Category: Nursing

Primary, secondary, and tertiary disorders essay

DQ – 1

What are primary, secondary, and tertiary disorders?

Select one of the following discussion questions for your discussion response. Indicate which question you have chosen using the format displayed in the Discussion Forum Sample.

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With endocrine disorders, just like any other disorder, it is essential to determine the root cause of the disorder. What are primary, secondary, and tertiary disorders? Compare the differences between primary, secondary, and tertiary forms of hyposecretion and hypersecretion? v.

The hypothalamic-pituitary system is the main controlling factor for normal endocrine function. What are some of the common ways for this finely balanced system to become unstable?

Explain how the circadian rhythm is related to cortisol secretion from the adrenal cortex. What factors cause disturbances in this system?

Explain how the circadian rhythm is related to cortisol secretion from the adrenal Primary, secondary, and tertiary disorders essay

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Concepts of Altered Health in Older Adults Case Study Posting Requirements

Make sure all of the topics in the case study have been addressed.

Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.

All sources must be within five years.

Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

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Concepts of Altered Health in Older Adults Case Study

Joseph P. is an 82-year-old male living at home. He is in overall good health and enjoys taking long walks as often as possible. During his walks, he likes to stop for a cold glass of fruit juice at the local cafeteria. On cold or rainy days, he rides a stationary bicycle at home for 30 minutes to “stay in good shape.”

What physiological factors would typically increase Joseph’s risk of falling while walking outdoors?

What are the common changes in blood pressure regulation that occurs with aging?

Joseph enjoys fruit juice when he walks. Considering the renal system in the older adult, why would Concepts of Altered Health in Older Adults

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Integrating Theories with Systems-based Ideas Assignment

Question description

Discuss Integrating Theories with Systems-based Ideas – After completing this week’s readings, submit a discussion post that addresses the following prompts:

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List at least one theoretical constructs from each studied theory (Information Processing, Ecological Theory, and sociocultural approach).

Provide a brief reflection on how each of these constructs informs the work of MFT.

Explain how the family-based therapeutic model of your choice (e.g., Structural, Strategic, Bowen, SFBT, Collaborative, etc.) incorporate at least one of the chosen theoretical constructs.

Length: 450-500 words. Integrating Theories with Systems-based Ideas Assignment

Comprehensive Health History Taking Essay Assignment

ADVANCED HEALTH ASSESSMENT
 

Comprehensive Health History Taking Assignment Details:

Select one patient (neighbor, family, or friend) and write-up their comprehensive health history. Include the following variables:

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Identifying data.

Past medical history.

Health status, perceived barriers, and support.

Chief complaint (CC).

History of present illness (HPI).

Family and/or social history (PFSH).

Focused review of systems (ROS).

Identify age, spiritual values, and cultural variables that were considered and how these variables influenced your interviews or health history. Comprehensive Health History Taking Essay Assignment.

In a 1,000-1,250-word essay, summarize effective interview techniques for collecting a patient’s health history. Include the following:

Address how to elicit the patient’s interpretation of their health status, their perceived barriers, and support.

Critique the effectiveness of several history taking techniques with rationale from the readings. Comprehensive Health History Taking Essay Assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Comprehensive Health History Taking Essay Assignment.

PLEASE USE 3 RELIABLE RESOURCES AND INCLUDE

Bates’ Guide to Physical Examination and History Taking

Bickley, L. (2017). 
Bates’ guide to physical examination and history-taking
 (12th ed.). Philadelphia, PA: Wolters Kluwer. ISBN-13: 9781469893419

RUBRIC 
Comprehensive Health History Taking Assignment

 

1

No Submission

0.00%

2

Unsatisfactory

75.00%

3

Less than Satisfactory

80.00%

4

Satisfactory

88.00%

5

Good

92.00%

6

Excellent

100.00%

70.0 %Content

 

20.0 %Documents ComprehensiveHealth History

None.

Barely documents comprehensive health history. Significantly lacking in depth.

Comprehensive Health History Taking Essay Assignment

Comprehensive health history addresses only five to six of the seven categories (a-g) described in the assignment criteria. Data lacks details and/or is incomplete in some areas. Lacks both scope and clarity.

Health history is minimally provided for on seven categories (a-g) described in the assignment criteria. Data is sparse and/or is incomplete in some areas, lacking in scope or clarity.

Clearly documents comprehensive health history. Outlines the information required for all of the seven categories (a-g) described in the assignment criteria. Data is clear and detailed.

Clearly and comprehensively documents comprehensive health history, and presents complete information required for all of the seven categories (a-g) described in the assignment criteria. Data is clear, detailed, and in-depth.

 Comprehensive Health History Taking Assignment: 20.0 %Identifies Age, Spiritual Values, and Cultural Variable, and How These Variables Influence Interview or Health History

None.

Age, spiritual values, and cultural variable are either not present or incomplete. Assignment criteria has not been met.

Minimally identifies age, spiritual values, and cultural variable. Data lacks details and/or is incomplete in some areas. States how these variables influence the interview or health history. Discussion significantly lacks depth.

Outlines patient?s age, spiritual values, and cultural variable. States how these variables influence the interview or health history. Statements may lack depth of understanding or detail.

Outlines patient?s age, spiritual values, and cultural variable. Briefly describes with minimal evidence how these variables influence the interview or health history.

Thoroughly presents complete information on age, spiritual values, and cultural variable. Describes in-depth and with supporting evidence how these variables influence the interview or health history.

15.0 %Addresses How to Elicit the Client?s Interpretation of Their Health Status, Their Perceived Barriers, and Support

None.

Analysis of the criteria is not outlined or is outlined poorly. Does not distinguish perceived barriers and support.

Comprehensive Health History Taking Essay Assignment

Ignores or superficially evaluates how to elicit the client?s interpretation of their health status. Draws unwarranted or fallacious conclusions. Recognizes simple relationship examples without providing rationale.

Surface level of evaluation of how to elicit the client?s interpretation of their health status is offered. Describes basic perceived barriers and support.

Analysis is direct, competent, and appropriate of the criteria. Illuminates relationships.

Thoughtfully analyzes and evaluates how to elicit the client?s interpretation of their health status. Draws warranted, judicious, non-fallacious conclusions. Identifies the salient arguments (perceived barriers and support) pro and con providing explicit examples and details.

15.0 %Critiques the Effectiveness of Several History Taking Techniques:  Comprehensive Health History Taking Assignment

None.

Critique of the effectiveness of several history-taking techniques is not outlined or is outlined poorly.

Ignores or superficially critiques the effectiveness of several history-taking techniques. Draws unwarranted or fallacious conclusions.

Surface level critique of effectiveness of several history-taking techniques is offered. Claims and ideas of the criteria are supported.

Critique is direct, competent, and appropriate of the topic. Claims and ideas are supported.

Thoughtfully critiques and evaluates the effectiveness of several history-taking techniques. Draws warranted, judicious, and non-fallacious conclusions. Information and evidence are accurate, appropriate.

20.0 %Organization and Effectiveness

 

7.0 %Thesis Development and Purpose

None.

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Comprehensive Health History Taking Essay Assignment

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

8.0 %Argument Logic and Construction:  Comprehensive Health History Taking Assignment

None.

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

5.0 %Mechanics of Writing (Includes spelling, punctuation, grammar, and language use.):  Comprehensive Health History Taking Assignment

None.

Comprehensive Health History Taking Essay Assignment

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

10.0 %Format

 

5.0 %Paper Format (Use of appropriate style for the major and assignment.):  Comprehensive Health History Taking Assignment

None.

Template is not used appropriately, or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style.):  Comprehensive Health History Taking Assignment

None.

Comprehensive Health History Taking Essay Assignment

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct.

In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.

100 %Total Weightage

BIO 500 – Laurie Garrett on Lessons From the 1918 Flu essay assignment

Laurie Garrett on Lessons From the 1918 Flu assignment: Assume you are working for a local public health organization at the state level. BIO 500 – Laurie Garrett on Lessons From the 1918 Flu essay assignment. Your team wants to develop a program to prepare for a possible pandemic that is spreading worldwide. View, “Laurie Garrett on Lessons From the 1918 Flu.” How could knowledge of the course objectives help you make recommendations to your organization? BIO 500 – Laurie Garrett on Lessons From the 1918 Flu essay assignment.

PSY 275 Development, Stress, and Anxiety Quiz

Autistic thinking is the tendency to ______.

see oneself as the center of the universe

engage in abstract thinking patterns that no one else can understand

engage in persistently obsessive thought patterns

see oneself as being “swallowed up” by the universe

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The central feature of a generalized anxiety disorder is ______.

trembling

worry

fear of dying

depression

 

______ are classified as neurodevelopment disorders in the DSM-5.

Attention-deficit/hyperactivity disorder and autism spectrum disorder

Attention-deficit hyperactivity disorder and pica

Pica and separation anxiety disorder

Enuresis and encopresis

 

After witnessing a terrible car accident, John is experiencing so much emotional distress that he is having difficulty taking care of his responsibilities at work. He is most likely experiencing which of the following common features of traumatic stress disorders?

Avoidance behavior

Emotional distress and impaired functioning

Heightened arousal

Emotional numbing

 

Generalized anxiety disorder (GAD) is characterized by excessive anxiety and worry that is _____________.

limited to health and safety concerns

not limited to any one object, situation, or activity

limited to concerns about the well-being of immediate family members

specific to an object or event that the individual has had an aversive experience with

The essential feature of a panic disorder is ______.

constant worry without a known cause

well-defined phobic reactions to specific stimuli

behavior dominated by rituals performed in order to avoid anxiety

occurrences of repeated, unexpected panic attacks

 

A disorder characterized by a generalized delay or impairment in the development of intellectual and adaptive abilities is ______.

intellectual developmental disorder

Asperger’s disorder

childhood schizophrenia

autism

 

______ is the category within the DSM-5 that has many of the psychological disorders affecting children and adolescents.

Major depressive disorder

Separation anxiety disorder

Autism

Neurodevelopment disorders

 

A behavior disorder characterized by impulsivity, excessive motor activity, and inability to focus one’s attention is known as ______.

attention-deficit/hyperactivity disorder

sensorimotor disorder

oppositional defiant disorder

conduct disorder

 

In the DSM-5, acute stress disorder and posttraumatic stress disorder are classified in which of the following categories?

Childhood Disorders

Substance Abuse Disorders

Trauma-and Stressor-Related Disorders

Schizophrenic Disorders

PSY 275 Development, Stress, and Anxiety Quiz

 

Last year, Hannah witnessed an accident where a pedestrian was struck and killed by an automobile. Since the accident, Hannah has experienced anxiety and actively avoids the street where she witnessed the accident.  A clinician might diagnose Hannah as having__________.

an adjustment disorder with anxiety

PTSD

reactive stress disorder

acute stress disorder

 

Which of the following is true of children with autism?

They have distinctive, unusual facial features and have an “intelligent look” about them.

They are often described by their parents as having been difficult babies during early infancy.

They maintain good eye contact but typically are not drawn to social exchanges.

As they develop, they begin to reject affectionate contacts such as hugging, kissing, and cuddling with their parents. PSY 275 Development, Stress, and Anxiety Quiz.

 

Todd spends hours checking and rechecking the doors and windows to his house to make sure they are completely locked and secured before he leaves for work in the morning. This is the only way he can prevent himself from being overwhelmed by anxiety and fears he left something unlocked as he drives to the office. Todd is suffering from ______ disorder.

obsessive-compulsive

panic

generalized anxiety

phobic

 

The most common treatment for attention-deficit hyperactivity disorder is ______.

behavioral

pharmacological

surgical

psychodynamic

Todd is six years old. His behavior is characterized by inattention, bullying, temper tantrums, stubbornness, and fidgeting. He is easily distracted, fails to finish anything he starts, often acts impulsively, and requires constant supervision. He is constantly on the go, running and climbing on things, and he cannot wait his turn in games or lines. He is suffering from ______ disorder.

conduct

oppositional defiant

attention-deficit/hyperactivity

obsessive-compulsive

 

Robert has had persistent anxiety for about 13 months. He has also suffered from shakiness, feeling “keyed up,” insomnia, irritability, and chronic muscle tension. He is best diagnosed as having a(n) ______ disorder.

obsessive-compulsive

phobic

generalized anxiety

panic

 

The prevalence of autism has been ______ over the past 20 years.

slightly increasing

decreasing

about the same

dramatically increasing

 

EMDR is a technique to treat ______.

generalized anxiety disorder

obsessive-compulsive disorder

PTSD

phobia

 

People with __________ are preoccupied with an imagined or exaggerated physical defect in their appearance. PSY 275 Development, Stress, and Anxiety Quiz.

body dysmorphic disorder

a personality disorder

somatization disorder

an adjustment disorder

 

Dick has episodes of sheer terror when riding on subway trains. He breaks into a cold sweat and often feels like he is having a heart attack. During these attacks he imagines that he is completely losing control of himself. Dick’s disorder is best described as a(n) ______ disorder.

generalized anxiety

obsessive-compulsive

posttraumatic stress

panic

 

Chad is on the dean’s list in college and he is also one of the best athletes on the football team. Despite his successes, Chad worries about his grades and finds his mind going blank at times. He is also beginning to have difficulty falling asleep. Most likely, Chad has ______.

a specific phobia

a generalized anxiety disorder

social anxiety disorder

a panic disorder

 

There is an increased probability of autism occurring with _____.

younger fathers

younger mothers

older mothers

older fathers

 

In the previous version of the DSM, ___________ were used to describe distinct disorders within the autism spectrum.

Asperger’s disorder and Tourette’s syndrome

Asperger’s disorder and childhood disintegrative disorder

childhood disintegrative disorder and Tourette’s syndrome

Tourette’s syndrome and Rett’s disorder

Adjustment disorders are classified in the DSM-5 within a category of ____________.

Schizophrenic Disorders

Trauma and Stressor-Related Disorders

Anxiety Disorders

Childhood Disorders

Development, Stress, and Anxiety Quiz

An excessive, irrational fear of being in public without the availability of escape or help is ______.

acrophobia

claustrophobia

agoraphobia

panic disorder

 

Individuals suffering from Acute Stress Disorder may feel ______________.

angry and betrayed by the world

“in a daze” or feel that the world seems like a dreamlike or unreal place.

as though they are experiencing a heart attack

unaware of their internal emotions

 

A condition caused by the presence of an extra chromosome on the 21st pair and characterized by intellectual developmental disorder and various physical anomalies is ______. PSY 275 Development, Stress, and Anxiety Quiz.

Klinefelter’s syndrome

Turner’s syndrome

Fragile X syndrome

Down syndrome

 

In PTSD, the loss of the ability to have loving feelings is which of the following common features of traumatic stress disorders?

Emotional numbing

Heightened arousal

Emotional distress and impaired functioning

Avoidance behavior

 

Ron is an Iraq War veteran. He wakes up in the middle of the night in a cold sweat due to nightmares in which he relives his most frightening war experiences. He refuses to talk about the war with anyone and is constantly fidgety and “on edge.” He is unable to enjoy himself or develop intimate relationships. His symptoms have continued for over three years. He is best diagnosed as suffering from a(n) ______ disorder.

acute stress

posttraumatic stress

adjustment

personality

 

Which of the following is true?

Normally overactive children are goal-directed and can exert voluntary control over their behavior, whereas children with ADHD cannot exert voluntary control over their behaviors.

Children with ADHD exhibit no problems with working memory.

Black and Hispanic children are more likely to receive the diagnosis than Euro-American children.

There is really no qualitative difference between highly active “normal” children and highly active children labeled with ADHD. PSY 275 Development, Stress, and Anxiety Quiz.

Sample Checkpoint for Certification Plan Practicum Journal

Preparing for the certification is a major milestone in my career path, it is essential to be organized and goal-directed towards the success of the certification, Therefore I have organized all the study materials needed to succeed in the examination. I have created my study guideline,

which includes the books to review, test-taking skills, questions to review and areas of focus based on the certification exam requirements for PMHNPs. I have enrolled in the enrolled Barkley & Associates review class scheduled for January 13 and 14, 2019 with hotel reservations. I have also purchased the CD and the review manual from Barkley and currently studying and listening to the CD. Board vitals and the pocket prep application are vital online resources tool that I amusing to practice and review questions Sample Checkpoint for Certification Plan Practicum Journal. On daily basses review 10 questions from Board vitals, 10 questions from pocket prep application. Participate in a study group and ask each other questions based on the material. I started studying a chapter in 3-4

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days from the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual, 4
th
Edition by Kathryn Johnson and Dawn Vanderhoef. People tend to be motivated toward pleasure and away from pain. I write down my to-do list, this helps me to prioritize my activities and to ensure successful accomplishment. There are times when time constraints is an issue and someitems are not done on the time frame allotted for it then I remind myself why the task was important enough to get onto the list in the first ANXIETY DISORDER, OCD, OR SOMETHING ELSE? place, and I am much more likely to accomplish it. In studying for a certification test “that” item on your to-do list should be reframed to boost your motivation by replacing “have to” with “want to!” (Rauen, 2018) Considering the importance of test-taking strategies, it is believed that employing the strategies that can enhance the successful performance on the total test is of crucial importance. (Kheirzadeh, et. al, 2017). Pacing and test preparation appear to be important factors that affect test taking strategies and performance of many examinees, therefore, it is essential to assess one’s study skills and develop areas that are weaker to ensure successful learning efficiency. (Lee, & Haberman, 2016). Sample Checkpoint for Certification Plan Practicum Journal.

In summary, the most important skills for success on a standardized test are the ability to

plan, the ability to focus, and the ability to methodically work through the available test preparation materials. The important thing is for the student to make a plan that considers his or

her personality, needs, and other commitments, and then stick to the plan. (Hagler, 2014) Sample Checkpoint for Certification Plan Practicum Journal.

ANXIETY DISORDER, OCD, OR SOMETHING ELSE?

References

Hagler, G. M. (2014). Test Preparation.

Salem Press Encyclopedia.

Retrieved from

https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=t

rue&db=ers&AN=100039099&site=eds

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live&scope=site

Kheirzadeh

, S., Marandi

,S

, Susanmarandi, S., & Tavakoli. (2017). The Relationship among

Academic Disc

ipline, Gender,

and

Total Exam Score on Test

–

Taking Strategies: The

Case of

he

General English Section of the National Iranian

Ph.D.

Entrance

Exam.

International Journal of Language Testing,

7(2), 99

–

Retrieved from

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?url=https://search.ebscohost.com/login.aspx?direct=t

rue&db=eue&AN=128539001&site=eds

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live&scope=site.

Lee, Y.

–

H., & Haberman, S. J. (2016). Investigating test

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taking behaviors using timing and

process data.

International Journal of Testing,

16(3), 240

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267

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org.ezp.waldenulibrary.org/10.1080/15305058.2015.1085385

Rauen, C. A. (2018). Certification Test Prep.

Critical Care Nurse,

28(3), 75

–

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Week 1 FOR WK 4 -Practicum Journal Entry- Certification Plan

A psychiatric mental health nurse practitioner (PMHNP) is a person who is certified by the Board of Nursing to practice as nurse practitioner in a specific area in psychiatry and mental health nursing. A psychiatric mental health nurse practitioner (PMHNP) has the abilities to perform a physical assessment, diagnose a patient and prescribe medication either independently or under the supervision of a physician, depending on the state (Woo, Lee & Tam, 2017).

. The purpose of this practical journal assignment is to describe the practice of PMHNP environment in my state of Maryland, comparison of the practice of PMHNP in my state (Maryland) and the other state I would have like to practice which is Louisiana. Finally, the professional and clinical practice issues needed to be considered by a new PMHNP, and the checklist to follow in passing the National Certification exam will be detailed. Sample Checkpoint for Certification Plan Practicum Journal.

Psychiatric Mental Health Nurse Practitioner (PMHNP) Practice Environment in Maryland

A psychiatric mental health nurse practitioner (PMHNP) in Maryland is required to complete Maryland Nurse Practitioner Programs and also pass the Board examination. In Maryland, a PMHNP is supposed to specialize in one area which is mental health field for that practitioner to practice in that state. Secondly, a psychiatric mental health nurse practitioner (PMHNP) can practice in all the 50 states including the District of Columbia (American Nurses Association, 2014) Sample Checkpoint for Certification Plan Practicum Journal.

In Maryland, it is not a requirement for PMHNP to have a collaborative agreement with a physician. This means that a PMHNP can independently without being supervised by a physician carry out functions allowed by the law such as diagnosis of mental disorders, prescription of medication from schedule II-V drugs, or ordering medical tests. This means that PMHNPs in Maryland can do the majority of the same functions as psychiatrists and therefore PMHNPs have the legal authority to form independent practices. To enter into practice and be licensed as a PMHNP in Maryland, one is required to have a master’s degree and accreditation in a nurse practitioner program. In addition, an independent PMHNP can be able to open their clinics. However, the practice of PMHNPs in Maryland is influenced by the political environment (Barton Associates, 2017). Sample Checkpoint for Certification Plan Practicum Journal.

The psychiatric mental health nurse practitioner (PMHNP) focuses on improving and advancing nursing practice skills in the care of individuals with mental disorders. The program includes practicum and course work covering various healthcare needs Sample Checkpoint for Certification Plan Practicum Journal.  A restriction in practice stipulated by the American Association of Nurse Practitioners (AANP) is that nurses are restricted to participate in only one element of Nurse Practitioner practice (Gadbois, Miller, Tyler & Orna, 2016).

 

Comparison of PMHNP practice environment in Maryland with a State I would like to Practice (Louisiana)

The only similarity is the both PMHNPs in Maryland and Louisiana is that PMHNPs can make referrals for physical therapy. However, there a lot of differences in terms of the scope of practice between these two states. There must be a collaborative agreement by law between the PMHNP and the physicians for one or more elements of the practice of the PMHNP in Louisiana unlike Maryland.  In this respect, PMHNPs in Louisiana do not have autonomous practice. Besides, the medical staff membership in Louisiana is reduced as the physicians recommend the PMHNPs to be part of the medical staff in which they practice Sample Checkpoint for Certification Plan Practicum Journal. In addition, PMHNPs cannot individually prescribe schedule II controlled substances for chronic pain, intractable pain, or obesity in Louisiana unlike Maryland. State statute and/or Administrative Code in Maryland recognizes nurse practitioners as primary care providers but it does not define whether they can be primary providers in Louisiana (Barton Associates, 2017).

In this respect, it can be deduced that the psychiatric mental health nurse practitioner (PMHNP) environment in Maryland differs in various ways as compared to the scope of practice in Louisiana. Maryland has a legal board that oversees the admission procedure. In Louisiana, a collaborative agreement between the PMHNP and the physician is needed when it comes to medical prescriptions unlike in Maryland. Unlike Louisiana, Maryland obliterated the prerequisite of on-site supervision of the PMHNP by a physician. Therefore, PMHNPs in Maryland has a higher level of practice freedom when compared to Louisiana (Barton Associates, 2017). It will be therefore challenging for me to live and practice in Louisiana even though my family lives there after I have practiced in Maryland which has maximum independence in the scope of practice. Sample Checkpoint for Certification Plan Practicum Journal.

Professional and/or Clinical Practice Issues needed to be Considered by New PMHNP

Credentialing procedure is used to evaluate if a nurse mental health nurse practitioner meets the professional requirements and certification as well. The credentialing process consists of aspects such as verifying the education completion, licensing, as well as verifying if the nurse successfully passed certification and review tests.  A psychiatric mental health nurse practitioner(PMHNP) is also supposed to provide a copy of the DEA certificate from the United States Drug Enforcement Administration Sample Checkpoint for Certification Plan Practicum Journal. A PMHNP can only practice after all credentials are verified. The credentialing system conducts the probationary length and this can take like four weeks to start working (Ellis, 2018).

American Nurses Credentialing Center (ANCC) is the body responsible for providing certifications to a psychiatric mental nurse practitioner (PMHNP).  In effect, The PMHNP must be certified by ANCC before acquiring a license to practice in the state of Maryland. Lastly, a psychiatric mental health nurse practitioner is required to have malpractice insurance coverage before being issued with coverage to practice (Judge-Ellis & Thad 2017). Sample Checkpoint for Certification Plan Practicum Journal.

A Checklist for Passing the National Certification Exam

           
The check that list that will be followed for passing the National Certification Exam entails the following:

Successfully completing my last class (NURS-6670) in master’s program as a PMHNP student at Walden University and ensuring that I understand the contents of all the materials at the start of the program.

Attending a review course with my preferred review course to be either Fitzgerald Health Education Associate or Barkley and Associates in May 2019 Sample Checkpoint for Certification Plan Practicum Journal.

Comprehensively study the relevant books, especially the review book by Johnson K & Vanderhoef D (2016). Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual, PMHNP-BC Pocket -Prep, and Psychiatric Mental Health Nurse Practitioner Certification Review by Barkley and Associates with its audio CDs.

Using educational resources and practice tests available through the internet resources from American Nurses Credentialing Center (ANCC) and Board Vitals

PMHNP Exam Flashcards

Read about test taking skills adequately to equip me on how to analyze and answer questions.

Adequate preparations to cover all the examinable course work will enable me to pass the certification exams

Planning to finally take my board exam in middle of June 2019. Sample Checkpoint for Certification Plan Practicum Journal.

 

References

American Nurses Association. (2014).
Psychiatric-mental health nursing: Scope and

standards of practice (2nd ed.)
. Washington, DC: Author.

Barton Associates. (2017). Nurse practitioner scope of practice laws. Retrieved from

https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws/ Sample Checkpoint for Certification Plan Practicum Journal.

Ellis H. (2018). Psychiatric-mental health nurse practitioner student preceptorship: Perspectives on clinical training.
Journal of Nursing Education and Practice
. 8(12).

Judge-Ellis T & Thad W. (2017). Time and NP Practice: Naming, Claiming, and Explaining the Role of Nurse Practitioners.
The Journal of Nurse Practitioners
. 13(9), 583–589.

Gadbois E, Miller E, Tyler D & Orna I. (2016). Trends in State Regulation of Nurse Practitioners and Physician Assistants.
Med Care Res Rev
. 72(2), 200–219.

Woo B, Lee J & Tam W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review.
Hum Resour Health
. 15(63) Sample Checkpoint for Certification Plan Practicum Journal.

Difference between a genomic and a cDNA library

1. What is the difference between a genomic and a cDNA library? What library would you want to screen if you needed to find a protein-encoding gene?

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2. What is the purpose of Sanger sequencing? What is the reason the ddNTPs used lack a 3’-hydroxyl group?

4. The questions below are based on RT-PCR:

a. How is mRNA purified from cells?

b. How does reverse transcriptase make cDNA? How is cDNA different that DNA? Difference between a genomic and a cDNA library.