.56

Bipolar I Disorder, Most Recent Episode Depressed
, In Full Remission

296.60

Bipolar I Disorder, Most Recent Episode Mixed
, Unspecified

296.61

Bipolar I Disorder, Most Recent Episode Mixed
, Mild

296.62

Bipolar I Disorder, Most Recent Episode Mixed
, Moderate

296.63

Bipolar I Disorder, Most Recent Episode Mixed
, Severe Without Psychotic Features

296.64

Bipolar I Disorder, Most Recent Episode Mixed
, Severe With Psychotic Features

296.65

Bipolar I Disorder, Most Recent Episode Mixed
, In Partial Remission

296.66

Bipolar I Disorder, Most Recent Episode Mixed
, In Full Remission

296.7

Bipolar I Disorder, Most Recent Episode Unspecified

296.80

Bipolar Disorder
 
NOS

296.89

Bipolar II Disorder

296.90

Mood Disorder 
NOS

297.1

Delusional Disorder

297.3

Shared Psychotic Disorder

298.8

Brief Psychotic Disorder

298.9

Psychotic Disorder 
NOS

299.00

Autistic Disorder

299.10

Childhood Disintegrative Disorder

299.80

Asperger’s Disorder 

299.80

Pervasive Developmental Disorder
 
NOS

299.80

Rett’s Disorder

300.00

Anxiety Disorder
 
NOS

300.01

Panic Disorder Without Agoraphobia

300.02

Generalized Anxiety Disorder 

300.11

Conversion Disorder

300.12

Dissociative Amnesia

300.13

Dissociative Fugue

300.14

Dissociative Identity Disorder

300.15

Dissociative Disorder
 
NOS

300.16

Factitious Disorder
 With Predominantly Psychological 
Signs
and 
Symptoms

300.19

Factitious Disorder
 
NOS

300.19

Factitious Disorder
 With Combined Psychological and Physical 
Signs
 and 
Symptoms

300.19

Factitious Disorder
 With Predominantly Physical 
Signs
 and 
Symptoms

300.21

Panic Disorder With Agoraphobia

300.22

Agoraphobia Without History of Panic Disorder

300.23

Social Phobia

300.29

Specific Phobia

300.3

Obsessive-Compulsive Disorder

300.4

Dysthymic Disorder

300.6

Depersonalization Disorder

300.7

Body Dysmorphic Disorder

300.7

Hypochondriasis

300.81

Somatization Disorder

300.82

Somatoform Disorder
 
NOS
 (new code as of 10/01/96) DSM-IV codes online

300.82

Undifferentiated 
Somatoform Disorder
 (new code as of 10/01/96)

300.9

Unspecified Mental Disorder (nonpsychotic)

301.0

Paranoid Personality Disorder

301.13

Cyclothymic Disorder

301.20

Schizoid Personality Disorder

301.22

Schizotypal Personality Disorder

301.4

Obsessive-Compulsive Personality Disorder

301.50

Histrionic Personality Disorder

301.6

Dependent Personality Disorder

301.7

Antisocial Personality Disorder

301.81

Narcissistic Personality Disorder

301.82

Avoidant Personality Disorder

301.83

Borderline Personality Disorder

301.9

Personality Disorder 
NOS

302.2

Pedophilia

302.3

Transvestic Fetishism

302.4

Exhibitionism

302.6

Gender Identity Disorder
 in Children

302.6

Gender Identity Disorder
 
NOS

302.70

Sexual Dysfunction
 
NOS

302.71

Hypoactive Sexual Desire Disorder

302.72

Female Sexual Arousal Disorder

302.72

Male Erectile Disorder

302.73

Female Orgasmic Disorder

302.74

Male Orgasmic Disorder

302.75

Premature Ejaculation

302.76

Dyspareunia
 (Not Due to a General Medical Condition)

302.79

Sexual Aversion Disorder

302.81

Fetishism

302.82

Voyeurism

302.83

Sexual Masochism

302.84

Sexual Sadism

302.85

Gender Identity Disorder
 in Adolescents or Adults DSM-IV codes online

302.89

Frotteurism

302.9

Paraphilia
 
NOS

302.9

Sexual Disorder 
NOS

303.00

Alcohol Intoxication

303.90

Alcohol
 
Dependence

304.00

Opioid
 
Dependence

304.10

Sedative
, 
Hypnotic
, or 
Anxiolytic
 
Dependence

304.20

Cocaine
 
Dependence

304.30

Cannabis
 
Dependence

304.40

Amphetamine
 
Dependence

304.50

Hallucinogen
 
Dependence

304.60

Inhalant
 
Dependence

304.60

Phencyclidine
 
Dependence
 (new code as of 10/01/96)

304.80

Polysubstance 
Dependence

304.90

Other (or Unknown) 
Substance Dependence

305.00

Alcohol
 
Abuse

305.10

Nicotine
 
Dependence

305.20

Cannabis
 
Abuse

305.30

Hallucinogen
 
Abuse

305.40

Sedative
, 
Hypnotic
, or 
Anxiolytic
 
Abuse

305.50

Opioid
 
Abuse

305.60

Cocaine
 
Abuse

305.70

Amphetamine
 
Abuse

305.90

Caffeine Intoxication

305.90

Inhalant
 
Abuse

305.90

Other (or Unknown) 
Substance Abuse

305.90

Phencyclidine
 
Abuse

306.51

Vaginismus
 (Not Due to a General Medical Condition)

307.0

Stuttering

307.1

Anorexia Nervosa

307.20

Tic Disorder
 
NOS

307.21

Transient Tic Disorder

307.22

Chronic Motor or Vocal Tic Disorder

307.23

Tourette’s Disorder

307.3

Stereotypic Movement Disorder

307.42

Insomnia Related to…
[Indicate the 
Axis I
 or 
Axis II
Disorder] (before 10.01.2005)

307.42

Primary Insomnia

307.44

Hypersomnia Related to…
[Indicate the 
Axis I
 or 
Axis II
Disorder]  (before 10.01.2005)

307.44

Primary Hypersomnia

307.45

Circadian Rhythm Sleep Disorder
 (before 10.01.2005)

307.46

Sleep Terror Disorder

307.46

Sleepwalking Disorder

307.47

Dyssomnia
 
NOS

307.47

Nightmare Disorder

307.47

Parasomnia
 
NOS

307.50

Eating Disorder
 
NOS

307.51

Bulimia Nervosa

307.52

Pica

307.53

Rumination Disorder 

307.59

Feeding Disorder of Infancy or Early Childhood

307.6

Enuresis
 (Not Due to a General Medical Condition)

307.7

Encopresis
, Without Constipation and Overflow Incontinence

307.80

Pain Disorder
 Associated With Psychological Factors

307.89

Pain Disorder
 Associated With Both Psychological Factors and a General Medical Condition

307.9

Communication Disorder
 
NOS

308.3

Acute Stress Disorder

309.0

Adjustment Disorder
 With 
Depressed Mood

309.21

Separation Anxiety Disorder

309.24

Adjustment Disorder
 With 
Anxiety

309.28

Adjustment Disorder
 With Mixed 
Anxiety
 and 
Depressed Mood

309.3

Adjustment Disorder
 With Disturbance of Conduct

309.4

Adjustment Disorder
 With Mixed Disturbance of Emotions and Conduct DSM-IV codes online

309.81

Posttraumatic Stress Disorder 

309.9

Adjustment Disorder
 Unspecified

310.1

Personality Change Due to
…[Indicate the General Medical Condition]

311

Depressive Disorder
 
NOS

312.30

Impulse-Control Disorder
 
NOS

312.31

Pathological Gambling

312.32

Kleptomania

312.33

Pyromania

312.34

Intermittent Explosive Disorder

312.39

Trichotillomania

312.81

Conduct Disorder
 Childhood-Onset Type (new code as of 10/01/96)

312.82

Conduct Disorder
 Adolescent-Onset Type (new code as of 10/01/96)

312.89

Conduct Disorder
 Unspecified Onset (new code as of 10/01/96)

312.9

Disruptive Behavior Disorder 
NOS

313.23

Selective Mutism

313.81

Oppositional Defiant Disorder

313.82

Identity Problem

313.89

Reactive Attachment Disorder
 of Infancy or Early Childhood

313.9

Disorder of Infancy, Childhood, or Adolescence 
NOS

314.00

Attention-Deficit/Hyperactivity Disorder
, Predominantly Inattentive Type

314.01

Attention-Deficit/Hyperactivity Disorder
, Combined Type

314.01

Attention-Deficit/Hyperactivity Disorder
, Predominantly Hyperactive-Impulsive Type

314.9

Attention-Deficit/Hyperactivity Disorder
 
NOS

315.00

Reading Disorder

315.1

Mathematics Disorder

315.2

Disorder of Written Expression

315.31

Expressive Language Disorder

315.32

Mixed Receptive-Expressive Language Disorder
 (new code as of 10/01/96)

315.39

Phonological Disorder

315.4

Developmental Coordination Disorder

315.9

Learning Disorder
 
NOS

316…

[Specified Psychological Factor] Affecting…[Indicate the General Medical Condition]

317

Mild 
Mental Retardation

318.0

Moderate 
Mental Retardation

318.1

Severe 
Mental Retardation

318.2

Profound 
Mental Retardation

319

Mental Retardation
, Severity Unspecified

327.01

Sleep Disorder
 Due to…[Indicate the General Medical Condition], 
Insomnia
 Type  (new code as of 10.01.2005)

327.02

Insomnia Related to…
[Indicate the 
Axis I
 or 
Axis II
Disorder] (new code as of 10.01.2005)

327.14

Sleep Disorder
 Due to…[Indicate the General Medical Condition], 
Hypersomnia
 Type (new code as of 10.01.2005)

327.15

Hypersomnia Related to…
[Indicate the 
Axis I
 or 
Axis II
Disorder] (new code as of 10.01.2005)

327.30

Circadian Rhythm Sleep Disorder
  (unspecified type) new code as of 10.01.2005 DSM-IV codes online

327.31

Circadian Rhythm Sleep Disorder
 (delayed sleep phase type) new code as of 10.01.2005

327.35

Circadian Rhythm Sleep Disorder
 (jet lag type) new code as of 10.01.2005

327.36

Circadian Rhythm Sleep Disorder
 (shift work type) new code as of 10.01.2005

327.44

Sleep Disorder
 Due to…[Indicate the General Medical Condition], Parasomnia Type (new code as of 10.01.2005)

327.8

Sleep Disorder
 Due to…[Indicate the General Medical Condition], Mixed Type (new code as of 10.01.2005)

332.1

Neuroleptic-Induced Parkinsonism

333.1

Medication-Induced Postural Tremor

333.7

Neuroleptic-Induced Acute Dystonia

333.82

Neuroleptic-Induced Tardive Dyskinesia

333.90

Medication-Induced Movement Disorder
 NOS

333.92

Neuroleptic Malignant Syndrome

333.99

Neuroleptic-Induced Acute Akathisia

347.00

Narcolepsy

607.84

Male Erectile Disorder
 
Due to…[Indicate the General Medical Condition
]

608.89

Male 
Dyspareunia
 
Due to…[Indicate the General Medical Condition

608.89

Male 
Hypoactive Sexual Desire Disorder
 
Due to…[Indicate the General Medical Condition

608.89

Other Male 
Sexual Dysfunction
 
Due to…[Indicate the General Medical Condition

625.0

Female 
Dyspareunia
 
Due to…[Indicate the General Medical Condition

625.8

Female 
Hypoactive Sexual Desire Disorder
 
Due to…[Indicate the General Medical Condition

625.8

Other Female 
Sexual Dysfunction
 
Due to…[Indicate the General Medical Condition

780.09

Delirium
 NOS

780.52

Sleep Disorder
 Due to…[Indicate the General Medical Condition], 
Insomnia
 Type (before 10.01.2005)

780.54

Sleep Disorder
 Due to…[Indicate the General Medical Condition], 
Hypersomnia
 Type (before 10.01.2005)

780.57

Breathing-Related Sleep Disorder
 (new code as of 10.01.2005)

780.59

Breathing-Related Sleep Disorder
 (before 10.01.2005)

780.59

Sleep Disorder
 Due to…[Indicate the General Medical Condition], Mixed Type

780.59

Sleep Disorder
 Due to…[Indicate the General Medical Condition], 
Parasomnia
 Type (before 10.01.2005)

780.9

Age-Related Cognitive Decline

787.6

Encopresis
, With Constipation and Overflow Incontinence

799.9

Diagnosis Deferred on 
Axis II

799.9

Diagnosis or Condition Deferred on 
Axis I

995.2

Adverse Effects of Medication 
NOS

995.52

Neglect of Child (if focus of attention is on victim) (new code as of 10/01/96)

995.53

Physical Abuse of Child
 (if focus of attention is on victim) (new code as of 10/01/96)

995.54

Physical Abuse of Child
 (if focus of attention is on victim) (new code as of 10/01/96)

995.81

Physical Abuse of Adult
 (if focus of attention is on victim)

995.83

Sexual Abuse of Adult (if focus of attention is on victim) (new code as of 10/01/96)

V15.81

Noncompliance With Treatment

V61.10

Partner Relational Problem (new code as of 10/01/96)

V61.12

Physical Abuse of Adult
 (if by partner) (new code as of 10/01/96)

V61.12

Sexual Abuse of Adult (if by partner) (new code as of 10/01/96) DSM-IV codes online

V61.20

Parent-Child Relational Problem

V61.21

Neglect of Child

V61.21

Physical Abuse of Child

V61.21

Sexual Abuse of Child

V61.8

Sibling Relational Problem

V61.9

Relational Problem
 Related to a Mental Disorder or General Medical Condition

V62.2

Occupational Problem

V62.3

Academic Problem

V62.4

Acculturation Problem

V62.81

Relational Problem 
NOS

V62.82

Bereavement 

V62.83

Physical Abuse of Adult
 (if by person other than partner) (new code as of 10/01/96)

V62.83

Sexual Abuse of Adult (if by person other than partner) (new code as of 10/01/96)

V62.89

Borderline Intellectual Functioning

V62.89

Phase of Life Problem

V62.89

Religious or Spiritual Problem

V65.2

Malingering

V71.01

Adult Antisocial Behavior

V71.02

Child or Adolescent Antisocial Behavior

V71.09

No Diagnosis on 
Axis II

V71.09

No Diagnosis or Condition on DSM-IV codes online 
Axis I

NURS 6501 Week 10 Quiz Answers (Walden)

A 30-year-old female with newly diagnosed PCOS is being counseled by her OB-GYN. The physician indicates that this condition often results in:

When a staff member asks the nurse what the thick middle layer of the uterine wall is called, what is the nurse’s best response? The:

During a routine pelvic exam, a 34-year-old female is found to have an ovarian cyst containing skin, hair, cartilage, and bone. This cyst is classified as a _____ cyst.

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A 21-year-old female is infected with human papillomavirus (HPV) following unprotected sexual intercourse with a male she recently met. She is now at higher risk of developing which of the following cancers?

A 35-year-old female presents with infertility and gradual blindness. She reports that she has otherwise been healthy. History reveals that she was promiscuous and had unprotected sexual intercourse several times when she was younger. She now has neurological involvement. Which of the following sexually transmitted infection (STI) does she most likely have? NURS 6501 Week 10 Quiz Answers.

While speaking to a group of older males, which information should the nurse share? The following is a normal characteristic of aging and the male reproductive system:

Copy of The nurse would anticipate the treatment for pelvic organ prolapse to be:

A 68-year-old male presents complaining of difficulty having sexual intercourse. He reports that his penis curves during erection. This condition is referred to as:

Symptoms of prostatitis are similar to symptoms of:

A 35-year-old female is diagnosed with endometriosis. Suppressing which of the following would be the most appropriate medical treatment for this disease? NURS 6501 Week 10 Quiz Answers.

What term should the nurse use when discussing male sex hormones collectively?

A student asks the instructor which of the following hormones stimulates follicular maturation. How should the instructor respond?

A patient asks the nurse what is the most sensitive area of the penis. What is the nurse’s best answer? The area of the penis with the most nerve endings is the:

A 20-year-old female presents with pelvic and back pain severe enough to miss work. She reports that the pain occurs with the onset of menses. Physical examination fails to find pelvic pathology. The most likely cause of her condition is:

When the nurse describes the duct that carries the ovum from the ovary to the uterus, what is the nurse discussing? The:

When a patient who is trying to get pregnant asks where the usual site of fertilization is, how should the nurse respond? The:

A middle-aged male speaks to his physician about benign BPH. He reveals that his father was recently diagnosed with this condition, and he wants to know if he could have it. The physician tells him that a common complaint from men with mild to moderate BPH is:

A middle-aged male speaks to his physician about benign BPH. He reveals that his father was recently diagnosed with this condition, and he wants to know if he could have it. The physician tells him that a common complaint from men with mild to moderate BPH is:

When discussing the difference between male and female sex hormones, which information should the nurse include? The major difference between male and female sex hormone production is that:

_____ is inflammation of the glans penis.

A 40-year-old male is concerned about the possibility of developing prostate cancer. He reports that his father died of prostate cancer, and he wants to take all preventive measures. He is told to consume a diet low in:

Which of the following signs is usually the first clinical manifestation of breast cancer?

In the majority of cases delayed puberty is due to:

The nurse would anticipate the treatment for pelvic organ prolapse to be:

A nursing student asks the nurse where the glands of Montgomery are located. How should the nurse reply? The glands of Montgomery are located in the:

A syndrome often associated with cystocele is:

Changes in the cervical mucus can be used to identify the periods in which a female is most fertile. How should the nurse describe cervical mucus during ovulation?

A nurse is discussing female anatomy. Which body structure contains the openings to the vagina and urinary meatus?

Progesterone is often referred to as “the hormone of pregnancy,” and the patient asks what this phrase means. How should the nurse respond? Progesterone is the hormone of pregnancy because it:

A 19-year-old female presents with genital warts. Which of the following would cause this condition?

Cryptorchidism can be defined as:

Which information indicates the nurse has a good understanding of the menstrual cycle? When estrogen and progesterone levels drop, the endometrium enters the _____ phase. NURS 6501 Week 10 Quiz Answers.

A 21-year-old male presents with inflammation of the testes. He has a high fever and edema and redness of the testes. Which organism is the most likely the cause of his symptoms?

A nurse is teaching the staff about female hormones. Which hormone promotes the formation of channels in the mucus of the cervical os to facilitate sperm movement into the uterus?

When a teenager asks what makes the breast grow, what is the nurse’s best response? The hormone that promotes breast development during puberty is:

When a staff member asks which structure secretes glucose-rich fluid into the semen, how should the nurse respond?

The most commonly occurring cancer of the female reproductive tract is _____ cancer. NURS 6501 Week 10 Quiz Answers.

When a staff member asks the nurse what is the most potent of the following estrogens, what is the nurse’s best response? It is:

An important risk factor in the development of benign prostatic hypertrophy (BPH) is:

A 40-year-old female presents with cramping and excessive vaginal bleeding. Ultrasound reveals benign uterine tumors in the smooth muscle cells of the myometrium. These tumors are commonly called: NURS 6501 Week 10 Quiz Answers.

NR439 Week 1- Role of Research and the Importance of the Searchable Clinical Question

This week’s graded discussion topic relates to the following Course Outcome (CO).

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CO5 Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.

As you contemplate your role in the research process, read the following article.

Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi:10.4103/2230-8210.155409. 
https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live
 (Links to an external site.)Links to an external site.

 

Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked.

 

Identify whether the focus of your question is assessment, etiology, treatment, or prognosis.

 

Remember to integrate references. NR439 Week 1- Role of Research and the Importance of the Searchable Clinical Question.

Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership

Opens System Theory: Evaluation of the Emergency Department

NURS 6053 Interprofessional Organization and Systems Leadership

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Open Systems Theory: Evaluation of the Emergency Department

The purpose of this assignment is to describe open systems theory related to a large emergency department (ED) located within Community Medical Center (CMC). It further describes the input, throughput, output, cycles of events, and negative feedback of the ED. A problem of dissatisfied patients within the ED is discussed and using the system theory model it is determined where the problem exits. A desired outcome is formulated and goals are identified to facilitate the outcome. Policy and procedures are identified, and relevant professional standards are discussed. The mission, vision, and values of the organization are discussed related to the problem resolution to improve culture and climate. Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership.

Systems Theory

Systems theory is used to identify problems and understand how things work. More specifically it can be used to identify the structures of a healthcare system and its boundaries, recognize the goals of a systems and its response to internal and external forces. A systems ability to adapt is important when responding to feedback and implementing new procedures. It is important to be a leader that management has a clear idea and understands the system to effectively accomplish the organizational goals (Hayajneh, 2007). The system theory uses concepts such as, inputs, throughput, output, cycles of events, and negative feedback to explore issues. Some of these issues include examining the interactions between patients and healthcare providers, stress and burnout of staff, financing of healthcare, leadership and change in organizations, health communication technologies, and interdisciplinary healthcare teams (Ruhl & Harter, 2013). Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership.
 

Input of the Emergency Department

A large healthcare organization known as Robert Wood Johnson Barnabas Health has a smaller hospital called CMC. Within CMC is a large ED that sees many patients a day and has a large volume of elderly in the area. The large elderly population in the surrounding area proposes challenges for the ED to manage large volumes of patients. Inputs are resources that are able to make an output for the systems. For example physicians and nurses (Hayajneh, 2007). In the ED at CMC inputs are gathered from staff, recipients of care, resources from sister hospitals, and materials. Nurses effort, physicians time, vital sign machines, intravenous (IV) start kits and the many other materials in the hospital that make it possible for the ED to provide care. A computer system was also purchased for charting. Evidenced based practice (EBP) guides policy development to assist physicians and nurses in providing the best care possible.

Throughput and Output of the Emergency Department

In systems theory throughput is what converts materials into services (Hayajneh, 2007). In the ED at CMC nurses are trained to take vital signs, start IV therapy, perform physical assessments of patients, and learn critical thinking skills to act in emergency situations. New nurses go through extensive training period to learn how to perform the many procedures that need to be performed and identify heart rhythms correctly. This is provided in a classroom by the education department and then they have one-on-one training in the ED by an experienced nurse. Nurses are also trained on how to use the computer system and chart appropriately. In open systems theory output relates to services provided. Strong inputs and throughputs must be available to provide good quality care of services (Meyer & O’Brien-Pallas, 2010). Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership. In the ED outputs are providing care to patients, providing procedures, diagnosing, discharging, and the use of the computer software to effectively chart.

Cycle of Events and Negative feedback

Cycles of events is needed to renew the system to repeat the series of events (Meyer & O’Brien-Pallas, 2010). In the ED the hospital receives information through accreditation. Receiving accreditation is not easy and all parts of the hospital must work together to achieve it. The ED is important in the cardiac and stroke accreditations as we have time limits to complete procedures that must be maintained for accreditation. If accreditation is not received certain cardiac and stroke procedures cannot be completed when a patient is in need. Negative feedback is information received about operational functioning (Meyer & O’Brien-Pallas, 2010). Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership. In open system theory feedback is information of data gathered used to evaluate the system to make it more effective (Hayajneh, 2007). The reviews of patient satisfaction of CMC can be considered a feedback.  In the ED negative feedback is received from patient satisfaction scores and patients accounts from surveys provided by the hospital. Negative feedback is also received from statistics maintained by the hospital such as the mortality rate, hospital acquired infection rate, medication errors rate, and adverse reactions. Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership.

The Problem

CMC uses business websites such as Yelp to monitor customer reviews. The Yelp website showed CMC to be rated as one star and had multiple accounts of dissatisfied patients and most complaints were about the lack of compassion and rudeness of staff. This included nurses, physicians, and registrars. CMC responds to these reviews on Yelp asking the dissatisfied customer to contact the patient satisfaction department to discuss the feelings patients had of inadequate care. Many times when inadequate reviews are received it comes from the ED. They are then displayed in the ED for staff to see where problems exist and where improvements could be made. The problem of dissatisfied patients starts in the throughput phase. The input is having the staff and equipment available to provide the quality of care. The throughput is where the ball is dropped. Nurses are trained on everything about how to take care of the patient but they are not taught empathy or compassion. They are not taught on how to handle situations and what to say when a person is severely ill by the education staff at CMC. It is also a very stressful environment and the nurse patient ratio is high. Burnout occurs easily and a nurse’s attitude towards patients occurs quickly changes within a year of working. Compassion fatigue is a term used to describe the emotional and physical exhaustion from witnessing physical and emotional suffering (Hamilton, Tran, & Jamieson, 2016). It needs to be addressed at the throughput stage to make progress when the output is completed. Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership.

Desired Outcome and Goals

A long term desired outcome would be to change the communities perception of staff in the ED. A short term desired outcome would be to increase patient satisfaction scores by 20%. A goal would be to make nurses resilient to the lack of compassion. This could be achieved by providing new nurses and existing nurses with educational classes on compassion. Another goal would be to correct compassion fatigue in providers of care. To avoid compassion fatigue nurses should have support by their manager, have someone to talk to, and peer provided support. All these factors have been shown to reduce stress and improve compassion (Hamilton, Tran, & Jamieson, 2016).

Policy and Procedures

Policy and procedures that could be initiated would be every 6 months all healthcare providers must attend a compassion class provided by management. Another policy would ensure all new nurses are provided with education on how to be resilient to compassion fatigue and taught how to handle stressful situation. A policy will also be initiated to provide all healthcare providers with support by having a meeting with management. Nursing management will be required to meet with all employees once a year to discuss areas that may cause extra stress and resolutions will be developed based on employee input. A professional standard of practice in nursing is that nurses effectively communicate through all aspects healthcare. This includes developing a positive nurse-patient relationship and communicating effectively with patients (American Nurses Association, 2010). By not being compassionate nurses are not holdinh up to the highest standards of nursing practice.

Resolution Improving Culture and Climate

The mission of CMC is to promote the well-being of patients through the best nursing care and by providing the newest best practice guidelines and technology. The vision is to empower everyone for optimum health and create a relationship that centers on both patient and families. The values are referred to as CARING: compassion, accountability, respect, innovation, nursing excellence, and genuine (RWJ Barnabas Health, n.d.). Values guide the way a company navigates (Collins, & Porras, 1996). The ED at CMC was not upholding the values of the organization. By making changes the values can be achieved by being caring and providing compassion to patients. Organization culture is the unique environment of a corporation that is based on shared attitudes, values, beliefs and rules (Business Dictionary.com, 2013b). Organizational climate is the workplace environment that influences actions and job performance (Business Dictionary.com, 2013a). For both organizational climate and culture to be changed it starts with management. The current attitude is not based on compassion but based on your in the ED and we are here to save your life. Management shares the same attitude and there is no focus on compassion for the patients. Management needs to change the shared attitudes of the staff in the ED at CMC to change job performance towards patients. Management sets the stage for how employees will act and the overall culture of the department. If management follows the values and portrays it to staff they will follow suit and the culture and climate can be changed (Marquis & Huston, 2015). Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership.

Conclusion

Through the use of open systems theory it can be seen through negative feedback there is a problem in the ED at CMC with patient satisfaction. By manipulating throughput in the open system theory this can be changed through education and incentives to staff. It will then achieve the values of the organization and change the organizational culture and climate. It starts with management setting the tone. With this plan the overall perceptions of the ED at CMC should change and increase patient satisfaction, in turn, achieving the desired outcome.

 
 
 

References

 
American Nurses Association. (2010).
Professional scopes and standards of practice
. Retrieved

from www.nursingworld.org

Business Dictionary.com. (2013a). 
Organizational climate: Definition.
Retrieved from

http://www.businessdictionary.com/definition/organizational-climate.html

Business Dictionary.com. (2013b). 
Organizational culture: Definition.
Retrieved from

http://www.businessdictionary.com/definition/organizational-culture.html

Collins, J. C., & Porras, J. I. (1996). Building your company’s vision. 
Harvard Business Review,

74
(5), 65–77. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/58471638/58471686/

3b788b580bc27ee7686979294dace72f

Hamilton, S., Tran, V., & Jamieson, J. (2016). Compassion fatigue in emergency medicine: The

cost of caring.
Emergency Medicine Australasia: EMA
,
28
(1), 100-103. doi:10.1111/1742-6723.12533

Hayajneh, Y. (2007). 
Management for health care professionals series: Systems & systems

theory.
Retrieved from http://www.hayajneh.org/a/readings/Systems-Theory.pdf

Marquis, B. L., & Huston, C. J. (2015). 
Leadership roles and management functions in nursing:

Theory and application
(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins. Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership.

Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system

approach. 
Journal of Advanced Nursing, 66
(12), 2828–2838. Retrieved from the Walden

Library databases.

Ruhl, S. M., & Harter, L. M. (2013). Systems theory as scaffold for storytelling…and other

reflections on healthcare organizing.
Health Communication
,
28
(7), 747-748.

doi:10.1080/10410236.2012.721336

RWJ Barnabas Health. (n.d.). Nursing mission, vision, and values. Retrieved from

http://www.barnabashealth.org/Nurses/Nursing-at-Saint-Barnabas-Medical-Center/Nursing-Mission-Vision-and-Values.aspx. Opens System Theory: Evaluation of the Emergency Department Sample essay – NURS 6053 Interprofessional Organization and Systems Leadership.

Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership

NURS 6053 Week 1 DISCUSSION #1: Organizational Foundations

As you strive to grow in your leadership skills and abilities, you will find that the context in which you work influences your motivation and areas of focus. In a similar vein, your commitment to developing professionally can contribute toward organizational effectiveness.

To that end, it is critical to recognize the importance of organizational culture and climate. In particular, through this week’s Learning Resources, you may consider several questions: How do an organization’s mission, vision, and values relate to its culture? What is the difference between culture and climate? Moreover, how are culture and climate manifested within the organization? Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

For this Discussion, you explore the culture and climate of your current organization or one with which you are familiar. You also consider decisions and day-to-day practices and the way they relate to the organization’s mission, vision, and values.

To prepare:

Review the information related to planning and decision making in health care organizations presented in the textbook, Leadership Roles and Management Functions in Nursing: Theory and Application. Consider how planning and decision making relate to an organization’s mission, vision, and values, as well as its culture and its climate.

Familiarize yourself with the mission, vision, and values of your organization or one with which you are familiar. Consider how the statements and actions of leaders and others within the organization support or demonstrate the organizational mission, vision, and values. In addition, note any apparent discrepancies between word and deed. Think about how this translates into expectations for direct service providers. Note any data or artifacts that seem to indicate whether behaviors within the organization are congruent with its mission, vision, and values. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Begin to examine and reflect on the culture and climate of the organization. How do culture and climate differ?

Why is it important for you, as a master’s-prepared nurse leader, to be cognizant of these matters?

Post a description of your selected organization’s mission, vision, and values. Describe relevant data, or artifacts, words, and actions of leaders and others in the organization that support, or perhaps appear to contradict the organization’s mission, vision, and values statement. In addition, discuss the organization’s culture and its climate, differentiating between the two. Explain why examining these matters is significant to your role as a nurse leader.

Learning Resources

Required Readings

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 1, “Decision Making, Problem Solving, Critical Thinking, and Clinical Reasoning: Requisites for Successful Leadership and Management” . Chapter 1 provides information relevant to this week’s Discussion and serves as a foundation for topics explored in future weeks of the course. The authors note that decision making, problem solving, critical thinking, and critical reasoning are integral to both leadership and management and beneficial as one examines leadership and management issues. As you read this chapter, focus primarily on the “Decision Making in Organizations” section. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Chapter 7, “Organizational Planning” . This chapter introduces planning and highlights some of the trends that are likely to impact health care organizations now and in the future. It also addresses vision and mission statements, which are essential for guiding planning and decision making in health care settings.

Chapter 12, “Organizational Structure”. This chapter addresses organizational culture.

Business Dictionary.com. (2013) Organizational culture: Definition. Retrieved from http://www.businessdictionary.com/definition/organizational-culture.html

Nelson, W. A., & Gardent, P. B. (2011). Organizational values statements. Healthcare Executive, 26(2), 56–59.

Retrieved from the Walden Library databases.

This article focuses on the impact that organizational values statements have on an organization’s mission. For employees to follow value statements, leaders must effectively model those values day in and day out.

Plath, D. (2013). Organizational processes supporting evidence-based practice. Administration in Social Work, 37(2), 171–188. doi:10.1080/03643107.2012.672946

Retrieved from the Walden Library databases.

Rai, G. S. (2013). Job satisfaction among long-term care staff: Bureaucracy isn’t always bad. Administration in Social Work, 37(1), 90–99. doi:10.1080/03643107.2012.657750

Retrieved from the Walden Library databases.

Watkins, M. (2013, May). What is organizational culture? Retrieved from https://hbr.org/2013/05/what-is-organizational-culture

This site offers several descriptions of organizational culture. These perspectives provide the kind of holistic, nuanced view of organizational culture that is needed by leaders in order to truly understand their organizations—and to have any hope of changing them for the better.

Online Assessments

Note: Results from the following assessment are required for the course. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership

Keirsey Temperament Sorter (KTS-II). (n.d.). Retrieved from http://www.keirsey.com/

Please complete the online assessment and receive a free mini report. Additionally, more extensive reports are available for purchase and are optional. You should complete the Keirsey Temperament Sorter assessment early in the course so you will be prepared to discuss the results in Week 9.

Required Media

Laureate Education (Producer). (2012e). Foundations of an organization and organizational assessment. Baltimore, MD: Author.

In this week’s media presentation, experts from a diverse group of health care organizations share insights on how an organization’s mission, vision, and values influence its daily practices.

Laureate Education (Producer). (2012c). Factors that influence organizational cultures: Coastal Medical Associates, Salisbury, MA. Baltimore, MD: Author.

Laureate Education (Producer). (2012d). Factors that influence organizational cultures: Huntington Hospital, Pasadena, CA. Baltimore, MD: Author.

Optional Resources

You may find the following online assessments useful as you proceed through the course:

Appraisal 360. (n.d.). Retrieved from http://www.appraisal360.co.uk/

HumanMetrics. (n.d.). Jung Typology Test. Retrieved from http://www.humanmetrics.com/cgi-win/jtypes2.asp

Leadership-Tools.com. (2012). 360 degree feedback leadership tool. Retrieved from http://www.leadership-tools.com/360-degree-feedback-leadership.html

Union Rescue Mission. (Executive Producer). (2012). Stories from Skid Row [Video file]. Retrieved from http://urm.org/solution/stories-from-skid-row/

NURS 6053 DISCUSSION # 2: Transitioning From Closed to Open Systems

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

To prepare:

Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.

Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.

 Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes? Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.

Learning Resources

Required Readings

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Organizational Planning”. See especially Figure 7.1.

Chapter 8, “Planned Change”

Organizational Change Associated With Nonlinear Dynamics. Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.

Chapter 12, “Organizational Structure”. “Organizational Culture”. There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.

Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdf

This article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.

Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. FoNS 2014 International Practice Development Journal 4-(1).

Retrieved from the Walden Library databases.

Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.

Retrieved from the Walden Library databases.

In this article, the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits, this theory supports multilevel phenomena and cross-level studies, and it can guide future research and the management of nursing services. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Optional Resources

Glennister, D. (2011, July). Towards a general systems theory of nursing: A literature review. Paper presented at the 55th Annual Meeting of the International Society for the System Sciences, Hull, United Kingdom. Retrieved from http://journals.isss.org/index.php/proceedings55th/article/viewFile/1717/569

Hayajneh, Y. (2007). Management for health care professionals series: Systems & systems theory. Retrieved from http://www.hayajneh.org/a/readings/Systems-Theory.pdf

 

NURS 6053 Week 2 Discussion

To prepare:

Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.

Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.

Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

On the Week 2 Discussion Board, post 1 page on 
a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.

Read 
a selection of your colleagues’ responses

REFERENCES

Marquis, B. L., & Huston, C. J. (2015). 
Leadership roles and management functions in nursing: Theory and application 
(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Strategic and Operational Planning”

See especially Figure 7.1 on page 147.

Chapter 8, “Planned Change”

Chapter 12, “Organizational Structure”

“Organizational Culture” (pp. 274–276)

Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from 
http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdf

Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. 
FoNS 2014 International Practice Development Journal 4 
(1) [2].

Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. 
Journal of Advanced Nursing, 66
(12), 2828–2838.

Retrieved from the Walden Library databases.

Week 2 Assignment

Assignment: Application: Systems Theory

As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess all system components, as some may be relatively healthy while others are problematic.

For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership assignment.)

To prepare:

Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).

Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering

Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback. Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper.

Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.

Research professional standards that are pertinent to your identified problem.

Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.). Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

To complete:

By Day 7

Write a 3- to 5-page Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership paper (page count does not include title and reference page) that addresses the following:

Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback). Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper.

Based on this information, explain how you would address the problem as follows:

Formulate a desired outcome.

Identify goals and objectives that would facilitate that outcome.

Translate those goals and objectives into policies and procedures for the department or unit.

Describe relevant professional standards. Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper

Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

The Assignment, Systems Theory, is due by Day 7 of Week 2.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.

This Assignment is due by Day 7 of Week 2 (this week) and must be submitted through the Week 2 Assignment Link.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.

Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Note: I am retired military officer: Decision making within the organizational hierarchy is typically decentralized. The top-level leaders make decisions on the organization’s goals, but decisions are made at all levels of management creating the decentralized hierarchy. Also, the formal leadership style at this organization is a combination of transactional, transformational, situational and serving leader style.

Note: The military culture is a unique organization in its own ways such as its mission, vision, strategic planning, and military community lifestyle. The current organization primary mission is to Treat- Teach -Train. That being said, its mission is based on deployment platforms and a teaching hospital.

Vision Statement: Superior Health Care and Readiness through prevention, innovation and partnerships (Local communities hospital and VA)

***I have included my week 1 writing discussion for reference.

NURS 6053 Week 3 Discussion

Main Post Question

Organizational Structures and Leadership

Decision Making

Informal and Formal Leadership

References

Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper

Week 4 
Assignment: Application: Planned Change 
in a Department or Unit

Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership.

Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

By Day 7

Write a 3- to 5-page Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership paper (page count does not include title and reference page) that addresses the following:

Identify a problem, inefficiency, or issue within a specific department/unit.

Describe a specific, realistic change that could be made to address the issue.

Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.

Note: This Assignment will serve as your Portfolio Assignment for this course.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.

Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership submission.

Required Readings

Marquis, B. L., & Huston, C. J. (2015). 
Leadership roles and management functions in nursing: Theory and application
 (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Strategic and Operational Planning”

Chapter 8, “Planned Change”This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. 
Quality Management in Health Care, 23
(4), 254–267 doi: 10.1097/QMH.0b013e31828bc37d

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. 
Nursing Management – UK
, 
20
(1), 32–37. doi: 10.7748/nm2013.04.20.1.32.e1013

Retrieved from the Walden Library databases. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. 
The Journal of Nursing Administration
, 
43
(2), 69–72. doi:10.1097/NNA.0b013e31827f20a9

Retrieved from the Walden Library databases.

NURS 6053 Week 4 Discussion (Walden)

Week 4 Discussion

Workplace Change

Leadership

Outcome

NURS 6053 Week 4 Assignment (Walden)

The Admissions Process: A Team Approach

Problem

Proposed Solution

Mission, Vision, and Values

Change Model

Summary

NURS 6053 Week 4 Assignment Planned Change

NURS 6053: Interprofessional, Organizational, and Systems Leadership

Planned Change

The Problem

The Change

Maintaining Mission, Values, and Goals

Change Model

Conclusion

References

NURS 6053 Week 5 Discussion (Walden)

In this discussion board information that we have reviewed in this week’s reading will be addressed and discussed and reflected upon in real life experiences.  The four stages of group formation will be discussed and how they directly reflect how changes occur in real life practice at The Detroit Medical Center.  Group building is a difficult role, and there are barriers that will appear, and with the proper group, dynamics barriers can be addressed and resolved.  

Week 7 
Assignment: Application: Leadership

Analysis Group Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper

This week you will begin a group paper that you will develop over the next few weeks. By Day 3 of this week, you will be placed in a collaborative group and provided with a work area for your group (See the Groups area below Week 11 in the left-hand navigation bar. If you do not see your team area by the end of Day 3, contact your Instructor.) Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Before you begin to work with your group, read the information below describing the paper. Then join your group, introduce yourself, and begin work on selecting a topic.

To prepare:

Review the Peer Evaluation Form for important information on how this Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership assignment is graded.

Identify a group facilitator.

Within your group, select a topic relevant to interprofessional leadership and the health care field on which to focus your group paper. The following are some potential topics for your group to consider:

Matrix organizations

Accountable care organizations

Horizontal and vertical organizations

Role conflict and ambiguity

Employee recruitment and selection

Interpersonal relationships in the C-suite of organizations (the relationships between the CEO, CFO, and CNO)

Resistance to change

Succession planning

Whistle blowing

“Just” culture

Team Stepps

When your group has selected a topic, the group facilitator will submit the topic to the Instructor for approval on the Discussion Board in the Week 5 Group Project Topic Forum. Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Conduct research on your topic using the Walden Library and other credible sources.

To complete:

By Day 7 of Week 7

As a group, write a 3- to 5 (page count does not include title and reference page) page paper that includes the following:

Section 1: Introduction

Section 2: Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)

Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)

Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)

Section 5: Conclusion

All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

Week 7 assignment (2) – 
Assignment: Application: Leadership

Concept Analysis Group Paper

Continue to work on the Leadership Concept Analysis Group Paper, which you began in Week 5, tying in communication. How does the information on communication presented in this week’s Learning Resources relate to your selected concept? What insights have you gained this week that would inform how you communicate about this topic? Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Note: For this project, all group members’ names should appear on the title page, and only the group facilitator should submit the final file. All students who are not the group facilitator will submit only a title page with their group member names on it.

To complete:

By Day 7

As a group, write a 3- to 5-page Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership paper (page count does not include title and reference page) that includes the following:

Section 1: Introduction

Section 2:Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)

Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)

Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)

Section 5: Conclusion

All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Also, complete the evaluation:

Once you have completed your work on the Leadership Concept Analysis Group Paper this week, evaluate your peers in your group using the Peer Evaluation Form and the results of your efforts. This brief evaluation provides an opportunity for you to assess your teammates’ contribution to the project, as well as your own.

Complete this peer evaluation for each member of your team, including yourself. The average score from these evaluations will be used by your instructor to determine your final grade for the assignment worth 100 points. Not all students may receive the same grade. You must be an active participant in the development of the assignment to receive full points. Rate each team member on a scale of 1-100, with 100 being the highest. Include comments explaining why you gave your teammate this score.

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn2+last name+first initial.(extension)” as the name.

Click the Week 7 Assignment 2 Rubric to review the Grading Criteria for the Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Assignment.

Click the Week 7 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn2+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership submission.

Nurs 6053 Week 8 Discussion Question

The Distinction between Leadership and Management

Think of the managers you have reported to thus far in your career. Now consider the people you have worked with or know of that you would consider leaders. Based on these experiences, what would you surmise about the responsibilities of managers and leaders and about the distinctions between these two categories in health care settings? Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

This week’s Learning Resources classify management and leadership (which are often confused in everyday discussion) and explain their significance for health care organizations. As you advance professionally, it is critical to understand the distinctions between management and leadership and how you can apply this knowledge for increasing effectiveness in your workplace.

To prepare:

Review the information in the Learning Resources.

Conduct additional research on your own and select at least two current, credible sources that contribute to your understanding of management and leadership.

Reflect on how the roles of management and leadership differ in supporting the organization to set and achieve goals.

Drawing upon specific examples from a current or previous practice setting, bring to mind someone who seemed to be a leader but not a manager and someone who seemed to be a manager but not a leader (generally speaking, or within a specific circumstance). Be prepared to support your assessment with specific behavioral descriptions found in the literature.

On the Week 8 Discussion Board, 1 page, 
APA format

an analysis of how management and leadership roles differ in terms of supporting an organization to set and achieve goals.

In addition, post  descriptions of an individual who demonstrates leadership behaviors but not management behaviors and an individual who demonstrates management behaviors but not leadership behaviors.

Provide your rationale, identifying specific characteristics of effective managers and leaders. (
Note:
 
Do not identify these individuals by name, position, or location
.)

 Course readings

Theory and application
 (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

o   Review Chapters 2 and 3

Note:
 Many of the articles in this week’s Required Readings are foundational in the leadership and management literature. The concepts presented in these early articles still apply to today’s workplace.

 Jennings, B. M., Scalzi, C. C., Rodgers, J. D., & Keane, A. (2007). Differentiating nursing leadership and management competencies. 
Nursing Outlook, 55
(4), 169–175.

Retrieved from the Walden Library databases.

In this foundational article, Jennings explores the similarities and differences between leadership and management competencies. The research implies that there is a growing ambiguity between the competencies required in nursing that must be addressed. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Keys, Y. (2014). Looking ahead to our next generation of nurse leaders: Generation X Nurse Managers. 
Journal of nursing management
, 
22
(1), 97-105.doiI: 10.1111/jonm.12198Abstract excerpt: The aim of this study identifies elements of professional success, and personal and professional fulfilment as defined by Generation X Nurse Managers.

 Leach, L. S., & McFarland, P. (2014). Assessing the Professional Development Needs of Experienced Nurse Executive Leaders. 
Journal of Nursing Administration
, 
44
(1), 51-62. doi: 10.1097/NNA.0000000000000021Abstract excerpt: The objective of this study was to identify the professional development topics that senior nurse leaders believe are important to their advancement and success. Visionary leadership, leading complexity, and effective teams were the highest ranked leadership topics. Leading change, advancing health: The future of nursing, healthy work environments, and healthcare reform were also highly ranked topics.

 Marker, D. (2010). Leadership or management? 
Management Quarterly, 51
(2), 31–34.

Retrieved from the Walden Library databases.This article defines what leadership and management are and explains differences between the concepts. According to Marker, managers are associated with position and power, while leadership is associated with position, guidance, and communication.

Ross, E. J., Fitzpatrick, J. J., Click, E. R., Krouse, H. J., & Clavelle, J. T. (2014). Transformational leadership practices of nurse leaders in professional nursing associations. 
Journal of Nursing Administration
, 
44
(4), 201-206.doi: 10.1097/NNA.0000000000000044Abstract excerpt: To build transformational frontline nurse leaders, organizations should balance formal leadership training programs with advanced degree attainment to encourage leaders to envision and challenge the future. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Stoddart, K., Bugge, C., Shepherd, A., & Farquharson, B. (2014). The new clinical leadership role of senior charge nurses: a mixed methods study of their views and experience. Journal of Nursing Management, 22(1), 49-59.DOI: 10.1111/jonm.12008Abstract excerpt: The aim of this study was to investigate the experience and views of senior charge nurses in relation to the implementation of a national clinical leadership policy.

Yi, H. H., & Yi, Y. J. (2014). Influence of Leader-Member exchange quality of head nurses and clinical nurses on organizational commitment and job satisfaction in clinical nurses. 
Journal of Korean Academy of Nursing Administration
, 
20
(2), 195-205.Abstract excerpt: The purpose was to identify the influence the quality of head and clinical nurses’ LMX (Leader-Member Exchange) on job satisfaction and organizational commitment.

NURS 6053 Week 9 Discussion (Walden)

This week’s discussion has asked the student to evaluate a leader that they currently work with, or has worked with or admired in the past. These leaders can be influential in one way or another, not always in a positive manner. Many leaders have established their style of leading some have qualities that do not fit their style into just one mold. Many leaders have efficiently and effectively adopted multiple styles to lead their staff effectively.

Week 10 
Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.

To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.

Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly). Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership. Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership.

Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

By Day 7

Write a 4 to 5 page Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership paper (page count does not include title and reference page) that addresses the following:

Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.

Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.

Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements.

Submission and Grading Information

To submit your completed Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.

Click the Week 10 Assignment Rubric to review the Grading Criteria for the Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Assignment. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership submission.

NURS 6053 Week 11 Discussion (Walden)

Conflict is a difficult situation no matter how it occurs or how much we do not want it to happen. Even with the best leaders, there will continue to be an evolving cycle of negotiations and diffuse stressful situations. As a manager of two surgical units, the day to day operations continues to be a constant battle of negotiations, but the crucial piece to this is to adequately understand how or why the conflict started or its origin (Marquis & Huston, 2015). So what is the key to keeping the peace? Is there a simple solution to this ongoing issue that has been around for decades? The answer is no in plain language. Each situation or occurrence must be addressed in individualized cases but developing a framework of how to deal and will aid in reaching an optimal goal in resolving your conflict. Essay assignment Papers: NURS 6053 Interprofessional Organizational & Systems Leadership.

NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management)

Order description:

Legal Issues (Negligence/Malpractice/Risk Management)

Our current health care system is in a fluid state. Change is constant. As health care providers, we strive to deliver optimal, safe care. Ongoing health care research, evidenced-based care, and effective guidelines for practice offer a stabilizing force. Our duty, as health care providers, is to “do no harm.” As providers, Nurse Practitioners (NP) provide preventive, acute, and chronic care, which entails complex management. Understanding legal terminology is essential to the role.

ORDER A PLAGIARISM-FREE PAPER HERE

NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management). Terms such as standard of care, malpractice, and negligence are inevitable and essential components for understanding the legal challenges advanced practice nurses will experience during their careers.

Only 1% of patients actually sue for malpractice in the U.S. and NPs are the least likely to be sued of all providers (Buppert, 2015). Just because an NP is sued does not mean the provider will be reported to the State Board of Nursing. Remember, the State Board of Nursing’s focus is not to protect the NP; their role is to protect the public. In many instances, the NP will be named in a Malpractice Lawsuit and later removed. Unfortunately, their name will be forever in the National Practitioner Data Bank, which we will discuss in further detail during this week’s Discussion.

This week, as you examine legal issues related to Nurse Practitioner Practice, focus on the implications of the legal terms you will be introduced to and how they will impact your day-to-day decisions in regard to patient care and safety. Consider strategies to improve your clinical practice skills and maintain current with legislative issues in your state. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

Buppert, C. (2015). Nurse Practitioner’s Business Practice and Legal Guide (5th ed..). Burlington, MA: Jones & Bartlett. Chapter 7, (pp. 271-284).

Learning Objectives

By the end of this week, students will:

Analyze legal implications for standard of care

Analyze key components of malpractice policies

Analyze collaborative agreements in relation to state rules

Analyze legal implications that exist for failure to adhere to a standard of care

Compare differences in malpractice policy options

Evaluate professional strengths and weaknesses

Evaluate mastery of NP clinical skills

Photo Credit: Tetra Images/Getty Images

Learning Resources

This page contains the Learning Resources for this module. Be sure to scroll down the page to see all of this module’s assigned Learning Resources. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

Required Readings

Agency for Healthcare Research and Quality (2016). National Guideline Clearinghouse. Retrieved from http://www.guidelines.gov

Buppert, C. (2015). Risk Management. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (285 – 302). Burlington, MA: Jones & Bartlett.

This chapter reviews lawsuits, malpractice, the importance of working within practice guidelines, and explains the purpose of the National Practitioner Data Bank.

Buppert, C. (2015). Negligence and Malpractice. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (285 – 302). Burlington, MA: Jones & Bartlett.

This chapter reviews risk management as well as dismissal of the noncompliant patient.

Jordan, L. M., Quraishi, J. A., & Liao, J. (2013). The National Practitioner Data Bank and CRNA Anesthesia-Related Malpractice Payments. American Association of Nurse Anesthetists Journal, 81(3), 178-182.

Note: Retrieved from the Walden Library databases.

Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.

Note: Retrieved from the Walden Library databases.

Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.

Note: Retrieved from the Walden Library databases.

Watson, E. (2014). Nursing Malpractice: Costs, Trends and Issues. Journal of Legal Nurse Consulting, 25(1), 26-31.

Note: Retrieved from the Walden Library databases.

Westrick, Susan J., & Jacob, N. (2016). Disclosure of Errors and Apology: Law and Ethics. The Journal for Nurse Practitioners, 12(2), 120-126.

Note: Retrieved from the Walden Library databases.

Required Media

Institute of Medicine. (2015, December 7). Assessing Progress on the Implementation of the Recommendations of The Future of Nursing [Video file]. Retrieved from https://www.youtube.com/watch?v=sMOjACA2ats

Note: The approximate length of this media piece is 1 hour. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

Optional Resources

Buppert, C. (2016). Carolyn Buppert-Specialist in Legal and Reimbursement Issues for Nurse Practitioners and Physicians.

Goodwin, B. (2016). You’ve Been Sued for Malpractice: What Happens Next? Urology Times.

Kreimer, S. (2015). Avoiding an EHR-Related Malpractice Suit. Contemporary OB/GYN, December, 39-42.

Discussion: Clinical Challenges for the NP

Each state has laws that differ in regard to the role of the Nurse Practitioner. They also may significantly impact the NP’s practice. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes may significantly impact your scope of practice as a Nurse Practitioner. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management). Remaining current with the laws in your state is essential. For example, the recent change at the federal level changing hydrocodone-containing drugs from a Schedule III drug to a Schedule II drug has impacted NPs in some states. For states that allow for Nurse Practitioners to write Schedule III-V drugs, these NPs are now unable to write for hydrocodone- containing medications, which significantly impacts their ability to provide care for their patients. The Pearson Report, which is updated almost annually, provides a national overview of each state’s current legislature. As a future NP, you should become familiar with The Pearson Report and stay abreast of state and federal legislation. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

For this Discussion, you will post an explanation that defines the legal implications for standard of care, the key components of a malpractice policy in regard to a case study. Additionally you will explain the collaborative agreements and rules for your state in regard to your NP practice and the case study you select. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

To prepare:

Review the following case studies and select one to research in depth:

Case Study One: Dismissing the non-compliant patient.

Gwen, a 52 year old Caucasian LPN, recently joined your practice as a new patient. She currently has a BMI of 32, B/P of 142/88. Pulse is 89, Respiratory rate is 22, Pulse Ox is 96% on Room Air. She is taking Lisinopril 10mg po daily (when she can remember), Metformin 1000mg po BID and refuses lab work. Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwen’s last mammogram and pap smear were “years ago.”

Case Study Two: Preventive care, why is it so important to document?

John, a 62 year old attorney, who has been a long-term patient of yours, comes to you to discuss his erectile dysfunction. You note that he has refused lab work for the past two years. He is a 30 pack/year smoker, and has not had a chest x-ray or ECG in three years. He does take his HCTZ 25 mg po daily. His BMI is 29 and all vital signs are within normal limits. He does agree to his Prevnar Vaccine today NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

Case Study Three: Patient and professional relationships. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

Jennifer, a 45 year old Caucasian returns to your clinic for a refill of her hydrocodone. She was diagnosed with Ovarian Cancer last year, followed by successful removal and treatment. All vital signs are stable and preventive care is up to date. She wants to discuss filing a lawsuit against the surgeon that initially turned her away and told her she had gastritis and needed to eat healthier.

Review the following articles found in this week’s Learning Resources:

Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.

Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.

Review endocrine disorders and erectile dysfunction in your Primary Care Medicine text (Gorrol, Ah. & Mulley, A.G., 2009).

Consider strategies and treatment options that would be most effective for these patient scenarios to improve compliance and health outcomes.

Reflect on how to approach the non-compliant patient and the importance of a separate preventive care visit. NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

INSTRUCTIONS FOR PAPER:

Write an explanation that addresses the following for the Case study you selected:

Identify and briefly summarize the case study you selected

Explain any legal implications for standard of care related to the case study you selected

Identify and explain the key components of a malpractice policy related to the case study you selected

Explain the collaborative agreements and knowledge the rules for your state in regards to NP practice the case study you selected NURS 6565 Synthesis in Advanced Practice Care – Legal Issues (Negligence/ Malpractice/ Risk Management).

NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings

University Outcomes

I. Facilitate positive social change where they work, in their communities, and in

society.

II. Use their knowledge to positively impact their profession, communities, and in

society.

III. Demonstrate a commitment to lifelong learning.

IV. Apply their learning to specific problems and challenges in their workplace and

professional settings.

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V. Demonstrate information literacy.* *Information literacy is defined as the ability to

know when there is a need for information, and being able to identify, locate,

evaluate, and effectively use that information for the issue or problem at hand.

VI. Demonstrate an understanding of the methods of inquiry used in their

professional or academic field. NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings.

VII. Practice legal and ethical integrity in their professional work.

VIII. Effectively communicate their ideas and the rationale behind them to others.

IX. Support diversity and multiculturalism within their profession, communities, and

society.

Program Outcomes

1. Synthesize organizational/systems leadership for cost-effective specialist nursing

practice that contributes to high-quality healthcare delivery, advancement of the

nursing profession, and social change

2. Critique evidence-based literature drawing from diverse theoretical perspectives

and pertinent research to guide decision-making that demonstrates best

practices for specialist nursing practice in a global society

3. Integratively assess, diagnose, plan, implement, and evaluate cost-effective

healthcare strategies that reduce health disparities by patient/population

advocacy for access to specialist nursing care

NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings

4. Demonstrate ability to effectively communicate using audience-specific oral,

written, and information technology for professional delivery of specialist nursing

care

5. Evaluate health needs of diverse populations for necessary teaching/coaching

functions based on specialist nursing knowledge to restore/promote health and

prevent illness/injury

6. Exhibit ongoing commitment to professional development and value of nursing

theories/ethical principles (altruism, autonomy, human dignity, integrity, social

justice) in accordance with ethically-responsible, legally-accountable specialist

nursing practice

7. Implement specialist nursing roles to promote quality improvement of patient-

centered care in accordance with professional practice standards that transform

health outcomes for diverse populations

Course Outcomes

1. Synthesize the role and responsibilities of the nurse practitioner

2. Analyze issues related to the certification and licensing of nurse practitioners

3. Summarize challenges that impact clinical practice for advanced practice nurse

practitioners

4. Analyze the evolving role of the advanced practice nurse practitioner

5. Apply interprofessional practice in providing care to patients with complex health

conditions

6. Synthesize the process for transitioning from the role of registered nurse to

advanced practice nurse practitioner

7. Analyze ethical and legal issues of nurse practitioner practice

8. Synthesize process for measuring quality performance of nurse practitioners

Weekly Objectives Alignment Chart

Week 1: The Emerging Role of Nurse Practitioners in Diverse Clinical Settings

Met In (D#/A# /Other)

Course Outcome(

s)

SoN Outcome

s

Program Outcome(

s) University Outcome(

s)

MS Essential s (MSE)

Create professional goals to support your transition from RN to NP practice to promote positive social change

A 1, 2 2, 4, 5 3

PO: 1,2, 5 UO: 2, 6

NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings

Evaluate mastery of NP clinical skills

PA1 1,2 2, 4, 5 3

PO: 1, 2, 5 UO: 2,6

Evaluate professional strengths and weaknesses

PA2 1,2 2, 4, 5 3

PO:1, 2, 5 UO: 2,6

Analyze practices of advanced practice nurses

PA2 1,2 2, 4, 5 3

PO: 1, 2 UO: 2,6

Week 2: Consequences of Ethical Issues in Advanced Nursing Practice

Met In (D#/A# /Other)

Course Outcome(

s)

Program Outcome(

s) University Outcome(

s)

Evaluate ethics of treating family members

D 7 2 PO: 2 UO: 7

Analyze salient ethical issues in Advanced Nursing Practice

A 7 2 PO: 2 UO:7

Compare ethical dilemmas with state health laws and regulations

D, A 7 2 PO: 2 UO: 7

Outline the process of ethical decision making

A 7 2 PO: 2 UO: 7

Week 3: Ongoing Performance Evaluation

Met In (D#/A# /Other)

Course Outcome(

s)

Program Outcome(

s) University Outcome(

s)

Analyze importance of quality measures

D 8 1, 4, 5 3

PO: 3,5 UO: 4, 8

Evaluate the use of incentive payment for care

D 8 3 PO: 5 UO: 4, 8

Analyze external motivators for incentive payment for care

D 8 3 PO: 5 UO: 4, 8 NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings

Apply comprehensive knowledge of nurse practitioner practice

A 8 3 PO: 5 UO: 4, 8

© 2016 Laureate Education, Inc. Page 4 of 7

Week 4: Legal Issues (Negligence/Malprac tice/Risk Management)

Met In (D#/A# /Other)

Course Outcome(

s)

SoN Goals

Program Outcome(

s) University Outcome(

s)

Analyze legal implications for standard of care

D 6,7 1, 4, 5 PO:3 UO:4,5

Analyze key components of malpractice policies

D, A 6,7 1, 4, 5 PO:3 UO:4,5

Analyze collaborative agreements in relation to state rules

D 6,7 1, 4, 5 PO:3 UO:4,5

Analyze legal implications that exist for failure to adhere to a standard of care

A 6,7 1, 4, 5 PO:3 UO: 4,5

Compare differences in malpractice policy options

A 6,7 1, 4, 5 PO:3 UO:4,5

Evaluate professional strengths and weaknesses

PA 1,2 2, 4, 5 3

PO:1, 2, 5 UO: 2,6

Evaluate mastery of NP clinical skills

PA 1,2 3, 2, 4, 5 PO: 1, 2, 5 UO: 2,6

Week 5: Interprofessional Practice

Met In (D#/A# /Other)

Course Outcome(

s)

Program Outcome(

s) University Outcome(

s)

Analyze interprofessional practice

D 5 2 PO: 2 UO: 4

Apply concepts of interprofessional practice in a clinical setting

D 5 2 PO: 2 UO: 4

Create professional cover letters, resumes, and portfolios * *The Assignment

A 3, 6 2 PO: 2 UO:3

© 2016 Laureate Education, Inc. Page 5 of 7

related to this Learning Objective is introduced this week and submitted in Week 10.

Week 6: Certification, Licensure, and Scope of Practice

Met In (D#/A# /Other)

Course Outcome( NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings

s)

Program Outcome(

s) University Outcome(

s)

Analyze NP certification, licensure, and relocation processes

D 2 1, 4, 5 2, 3

PO:3,4 UO: 4,5

Compare Scope of Practice among acute care, family practice and adult gerontology primary care nurse practitioners

D 2 2, 3 PO:4 UO: 4,5,6

Evaluate settings that are appropriate for FNP and AGPCNP graduates

D 2 2, 3 PO:4 UO: 4,5,6

Evaluate certification exam options

A 2 2, 3 PO:4 UO: 4,5

Create plans for passing National Certification Exams

A 2 2, 3 PO:4 UO: 4,5

Analyze state restrictions or limitations for practice

A 2 2, 3 PO:4 UO: 4,5

Week 7: Prescriptive Authority and Drug Enforcement Administration Registration

Met In (D#/A# /Other)

Course Outcome(

s)

Program Outcome(

s) University Outcome(

s)

Analyze appropriate prescriptive authority and DEA registration processes

D 3,7 2, 3 PO:4 UO: 4,5

Analyze safe prescribing practices

D 3,7 2, 3 PO:4 UO: 4,5

Evaluate professional PA 1,2 2, 4, 5, 3 PO:1, 2, 5

© 2016 Laureate Education, Inc. Page 6 of 7

strengths and weaknesses

UO: 2,6

Evaluate mastery of NP clinical skills

PA 1,2 2, 4, 5, 3 PO: 1, 2, 5 UO: 2,6

Week 8: Coding and Billing Issues

Met In (D#/A# /Other)

Course Outcome(

s)

Program Outcome(

s) University Outcome(

s)

Analyze reimbursement issues

D 1,3 2, 4, 5 PO:1 UO: 4,5,6

Compare the impact of reimbursement issues between collaborative practice and independent practice

D 1,3 2, 4, 5 PO:1 UO: 4,5,6

Analyze ethical and legal implications of reimbursement issues

D 1,3 2, 4, 5 PO:1 UO: 4,5,6

Week 9: Professional and Business Practice

Met In (D#/A# /Other)

Course Outcome( NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings

s)

Program Outcome(

s) University Outcome(

s)

Evaluate business structures

A 1,3 2, 4, 5 PO: 1 UO: 4,5,6

Create a business plan

A 1,3 2, 4, 5 PO:1 UO: 4,5,6

Analyze costs associated with establishing independent practice

A 1,3 2, 4, 5 PO:1 UO: 4,5,6

Week 10: Leadership Implications

Met In (D#/A# /Other)

Course Outcome(

s)

Program Outcome(

s) University Outcome(

s)

Analyze state NP practice agreements

D 3, 6 1, 4, 5 PO: 3 UO:2

Analyze state physician

D 3, 6 1, 4, 5 PO: 3 UO:2

© 2016 Laureate Education, Inc. Page 7 of 7

collaboration issues

Analyze barriers to NP independent practice

D 3, 6 1, 4, 5 PO: 3 UO:2

Create plan for addressing state NP practice issues

D 3, 6 1, 4, 5 PO: 3 UO:2

Create professional cover letters, resumes, and portfolios

A 3, 6 2 PO: 2 UO:3

Evaluate professional strengths and weaknesses

PA 1,2 2, 4, 5, 3 PO:1, 2, 5 UO: 2,6

Evaluate mastery of NP clinical skills

PA 1,2 2, 4, 5, 3 PO: 1, 2, 5 UO: 2,6

Week 11: Social Change Agents

Met In (D#/A# /Other)

Course Outcome(

s)

Program Outcome(

s) University Outcome(

s)

Evaluate changes needed at the national, state, or community level

D 1,3 2, 4, 5

PO:1,7 UO: 1

Analyze nursing legacies and enacting social change

D 1 2, 4, 5 PO:1,7 UO: 1, 2, 3

Synthesize information from your course and practicum experiences to suggest social change needed in your community

D 1 2, 4, 5 PO:1,7 UO: 1, 2, 3

Legend D = Discussion A = Assignment PA = Practicum Assignment NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings

NURS 6565: Quality and
Cost
Measurements essay assignment discussion

NURS 6565: Quality and Cost Measurements

As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:

Why are quality measures important?

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What is the difference between quality measures and performance indicators?

What performance measures are used for NP productivity?

Why are incentive plans used in clinical organizations?

To prepare:

Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015), ,  Buppert , C. 2015 Measuring Nurse Practitioner Performance and other articles provided NURS 6565: Quality and Cost Measurements essay assignment discussion.

Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)

To Complete

Post 1 to 2 pages on :  An explanation of the importance of quality measures using the clinical performance measure you identified as an example.

Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article.

Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.

REFERENCES

Rhodes, C. A., Bechtle, M., & McNett, M. (2015). An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes. Nursing Economics, 33(3), 125-131.

Buppert, C. (2015). Measuring Nurse Practitioner Performance. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (469 – 478). Burlington, MA: Jones & Bartlett. NURS 6565: Quality and Cost Measurements essay assignment discussion.

Hain, D., & Fleck, L. M. (2014). Barriers to NP practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2). NURS 6565: Quality and Cost Measurements essay assignment discussion.

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Evidence-Based Practice. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (237-262). St. Louis, MO: Elsevier Saunders.

Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., . . . Weiner, J. P. (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. Journal for Nurse Practitioners, 9(8), 492-500. doi:10.1016/j.nurpra.2013.07.004 v.

Nurs 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Essay Discussion Assignment paper

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe treatment that targets the cause rather than the symptom. Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Discussion, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

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Consider the following case study:

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: Nurs 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Essay Discussion Assignment paper.

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

To prepare:

·        Review this week’s media presentation on pharmacology for the gastrointestinal system.

·        Review the provided case study. Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

·        Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors such as pregnancy, drugs, or a psychological disorder.

·        Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Post 1 page page APA format  

 
an explanation of your diagnosis for the patient including your rationale for the diagnosis. Nurs 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Essay Discussion Assignment paper.

Then, describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
(Note this is a pharmacology class make sure medicine is appropriate and will work with pt’s current med list)

 

Readings

·        Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). 
Pharmacotherapeutics for advanced practice: A practical approach
 (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.

o   Chapter 28, “Nausea and Vomiting” (pp. 392–409)

This chapter focuses on the etiology of nausea and vomiting, as well as body systems that impact or trigger nausea and vomiting. It also covers various drugs used to treat nausea and vomiting including the process of selecting, administering, and managing drug therapy for patients.

o   Chapter 29, “Gastroesophageal Reflux Disease and Peptic Ulcer Disease” (pp. 410–423)

This chapter begins with an overview of risk factors, symptoms, and clinical stages of gastroesophageal reflux disease (GERD). It then examines drugs used to treat GERD and peptic ulcer disease (PUD), including proper dosages, possible adverse reactions, contraindications, and special considerations. Nurs 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Essay Discussion Assignment paper.

o   Chapter 30, “Constipation, Diarrhea, and Irritable Bowel Syndrome” (pp. 424–453)

This chapter begins by exploring disorders associated with constipation and diarrhea, as well as drugs used in treatment. It also covers the pathophysiology of irritable bowel syndrome and related drug therapies.

o   Chapter 31, “Inflammatory Bowel Disease” (pp. 454–471)

This chapter examines the causes, pathophysiology, and diagnostic criteria of inflammatory bowel disease (IBD), Crohn’s disease, and ulcerative colitis. It also identifies drugs used to treat IBD, including proper dosage, adverse reactions, and special considerations.

·        Starr, S., & Raines, D. (2011). Cirrhosis: Diagnosis, management, and prevention. 
American Family Physician
, 
84
(12), 1353–1359.

Retrieved from the Walden Library databases. Nurs 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Essay Discussion Assignment paper.

This article examines the clinical presentation, pathophysiology, diagnosis, management, and prevention of cirrhosis. It also provides methods for managing complications of cirrhosis.

·        Drugs.com. (2012). Retrieved from 
http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker. .

NURS 6512 Walden University Exam test questions

A nurse recalls an example of an immune-complex-mediated disease is:

Question 2

1 out of 1 points

When a patient asks the nurse what hypersensitivity is, how should the nurse respond? Hypersensitivity is best defined as:

Question 3

1 out of 1 points

A 35-year-old male is diagnosed with lobar pneumonia (lung infection). Which of the following exudates would be present in highest concentration at the site of this advanced inflammatory response? NURS 6512 Walden University Exam test questions.

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Question 4

1 out of 1 points

A 10-year-old male presents to his primary care provider reporting wheezing and difficulty breathing. History reveals that both of the child’s parents suffer from allergies. Which of the following terms would be used to classify the child? NURS 6512 Walden University Exam test questions.

Question 5

1 out of 1 points

A 20-year-old male shoots his hand with a nail gun while replacing roofing shingles. Which of the following cell types would be the first to aid in killing bacteria to prevent infection in his hand?

Question 6

1 out of 1 points

An 8-year-old female presents with edema of the cutaneous and mucosal tissue layers. Her mother reports that the condition is recurrent and seems to occur more often during stressful situations. The child is diagnosed with hereditary angioedema. Which of the following is deficient in this child? NURS 6512 Walden University Exam test questions.

Question 7

1 out of 1 points

Which patient will develop active immunity? A patient who:

Question 8

1 out of 1 points

A child fell off the swing and scraped the right knee. The injured area becomes painful. What else will the nurse observe upon assessment? NURS 6512 Walden University Exam test questions.

Question 9

1 out of 1 points

A 30-year-old male is having difficulty breathing and has been spitting blood. He reports that he began experiencing this reaction after cleaning his pigeons’ cages. Testing reveals he is suffering from allergic alveolitis. Which of the following is he experiencing?

Question 10

1 out of 1 points

A 45-year-old male presents with persistent, severe stomach pain. Testing reveals a peptic ulcer. Further laboratory tests reveal the presence of Helicobacter pylori. Which of the following is of concern for this patient? NURS 6512 Walden University Exam test questions

Question 11

1 out of 1 points

After teaching about stress, which information indicates a correct understanding of stress?

Question 12

0 out of 1 points

A 30-year-old female presents to her primary care provider reporting fatigue, excessive sweating, and increased appetite. Physical examination reveals protruding eyes, and laboratory testing reveals hyperthyroidism secondary to autoantibody production. This disorder falls into the category of type _____ hypersensitivity.

Question 13

1 out of 1 points

Stress induces sympathetic stimulation of the adrenal medulla. This causes the secretion of catecholamines, which include:

Question 14

1 out of 1 points

A 5-month-old child is admitted to the hospital with recurring respiratory infections. A possible cause of this condition is:

Question 15

1 out of 1 points

Which of the following patients would be at greatest risk for basal cell carcinoma?

Question 16

1 out of 1 points

An infant develops a fever secondary to a bacterial infection. Which of the following most likely triggered the fever?

Question 17

0 out of 1 points

A 50-year-old female experiences decreased blood pressure, decreased oxygen delivery, cardiovascular shock, and subsequent death. A complication of endotoxic shock is suspected. Which of the following is the most likely cause?

Question 18

1 out of 1 points

Which of the following individuals would be at greatest risk for an opportunistic infection?

Question 19

1 out of 1 points

When a patient presents at the emergency department for an allergic reaction, the nurse recognizes the most severe consequence of a type I hypersensitivity reaction is:

Question 20

1 out of 1 points

Which of the following hormones activates adrenergic receptors?

Question 21

1 out of 1 points

During inflammation, the liver is stimulated to release plasma proteins, collectively known as:

Question 22

1 out of 1 points

Exhaustion occurs if stress continues and _____ is not successful. NURS 6512 Walden University Exam test questions.

Question 23

1 out of 1 points

When the maternal immune system becomes sensitized against antigens expressed by the fetus, what type of immune reaction occurs?

Question 24

1 out of 1 points

When histamine is released in the body, which of the following responses would the nurse expect?

Question 25

1 out of 1 points

A patient presents with poison ivy on the extremities, face, and buttocks. This condition is an example of:

Question 26

1 out of 1 points

A 70-year-old female with osteoporosis fractures her leg at a location of preexisting abnormality. She reports that the fracture occurred following a minor fall. Which of the following best describes the fracture? NURS 6512 Walden University Exam test questions.

Question 27

1 out of 1 points

A 4-month-old female is diagnosed with atopic dermatitis (AD). Which of the following assessment findings by the nurse will most likely support this diagnosis?

Question 28

1 out of 1 points

A 34-year-old female was recently diagnosed with RA. Physical examination revealed that inflammation started in the:

Question 29

1 out of 1 points

The final stage of gout, characterized by crystalline deposits in cartilage, synovial membranes, and soft tissue, is called: NURS 6512 Walden University Exam test questions.

Question 30

1 out of 1 points

A 2-month-old female develops diaper dermatitis. A nurse will monitor this patient for which secondary infection that frequently accompanies diaper dermatitis?

Question 31

1 out of 1 points

A 40-year-old female is diagnosed with SLE. Which of the following findings would be considered a symptom of this disease?

Question 32

1 out of 1 points

A 30-year-old female complains of fatigue, arthritis, rash, and changes in urine color. Laboratory testing reveals anemia, lymphopenia, and kidney inflammation. Assuming a diagnosis of SLE, which of the following is also likely to be present? NURS 6512 Walden University Exam test questions.

Question 33

1 out of 1 points

Rubella, rubeola, and roseola are common communicable diseases caused by _____ infection.

Question 34

1 out of 1 points

Researchers now believe that RA is:

Question 35

1 out of 1 points

What common symptom should be assessed in individuals with immunodeficiency?

Question 36

1 out of 1 points

A 50-year-old male recently underwent a liver transplant and is taking immunosuppressive drugs. He now has painful vesicular eruptions on the face and trunk. He reports that he had chickenpox as a child. Which of the following is the most likely diagnosis based on his chicken pox history?

Question 37

1 out of 1 points

Copy of A 5-year-old female was diagnosed with seropositive juvenile rheumatoid arthritis (RA). The treatment option for this disease is termed:

Question 38

1 out of 1 points

A 70-year-old female presents with a hip fracture. She is diagnosed with osteoporosis. One factor that most likely contributed to her condition is:

Question 39

1 out of 1 points

A 42-year-old female presents with raised red lesions with a brownish scale. She was diagnosed with discoid lupus erythematosus. A clinician recalls this disorder is related to: NURS 6512 Walden University Exam test questions.

Question 40

1 out of 1 points

The nurse would expect the occurrence of scabies to occur more commonly among children who:

Sunday, March 13, 2016 6:02:30 PM EDT NURS 6512 Walden University Exam test questions