Category: Nursing

  • NSG 6435 : Family Health III Pediatrics

    NSG 6435 : Family Health III Pediatrics

    Week 1

    discussion

    Pediatric Health-Care Services

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

    For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned. NSG 6435 : Family Health III Pediatrics

    To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a

    question, providing a statement of clarification, providing a point of view

    with a rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to other classmates. Complete your participation for

    this assignment by the end of the week.

    Using your course textbook readings and the South University

    Online Library, perform research on the following:

    Sources of pediatric primary care in the United States

    Current status of pediatric health-care services in the

    United States NSG 6435 : Family Health III Pediatrics

    Barriers to health care for children in the United States

    After completing your research, answer the following

    questions:

    What are the

    sources of pediatric primary care in the United States? Are these sources

    sufficient for providing health-care services to the pediatric population? Why

    or why not?

    Are there certain

    pediatric populations that lack access to health-care services? Why? NSG 6435 : Family Health III Pediatrics.

    What are the

    barriers to children in accessing health-care services in the United States?

    Why do these barriers exist?

    Week 2

    discussion

    iHuman Case Study – Developmental Assessment and Biological

    Functioning

    This discussion assignment provides a forum for discussing

    relevant topics for this week based on the course competencies covered. For

    this assignment, make sure you post your initial response to the Discussion

    Area by the due date assigned.

    To support your work, use your course textbook readings and

    the South University Online Library. As in all assignments, cite your sources

    in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your classmates

    as early in the week as possible. Respond to at least two of your classmates’

    initial postings. Participate in the discussion by asking a question, providing

    a statement of clarification, providing a point of view with a rationale,

    challenging an aspect of the discussion, or indicating a relationship between

    two or more lines of reasoning in the discussion. Cite sources in your

    responses to other classmates. Complete your participation for this assignment

    by the end of the week. NSG 6435 : Family Health III Pediatrics.

    For this assignment, you will complete an iHuman case study

    based on the course objectives and weekly content. iHuman cases emphasize core

    learning objectives for an evidence-based primary care curriculum. Throughout

    your nurse practitioner program, you will use the iHuman case studies to

    promote the development of clinical reasoning through the use of ongoing

    assessments and diagnostic skills and to develop patient care plans that are

    grounded in the latest clinical guidelines and evidence-based practice.

    The iHuman assignments are highly interactive and a dynamic

    way to enhance your learning. Material from the iHuman cases may be present in

    the quizzes, the midterm exam, and the final exam.

    Click here for information on how to access and navigate

    iHuman.

    This week, complete the iHuman case titled “Buddy (Theodore,

    Jr.) VE.”

    Apply information from the iHuman Case Study to answer the

    following questions:

    Why is developmental assessment essential in the provision

    of primary care for infants, children, and adolescents, and what are the

    essential components of this assessment on the basis of a child’s age?

    Which tools will you use to assess specific components of

    development (such as speech, motor skills, social skills, etc.)? Which tools do

    you think are the most accurate in assessing the developmental components and

    why?

    Which components would you consider in assessing the basic

    biological functioning and well-being of your pediatric patients? Why are these

    components important in providing primary health-care services to children? NSG 6435 : Family Health III Pediatrics.

    Week 3

    discussion

    Aquifer Case Study – Developmental Evaluation and Screening

    This discussion assignment provides a forum for discussing

    relevant topics for this week based on the course competencies covered. For

    this assignment, make sure you post your initial response to the Discussion

    Area by the due date assigned.

    To support your work, use your course textbook readings and

    the South University Online Library. As in all assignments, cite your sources

    in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a

    question, providing a statement of clarification, providing a point of view

    with a rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to other classmates. Complete your participation for

    this assignment by the end of the week.

    For this NSG 6435 : Family Health III Pediatrics assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

    The Aquifer assignments are highly interactive and a dynamic way to enhance your  earning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.

    Click here for information on how to access and navigate

    Aquifer.

    This week, complete the Aquifer case titled “CLIPP Case 2:

    Infant well-child (2, 6, and 9 months) – Asia.”

    Apply information from the Aquifer Case Study to answer the

    following questions:

    Discuss the history that you would take on this child in

    preparation for the well-child visit. Include questions regarding her growth

    and development that are appropriate for her age.

    Describe the developmental tool to be used for Asia, its

    reliability and validity and how Asia scored developmentally on this tool. Is

    she developmentally appropriate for her age?

    What immunizations will Asia be given at this visit; what is

    the patient education and follow-up?

    Week 4

    discussion

    iHuman Case Study – HEENT and Respiratory Infections

    This discussion assignment provides a forum for discussing

    relevant topics for this week based on the course competencies covered. For

    this assignment, make sure you post your initial response to the Discussion

    Area by the due date assigned.

    To support your work, use your course textbook readings and

    the South University Online Library. As in all assignments, cite your sources

    in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a

    question, providing a statement of clarification, providing a point of view

    with a rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to other classmates. Complete your participation for

    this assignment by the end ot the week.

    For this assignment, you will complete an iHuman case study

    based on the course objectives and weekly content. iHuman cases emphasize core

    learning objectives for an evidence-based primary care curriculum. Throughout

    your nurse practitioner program, you will use the iHuman case studies to

    promote the development of clinical reasoning through the use of ongoing

    assessments and diagnostic skills and to develop patient care plans that are

    grounded in the latest clinical guidelines and evidence-based practice.

    The iHuman assignments are highly interactive and a dynamic

    way to enhance your learning. Material from the iHuman cases may be present in

    the quizzes, the midterm exam, and the final exam.

    Click here for information on how to access and navigate

    iHuman.

    This week, complete the iHuman case titled “Katherine

    Harris V3.1 PC.”

    Apply information from the iHuman Case Study to answer the

    following questions:

    Do you recommend a limited or an involved use of antibiotics

    in treatment of these diseases and other unconfirmed bacterial illnesses and

    why? What are the standards regarding the use of antibiotics in pediatric

    population, and what assessment findings would warrant prescribing an

    antibiotic for Asthma symptoms?

    Using national guidelines and evidence-based literature,

    develop an Asthma Action Plan for this patient.

    Do the etiology, diagnosis, and management of a child who is

    wheezing vary according to the child’s age? Why or why not? Which objective of

    the clinical findings will guide your diagnosis? Why? When is a chest x-ray

    indicated in this case?

    Week 5

    discussion

    iHuman Case Study – Cardiovascular and Hematologic Disorders

    in Children

    This discussion assignment provides a forum for discussing

    relevant topics for this week based on the course competencies covered. For

    this assignment, make sure you post your initial response to the Discussion

    Area by the due date assigned.

    To support your work, use your course textbook readings and

    the South University Online Library. As in all assignments, cite your sources

    in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a question,

    providing a statement of clarification, providing a point of view with a

    rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to other classmates. Complete your participation for

    this assignment by the end of the week.

    For this assignment, you will complete an iHuman case study

    based on the course objectives and weekly content. iHuman cases emphasize core

    learning objectives for an evidence-based primary care curriculum. Throughout

    your nurse practitioner program, you will use the iHuman case studies to

    promote the development of clinical reasoning through the use of ongoing

    assessments and diagnostic skills and to develop patient care plans that are

    grounded in the latest clinical guidelines and evidence-based practice.

    The iHuman assignments are highly interactive and a dynamic

    way to enhance your learning. Material from the iHuman cases may be present in

    the quizzes, the midterm exam, and the final exam.

    Click here for information on how to access and navigate

    iHuman.

    This week, complete the iHuman case titled “Mia Zavarro V4.”

    Apply information from the iHuman Case Study to answer the

    following questions:

    How would you evaluate and manage a pediatric patient who

    has a painful swelling of the hands and feet, fatigue, or fussiness? Which

    diagnostic studies would you recommend for this patient and why?

    What physical exam findings and diagnostic results would be

    concerning to you and why? What would be three differentials in this case?

    In SCD, the spleen doesn’t work properly or doesn’t work at

    all. This problem makes people with SCD more likely to get severe infections.

    What is the treatment for Miah and education for the family?

    Week 6

    discussion

    iHuman Case Study – Common Pediatric Illnesses

    This discussion assignment provides a forum for discussing

    relevant topics for this week based on the course competencies covered. For

    this assignment, make sure you post your initial response to the Discussion

    Area by the due date assigned.

    To support your work, use your course textbook readings and

    the South University Online Library. As in all assignments, cite your sources

    in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a

    question, providing a statement of clarification, providing a point of view

    with a rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to other classmates. Complete your participation for

    this assignment by the end of the week.

    For this assignment, you will complete an iHuman case study

    based on the course objectives and weekly content. iHuman cases emphasize core

    learning objectives for an evidence-based primary care curriculum. Throughout

    your nurse practitioner program, you will use the iHuman case studies to

    promote the development of clinical reasoning through the use of ongoing

    assessments and diagnostic skills and to develop patient care plans that are

    grounded in the latest clinical guidelines and evidence-based practice.

    The iHuman assignments are highly interactive and a dynamic

    way to enhance your learning. Material from the iHuman cases may be present in

    the quizzes, the midterm exam, and the final exam.

    Click here for information on how to access and navigate

    iHuman.

    This week, complete the iHuman case titled “Samantha

    Graves V3 PC”

    Apply information from the iHuman Case Study to answer the

    following questions:

    Which essential questions will you ask a pediatric patient or

    his or her caregiver when the presenting complaint is bloody diarrhea? Will

    these questions vary depending upon the child’s age? Why or why not? What

    clinical or historical findings will indicate the need for diagnostic studies

    and why? Which diagnostic studies will you initially order and why?

    What would be three differential diagnoses in this case?

    How do the common causes of vomiting differ in infants,

    children, and adolescents? What clinical or historical findings will indicate

    the need for diagnostic studies and why? Which diagnostic studies will you

    initially order and why?

    Week 7

    discussion

    Comprehensive Case Study

    General Guidelines for Comprehensive Case Study – Week 7

    Project

    Your case study should not be just a SOAP note of a patient

    encounter—it should be a comprehensive evaluation of an iHuman patient case.

    You will complete a Comprehensive SOAP note on the approved

    Pediatric SOAP Note template based on the findings of the iHuman case – then

    major research and discussion of the disease process are presented.

    This case study should be a summative evaluation supported

    by a minimum of 5 evidence-based articles.

    Evaluation of the case study should be no more than 3-4

    substantive paragraphs. A minimum of five evidence-based sources (in addition

    to your text) should be used for your case study.

    Course texts will not count as a scholarly source; if using

    data from websites you must go back to the literature source for the

    information-no secondary sources are allowed, ie, Medscape, UptoDate, etc.

    This week, complete the iHuman case titled “Tommy Acker

    V3”.

    Please submit your Comprehensive SOAP Note and Growth Chart

    in the Submissions Area by the due date assigned.

    Name your SOAP note document

    SU_NSG6435_W7_A1_lastname_firstinitial.doc

    Week 8

    discussion

    iHuman Case Study – Neurological Disorders and Cognitive

    Perceptual Problems in Children

    This discussion assignment provides a forum for discussing

    relevant topics for this week based on the course competencies covered. For

    this assignment, make sure you post your initial response to the Discussion

    Area by the due date assigned.

    To support your work, use your course textbook readings and

    the South University Online Library. As in all assignments, cite your sources

    in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a

    question, providing a statement of clarification, providing a point of view

    with a rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to other classmates. Complete your participation for

    this assignment by the end of the week.

    For this assignment, you will complete an iHuman case study

    based on the course objectives and weekly content. iHuman cases emphasize core

    learning objectives for an evidence-based primary care curriculum. Throughout

    your nurse practitioner program, you will use the iHuman case studies to

    promote the development of clinical reasoning through the use of ongoing

    assessments and diagnostic skills and to develop patient care plans that are

    grounded in the latest clinical guidelines and evidence-based practice.

    The iHuman assignments are highly interactive and a dynamic

    way to enhance your learning. Material from the iHuman cases may be present in

    the quizzes, the midterm exam, and the final exam.

    Click here for information on how to access and navigate

    iHuman.

    This week, complete the iHuman case titled “Timothy Adams V3

    PC”.

    Apply information from the iHuman Case Study to answer the

    following questions:

    What do you believe is your best course of action for this

    appointment?

    What clinical or historical findings will indicate the need

    for diagnostic studies and why? Which diagnostic studies will you initially

    order and why?

    What would be three differentials in this case?

    Week 9

    discussion

    Infectious Diseases in Children

    The discussion assignment provides a forum for discussing

    relevant topics for this week on the basis of the course competencies covered.

    For this assignment, make sure you post your initial

    response to the Discussion Area by the due date assigned.

    To support your work, use your course and textbook readings

    and the South University Online Library. As in all assignments, cite your

    sources in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a

    question, providing a statement of clarification, providing a point of view

    with a rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to your classmates. Complete your participation for

    this assignment by the end of the week.

    Using your course and textbook readings and the South

    University Online Library, perform research on the following:

    Assessment, diagnostic testing, and management of infectious

    conditions in a pediatric patient

    Differential diagnoses for presentation of symptoms

    involving infectious diseases in pediatric patients

    After completing your research, consider this scenario:

    An eighteen-month-old child, well-known to your practice,

    presents with a seven-day history of fever ranging from 101 to 104.7 degrees

    Fahrenheit. On the fourth day of the fever, the emergency department had

    performed the following tests:

    A blood and urine culture

    A complete blood count

    A comprehensive metabolic panel

    The culture reports were found to be negative.

    Today, the vitals of the child are the following:

    Temperature: 101.5 degrees Fahrenheit

    Heart rate: 120 beats/minute

    Respiratory rate: 20 breaths/minute

    Blood pressure: 90/40

    Physical examination of the child indicates the following

    positive findings:

    Injected conjunctiva

    Palmar redness

    Magenta-colored lips

    Red macula

    Excoriating rashes in the diaper area

    On the basis of the above information, respond to the

    following:

    What will be your differential diagnoses for this patient?

    What specific physical exam findings support these

    differential diagnoses?

    Of the differential diagnoses you listed, which would be the

    most concerning?

    What additional diagnostic tests will you recommend? Why?

    What would be your focus for caregiver education?

    Week 10

    discussion

    iHuman Case Study – Adolescent Risk Behaviors

    This discussion assignment provides a forum for discussing

    relevant topics for this week based on the course competencies covered. For

    this assignment, make sure you post your initial response to the Discussion

    Area by the due date assigned.

    To support your work, use your course textbook readings and

    the South University Online Library. As in all assignments, cite your sources

    in your work and provide references for the citations in APA format.

    Start reviewing and responding to the postings of your

    classmates as early in the week as possible. Respond to at least two of your

    classmates’ initial postings. Participate in the discussion by asking a

    question, providing a statement of clarification, providing a point of view

    with a rationale, challenging an aspect of the discussion, or indicating a

    relationship between two or more lines of reasoning in the discussion. Cite

    sources in your responses to other classmates. Complete your participation for

    this assignment by the end of the week.

    For this assignment, you will complete an iHuman case study

    based on the course objectives and weekly content. iHuman cases emphasize core

    learning objectives for an evidence-based primary care curriculum. Throughout

    your nurse practitioner program, you will use the iHuman case studies to

    promote the development of clinical reasoning through the use of ongoing

    assessments and diagnostic skills and to develop patient care plans that are

    grounded in the latest clinical guidelines and evidence-based practice.

    The iHuman assignments are highly interactive and a dynamic

    way to enhance your learning. Material from the iHuman cases may be present in

    the quizzes, the midterm exam, and the final exam.

    Click here for information on how to access and navigate

    iHuman.

    This week, complete the iHuman case titled “Angela

    Cotez V3.1 PC”.

    Apply information from the iHuman Case Study to answer the

    following questions:

    Describe the evaluation tool and explain why this tool is

    essential in the care of the adolescent patient population.

    Apply the findings of the scholarly research articles to the

    use of this evaluation tool and describe its validity and reliability.

    Apply this evaluation tool to a patient situation and

    summarize your opinion of the results.

    Describe a plan of care for the patient, depending upon the

    results.

  • Psychodynamic Psychotherapy and Comprehensive Client Family Assessment

    Psychodynamic Psychotherapy and Comprehensive Client Family Assessment

    Learning Resources

    Week 3 Psychodynamic Psychotherapy Resources Readings

    American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

    Standard 2 “Diagnosis” (pages 46-47)

    Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

    Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 225–238 and pp. 245–258)

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Note: You will access this text from the Walden Library databases.

    Young, J. M., & Solomon, M. J. (2009). How to critically appraise an article. Nature Clinical Practice. Gastroenterology & Hepatology, 6(2), 82–91.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Learning Objectives

    Students will:

    Evaluate the application of current literature to clinical practice

    Assignment 2: Practicum – Assessing Clients

    PART 1

    Learning Objectives

    Students will:

    Assess clients presenting for psychotherapy

    Develop genograms for clients presenting for psychotherapy

    To prepare:

    Select a client whom you have observed or counseled at your practicum site.

    Review pages 137–142 of the Wheeler text and the 
    Hernandez Family Genogram
    video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected. Psychodynamic Psychotherapy and Comprehensive Client Family Assessment.

    The Assignment

    Part 1: Comprehensive Client Family Assessment

    With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):

    Demographic information

    Presenting problem

    History or present illness

    Past psychiatric history

    Medical history

    Substance use history

    Developmental history

    Family psychiatric history

    Psychosocial history

    History of abuse/trauma

    Review of systems

    Physical assessment

    Mental status exam

    Differential diagnosis

    Case formulation

    Treatment plan

    Assignment 2: Practicum – Assessing Clients

     

    Part 2: Family Genogram

    Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents). Psychodynamic Psychotherapy and Comprehensive Client Family Assessment.

    Rubric Detail

    Select 
    Grid View
     or 
    List View
     to change the rubric’s layout.

    Name: 
    NURS_6640_Week3_Assignment2_Rubric

    Grid View

    List View

     

    Satisfactory

    Unsatisfactory

    Quality of Work Submitted: The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking.

    26 (26%) – 30 (30%)

    Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.

    0 (0%) – 25 (25%)

    Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.

    Quality of Work Submitted: The purpose of the paper is clear. Psychodynamic Psychotherapy and Comprehensive Client Family Assessment.

    4 (4%) – 5 (5%)

    Purpose of the assignment is stated, yet is brief and not descriptive.

    0 (0%) – 3 (3%)

    No purpose statement was provided.

    Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

    Understand and interpret the assignment’s key concepts.

    8 (8%) – 10 (10%)

    Demonstrates a clear understanding of key concepts.

    0 (0%) – 7 (7%)

    Shows a lack of understanding of key concepts, deviates from topics.

    Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

    Apply and integrate material in course rsources (i.e. video, required readings, and textook) and credible outside resources.

    16 (16%) – 20 (20%)

    Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.

    0 (0%) – 15 (15%)

    Includes and integrates specific information from 0 to 1 resource to support major points and point of view.

    Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

    Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.

    16 (16%) – 20 (20%)

    Summarizes information gleaned from sources to support major points, but does not synthesize.

    0 (0%) – 15 (15%)

    Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.

    Written Expression and Formatting

    Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.

    4 (4%) – 5 (5%)

    Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.

    0 (0%) – 3 (3%)

    Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time. “Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation” 3 (3%) – 5 (5%) Contains a few (1-2) grammar, spelling, and punctuation errors. 0 (0%) – 2 (2%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. “Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.” 3 (3%) – 5 (5%) Contains a few (1-2) APA format errors. 0 (0%) – 2 (2%) Contains many (≥ 5) APA format errors. Total Points: 100 Name:  NURS_6640_Week3_Assignment2_Rubric   Patient’a Name:  G. M. , DOB 3/27/1959 Primary Insurance:  CareFirst BlueCross BlueShield MD Region, TER83480955 Presenting Problem Glenice is an employed married 60 yr. old African American female who has been married for 17 years to her husband who is 48 yrs old. She has 3 sons and one was murdered. Glenice is referred by her employer’s EAP doctor for stress related concerns. Current Mental Status General Appearance: Appropriate Dress: Appropriate Motor Activity: Unremarkable Insight: Good Judgment: Good Affect: Appropriate Mood: Euthymic Orientation: X3: Oriented to Person, Place, and Time Memory: Intact Attention/Concentration: Good Thought Content: Appropriate Perception: Unremarkable Flow of Thought: Unremarkable Interview Behavior: Appropriate Speech: Normal Safety Issues Patient has intent to act:not specified Patient has plan to act:not specified Patient has means to act:not specified Background Information Identification:Glenice is a Christian and attends church. History of Present Problem:Glenice reports feeling like she needs help w/trying to figure out why she is always being taken advantage of. As a result she has been feeling angry and wonders is she a piece of crap. She cries about 5 days a week for various compiled reasons. The stress also drains her to the point of feeling tired and wants to sleep. Glenice feels like she does not have anyone. She also over thinks a lot about her health issues and her husband’s drama. He cheated on her and she still struggles w/his issues of infidelity and being unable to get past the pain. In addition, he snorts heroin and she is currently responsible for all the household’s finances. Glenice also asked her husband to leave in March 2019 and is now able to get at least 6 hrs of continuous sleep. Prior to him leaving she was getting about 4 hrs of sleep. Glenice also reports being a stress eater and gains weight during the winter months. Past Psychiatric History:Glenice was last seen by a therapist about 3 months ago for marital issues and stress related concerns. Trauma History:Glenice was raped around the age of 7. In addition, she grew up in a household w/an alcoholic mother and was exposed to different instances of potentially being molested. Family Psychiatric History:Alcoholism runs on mother side and father injected heroin. Medical Conditions & History:-Thyroid problems affecting esophagus. -Neck disc problems -Back surgery in 2015 -Total knee replacement on 1 knee in 2016 -Diagnosed w/stage one breast cancer on 2/2018 and had a lumpnectomy in May and June 2018. -Diagnosed w/tendinitis in right foot -Stomach ulcer Current Medications:-Lisinipril – high blood pressure -Linzess -Gabapentin (nerve pain) -Oxycodone 10mg as needed for pain Substance Use:-Alcohol- age of 1st use reports as 12 and last use reports as 6/6/19. Typically drinks about a half red cup of Coconut Rum Cream about 1-2 days a week. -Marijuana- experimental as a child. -Cocaine and Crack- age of 1st use reports as mid 20s and last use reports as 2012. Family History:Raised by her mother in New York who was an alcoholic and father was not present due to drug use. Both parents are deceased. Her father passed away from a heroin overdose. Glenice has 3 siblings and one is deceased. In addition, Glenice has 2 sons who are 39 and 43. Her youngest son was murdered on November 9, 2002. Social History:Glenice reports her oldest son does not talk to her and her middle son is no longer speaking to her. She has not spoken to her oldest son since some time 2018 because she does not agree w/how he treats women. In addition, she has a great relationship w/her brothers. Developmental History:Glenice has issues w/spelling. Educational / Occupational History:Highest grade completed in high-school is the 10th and received GED around 1984. Currently employed by the DC metro system for the past year and 3 months. Prior to she was working w/the City Wide Transportation for a yr. Glenice also worked for Kennedy Krieger for 7 yrs. as a patient care tech. Psychodynamic Psychotherapy and Comprehensive Client Family Assessment. Legal History:Arrested in 1999 for a drug related offense and was incarcerated for 1 yr. Strengths / Liabilities:S- determined N- genuine love A- good at encouraging people P- None Other Information:-Family hx of high blood pressure that contributed to the deaths of her mother and brother. -Glenice moved to Maryland in 1997. Diagnosis F41.1 Generalized Anxiety Disorder F43.21 Adjustment Disorder, With depressed mood Psychodynamic Psychotherapy and Comprehensive Client Family Assessment

  • NSG 6340

    nsg 6340 Discussions

    Settings Help

    Discussions List

    Tool Navigation

    Discussions List selected

     

    Subscriptions

    Filter by:Filter

    Unread

    Hide All Topics

    ________________________________________

    Course Forum

    Topic     Threads                Posts     Last Post

    Please Read and Respond

    Contains unread posts

    In this area, please post that you have read and understand South University’s Policies and Guidelines, the Course Resources area, and the announcements posted by your instructor. By posting below you are also acknowledging the South University Honor Code.

    ORDER A PLAGIARISM-FREE PAPER HERE

    South University Honor Code

    “While I attend South University, I will be a fair and honorable student, and will promote fair and honorable conduct in others. I will not cheat, and I will not help others to cheat. I will do my own work, and give proper and truthful reference to those whose work has contributed any amount of content to mine.”    nsg 6340

    Unread for topic Please Read and Respond:(4)

    View profile card for Funmilayo E Audu

    Funmilayo E Audu

    Fri at 7:05 PM

    Questions for the Professor

    Contains unread posts

    Celestina, if you need help or have questions on any of the course content, please ask your questions here!      4              11

    Unread for topic Questions for the Professor:(4)

    View profile card for Angela Brown

    Angela Brown

    yesterday at 10:48 AM

    Autobiography

    Contains unread posts

    Celestina, introduce yourself to the class! Your introduction should cover the following details:

    Your name

    Your location

    Your profession

    Your work experience

    Your expectations from this course and interest in specific aspects of this course

    At least two objectives you hope to achieve through this course and the way you will attain these objectives nsg 6340

    In addition, provide answers to the following questions:

    What are your career goals?

    Where would you like to work?

    Discuss your current profession and how this course relates to your professional interests or goals.

    Post to the Discussion Area by the due date assigned. Review and comment on the autobiographies of your classmates by the end of the week. Comment on your classmates’ expectations from the course and their areas of interest nsg 6340. The responses should be logical, realistic, and reasonable.

    Note: This is a nongraded assignment.   7              17

    Unread for topic Autobiography:(10)

    View profile card for Celestina Ofodile

    Celestina Ofodile

    7 hours ago

     

    Welcome/ Week 1         Jun 4, 2019 3:12 PM

    Welcome to NSG 6340 Adult Health.  I worked as an adult nurse practitioner before becoming a family nurse practitioner.  As an adult nurse practitioner, I worked with many elders.  Working with elders is both rewarding and challenging:  Health care for this population is complex and comprehensive.  I am looking forward to sharing my expertise with you throughout the term.  Week 1 will focus on demographics and biology of aging and health care delivery models nsg 6340.  Assignments include the following
    :

     

    Autobiography:  Due 06/13/2019

     

    Discussion Board:  Initial response is due 06/09/2019 and 2 peer responses are due 06/13/2019

     

    Aquifer Case Study:  Due 06/13/2019

     

    Q Bank Questions:  Due 06/13/2019

     

    APEA Review Course Modules:  Due 06/13/2019

    Assignment Forum

    https://myclasses.southuniversity.edu/d2l/home/47714

    NSG6340 PRACTICUM111: ADULT HEALTH PRIMARY CARE SUO2

    Week 1 Discussion

    Must post first.

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 1, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable nsg 6340.  Complete your participation for this assignment by end of the week.

     

    Week 1 Discussion Prompt

    Select an innovative care delivery model for the elderly that you have had experience with or have heard about.  Discuss the risks and benefits of this type of care delivery.  Discuss the measurement of effectiveness of this model.  What are the risks to the elderly population with this type of care delivery.  What challenges still face the care providers?

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.  Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work nsg 6340

    You must start a thread before you can read and reply to other threads

    Week 2 Discussion

    Must post first.

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 2, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week nsg 6340.

     

    Week 2 Discussion Prompt

    Outline a preventive services plan for either a male or female in one of the following age groups.

    55-64; 65-74; 75-84; >84

    Identify services that include Screening, Counseling, Immunization, and Chemoprophylaxis. Be sure to support your plan with a minimum of 3 sources of high level evidence.

    Assignment instructions here.

    You must start a thread before you can read and reply to other threads

    Week 3 Discussion

    Must post first.

     

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 3, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence. nsg 6340. Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week.

     

    Week 3 Discussion Prompt

    Select a patient from your clinical practicum (be sure to delete any identifying information) who is over the age of 65 and taking 5 or more medications.  Write a review of the patient’s pharmacotherapy plan identifying pharmacotherapy problems by applying principles of geriatric prescribing and the Beers criteria to your patient.   Identify a plan to manage the patient’s disease profile that follows the Beers criteria and principles of geriatric prescribing.

     

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.  Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work nsg 6340.

     

    You must start a thread before you can read and reply to other threads

    Week 4 Discussion

    Must post first.

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 4, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week.

     

    Week  Discussion Prompt

    You are seeing a 79 y/o male in your clinic.  Mr. A has been a patient of yours for several years.  Today his wife is with him and reports that Mr. A has been more forgetful and she is concerned.  Mr. A made several wrong turns getting home from Church last week, today he was unable to locate the clinic when driving today nsg 6340. He became quite angry when Mrs. A suggested she should drive today.  There is a dent on the fender of the car that Mr. A cannot describe how it happened.  Mr. A also had a bruise on his arm that day.  Mrs. A does not like to leave Mr. A home alone for any period of time any longer as he gets anxious then agitated.  One week ago, Mr. A  called 911 convinced that Mrs. A had been abducted when she was taking the garbage to the curb.  She was only out of the house for 5 minutes.

     

    During your exam you conduct a Folstein MMSE.  Mr. A scores 21/30.  When testing for Visual Fields, he shows deficits in bilateral peripheral vision of approximately 15 degrees.  He has slowed motor movements, and decreased rotation of his head/neck, showing limitation of rotation to 40 degrees in both directions without discomfort.   Mr. A has a slightly shuffled gait, but no instability.  The remainder of your workup shows Mr. A does not have further deficits.  Your diagnosis is Early Dementia, and you reassure Mrs. A that the limitations he exhibits in peripheral vision and neck range of motion can be considered a normal aging change for him. nsg 6340.

    Discuss the concerns regarding Mr. A’s continued driving.  What assessments should be done to determine Mr. A’s driving skills.  What is the obligation of the provider in this circumstance?   Outline a plan of care for how to proceed with Mr. and Mrs. A.

     

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.  Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work.

    Submission Details:

    Points 20 Assignment instructions here.

    You must start a thread before you can read and reply to other threads

    Week 5 Discussion

    Must post first.

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 1, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion nsg 6340. Every post in the discussion must be supported by evidence.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week.

     

    Week  Discussion Prompt

    Complete your Aquifer Case Study for this week (FM22:  79 yr old male with new onset of unilateral weakness).  During the evaluation of your patient, you use 2 tools to assess his functional status.  Discuss the tools that you opted to use for the evaluation of your patient.  How were these tools developed, what does the research indicate about the reliability and validity of these instruments.  Identify and discuss a minimum of 2 additional tools that have been developed for similar assessments.

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. nsg 6340. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work.

     

    Points 20

    You must start a thread before you can read and reply to other threads

    Week 6 Discussion

    Must post first.

    Assignment instructions here.

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 1, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence. nsg 6340. Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week.

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 1, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week nsg 6340.

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.  Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work.

     

     

    Week 6 Discussion Prompt

    Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder.

     

    Submission Details:

    Name your document

    SU_NSG6340_W6_Project 1-1_LastName_FirstInitial.pdf.

    Submit your documents to the Submissions Area by the due date assigned

    Points 20

    Week 6 Discussion Prompt

    Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder.

     

    Submission Details:

    Name your document

    SU_NSG6340_W6_Project 1-1_LastName_FirstInitial.pdf.

    Submit your documents to the Submissions Area by the due date assigned

    Points 20

    You must start a thread before you can read and reply to other threads nsg 6340

    Week 7 Discussion

    Must post first.

     

     

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 7, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence. nsg 6340.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week.

     

    This week you will present a diagnosis to your peers. Review one of the sensory systems, elder abuse, or substance abuse in the elderly that we explored this week and present a diagnosis from these systems.  For example, from vision you might select glaucoma or from hearing, you might select prespycussis.   Identify the incidence, demographics, etiology, clinical presentation, diagnosis and management of the diagnosis that you selected.

     

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.  Use high level research for your diagnosis presentation.  Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work.

     

     

    Submission Details:

    Name your document

    SU_NSG6340_W7Project 1_LastName_FirstInitial.pdf.

    Submit your documents to the Submissions Area by the due date assigned

    Points 20

    You must start a thread before you can read and reply to other threads

    Week 8 Discussion

    Contains unread posts

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 8, day 3. nsg 6340.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week.

     

    Week  Discussion Prompt

    Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder.

     

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Remember to use high levels of research in your discussion posts. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work.

    Submission Details:

    Name your document

    SU_NSG6340_W8Project 1_LastName_FirstInitial.pdf.

    Submit your documents to the Submissions Area by the due date assigned

    Points 5 1              1

    Unread for topic Week 8 Discussion:(1)

    View profile card for Angela Brown

    Angela Brown

    June 4 at 3:05 PM

    Week 9 Discussion

    Contains unread posts

    Assignment Title: Discussion Assignment

    This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by week 9, day 3.

    Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings on different days. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Every post in the discussion must be supported by evidence.  Cite sources in your responses to other classmates. In addition, you must respond to your professor if applicable.  Complete your participation for this assignment by end of the week.

     

    Week 9 Discussion Prompt

    Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder.

     

    To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.  Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations such as the arthritis foundation, or the diabetic foundation are not acceptable resources for your scholarly work.

     

     

    Submission Details:

    Name your document

    SU_NSG6340_W9Project 1_LastName_FirstInitial.pdf.

    Submit your documents to the Submissions Area by the due date assigned

    Points 5

    Week 10

    Print

    The week 10 objectives will address Geriatric Clinical Issues of the Musculoskeletal and Gastrointestinal System nsg 6340.

    Your Learning
     
     Objectives for the Week:

    Understand the Evaluation and Management of Musculoskeletal System Issues  in Older Adults

    Understand the Evaluation and Management of Gastrointestinal System Issues in the Older Adult

    Download

    0 %
    0 of 12 topics complete

    Show data table for This chart displays the number of completed topics versus the total number of topics within module Week 10..

    List of Topics and Sub-Modules for Week 10

    Week 10 Overview

    Web Page

     

    Week 10 Readings and Articles

    Web Page

     

    Week American Geriatric Society Review Slides

    Web Page

     

    Week 10 Lecture 1 Musculoskeletal System

    Web Page

     

    Week 10 Lecture 2 Dermatology

    Web Page

     

    Week 10 Discussion

    Discussion Topic

     

    Assignment instructions here.

    Week 10 Project

    Assignment

     

    Assignment instructions here.

    Week 10 Project 2 aq Review Module

    Assignment

     

    APEA Review Course Modules

    You have access to the APEA Review Course Modules Advanced Practice Education Associates (APEA). These questions are designed to help you prepare for your National Certification as an Adult Health Nurse Practitioner.

    For the purposes of this course, you will be responsible for completing the APEA Review Course Modules that are assigned each week.

    You must submit proof of completion to the assigned 
    Submissions Area
    . 
    This is a required assignment
    . Failure to complete the assigned APEA Review Course modules will result in an incomplete in this course and you will not progress.

    The communication regarding your login information for APEA comes from the following e-mail address: APEATestingCenter@apeaotc.com.

    The subject line of the e-mail will read: Your APEA Online Test Information.

    If you have any trouble receiving your login, please contact support@apea.com or by phone at (800) 899-4502, and let your instructor know.

    You are assigned the following APEA Review Course Module this week.

    Unit 11  Ortho

    Please submit your proof of completion of the APEA review course to the
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W10_Project2_LastName_FirstInitial.doc.

    Points P/F

    Course Reflection

    Survey

     

    Please reflect on your experiences throughout the course and answer the following questions to let us know how your classroom experience was and what we can do to improve our courses going forward. nsg 6340.

    Final Exam – Requires Respondus LockDown Browser + Webcam

    Quiz

     

    Final Exam

    After you have completed the assigned reading, have extensively reviewed the assigned lecture material and associated readings/materials, and have completed the weekly Aquifer case study to complete the quiz to assess your learning. This final exam is a comprehensive exam meaning it will cover topics from the entire term.

    Submission Details:

    Complete the quiz by the end of the week.

    Click “Begin Final Exam ” to get started.

    Before you begin the exam, please review the exam details below.

    There are 100 questions on the final exam

    Testing time is 1.2 minutes per question which equates to 2 hours

    Only one question will appear on the computer screen at a time. You must answer each question to move onto the next question.

    Questions are randomly pulled from a question bank for every student

    You cannot go back to previously answered questions to change an answer.

    You must complete each quiz or exam in one sitting.

    Note: For test integrity purposes, you will not be able to review your quiz/test questions or answers after completion nsg 6340. If you have specific questions, please reach out to your instructor.

    Academic Integrity Policy

    As a student of South University, I am acquainted with the Academic Integrity Policy. By taking this exam, I signify that I am the individual who is taking the exam, the answers are my own, that I have not received outside help on this exam. I will engage in fair and honorable behavior. I will not cheat or help others to cheat. I will not take screenshots or pictures of the exam. I will promptly report any activity that is suspicious of cheating. I acknowledge that if I am caught of cheating I will receive a zero on the quiz/exam.

    Using LockDown Browser and a Webcam for Online Exams

    This course requires the use of LockDown Browser and a webcam for online exams. The webcam can be built into your computer or can be the type that plugs in with a USB cable. Watch this 
    short video
     to get a basic understanding of LockDown Browser and the webcam feature. A student 
    Quick Start Guide (PDF)
    is also available nsg 6340.

    To ensure LockDown Browser and the webcam are set up properly, do the following:

    Start LockDown Browser, log into 
    https://myclasses.southuniversity.edu
     and select this course.

    Locate and select the Help Center button on the LockDown Browser toolbar.

    Run the Webcam Check and, if necessary, resolve any issues.

    Run the System & Network Check. If a problem is indicated, see if a solution is provided in the Knowledge Base. Troubleshooting information can also be emailed to our institution’s help desk.

    Exit the Help Center and locate the practice quiz named 
    Practice Quiz
    .

    Upon completing and submitting the practice quiz, exit LockDown Browser.

    When taking an online exam that requires LockDown Browser and a webcam, remember the following guidelines:

    Ensure you’re in a location where you won’t be interrupted.

    Turn off all other devices (e.g. tablets, phones, second computers) and place them outside of your reach.

    Clear your desk of all external materials not permitted—books, papers, other devices.

    Before starting the test, know how much time is available for it, and that you’ve allotted sufficient time to complete it.

    Remain at your computer for the duration of the test.

    If the computer or networking environment is different than what was used previously with the Webcam Check and System & Network Check in LockDown Browser, run the checks again prior to starting the test.

    To produce a good webcam video, do the following:

    Avoid wearing baseball caps or hats with brims.

    Ensure your computer or tablet is on a firm surface (a desk or table). Do NOT have the computer on your lap, a bed, or other surface where the device (or you) are likely to move.

    If using a built-in webcam, avoid tilting the screen after the webcam setup is complete.

    Take the exam in a well-lit room and avoid backlighting, such as sitting with your back to a window.

    Remember that LockDown Browser will prevent you from accessing other websites or applications; you will be unable to exit the test until all questions are completed and submitted nsg 6340.

    If you experience any issues, contact the support center at 1-888-424-4435.

    Submission Details:

    Complete the exam by the 
    due date assigned
    .

    Click “
    Start Exam
    !” to get started.

    Week 10 CORE Entries

    Assignment

     

    CORE ENTRIES (Clinical Log)

     

    Please read and follow the Student Practicum Expectations with CORE .

    Students should  also read and reference the Student Handbooks, all course materials, course announcements, and any documents provided by the faculty during their practicum course for information concerning practicum requirements and/or updates from faculty.

     

    CORE Entries are due by the end of day on day 7 each week*. 

    Encounters (case logs) for all patients that you see each week must be entered within 7 days of the occurrence in the clinical documentation system (CORE ELMS) or they will not count and you will have to repeat those hours.

    *If you have a clinical practicum that goes to the end of day on day 7 of any week, you may enter that day’s hours by end of day of the following week.

     

    All case logs must contain at minimum of a short episodic note. The patient encounter used in the complete SOAP note should have the complete SOAP note documented in the case log.

     

    Your course faculty will review your submitted cases weekly, providing feedback and approving/disapproving your logs.

     

    Students must complete 180 direct patient contact hours for the AGNP program for each practicum course  Clinical hours  must be documented and will be verified by faculty at the end of the session.

    Direct patient contact hours include care that involves assessment, diagnosis, treatment, and evaluation of real patients including consultation. Direct care must be provided in the population focused areas of NP practice in primary care. Direct patient contact hours are calculated from Case Logs, not the timesheets.

     

    Students are required to have preceptors sign the Verification of Hours Form for each clinical day completed. Hours not verified by a preceptor’s signature will not be counted toward the required hours for the practicum.   The Verification of Hours Form is due during week 10, however it is  good practice to review your form weekly to ensure it matches your CORE entries.  The form can be found in your Student Practicum Experience Handbook nsg 6340.

    Create a WORD document attestation that you have completed the required CORE Entries and clinical hours for the week.  The document should include:

    Your first and last  name

    The course number and title (NSG 6340:  Practicum III:  Adult and Gerontology Health

    Statement:  “I completed my CORE clinical entries for week d”

    Please submit this document as proof of completion of the CORE Clinical Entries to the 
    Submissions Area
     by 
    the due date assigned
    .

    Name your document SU_NSG6340_W10_CORE Entry Attestation_LastName_FirstInitial.doc.

    Points P/F

    Week 10 SOAP Note

    Assignment

     

    SOAP NOTE Instructions:

    Each week, you are required to submit one SOAP note using the SOAP note template. The SOAP can be for a comprehensive visit or a problem focused visit.  The diagnosis for your patient should be related to the body systems covered in class work this week.

    Every component in the template must be filled in regardless of which type of visit you do (comprehensive vs problem focused).  When doing a problem focused visit you will be documenting on pertinent findings, and pertinent negatives only. For any topic area in the template that does not apply to your patient encounter, put in the phrase “Not completed in this focused visit.”

    The completed note should be submitted to the 
    Submissions Area

    Submission Details:

    By
     
    the due date assigned
    , enter your patient encounters into the SU clinical tracking system and complete at least one SOAP note in the template provided.

    Name your SOAP note document SU_NSG6340_W10_SOAP_LastName_FirstInitial.doc.

    Submit your document to the 
    Submissions Area 
    by 
    the due date assigned nsg 6340
    .

  • Assessing Neurological Symptoms Essay Discussion

    Assessing Neurological Symptoms Essay Discussion Week 9

    discussion

    Discussion: Assessing Neurological Symptoms

    Imagine not being able to form new memories. This is the

    reality patients with anterograde amnesia face. Although this form of amnesia

    is rare, it can result from severe brain trauma. Anterograde amnesia

    demonstrates just how impactful brain disorders can be to a patient’s quality

    of living. Accurately assessing neurological symptoms is a complex process that

    involves the analysis of many factors.

    In this Discussion, you will consider case studies that

    describe abnormal findings in patients seen in a clinical setting.

    Note: By Day 1 of this week, your Instructor will have

    assigned you to one of the following specific case studies for this Discussion.

    Also, your Discussion post should be in the Episodic/Focused SOAP Note format,

    rather than the traditional narrative style Discussion posting format. Refer to

    Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week

    5 Learning Resources for guidance Assessing Neurological Symptoms Essay Discussion. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Case 1: Headaches

    A 20-year-old male complains of experiencing intermittent

    headaches. The headaches diffuse all over the head, but the greatest intensity

    and pressure occurs above the eyes and spreads through the nose, cheekbones,

    and jaw.

    Case 2: Numbness and Pain

    A 47-year-old obese female complains of pain in her right

    wrist, with tingling and numbness in the thumb and index and middle fingers for

    the past 2 weeks. She has been frustrated because the pain causes her to drop

    her hair-styling tools. Assessing Neurological Symptoms Essay Discussion.

    Case 3: Drooping of Face

    A 33-year-old female comes to your clinic alarmed about

    sudden “drooping” on the right side of the face that began this

    morning. She complains of excessive tearing and drooling on her right side as

    well.

    To prepare:

    With regard to the case study you were assigned:

    Review this week’s Learning Resources, and consider the

    insights they provide about the case study.

    Consider what history would be necessary to collect from the

    patient in the case study you were assigned.

    Consider what physical exams and diagnostic tests would be

    appropriate to gather more information about the patient’s condition. How would

    the results be used to make a diagnosis? Assessing Neurological Symptoms Essay Discussion.

    Identify at least five possible conditions that may be

    considered in a differential diagnosis for the patient.

    Note: Before you submit your initial post, replace the

    subject line (“Discussion – Week 9”) with “Review of Case Study

    ___.” Fill in the blank with the number of the case study you were

    assigned.

    By Day 3

    Post an episodic/focused note about the patient in the case

    study to which you were assigned using the episodic/focused note template

    provided in week 5 resources. Provide evidence from the literature to support

    diagnostic tests that would be appropriate for each case. List five different

    possible conditions for the patient’s differential diagnosis and justify why

    you selected each. Assessing Neurological Symptoms Essay Discussion.

    Note: For this Discussion, you are required to complete your

    initial post before you will be able to view and respond to your colleagues’

    postings. Begin by clicking on the “Post to Discussion Question” link

    and then select “Create Thread” to complete your initial post.

    Remember, once you click on Submit, you cannot delete or edit your own posts,

    and you cannot post anonymously. Please check your post carefully before

    clicking on Submit!

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different

    days who were assigned different case studies than you. Analyze the possible

    conditions from your colleagues’ differential diagnoses. Determine which of the

    conditions you would reject and why. Identify the most likely condition, and justify

    your reasoning. Assessing Neurological Symptoms Essay Discussion.

  • Building a Health History Essay Discussion

    Building a Health History Essay Discussion Week 1

    discussion

    Discussion: Building a Health History

    Effective communication is vital to constructing an accurate

    and detailed patient history. A patient’s health or illness is influenced by

    many factors, including age, gender, ethnicity, and environmental setting. As

    an advanced practice nurse, you must be aware of these factors and tailor your

    communication techniques accordingly. Doing so will not only help you establish

    rapport with your patients, but it will also enable you to more effectively

    gather the information needed to assess your patients’ health risks.

    For this Discussion, you will take on the role of a

    clinician who is building a health history for one of the following new

    patients: Building a Health History Essay Discussion.

    76-year-old Black/African-American male with disabilities

    living in an urban setting

    ORDER A PLAGIARISM-FREE PAPER HERE

    Adolescent Hispanic/Latino boy living in a middle-class

    suburb

    55-year-old Asian female living in a high-density poverty

    housing complex

    Pre-school aged white female living in a rural community

    16-year-old white pregnant teenager living in an inner-city

    neighborhood Building a Health History Essay Discussion.

    To prepare:

    With the information presented in Chapter 1 in mind,

    consider the following:

    How would your communication and interview techniques for

    building a health history differ with each patient?

    How might you target your questions for building a health

    history based on the patient’s age, gender, ethnicity, or environment?

    What risk assessment instruments would be appropriate to use

    with each patient?

    What questions would you ask each patient to assess his or

    her health risks? Building a Health History Essay Discussion.

    Select one patient from the list above on which to focus for

    this Discussion.

    Identify any potential health-related risks based upon the

    patient’s age, gender, ethnicity, or environmental setting that should be taken

    into consideration.

    Select one of the risk assessment instruments presented in

    Chapter 1 or Chapter 26 of the course text, or another tool with which you are

    familiar, related to your selected patient.

    Develop at least five targeted questions you would ask your

    selected patient to assess his or her health risks and begin building a health

    history.

    By Day 3

    Post a description of the interview and communication

    techniques you would use with your selected patient. Explain why you would use

    these techniques. Identify the risk assessment instrument you selected, and

    justify why it would be applicable to the selected patient. Provide at least

    five targeted questions you would ask the patient. v.

    Note: For this Discussion, you are required to complete your

    initial post before you will be able to view and respond to your colleagues’

    postings. Begin by clicking on the “Post to Discussion Question” link

    and then select “Create Thread” to complete your initial post.

    Remember, once you click on Submit, you cannot delete or edit your own posts,

    and you cannot post anonymously. Please check your post carefully before

    clicking on Submit!

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different

    days who selected a different patient than you, using one or more of the

    following approaches:

    Share additional interview and communication techniques that

    could be effective with your colleague’s selected patient.

    Suggest additional health-related risks that might be

    considered.

    Validate an idea with your own experience and additional

    research. Building a Health History Essay Discussion

  • Asthma and Stepwise Management Essay

    Asthma and Stepwise Management Essay Week 4

    assignment

    Asthma and Stepwise Management

    Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options Asthma and Stepwise Management Essay. Like many other disorders, there are various approaches to treating and managing care for

    asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

    To prepare:

    ORDER A PLAGIARISM-FREE PAPER HERE

    Consider drugs used to treat asthmatic patients including

    long-term control and quick relief treatment options for patients. Think about

    the impact these drugs might have on patients including adults and children.

    Review Chapter 25 of the Arcangelo and Peterson text.

    Reflect on using the stepwise approach to asthma treatment and management.

    Consider how stepwise management assists health care

    providers and patients in gaining and maintaining control of the disease.

    By Day 7

    Write a 2- to 3- page paper that addresses the following:

    Describe long-term control and quick relief treatment

    options for asthma patients, as well as the impact these drugs might have on

    patients.

    Explain the stepwise approach to asthma treatment and

    management.

    Explain how stepwise management assists health care

    providers and patients in gaining and maintaining control of the disease.

    Asthma and Stepwise Management Essay

  • nur 2092 Health History Essay

    nur 2092 Health History Essay

    Module

    03 Written Assignment – Health History

    Conduct a health history on a family member

    or friend. Be sure they give you permission. Using the interviewing techniques

    learned in Module 2, gather the following information. Use your textbook as

    your guide.

    Individual Health Assessment Form

    ORDER A PLAGIARISM-FREE PAPER HERE

    A response is required for EACH item in

    EACH category.

    Copy this document & record your responses in a text document (e.g.: Word or WordPerfect). That way you can just add the information without retyping the entire document. Please reformat and

    delete things as appropriate.

    Health History

    Biographical data: (2 points)

    Initals:____________

    Age:

    ______________ Marital

    status: ____M _____ S _____Sep. ____Cohab.

    Birth date: _____________________ Number of dependents: ___________________

    Educational level: ________________________ Gender: _____F _____ M _____Other

    Occupation:

    ___________________________________¬¬¬¬_________________________

    Ethnicity/nationality:

    _____________________ Health insurance

    ____Yes _____No

    Source of

    history/reliability:________________________________________________

    Present health history: (2 points)

    Current medical conditions/chronic nur 2092 Health History Essay

    illnesses:

    Current medications:

    Medication/food/environmental allergies:

    Past health history: (8 points)

    Childhood illnesses: Ask about mumps,

    chickenpox, rubella, ear infections, throat infections, pertussis, and asthma.

    Hospitalizations/Surgeries: Include reason

    for hospitalization, year, and surgical procedures.

    Accidents/injuries: Include head injuries

    with loss of consciousness, fractures, motor vehicle accidents, burns, and

    severe lacerations.

    Major diseases or illnesses: Include heart

    problems, cancer, seizures, and any significant adult illnesses.

    Immunizations (dates of known):

    Tetanus _______ Diphtheria ________ Pertussis ________ Mumps ________

    Rubella _______ Polio _____________ Hepatitis B ______ Influenza _______

    Varicella ______ Other

    ____________________________________________

    Recent travel/military services: Include

    travel within past year and recent and past military service.

    Date of last examinations:

    Physical examination _________ Vision ___________ Dental ___________

    Family History (1 point)

    Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any

    major health issues, and, if indicated, cause and age of death (date of death,

    if known). nur 2092 Health History Essay.

    Now answer the questions below: (25 points)

    1. Was

    the person willing to share the information? If they were not, what did you do

    to encourage them?

    2. Was

    there any part of the interview that was more challenging? If so, what part and

    how did you deal with it?

    3. How

    comfortable were you taking a health history?

    4. What

    interviewing techniques did you use? Were there any that were difficult and if

    so, how did you overcome the difficulty?

    5. Now

    that you have taken a health history discuss how this information can assist

    the nurse in determining the health status of a client. nur 2092 Health History Essay.

  • Pharmacokinetics and Pharmacodynamics Essay Discussion

    Pharmacokinetics and Pharmacodynamics Essay Discussion Week 1

    discussion

    Discussion: Pharmacokinetics and Pharmacodynamics

    As an advanced practice nurse assisting physicians in the

    diagnosis and treatment of disorders, it is important to not only understand

    the impact of disorders on the body, but also the impact of drug treatments on

    the body. The relationships between drugs and the body can be described by

    pharmacokinetics and pharmacodynamics. Pharmacokinetics describes what the body

    does to the drug through absorption, distribution, metabolism, and excretion,

    whereas pharmacodynamics describes what the drug does to the body. When

    selecting drugs and determining dosages for patients, it is essential to

    consider individual patient factors that might impact the patient’s

    pharmacokinetic and pharamcodynamic processes. These patient factors include

    genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking,

    alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

    In this Discussion, you reflect on a case from your past clinical experiences

    and consider how a particular patient’s pharmacokinetic and pharmacodynamic

    processes altered his or her response to a drug. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    To prepare:

    ORDER A PLAGIARISM-FREE PAPER HERE

    Review this week’s media presentation with Dr. Terry

    Buttaro, as well as Chapter 2 of the Arcangelo and Peterson text, and the Scott

    article in the Learning Resources. Consider the principles of pharmacokinetics

    and pharmacodynamics.

    Reflect on your experiences, observations, and/or clinical

    practices from the last five years. Select a case from the last five years that

    involves a patient whose individual differences in pharmacokinetic and

    pharmacodynamic factors altered his or her anticipated response to a drug. When

    referring to your patient, make sure to use a pseudonym or other false form of

    identification. This is to ensure the privacy and protection of the patient. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    Consider factors that might have influenced the patient’s

    pharmacokinetic and pharmacodynamic processes such as genetics (including

    pharmacogenetics), gender, ethnicity, age, behavior, and/or possible

    pathophysiological changes due to disease.

    Think about a personalized plan of care based on these

    influencing factors and patient history in your case study.

    With these thoughts in mind:

    By Day 3

    Post a description of the case you selected. Then, describe

    factors that might have influenced pharmacokinetic and pharmacodynamic

    processes of the patient from the case you selected. Finally, explain details

    of the personalized plan of care that you would develop based on influencing

    factors and patient history in your case. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days by suggesting

    additional patient factors that might have interfered with the pharmacokinetic

    and pharmadynamic processes of the patients in their case studies. In addition,

    suggest how the personal care plan might change if the age of the patient were

    different and if the patient had a comorbid condition such as renal failure,

    heart failure, or liver failure.

    Week 2

    discussion

    Discussion: Ethical and Legal Implications of Prescribing

    Drugs

    What type of drug should you prescribe based on your

    patient’s diagnosis? How much of the drug should the patient receive? How often

    should the drug be administered? When should the drug not be prescribed? Are

    there individual patient factors that could create complications when taking

    the drug? Should you be prescribing drugs to this patient?

    These are some of the questions you might consider when

    selecting a treatment plan for a patient. As an advanced practice nurse

    prescribing drugs, you are held accountable for people’s lives on a daily

    basis. Patients and their families will often place trust in you because of

    your position. With this trust comes power and responsibility, as well as an

    ethical and legal obligation to “do no harm.” It is important that you are

    aware of current professional, legal, and ethical standards for advanced

    practice nurses with prescriptive authority. In this Discussion, you explore

    ethical and legal implications of scenarios and consider how to appropriately respond.

    Scenario 1:

    As a nurse practitioner, you prescribe medications for your

    patients. You make an error when prescribing medication to a 5-year-old

    patient. Rather than dosing him appropriately, you prescribe a dose suitable

    for an adult. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    Scenario 2:

    A friend calls and asks you to prescribe a medication for

    her. You have this autonomy, but you don’t have your friend’s medical history.

    You write the prescription anyway.

    Scenario 3:

    You see another nurse practitioner writing a prescription

    for her husband who is not a patient of the nurse practitioner. The

    prescription is for a narcotic. You can’t decide whether or not to report the

    incident.

    Scenario 4:

    During your lunch break at the hospital, you read a journal

    article on pharmacoeconomics. You think of a couple of patients who have

    recently mentioned their financial difficulties. You wonder if some of the

    expensive drugs you have prescribed are sufficiently managing the patients’

    health conditions and improving their quality of life.

    To prepare:

    Review Chapter 1 of the Arcangelo and Peterson text, as well

    as articles from the American Nurses Association, Anderson and Townsend, the

    Drug Enforcement Administration, and Philipsend and Soeken.

    Select one of the four scenarios listed above.

    Consider the ethical and legal implications of the scenario

    for all stakeholders involved such as the prescriber, pharmacist, patient, and

    the patient’s family.

    Think about two strategies that you, as an advanced practice

    nurse, would use to guide your ethically and legally responsible

    decision-making in this scenario. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    With these thoughts in mind:

    By Day 3

    Post an explanation of the ethical and legal implications of

    the scenario you selected on all stakeholders involved such as the prescriber,

    pharmacist, patient, and the patient’s family. Describe two strategies that

    you, as an advanced practice nurse, would use to guide your decision making in

    this scenario.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who selected a

    different scenario than you did, in one or more of the following ways:

    Suggest additional ethical and legal implications for all

    stakeholders in your colleagues’ scenarios.

    Offer and support an alternative perspective using readings

    from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional

    research.

    Week 3

    discussion

    Discussion: Pharmacotherapy for Cardiovascular Disorders

    As the leading cause of death in the United States for both

    men and women, cardiovascular disorders account for 7 million hospitalizations

    per year (NCSL, 2012). This is the result of the extensive treatment and care

    that is often required for patients with these disorders. While the incidences

    of hospitalizations and death are still high, the mortality rate of

    cardiovascular disorders has been declining since the 1960s (CDC, 2011).

    Improved treatment options have contributed to this decline, as well as more

    knowledge on patient risk factors. As an advanced practice nurse, it is your

    responsibility to recommend appropriate treatment options for patients with

    cardiovascular disorders. To ensure the safety and effectiveness of drug

    therapy, advanced practice nurses must consider aspects that might influence

    pharmacokinetic and pharmacodynamic processes such as medical history, other

    drugs currently prescribed, and individual patient factors. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    Consider the following case studies:

    Case Study 1:

    Patient AO has a history of obesity and has recently gained

    9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia.

    Drugs currently prescribed include the following:

    Atenolol 12.5 mg daily

    Doxazosin 8 mg daily

    Hydralazine 10 mg qid

    Sertraline 25 mg daily

    Simvastatin 80 mg daily

    Case Study 2:

    Patient HM has a history of atrial fibrillation and a

    transient ischemic attack (TIA). The patient has been diagnosed with type 2

    diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs

    currently prescribed include the following:

    Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun

    Aspirin 81 mg daily

    Metformin 1000 mg po bid

    Glyburide 10 mg bid

    Atenolol 100 mg po daily

    Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

    Case Study 3:

    Patient CB has a history of strokes. The patient has been

    diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs

    currently prescribed include the following:

    Glipizide 10 mg po daily

    HCTZ 25 mg daily

    Atenolol 25 mg po daily

    Hydralazine 25 mg qid

    Simvastatin 80 mg daily

    Verapamil 180 mg CD daily

    To prepare:

    Review this week’s media presentation on hypertension and

    hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson

    text.

    Select one of the three case studies, as well as one the

    following factors: genetics, gender, ethnicity, age, or behavior factors.

    Reflect on how the factor you selected might influence the

    patient’s pharmacokinetic and pharmacodynamic processes.

    Consider how changes in the pharmacokinetic and

    pharmacodynamic processes might impact the patient’s recommended drug therapy.

    Think about how you might improve the patient’s drug therapy

    plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on

    whether you would modify the current drug treatment or provide an alternative treatment

    option for the patient.

    With these thoughts in mind:

    By Day 3

    Post an explanation of how the factor you selected might

    influence the pharmacokinetic and pharmacodynamic processes in the patient from

    the case study you selected. Then, describe how changes in the processes might

    impact the patient’s recommended drug therapy. Finally, explain how you might

    improve the patient’s drug therapy plan. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who selected a

    different case study than you did, in one or more of the following ways:

    Provide alternative recommendations for drug treatments.

    Offer and support an alternative perspective using readings

    from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional

    research.

    Week 4

    discussion

    Discussion: Pharmacotherapy for Respiratory Disorders

    To the untrained ear, most coughs sound the same. However,

    as you might recall from past clinical experiences, a simple cough can lead to

    a patient diagnosis of a common cold, pneumonia, or even a chronic obstructive

    pulmonary disease (COPD). Although it can sometimes be challenging to diagnose

    a patient based on common respiratory symptoms such as congestion, coughing,

    and wheezing, it is important to be able to distinguish minor differences as

    even mild symptoms might require intervention with drug treatments. When

    recommending potential treatment options, advanced practice nurses must

    consider how individual patient factors might impact the effects of prescribed

    drugs.

    To prepare:

    Review Chapter 26 and Chapter 27 of the Arcangelo and

    Peterson text.

    Select and research one of the following respiratory

    disorders: the common cold, pneumonia, or a chronic obstructive pulmonary

    disease (COPD) such as emphysema or chronic bronchitis. Consider types of drugs

    that would be prescribed to patients to treat symptoms associated with this

    disorder.

    Select one of the following factors: genetics, gender,

    ethnicity, age, or behavior. Reflect on how this factor might impact effects of

    prescribed drugs, as well as any measures you might take to help reduce

    negative side effects.

    With these thoughts in mind:

    By Day 3

    Post a description of the respiratory disorder you selected

    including types of drugs that would be prescribed to patients to treat

    associated symptoms. Then, explain how the factor you selected might impact

    effects of prescribed drugs, as well as any measures you might take to help

    reduce negative side effects.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who selected a

    different respiratory disorder than you did. If the disorder you selected is

    primarily associated with the upper respiratory system, respond to colleagues

    who selected disorders primarily associated with the lower respiratory system.

    Provide alternative recommendations for drug treatments. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    Week 5

    discussion

    Discussion: Pharmacotherapy for Cardiovascular Disorders

    Neurological disorders, such as headaches, seizure

    disorders, sleep disorders, depression, and dementia can present several

    complications for patients of all ages. These disorders affect patients

    physically and emotionally, impacting judgment, school and/or job performance,

    and relationships with family and friends. Since these disorders may have

    drastic effects on patients’ lives, it is important for advanced practice

    nurses to effectively manage patient care. With patient factors and medical

    history in mind, it is the advanced practice nurse’s responsibility to manage

    the diagnosis, treatment, and education of patients with neurological

    disorders.

    To prepare:

    Review this week’s media presentation on pharmacology for

    the nervous system.

    Select one of the following neurological disorders:

    headaches, seizure disorders, sleep disorders, depression, or dementia.

    Consider the types of drugs that would be prescribed to patients to treat

    symptoms associated with this disorder.

    Select one of the following factors: genetics, gender,

    ethnicity, age, or behavior. Reflect on how this factor might impact the

    effects of prescribed drugs, as well as any measures you might take to help

    reduce negative side effects.

    With these thoughts in mind:

    By Day 3

    Post a description of the neurological disorder you selected

    including types of drugs that would be prescribed to patients to treat

    associated symptoms. Then, explain how the factor you selected might impact the

    effects of prescribed drugs, as well as any measures you might take to help

    reduce negative side effects.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who selected a

    different neurological disorder than you did. Provide recommendations for

    alternative drug treatments and patient education strategies for treatment and

    management. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    Week 6

    discussion

    Discussion: Pharmacotherapy for Endocrine and

    Musculoskeletal Disorders

    Patients with endocrine and musculoskeletal disorders often

    require long-term treatment and care resulting in the need for extensive

    patient education. By appropriately educating patients, advanced practice

    nurses can assist patients with the management of their disorders. In clinical

    settings, patients with endocrine and musculoskeletal disorders typically seek

    treatment for symptoms that pose problems to their everyday lives as ordinary

    tasks may become difficult to complete. For instance, patients might have

    difficulty walking short distances, preparing meals, or even running errands.

    To reduce these symptoms and additional health risks, it is essential to

    develop drug therapy plans with individual patient factors in mind.

    To prepare:

    Select one of the following endocrine or musculoskeletal

    disorders: thyroid disease, osteoarthritis, rheumatic arthritis, gout, multiple

    sclerosis, or fibromyalgia. Consider the types of drugs that would be

    prescribed to patients to treat symptoms associated with this disorder.

    Select one of the following factors: genetics, gender,

    ethnicity, age, or behavior. Reflect on how this factor might impact the

    effects of prescribed drugs, as well as any measures you might take to help

    reduce negative side effects.

    With these thoughts in mind:

    By Day 3

    Post a description of the endocrine or musculoskeletal

    disorder you selected including types of drugs that would be prescribed to

    patients to treat associated symptoms. Then, explain how the factor you

    selected might impact the effects of prescribed drugs, as well as any measures

    you might take to help reduce negative side effects.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who selected a

    different endocrine or musculoskeletal disorder than you did. Provide

    recommendations for alternative drug treatments and patient education

    strategies for treatment and management.

    Week 7

    discussion

    Discussion: Pharmacotherapy for Gastrointestinal and

    Hepatobiliary Disorders

    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. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    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:

    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.

    With these thoughts in mind:

    By Day 3

    Post an explanation of your diagnosis for the patient

    including your rationale for the diagnosis. Then, describe an appropriate drug

    therapy plan based on the patient’s history, diagnosis, and drugs currently

    prescribed.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who diagnosed the

    patient differently than you did, in one or more of the following ways:

    Provide alternative recommendations for drug treatments.

    Offer and support an alternative perspective using readings

    from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional

    research.

    Week 8

    discussion

    Discussion: Drug Treatments for HIV/AIDS

    While HIV/AIDS is still currently incurable, the prognosis for

    patients with this infectious disease has improved due to advancements in drug

    treatments. Consider the case of Kristy Aney. Kristy was diagnosed with HIV in

    1992 and was told she would survive, at most, 10 more years. Despite

    unfavorable odds, Kristy is still alive 20 years later. Since her diagnosis,

    she has witnessed tremendous improvements in HIV/AIDS treatments which have

    helped patients live longer with fewer side effects. While she acknowledges

    that these drug treatments have kept her alive, she fears that improvements in

    drug therapy have led to more people becoming complacent about the disease

    (Idaho Statesmen, 2012). In fact, the number of people living with HIV/AIDS in

    the United States is higher than it has ever been (CDC, 2012). This poses the

    question: Is there a relationship between drug advancements, societal

    complacency, and infection? Pharmacokinetics and Pharmacodynamics Essay Discussion.

    To prepare:

    Review Chapter 49 of the Arcangelo and Peterson text, as

    well as the Krummenacher et al. and Scourfield articles in the Learning

    Resources.

    Reflect on whether or not the prevalence of HIV cases might

    be attributed to increased complacency due to more advanced drug treatment

    options for HIV/AIDS.

    Consider how health care professionals can help to change

    perceptions and make people more aware of the realities of the disease.

    Think about strategies to educate HIV positive patients on

    medication adherence, as well as safe practices to reduce the risk of infecting

    others.

    With these thoughts in mind:

    By Day 3

    Post an explanation of whether or not you think the

    prevalence of HIV cases might be attributed to increased complacency due to

    more advanced drug treatment options.Then, explain how health care

    professionals can help to change perceptions and increase awareness of the

    realities of the disease. Finally, describe strategies to educate HIV positive

    patients on medication adherence, as well as safe practices to reduce the risk

    of infecting others.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who provided a

    different rationale than you did, in one or more of the following ways:

    Offer and support an alternative perspective using readings

    from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional

    research.

    Week 9

    discussion

    Discussion: Pharmacotherapy for Hematologic Disorders

    In the 1970s, the average lifespan for patients diagnosed

    with sickle cell disease was 14 years. Today, the average lifespan has increased

    to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other

    hematologic disorders such as hemophilia and cancer continue to improve as

    well. This can be attributed to advancements in medical care—specifically drug

    therapy and treatment. When managing drug therapies for patients, it is

    essential to continuously examine current treatments and evaluate the impact of

    patient factors on drug effectiveness. To prepare for your role as an advanced

    practice nurse, you must become familiar with common drug treatments for

    various hematologic disorders seen in clinical settings. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    To prepare:

    Select one of the following hematologic disorders: anemia,

    hemophilia, cancer, sickle cell anemia, thalassemia, thrombolytic disorders, or

    white blood cell disorders. Consider the types of drugs that would be

    prescribed to patients to treat symptoms associated with this disorder.

    Select one of the following factors: genetics, gender,

    ethnicity, age, or behavior. Reflect on how this factor might impact the

    effects of prescribed drugs, as well as any measures you might take to help

    reduce negative side effects.

    With these thoughts in mind:

    By Day 3

    Post a description of the hematologic disorder you selected

    including types of drugs that would be prescribed to patients to treat

    associated symptoms Pharmacokinetics and Pharmacodynamics Essay Discussion. Then, explain how the factor you selected might impact the

    effects of prescribed drugs, as well as any measures you might take to help

    reduce negative side effects.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who selected a

    different hematologic disorder than you did. Provide recommendations for

    alternative drug treatments and patient education strategies for treatment and

    management.

    Week 10

    discussion

    Discussion: Hormone Replacement Therapy

    In recent years, hormone replacement therapy has become a

    controversial issue. When prescribing therapies, advanced practice nurses must

    weigh the strengths and limitations of the prescribed supplemental hormones. If

    advanced practice nurses determine that the limitations outweigh the strengths,

    then they might suggest alternative treatment options such as herbs or other

    natural remedies, changes in diet, and increase in exercise.

    Consider the following scenario:

    As an advanced practice nurse at a community health clinic,

    you often treat female (and sometimes male patients) with hormone deficiencies.

    One of your patients requests that you prescribe supplemental hormones. This

    poses the questions: How will you determine what kind of treatment to suggest?

    What patient factors should you consider? Are supplemental hormones the best

    option for the patient, or would they benefit from alternative treatments?

    To prepare:

    Review Chapter 56 of the Arcangelo and Peterson text, as

    well as the Holloway and Makinen and Huhtaniemi articles in the Learning

    Resources. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    Review the provided scenario and reflect on whether or not

    you would support hormone replacement therapy.

    Locate and review additional articles about research on

    hormone replacement therapy for women and/or men. Consider the strengths and

    limitations of hormone replacement therapy.

    Based on your research of the strengths and limitations,

    again reflect on whether or not you would support hormone replacement therapy.

    Consider whether you would prescribe supplemental hormones

    or recommend alternative treatments to patients with hormone deficiencies.

    With these thoughts in mind:

    By Day 3

    Post a description of the strengths and limitations of

    hormone replacement therapy. Based on these strengths and limitations, explain

    why you would or why you would not support hormone replacement therapy. Explain

    whether you would prescribe supplemental hormones or recommend alternative

    treatments to patients with hormone deficiencies and why.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who provided a

    different rationale than you did, in one or more of the following ways:

    Offer and support an alternative perspective using readings

    from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional

    research.

    Week 11

    discussion

    Discussion: Off-Label Drug Use in Pediatrics

    The unapproved use of approved drugs, also called off-label

    use, with children is quite common. This is because pediatric dosage guidelines

    are typically unavailable since very few drugs have been specifically

    researched and tested with children.

    When treating children, prescribers often adjust dosages

    approved for adults to accommodate a child’s weight. However, children are not

    just “smaller” adults. Adults and children process and respond to drugs

    differently in their absorption, distribution, metabolism, and excretion.

    Children even respond differently during stages from infancy to adolescence.

    This poses potential safety concerns when prescribing drugs to pediatric

    patients. As an advanced practice nurse, you have to be aware of safety

    implications of the off-label use of drugs with this patient group. Pharmacokinetics and Pharmacodynamics Essay Discussion.

    To prepare:

    Review the Bazzano et al. and Mayhew articles in the

    Learning Resources. Reflect on situations in which children should be

    prescribed drugs for off-label use.

    Think about strategies to make the off-label use and dosage

    of drugs safer for children from infancy to adolescence. Consider specific

    off-label drugs that you think require extra care and attention when used in

    pediatrics.

    With these thoughts in mind:

    By Day 3

    Post an explanation of circumstances under which children

    should be prescribed drugs for off-label use. Then, describe strategies to make

    the off-label use and dosage of drugs safer for children from infancy to

    adolescence. Include descriptions and names of off-label drugs that require extra

    care and attention when used in pediatrics.

    By Day 6

    Read a selection of your colleagues’ responses and respond

    to at least two of your colleagues on two different days who provided a

    different rationale than you did, in one or more of the following ways:

    Offer and support an alternative perspective using readings

    from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional

    research. Pharmacokinetics and Pharmacodynamics Essay Discussion.

  • Genetic Family History – evidence-based teaching plan

    Genetic Family History – evidence-based teaching plan

    GENERAL DIRECTIONS & PROJECT GUIDELINES

    Application: Use Microsoft Word 2010™ or later to create this assignment.

    This paper is to be written in APA format. Please use the recommended assignment specific .courselearn.net/lms/content/1520/51804/NR305/NR305_W6_Teaching%20Plan_APA_Template_MAR18.docx”>APA Template (Links to an external site.)Links to an external site.linked here to type on. The SSPRNBSN resource has a great section on writing scholarly papers and APA formatting (to find resource

    ORDER A PLAGIARISM-FREE PAPER HERE

    watch:.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0″>http://www.brainshark.
    com/devry/Student_Success_
    Strategies/zHszgnQAKzBXqbz0 (
    Links to an external site.)Links to an external site.)

    APA formatting helps you to format your paper in a professional manner and provides consistent methods for citing your sources within the paper and providing the complete reference on the reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. Genetic Family History – evidence-based teaching plan.

    This paper is expected to be
    no more than four pages
    in length (not including the title page and reference list).

    Please use the categories listed below as the first level headings for each section of your paper
    (Exception: Instead of “Introduction” please use the title of your paper).

    CONTENT GUIDELINES

    Using the information gathered in your Genetic Family History and Milestone 1 assignments, you will identify and research one modifiable risk factor. You will develop an evidence-based teaching plan that promotes health, with the aim of improving patient outcomes related to this modifiable risk factor.

    Introduction (1 paragraph):
    The introduction should be interesting and capture the reader’s attention.

    State
    one preventable disease
    your adult participant is at risk for developing (obesity, Type 2 Diabetes, etc.), based on the information you have gathered during this course.

    Introduce
    one
    modifiable risk factor
    (diet, smoking, sedentary lifestyle, etc.) associated with the preventable disease you described.

    Clearly state the purpose of your paper. The purpose statement should relate to developing a patient teaching plan.

    Preventable Disease Overview (1-2 paragraphs)
    : Please use course materials and scholarly sources to complete this section. Be sure to paraphrase and include citations as needed!

    Describe briefly the
    preventable disease
    you identified in the introduction.

    What are the signs and symptoms associated with this disease?

    How is it diagnosed? Notable information from Health History and General Survey? Signs and symptoms? Risk assessments? Lab values? Genetic Family History – evidence-based teaching plan.

    What physical assessment findings would be associated with this disease?

    How did you identify your adult participant’s risk for this disease?

    Specific information gathered in the Genetic Family History?

    Specific information gathered in the Milestone 1 assignment?

    Evidence Based Intervention (1-2 paragraphs):

    Choose and describe
    one
    evidence based intervention
    related to the modifiable risk factor
    you have chosen. (One that has been shown to be effective at reducing an individual’s risk for developing the preventable disease.)

    Describe this intervention in detail, and provide rationale for your intervention utilizing:

    At least
    one scholarly peer-reviewed journal article
    . Go to the Chamberlain library at.chamberlain.edu/”>http:/library.chamberlain.
    edu (Links to an external site.)Links to an external site..
    Search peer reviewed journals
    to find a scholarly article that discusses interventions associated with the modifiable risk factor you have chosen as the focus of your paper. Summarize what you learned from this article and cite the source in the text and reference page (Author, year). The article must be less than 10 years old. You may include and cite your textbook or other scholarly sources as well, but they
    do not
    count as the scholarly journal article. Genetic Family History – evidence-based teaching plan.

    You must summarize and analyze the information from your sources in your own words. Avoid direct quotations. If you do include a short quotation, be sure to cite it properly.

    List
    short and long term goals
    you have for your participant related to this intervention.

    Implementation: Teaching Plan (1-2 paragraphs):

    Discuss in this section what methods you will use to teach your participant how to implement the intervention.

    What is it that you are asking them to do? (For example, if your intervention is “quit smoking”, what specific steps will you recommend your participant take to achieve this goal?)

    Describe any resources you would provide to the participant to help them understand and be successful (websites, community services, handouts, etc.).

    Evaluation (1 paragraph):

    Describe at least one method (weight, lab values, etc.) you would use to evaluate whether your intervention was effective.

    How would you revise you plan if it proved to be unsuccessful?

    Summary (1 paragraph):

    Summarize the main points of your paper.

    Reiterate what you hope to accomplish by implementing this intervention.

    End with a concluding statement.

    Reference Page
    :

    The Reference Page should start on a new page (insert a page break).

    All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page.

    A URL link alone is not an adequate reference. Genetic Family History – evidence-based teaching plan.

    See the Chamberlain Guidelines for Writing Professional Papers in Course Resources for examples of properly formatted references.

    BEST PRACTICES – TIPS FOR WRITING A GREAT PAPER!

    Review the directions, guidelines, and grading rubric thoroughly.

    Use the APA template provided.

    Be clear. Write about one preventable disease, one modifiable risk factor, and one related intervention.

    Proofread prior to final submission. Having another person review your work is often helpful to catch grammar and spelling errors. (Spell check is not perfect!)

    Abide by the CCN academic integrity policy –use the Turnitin Draft Submission link found in the Introduction & Resources Module to ensure that your similarity index is less than 24%, if not, revise and resubmit prior to the deadline. Please review the documents related to TurnItIn in Course Resources. Genetic Family History – evidence-based teaching plan.

  • NUR 3516

    NUR 3516 Week 1 discussion

    DQ1

    How is stress different than a crisis? What makes a person

    “crisis-prone”?

    How did the introduction of psychotropic medication and the

    deinstitutionalization of the mentally ill influence current crisis

    intervention and the provision of mental health services?

    DQ2

    When MUST a counselor, nurse, or other health care provider

    (HCP) breech confidentiality? When MAY a counselor, nurse, or HCP breech

    confidentiality? Give an example -maybe even one where you were directly

    involved. (Do not use real names or breech confidentiality.)

    Explain the assigned readings from the ANA Scope and

    Standards, ANA Social Policy Statement, and ANA Code of Ethics state in

    relation to confidentiality

    ORDER A PLAGIARISM-FREE PAPER HERE

    Week 2 discussion

    DQ1

    Read the case study on page 862 in Clark 6th edition*

    entitled Caring for a Client with Depression. Consider you are the nurse caring

    for Donna. Describe the type of crisis or crises Donna is experiencing. How

    might you assess her risk for suicide or harm to others such as her baby? What

    interventions might you implement in Donna’s plan of care? Who else might need

    to be involved in Donna’s care? Provide rationales for all responses. NUR 3516.

    *If you have Clark 5th edition, the case study is on page

    926.

    DQ2

    Describe the 4 stages for successful mourning.

    What are some special needs of a parent who has lost a child

    to death?

    Relate the assigned readings from the ANA Scope and

    Standards, and the ANA Code of Ethics to the needs of the parent and stages of

    mourning.

    Week 3 discussion

    DQ1

    What is a need of most adolescents that often is thwarted

    and leads to acting out through self-destructive behaviors?

    Discuss a developmental crisis or special situational crises

    of adolescence and possible intervention strategies to deal with it.

    DQ2

    Nurses assess patients’ use of alcohol and drugs upon

    admission. Many times those under the influence present to emergency rooms for

    medical crisis situations. Explain how you would go about assessing for

    substance abuse and crises. What type of interventions might be appropriate for

    alcoholics or substance abusers? Describe 5 defense mechanisms that are often

    utilized by enablers and co-dependents.

    Week 4 discussion

    DQ1

    Tessa was ready to deploy with her unit, until her doctor

    told her she’d have to stay behind. Returning to her previous life turned out

    to be more difficult than she planned. Hear how Tessa was able to find

    solutions—for herself and for her family.

    From a self-described “happy kid” to a determined

    Marine – Bryan returned home thinking he’d forever lost the ability to feel.

    Hear him tell how he overcame IEDs, posttraumatic stress, and the unique

    challenges of a long-distance romance. Bryan got his life on a better track

    with help from VA.

    After you view the videos discuss why it’s important to have

    innovative approaches to preparing nurses to care for service members and

    veterans. Discuss what resources are available to veterans in your community.

    (View all the videos located under week 4 Video Animations).

    DQ2

    Describe the phases of community disaster as discussed in

    Kanel pages 158-159. How do these compare to the Stages of Disaster Response as

    described in Clark Chapter 25 pages 703-706? What interventions would be

    appropriate for nurses to assist people involved in a natural disaster? Choose

    and explain two of the assessment considerations from Clark Chapter 25 and why

    it is important for nurses to be aware of.

    Week 2

    Handout Assignment

    NUR3516 Handout Assignment Guideline

    DUE DATE: Sunday of Week 2

    Summary: Patient handouts have been used by nurses for many

    years as a teaching tool. A good patient handout can be an effective teaching

    strategy for additional patient education. For this assignment, you will create

    a two-page only patient handout or brochure outlining specific criteria and

    based on your readings and literature searches.

    http://www.advancecustomcommunications.com/education/

    Who

    you will What you

    will write about How

    you will write How

    you will evaluate and

    write

    for support

    Primary Topic: Crisis Intervention Format:

    Create your Write in

    your own words by

    Audience:

    The Education assignment in a paraphrasing content from other

    primary

    audience Microsoft

    Word sources and cite

    according to

    is the

    general For this

    assignment, you will document.

    There are APA

    standards. Citations can be

    population

    of create a two-page

    only patient templates

    you can use in a smaller

    font following any

    patients

    in your handout or

    brochure. Consider within

    Microsoft paraphrased

    content.

    community. the use of variety,

    balance, text Word if you

    wish.

    and

    images placed Save

    it in a location It

    is important to present your

    Tone:

    This asymmetrically

    and with on

    your computer and ideas

    about the subject matter

    assignment

    is to simplicity. with a name that through your

    reflection and

    be

    written in follows

    this analysis.

    Present the information

    third

    person as it You

    will address all of the format:

    Last name, to

    your audience in terms they

    reflects

    your following criteria on your First name, can understand. Write as if you

    professional handout/brochure: NUR3516, Crisis are telling the information to

    the

    insight

    and • Discuss the definition of a Brochure. person who is

    reading the

    research

    findings. “crisis” Organization: Your brochure.

    • Describe how a crisis can

    be

    both an opportunity handout/brochure References: Include a

    minimum

    Secondary and a

    danger should have a

    balance of three (3)

    references; one (1)

    Audience:

    As • Analyze how someone of informational being a nursing

    journal article

    your

    instructor, I becomes

    “crisis prone” content

    and images. (no more

    than 5 years old). Use

    will

    read and • Provide suggestions for Images should not proper

    APA paraphrasing, in-

    evaluate

    how assistance constitute large text citations, and

    corresponding

    effectively

    you portions

    of your reference

    for all sources.

    have

    addressed Consider your

    audience, handout/brochure.

    your

    primary There

    should not be References

    should be found

    varying

    cultures, and literacy

    audience. large

    amounts of somewhere

    on the two pages.

    levels

    as you create your

    white

    space nor DO NOT move to a

    third page.

    brochure.

    The elderly may not

    should

    there be so Your

    references can be in a text

    be

    able to read typeface that is

    many

    things on it that box

    with smaller font.

    too

    small. Too large typeface

    it

    is confusing to the

    will

    not allow you enough room

    eye. Additional sources can be

    from

    for

    all the content you need.

    the

    ANA Essential texts or the

    Same

    for too many or too large

    Length:

    Two pages, course

    textbook. Professional

    images.

    Images should relate

    front

    and back only websites

    can be included, but

    explicitly

    to the content near it

    for

    a handout. A must

    be in proper APA format.

    and

    help make you point or

    brochure

    template The use

    of web sites such as

    gain

    attention to your content.

    will

    only be two Wikipedia or a non-discipline

    pages

    and can be a supportive website

    are not

    trifold

    type brochure. allowed.

    Submission:

    Submit *Please use the Keiser

    University

    your

    handout or Online Library

    for professional

    brochure

    to the week nursing journal articles.

    Sites such

    2

    Assignment area. as the OJIN

    Online Journal of

    Issues

    in Nursing are also

    SafeAssign:

    N/A acceptable.

    Title:

    Crisis Intervention Patient Education Due

    Date: Sunday of Week 2

    Audience:

    General Patient Population

    Tone:

    Third Person

    Format:

    APA Microsoft Word Handout or Brochure

    Length: Two (2) pages ONLY

    References: Minimum three (3) scholarly sources; One (1)

    being a current, nursing journal article

    Assignment Rubric:

    Criteria Allowed Points Comments

    Points earned

    Two-page ONLY handout/brochure 5

    SEQUENCING 25

    Covers all information completely.

    Good sequencing of material with

    clear and concise content reflecting

    education of the general population.

    APPLICATION: 25

    Demonstrates synthesis, analysis, and

    evaluation of topic. Presented

    succinct and relevant information in

    consideration of a diverse population.

    VISUAL APPEAL 15

    Handout/Brochure demonstrates

    good visual appeal. Graphics are

    appropriate for space and relate well

    to message. Font is appropriate for

    population.

    REFERENCES: 20

    Minimum of 3 references (1 reference

    from a nursing peer reviewed journal

    within the last 5 years) included on

    the two pages and in

    APA

    format and style.

    GRAMMAR: 5

    No spelling errors. Excellent

    grammar/spelling/punctuation.

    Proper APA Format, Citations, and 5

    References

    Total points 100

    To ensure that you get the most benefit from your BSN

    education and meet learning/program outcomes, this assignment is NOT optional.

    All students must complete the assignment in order to pass the course. Failure

    to submit the assignment will result in an F in the course regardless of the

    numeric grade without the assignment.

    Week 4

    assignment

    NUR3516 Self Care Assignment Guideline

    DUE DATE: Saturday of Week 4

    Summary: Your assignment is to write an APA formatted

    reflection paper based on taking one hour a week to do something for yourself,

    reflecting on the experience, and answering some final questions. You will also

    present findings from a scholarly, nursing journal article.

    “ANA defines a healthy nurse as one who actively focuses on

    creating and maintaining a balance and synergy of physical, intellectual,

    emotional, social, spiritual, personal and professional wellbeing. A healthy

    nurse lives life to the fullest capacity, across the wellness/illness

    continuum, as they become stronger role models, advocates, and educators,

    personally, for their families, their communities and work environments, and

    ultimately for their patients.” (American Nurses Association [ANA], 2017)

    Explore the Healthy Nurse Healthy Nation website and take

    the challenge! NUR 3516.

    http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse

    Who

    you will What you

    will write about How you will

    write How you will

    write

    for evaluate

    and

    support

    Primary Topic: Self Care Reflection and Format: Your paper Write in your own

    Audience:

    The Personal crisis

    prevention will be written in

    APA words and paraphrase

    primary

    audience /intervention 6th edition format content from other

    is the

    general including

    a Title and sources and cite

    nursing Each week, you ARE REQUIRED to Reference page. No according to APA

    community take ONE HOUR and do

    something that abstract is needed. standards, as

    including

    your YOU ENJOY, just for

    yourself! No kids applicable.

    It is

    peers

    and nursing or

    family/friends allowed! It is time just Write

    your paper in a important to present

    leaders. for you to relax and reflect. It

    can be Microsoft Word your ideas about the

    anything that

    helps you regroup and put document.

    Save it in a subject matter through

    Tone:

    This balance

    back in your life like horse- location

    on your your reflection and

    assignment

    is to be backing

    riding, swimming, yoga, computer and with

    a analysis. Present a

    written

    in first reading

    (something other than a name

    that follows this paraphrased summary

    person

    as it textbook),

    and going to the park or a format:

    Last name, of the article you

    reflects

    your own spa.

    It must NOT be anything related to First

    name, NUR3516, present from the

    personal

    beliefs school coursework

    or your job. You will Reflection Paper. literature to support or

    and

    values. then

    journal each week about the argue

    your ideas.

    NUR 3516 However,

    you will experience

    (reflection) and how it Organization:

    also

    correlate the relates

    to what you are learning about Include a

    brief References: Include

    values,

    beliefs, and stress,

    crisis, coping skills, self-care, and introduction

    and one (1) nursing journal

    ethical

    standards supporting

    a “Healthy Nurse, Healthy conclusion

    to your article summary. Use

    Nation™”. paper. Each journal proper APA

    of the nursing

    profession. Within

    your reflection paper, you will

    address

    all of the following questions

    using

    APA level 1 headings:

    Secondary

    Audience: As 1. Present the activity you

    your instructor, I selected

    each week, why you

    will read and chose

    it, and how it made you

    evaluate how feel.

    effectively you 2. Reflect on how you handle

    have addressed daily

    stresses, the resources

    your primary (material,

    personal, and social)

    audience. you

    use to cope, and how your

    perception

    of events affects

    how you

    cope.

    3. How might this activity prevent

    burn-out

    in your daily

    professional

    nursing practice?

    4. What changes have you made

    in your

    life that support a

    Healthy

    Nurse, Healthy

    Nation™”

    lifestyle?

    5. How does the crisis

    intervention

    course better

    prepare

    you to assist those in

    crisis?

    Include

    a summary of one nursing

    journal

    article on self-care or burn-out

    and how

    you benefited by reading it.

    You may

    use the Keiser University

    Online

    Library or a nursing related

    professional

    website to obtain your

    article.

    The

    goal of this assignment is to assist

    you to

    reflect and understand the

    importance

    of caring for yourself as a

    first

    line to caring for others and to

    incorporate

    self-care activities into your

    daily

    lives.

    entry (4) must be a minimum of 250 words. Use of Level One

    APA Headings are required.

    Length: A minimum of three (3) full double-spaced pages are

    required excluding the title and reference page.

    Submission: Submit as one completed paper in one Word

    document to the week 4 Assignment area.

    SafeAssign: Your paper will automatically be submitted

    through SafeAssign, a plagiarism software program

    Please review the SafeAssign information under the Student

    Resources Tab, Writing and Library link within the course.

    paraphrasing, in-text citations, and corresponding reference

    for all sources (if additional sources are used).

    Additional sources can be from the ANA Essential texts or

    the course textbook. Professional websites can be included, but must be in

    proper APA format. NUR 3516. The use of web sites such as Wikipedia or a non-discipline

    supportive website are not allowed.

    *Please use the Keiser University Online Library for

    professional nursing journal articles. Sites such as the OJIN Online Journal of

    Issues in Nursing are also acceptable.

    Title: Self Care Personal Crisis Prevention/Intervention Due Date: Saturday of Week 4

    Audience: General Nursing Community

    Tone: First Person

    Format: APA and Level 1 Headings

    Length: Three (3) full double-spaced pages are required

    excluding the title and reference page.

    References: One summarized nursing journal article

    Assignment Rubric:

    Criteria Allowed Points Comments

    Points earned

    Submitted

    reflections for each week 40

    (4).

    Each with a minimum of 250

    words.

    Demonstrates

    synthesis, analysis, and 20

    evaluation

    of topics.

    Brief

    introduction and conclusion 10

    included

    Included

    a summary of a nursing 20

    journal

    article related to topic with

    reference.

    Minimum

    of three pages not 5

    including

    title and reference

    page.

    Grammar/Spelling/Punctuation

    are .

    Proper

    APA Format, Citations, and 5

    References

    SafeAssign

    Score <15% SafeAssign Score/Feedback: similarity with no plagiarism Total points 100 To ensure that you get the most benefit from your BSN education and meet learning/program outcomes, this assignment is NOT optional. All students must complete the assignment in order to pass the course. Failure to submit the assignment will result in an F in the course regardless of the numeric grade without the assignment. Week 1 quiz Question 1 Crisis intervention has its beginnings during the time of Freud. Answers: True False Question 2 Suicide prevention and community mental health services became widespread in the Answers: 1800’s. 1960’s. 1980’s. 1990’s. Question 3 The role of nurses in the Gay, Lesbian, Bisexual, and Transgender (GLBT) community is to: Answers: Provide access to public health care Allow free expression of sexuality in the community Provide direct care and advocate for healthcare services Establish their basic human needs in society Question 4 Countertransference refers to the unresolved feelings that the client feels toward the counselor. Answers: True False Question 5 Battered woman syndrome is a form post traumatic stress disorder (PTSD). Answers: True False Question 6 Which of the following options is not a characteristic of effective coping behavior as presented by Caplan? Answers: Actively exploring reality issues. Trusting in oneself. Freely expressing feelings. Handling it alone. Question 7 All of the following are characteristics of a batterer except Answers: jealousy. controlling. crying. criticizing. Question 8 Community mental health centers have just about dissolved the crisis intervention model. Answers: True False Question 9 The term sexual orientation is more closely defined by: Answers: Attraction Culture Heterosexuality Sexual Behavior Question 10 The use of the paraprofessional in providing crisis intervention Answers: has always been considered appropriate. is accepted by all mental health professionals. is costly, therefore avoided. is controversial due to level of training. Question 11 Ego strength refers to Answers: how proud and self-centered the person is. the amount of energy available to overcome post-traumatic stress disorder. the ability to understand the world realistically and act upon it to get one’s needs met. what the crisis worker feels is the root of all problems. Question 12 Informed consent is when the client is told of his rights and the nature of therapy. Answers: True False Question 13 Crisis and stress mean exactly the same thing. Answers: True False Question 14 It is possible to grow after effective resolution of a crisis. Answers: True False Question 15 A healthy way to manage the stress that emergency workers often experience on the job is to Answers: keep quiet and focus on their work. drink a glass of wine after work. talk with co-workers about their feelings. Talk with their patients about their concerns. Question 16 The ANA Nursing Social Policy Statement is a document about the relationship between individual nurses and society. Answers: True False Question 17 Duty to Warn refers to disclosure of a client’s intention to harm another. Answers: True False Question 18 The process of critical Incident debriefing Answers: is similar to crisis intervention. is a specialized approach to dealing with schizophrenia. is the oldest form of crisis intervention. none of the above. Question 19 The outcome of a person’s crisis is determined by his/her Answers: material resources. personal resources. social resources. all of the above. Question 20 A crisis can be an opportunity because Answers: the person can grow from the challenge of dealing with the precipitating event. the person can seek financial opportunity by winning malpractice lawsuits or workman’s compensation. the person may learn to use ego defense mechanism. none of the above. Question 21 Crisis intervention is popular with HMO’s and managed care. Answers: True False Question 22 The original population with which Lindemann developed his crisis intervention model was WWII veterans. True False Question 23 A crisis worker must break confidentiality in cases of. Answers: elder abuse. child abuse. intent to murder someone. all of the above. Question 24 Confidentiality and privacy are major patient rights that nurses have an ethical and legal responsibility to protect. Answers: True False Question 25 Most crises lead to psychosis. Answers: True False Week 2 quiz Question 1 Parents who lose a child to death often benefit from support groups. Answers: True False Question 2 What is the purpose of basic attending skills? Answers: To find the precipitating event. To develop rapport with the client. To provide coping skills. To practice effective communication. Question 3 Which of the following is an example of a support or validation statement? Answers: “More than 30% of woman live in abusive households.“ “You have the choices now that you didn’t have before. Let’s explore them.“ “Your feelings are normal and other people would feel the same in your situation.“ “When life gives you lemons, make lemonade!” Question 4 NUR 3516 Suicidal people rarely leave hints that they are thinking of suicide. Answers: True False Question 5 Death of a loved one is much worse than divorce. Answers: True False Question 6 A community health nurse has made available a list of trained volunteers to assist families with members who have chronic mental health problems, including dementia and Alzheimer’s disease. These volunteers are available to provide primary caregivers opportunities for respite services. This is an example of what level of care for chronic mental illness? Answers: Maintenance Secondary Prevention Treatment Question 7 The ANA Code of Ethics for Nurses states that a nurse: Answers: is responsible for advancing the paraprofessionals. is not responsible for health needs and concerns. should advocate to protect the health, safety and rights of all patients. should not promote intraprofessional integrity. Question 8 About what percentage of marriages end in divorce? Answers: 25% 50% 75% 90% Question 9 Suicide is always an insane act. Answers: True False Question 10 People who are divorcing are at risk for increased alcohol use. Answers: True False Question 11 Reflection of feelings is contraindicated for clients in crisis due to the risk for suicide. Answers: True False Question 12 According to the ANA Code of Ethics for Nurses, nurses must respect the worth, dignity and rights of all human beings unless the nature of the health problem is against the beliefs of the nurse. Answers: True False Question 13 People who lose someone to death should never learn to adjust to life without them. Answers: True False Question 14 The most important part of the coping phase of crisis intervention is to Answers: make sure the client reads self-help books. help the client develop new coping ideas. give the client solid financial advice. determine the level of subjective distress. Question 15 The ANA Scope and Standards of Practice (2nd edition) states that a nurse Answers: promotes informed decision-making when ordered by a physician. maintains professional role boundaries while engaging in a dual relationship. does not need to use the Code of Ethics for Nurses to guide practice. delivers care that protects patients autonomy, dignity, rights, values, and beliefs. NUR 3516. Question 16 A problem-focused coping strategy is best to help people with mental illness deal with their symptoms. Answers: True False Question 17 Hospitalizing a high risk client is avoided at all costs. Answers: True False Question 18 The ANA Code of Ethics for Nurses states the nurse supports the health, wellness, and decision-making of patients even if the patient choices are self destructive. Answers: True False Question 19 According to the ANA Code of Ethics for Nurses, each nurse has an obligation to be knowledgeable about the moral and legal rights of all patients to self-determination. Answers: True False Question 20 Which is considered the most effective way to invite a client to talk? Answers: Close ended questions Interpretations Open ended questions None of the above Question 21 A client who says “I’m going to kill myself and you can’t stop me” is probably in what category of suicide risk? Answers: No Risk Low Risk Middle Risk High Risk Question 22 Most people will experience grief in the same way. Answers: True False Question 23 People who are divorcing should be encouraged to tell their parents and in-laws the details of the break-up. Answers: True False Question 24 People with a mental disorder such as schizophrenia are at an increased risk for suicide. Answers: True False Question 25 Which is an example of a 12-step group that can be suggested as an alternative coping behavior? Answers: Cocaine Anonymous Scared Straight Phoenix House All of the above Week 3 quiz Question 1 While interviewing the spouse of a client who is being treated for substance abuse, the population health nurse suspects codependence exists between the client and the spouse. What characteristic of codependence did the nurse assess? Answers: Evidence of high self-esteem. The ability to freely express feelings. Control of others. The ability to stand up for one’s own desires. Question 2 Which statement is true about teen pregnancy? Answers: Teen birth rates are decreasing yearly. Teen pregnancy does not present a crisis situation. It is rare and not a major problem in the U. S. The majority of teen pregnancies end in abortion. Question 3 Which of the following is the fastest growing drug problem and accounts for the second most commonly abused category of drugs? Answers: Alcohol Marijuana Prescription drugs Illicit drugs Question 4 In dealing with developmental or evolutional crises, which approach would yield the best results? Answers: Psychoanalysis Darwinism Theory Family Systems Theory Humanistic Approach Question 5 During middle childhood, the major role changes going on for the child deal with Answers: bonding. stagnation. success and failures. all of the above. Question 6 The main goal of crisis intervention for victims of sexual assault is to Answers: confront the abuse head on and aggressively. allow them to experience the associated depression and guilt. move them from victim role to survivor role. simply be there as a supportive role model. Question 7 What types of crises usually bring in a drug addict or alcoholic? Question 8 Cyberbullying reflects abuse that is committed through texting or social media sites. Answers: True False Question 9 Women in the military may be at risk of being raped because they make poor decisions in social and training activitites. Answers: True False Question 10 A geriatric nurse specialist has been visiting a senior community center and would like to screen the senior clients who visit for substance abuse. The nurse realizes this is an important intervention in the care of the elderly client because Answers: there are several community resources available for elderly client use. while prevalence of abuse is low in this population, consequences are more severe. physicians prefer others address this concern. substance abuse is a huge problem in this age group. Question 11 Define Situational Crisis and give an example. Question 12 The empty nest syndrome is part of the crisis of which stage? Answers: Infancy Middle adult Childhood Maturity Question 13 Many elderly struggle with issues of Answers: integrity vs. despair. intimacy vs. isolation. generativity vs. stagnation. none of the above. Question 14 Engagement is the term used to describe situations when everyone in the family are overly involved in each other’s lives. Answers: True False Question 15 The ANA Code of Ethics for Nurses states the needs for health care does not justify unwanted intrusion into the patient’s life. Answers: True False Question 16 The ABC Model of Crisis Intervention is not applicable to victims of rape. Answers: True False Question 17 An eating disorder in which a teenage girl starves herself and refuses to maintain adequate nutrition is called Answers: bulimia nervosa. anorexia nervosa. food abstinence syndrome. none of the above. Question 18 High school students should be educated on date rape because it is highest in the 16-19-year-old age group. Answers: True False Question 19 When working with a bully and their parents, it is important to Answers: evaluate the family dynamics. help the bully understand it is not their fault. bring the victim to the meetings for an apology. encourage empowerment. Question 20 During which stage or stages of development might a crisis worker teach parents how to deal with power struggles? Answers: Toddlerhood Adolescence Maturity Toddlerhood and adolescence Question 21 One competency of the ANA Scope and Standards of Practice is that the RN employs strategies to promote a healthy lifestyle and preventative self-care for patients. Answers: True False Question 22 A major task in the development of family subsystems is Answers: establishing new roles. strongly maintaining set boundaries. helping family members maintain homeostasis by counteracting changes. All of the above. Question 23 A major emotional cause of teen runaways is Answers: to live with supportive friends who don’t bully. due to feelings of abandonment by parents. due to the glamour of living on the streets. All of the above. Question 24 Which drug is usually injected and highly addictive? Heroin Answers: LSD Heroin Marijuana All of the above Question 25 Define “Crises of old age” and provide an example. Week 4 final quiz Question 1 A person in crisis may be in danger of Answers: becoming psychotic. attempting suicide. coming through the crisis at a lower level of functioning. all of the above. Question 2 The ANA Scope and Standards of Practice states a nurse is not required to provide healthcare consumers with information about intended effects and potential adverse effects of proposed therapies. Answers: True False Question 3 Mr and Mrs. Collins’ children have all moved out and the couple is feeling disconnected and depressed. This is an example of a crisis in which stage of development according to Erikson? Answers: Trust versus Mistrust Generativity versus Stagnation Intimacy versus Isolation Ego Intergrity versus Despair Question 4 Death of a loved one is much worse than a divorce. Answers: True False Question 5 Enmeshment is typical of Mexican-American families. Answers: True False Question 6 A client who says “I’m going to kill myself and you can’t stop me” is probably Answers: high suicide risk. middle suicide risk. low suicide risk. not a suicide risk. Question 7 Paraphrasing is Answers: a way to help clients feel their emotions. a clarifying technique. is a way to give advice. all of the above. Question 8 Briefly describe a crisis (situational, developmental, or evolutional) in which you observed as a nurse and how you were able to cope or how you helped the person in crisis to cope. This can be a hypothetical situation. Question 9 Typical warning signs of suicide include all of the following except Answers: giving things away. putting things in order. continuing usual activities. increased drug use. Question 10 Who may waive privileged communication by signing a waiver for purposes of continuity of care? Answers: The therapist The client The courts The patients family Question 11 Crisis intervention is popular with HMO’s and managed care. Answers: True False Question 12 The overall goal when intervening with someone going through a divorce is Answers: to help the client grieve. to ensure the better spouse gets the best deal. to ensure that in-laws are well aware of the details of the divorce. to help them get their finances in order. Question 13 Children whose parents go through divorce may suffer from Answers: loyalty issues. blended family issues. depression. all of the above. Question 14 The majority of rape victims do not know who their assailant is. Answers: True False Question 15 The ANA Code of Ethics for Nurses states that the nurse owes the same duty to self as others. Answers: True False Question 16 Dual relationship is legal if the patient is legally insane. Answers: True False Question 17 People who are divorcing can avoid a crisis when they have resources in place to support them. Answers: True False Question 18 The ANA Scope and Standards of Practice states that a nurse commits to lifelong learning to strengthen their individual practice within varied settings. Answers: True False Question 19 What is the biggest difference between Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (ASD)? Selected Answer: Answers: The seriousness of the trauma levels of anxiety Duration of time None of above Question 20 Crisis and stress differ in their meaning. Answers: True False Question 21 The most important part of the coping phase of crisis intervention is to Answers: reads books as a coping mechanism. develop new coping ideas. educate and give solid advice. understand the perception of the event. Question 22 The use of the paraprofessional in providing crisis intervention Answers: has always been considered inappropriate. is accepted by all mental health professionals. is costly, therefore avoided. none of the above. Question 23 What types of crises usually bring in a drug addict or alcoholic? Question 24 The ANA Code of Ethics for Nurses states the nurse provides nursing services according to need while respecting the rights and dignity of all patients. Answers: True False Question 25 Paraprofessionals are not qualified to conduct crisis intervention sessions. Answers: True False Question 26 What might be a sign that a caretaker of someone with Alzheimer’s disease may need intervention? Answers: They are socializing too much. Their own health problems are exacerbated. They are sleeping 6-8 hours a night. all of the above. Question 27 The Battering Cycle – match the stage to the definition Question Match Selected Match Love and dependency are key characteristics. Honeymoon Stage All Answer Choices A. Tension-Building Stage B. Return to Honeymoon Stage C. Honeymoon Stage D. Explosion Stage Question 28 Post-Traumatic Stress Disorder (PTSD) was first recognized as a medical condition after which military event? Answers: Vietnam War World War II Persian Gulf War Veteran’s Day Question 29 The purpose of the American with Disabilities Act (ADA) of 1990 was to Answers: broadly challenge discrimination against disabled people. provide funding for retirement homes. provide testing for Alzheimer’s disease. prevent discrimination against other races. Question 30 The Department of Social Services primary role in regards to veterans is to Answers: ensure they use services entitled to them. provide direct primary health care services. maintian mental health counseling appointments. None of the above. Question 31 The ANA Code of Ethics for Nurses states the standard of nursing practice and the nurse’s responsibility to provide quality care require that relevant data not be shared with those members of the healthcare team who have a need to know. Answers: True False Question 32 Critical incident debriefing includes Answers: support and assurance. encouraging functioning. empathy and information. all of the above. Question 33 It is best not to encourage a client to speak about a loved one’s death. Answers: True False Question 34 A major task in the development of family subsystems is Answers: establishing new roles. strongly maintaining set boundaries. Helping family members maintain homeostasis by counteracting changes. All of the above Question 35 Which is probably the most important development in intervening with the disabled? Answers: Psychoanalysis Eye-Movement Desensitization and Reprocessing (EMDR) Case management Person centered therapy Question 36 All of the following signs or behaviors indicate probable child abuse except: Answers: Genital bruises The absence of a hymen Venereal disease Child report of abuse Question 37 During which stage of development might a crisis worker teach parents how to deal with power struggles? Answers: Toddlerhood Adolescence Maturity Toddlerhood and adolescence Question 38 Which statement is most true regarding Rape Trauma Syndrome (RTS)? Answers: RTS has four distinct stages. Victims self-esteem is increased in the reorganization stage. Counselors can have the biggest impact in the first stage. RTS is not a form of PTSD Question 39 Parents who lose a child to death often prefer support groups. Answers: True False Question 40 A nurse is assessing a patient who appears euphoric, is slow to answer questions, has bloodshot eyes, and asks if “there is anything to munch on around here”. The patient is most likely under the influence of Answers: LSD. marijuana. heroin. alcohol. Question 41 Duty to Warn refers to disclosure of a client’s intention to harm another. Answers: True False Question 42 A crisis can be an opportunity because Answers: the person can grow from the challenge of dealing with the precipitating event. the person can seek financial opportunity by winning malpractice lawsuits or workman’s compensation. the person may learn to use ego defense mechanism. None of the above. Question 43 A person who is considering suicide will typically hold onto possessions dear to them. Answers: True False Question 44 In which stage of cultural sensitivity does the therapist consider culture as distracting from clinical effectiveness? Answers: Unawareness of cultural issues Heightened awareness of culture Burden of considering culture Toward cultural sensitivity Question 45 Shame and obligation issues are of utmost importance when dealing with Mexican-Americans. Answers: True False Question 46 The best technique for a counselor to use when working with a battering parent is Answers: educating. reframing. empowering. validation. Question 47 Ego strength refers to one’s capacity to deal with the demands of reality. Answers: True False Question 48 A patient tells a nurse that he was a member of OIF. The nurse knows that the patient served in the military operation known as Answers: Operation Intelligence Forensics. Operation Iraqi Freedom. Operation Iraqi Fighters. Operation Intelligence Finder. Question 49 A young soldier returning home from duty in a war zone tells the nurse at the state-side army base that sometimes he felt the media was a bigger enemy than the terrorists he was fighting. The nurse, understanding the considerations to assess in this situation, believes this soldier is reacting to: Answers: Behavioral factors. Physical environmental factors. Psychological factors. Sociocultural factors. Question 50 Crisis intervention has its beginnings during the time of the Wellesley project. Answers: True False