Tag: Clinical-Nursing

  • PSY 275 Development, Stress, and Anxiety Quiz

    PSY 275 Development, Stress, and Anxiety Quiz

    Autistic thinking is the tendency to ______.

    see oneself as the center of the universe

    engage in abstract thinking patterns that no one else can understand

    engage in persistently obsessive thought patterns

    see oneself as being “swallowed up” by the universe

    ORDER A CUSTOM-WRITTEN PAPER NOW

    The central feature of a generalized anxiety disorder is ______.

    trembling

    worry

    fear of dying

    depression

     

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

    Attention-deficit/hyperactivity disorder and autism spectrum disorder

    Attention-deficit hyperactivity disorder and pica

    Pica and separation anxiety disorder

    Enuresis and encopresis

     

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

    Avoidance behavior

    Emotional distress and impaired functioning

    Heightened arousal

    Emotional numbing

     

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

    limited to health and safety concerns

    not limited to any one object, situation, or activity

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

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

    The essential feature of a panic disorder is ______.

    constant worry without a known cause

    well-defined phobic reactions to specific stimuli

    behavior dominated by rituals performed in order to avoid anxiety

    occurrences of repeated, unexpected panic attacks

     

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

    intellectual developmental disorder

    Asperger’s disorder

    childhood schizophrenia

    autism

     

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

    Major depressive disorder

    Separation anxiety disorder

    Autism

    Neurodevelopment disorders

     

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

    attention-deficit/hyperactivity disorder

    sensorimotor disorder

    oppositional defiant disorder

    conduct disorder

     

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

    Childhood Disorders

    Substance Abuse Disorders

    Trauma-and Stressor-Related Disorders

    Schizophrenic Disorders

    PSY 275 Development, Stress, and Anxiety Quiz

     

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

    an adjustment disorder with anxiety

    PTSD

    reactive stress disorder

    acute stress disorder

     

    Which of the following is true of children with autism?

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

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

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

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

     

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

    obsessive-compulsive

    panic

    generalized anxiety

    phobic

     

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

    behavioral

    pharmacological

    surgical

    psychodynamic

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

    conduct

    oppositional defiant

    attention-deficit/hyperactivity

    obsessive-compulsive

     

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

    obsessive-compulsive

    phobic

    generalized anxiety

    panic

     

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

    slightly increasing

    decreasing

    about the same

    dramatically increasing

     

    EMDR is a technique to treat ______.

    generalized anxiety disorder

    obsessive-compulsive disorder

    PTSD

    phobia

     

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

    body dysmorphic disorder

    a personality disorder

    somatization disorder

    an adjustment disorder

     

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

    generalized anxiety

    obsessive-compulsive

    posttraumatic stress

    panic

     

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

    a specific phobia

    a generalized anxiety disorder

    social anxiety disorder

    a panic disorder

     

    There is an increased probability of autism occurring with _____.

    younger fathers

    younger mothers

    older mothers

    older fathers

     

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

    Asperger’s disorder and Tourette’s syndrome

    Asperger’s disorder and childhood disintegrative disorder

    childhood disintegrative disorder and Tourette’s syndrome

    Tourette’s syndrome and Rett’s disorder

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

    Schizophrenic Disorders

    Trauma and Stressor-Related Disorders

    Anxiety Disorders

    Childhood Disorders

    Development, Stress, and Anxiety Quiz

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

    acrophobia

    claustrophobia

    agoraphobia

    panic disorder

     

    Individuals suffering from Acute Stress Disorder may feel ______________.

    angry and betrayed by the world

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

    as though they are experiencing a heart attack

    unaware of their internal emotions

     

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

    Klinefelter’s syndrome

    Turner’s syndrome

    Fragile X syndrome

    Down syndrome

     

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

    Emotional numbing

    Heightened arousal

    Emotional distress and impaired functioning

    Avoidance behavior

     

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

    acute stress

    posttraumatic stress

    adjustment

    personality

     

    Which of the following is true?

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

    Children with ADHD exhibit no problems with working memory.

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

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

  • Sample Checkpoint for Certification Plan Practicum Journal

    Sample Checkpoint for Certification Plan Practicum Journal

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

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

    ORDER A PLAGIARISM-FREE PAPER HERE

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

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

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

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

    ANXIETY DISORDER, OCD, OR SOMETHING ELSE?

    References

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

    Salem Press Encyclopedia.

    Retrieved from

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

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

    –

    live&scope=site

    Kheirzadeh

    , S., Marandi

    ,S

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

    Academic Disc

    ipline, Gender,

    and

    Total Exam Score on Test

    –

    Taking Strategies: The

    Case of

    he

    General English Section of the National Iranian

    Ph.D.

    Entrance

    Exam.

    International Journal of Language Testing,

    7(2), 99

    –

    Retrieved from

    https://ezp.waldenulibrary.org/login

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

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

    –

    live&scope=site.

    Lee, Y.

    –

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

    –

    taking behaviors using timing and

    process data.

    International Journal of Testing,

    16(3), 240

    –

    267

    . https://doi

    –

    org.ezp.waldenulibrary.org/10.1080/15305058.2015.1085385

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

    Critical Care Nurse,

    28(3), 75

    –

    Retrieved from

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

    rue&db=rzh&AN=129620870&site=eds

    –

    live&scope=site

     

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

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

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

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

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

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

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

     

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

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

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

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

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

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

    A Checklist for Passing the National Certification Exam

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

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

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

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

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

    PMHNP Exam Flashcards

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

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

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

     

    References

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

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

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

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

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

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

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

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

  • Difference between a genomic and a cDNA library

    Difference between a genomic and a cDNA library

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

    ORDER A CUSTOM-WRITTEN PAPER NOW

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

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

    a. How is mRNA purified from cells?

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

  • Why you love to be a nurse essay

    Why you love to be a nurse essay

    Write an essay discussing why you want to pursue a career in health care and what qualities you possess that would make you a contributing member of that profession. Describing your journey and experience of being a nurse and how it relates to your beliefs about nursing and related values and visions for the future.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Write an essay discussing why you want to pursue a career in health care and what qualities you possess that would make you a contributing member of that profession. Describing your journey and experience of being a nurse and how it relates to your beliefs about nursing and related values and visions for the future Why you love to be a nurse essay.

  • Health Care Access Essay Assignment – HLT 418V

    Health Care Access Essay Assignment – HLT 418V

    Health Care Access Assignment – HLT 418V Week 2 will address a multiple funded program from The Agency for HealthCare Research and Quality (AHRQ). Five references will be used to answer the assignment’s questions regarding the chosen program. Simply ORDER NOW!

    Health Care Access Assignment Details:

    This site is something that you will use after you have graduated from Grand Canyon University to keep up with the latest information on healthcare research.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Access The Agency for HealthCare Research and Quality (AHRQ) website and select one of the multiple funded programs available to research.

    Write a 1,500-1,750-word essay addressing the following questions with regard to your chosen program. Use at least three to five academic sources in writing this paper. Health Care Access Essay Assignment – HLT 418V.

    What is the mission and budget?

    What is the strategic plan of the program?

    What do they do to control the quality of health care?

    What do they do for cost containment?

    How are they aligned with health care professionals?

    Is this a valuable program or a waste of taxpayer money? If the program has faults, how could it be improved or should it be abandoned? Be prepared to defend your position.

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

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

    You are required to submit this Health Care Access Assignment assignment to Turnitin. Please refer to the directions in the Student Success Center. Health Care Access Essay Assignment – HLT 418V.

    Health Care Access Assignment

    HLT 418V Week 2 Discussion 2

    Access to care has been identified as one of the main roadblocks to receiving health care.

    Present both sides of the following scenario:

    Ms. A has been living in the same neighborhood for 25 years, does not speak English, and cannot drive. She worked years ago before she hurt her back and has been on disability for several years. She rarely seeks medical advice because she views health care providers as unfriendly and unhelpful to her needs. She knows she should exercise and take her medications on a regular basis, but she feels nothing will make her feel better.

    As a health care professional who lives in Ms. A’s neighborhood, how would you assist her to better health? Consider your own cultural, ethnic, and health care beliefs before making judgments. Health Care Access Essay Assignment – HLT 418V.

    HLT 418V Week 2 Discussion 1

    There still are millions of Americans that do not have health care coverage. The elderly, the disabled, the young, and the poor have health care coverage under governmental programs such as the Affordable Care Act.  As a patient advocate, you decide to take action. Design an outline for a community clinic to serve the uninsured with the following considerations:

    How would you staff the clinic?

    Where would the funding come from for a community clinic?

    How could you involve evidence-based research in policy development for healthcare funding?  Identify at least one strategy and support your rationale. Health Care Access Essay Assignment – HLT 418V.

  • DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper

    DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper
    .

    This Discussion Board is designed to assist the RN-BSN integrate the Texas Differentiated Essential Competencies (DECs), Baccalaureate Essentials, QSEN & IOM competencies into their future professional nursing practice. Using the Standards of Professional Performance (ANA’s Nursing: Scope and standards of practice, pages 5-6), the DECs, Baccalaureate Essential IX, and the QSEN & IOM competency; Teamwork and Collaboration/Work in Interdisciplinary Teams, students will read and analyze a case study to determine the differences in care provided by the Associated degree prepared registered nurse and the Baccalaureate degree prepared registered nurse; list 2 safety factors associated with the patient in the case study and measures to be taken to protect both the patient and nurse from harm or injury; and in addition identify key interdisciplinary team members who should be DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper

    ORDER A PLAGIARISM-FREE PAPER HERE

    C
    ASE S
    TUDY:C
    OMPARISON OF ADN
    AND BSN P
    RACTICE &A
    PPLICATION OF T
    EXAS

    DEC
    S,QSEN&IOMC
    OMPETENCIES

    D
    ISCUSSION B
    OARD

    A 72 year old male (Mr. J) arrives at the emergency department complaining of shortness of breath for the past four days. He states, “My breathing is getting worse, I can’t seem to catch my breath and I get short of breath all the time.”  Mr. J. goes on to state, “It seems to get worse when I lay down or when I have to get up and move about.”  Mr. J. also complains of a night time cough, reports increased swelling in both his legs and states, “My feet are so swollen I can’t wear my shoes so I had to come here in my slippers.” DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper. He went on to say, “When I weighed myself this morning I noticed I’ve gained weight, especially around the abdomen.” Even worse he goes on to say, “I can’t seem to button my pants around the waist. When asked how long the swelling has occurred, he reports, “I started to gain weight about three weeks ago after the doctor took me off my Lasix.”

    The patient has a history of hypertension, chronic renal insufficiency, and chronic respiratory infections. He has recently completed a round of Rituximab for follicular CD20-positive non-

    Hodgkin’s lymphoma.  His vital signs are as follows: BP 210/106, HR 118, RR 26, T 98.2.  The patient presents with rales in both lung bases bilaterally and 2+ pitting edema in the lower extremities bilaterally.  The patient is in no acute respiratory distress but indicates he feels better when he sits up.  His oxygen saturation is 95%. DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper.

     

    Step 1, Initial posting: 

    Using the Standards of Professional Performance (ANA’s Nursing: Scope and standards of practice, pages 5-6), the Texas Differentiated Essential Competencies (DECs), highlight and discuss the differences between how an Associate degree prepared nurse and a Baccalaureate degree prepared nurse would provide care for this patient, support your posting with two professional peer-reviewed journals.

     

    AACN Essential IX, Baccalaureate Program Preparation statement number 12 indicates a graduate is prepared to “create a safe care environment that results in high quality outcomes.” Identify 2 safety concerns for this patient and list corresponding measures a Baccalaureate prepared nurse might take to prevent harm or injury to either the patient or himself/herself? DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper.

     

    Both the QSEN and IOM competencies highlight the importance of teamwork and collaboration/work in interdisciplinary teams. What five members of the interdisciplinary teams would you expect to be part of this patients’ care and why? Support your answer.

     

    Comparing ADN and BSN Practices

    Part 1.

    Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) present two routes through which individuals can acquire registered nursing (RN) qualification. Still, that is as far as their similarities go. For one, ADN qualification is acquired from a two to three-year program whereas BSN qualification is acquired from a four-year baccalaureate program. This means that BSN graduates are better prepared to address patients’ needs when compared to their ADN counterparts since they are more knowledgeable having attended school for longer with more courses (Williams, 2013). In fact, BSN graduates take on more professional responsibilities since their curriculum allows them to implement solutions as it emphasizes evidence-based practice and leadership as opposed to ADN that does not emphasize the same aspects of nursing care. This means that ADN graduates are unable to take on proactive roles as they would magnify human errors within the context of poorly designed nursing systems. By taking on a proactive nursing leadership role, BSN graduates can identify the circumstances in which preventable errors occur and put measures in place to change workflows to ensure favorable outcomes for the patients (American Sentinel University, 2014). DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper.

    Part 2. 

    Based on the case study, two safety concerns can be identified. Firstly, the patient’s positioning must be corrected to avoid respiratory distress. He reports that he experiences shortness of breath when standing or lying down to imply that sitting upright relieves the distress. As such, the nurse should have the patient sitting upright to avoid continued distress. Secondly, the patient’s legs should be elevated to reduce the fluid pressure on the lower extremities and subsequent edema. Finally, an orderly should be engaged to facilitate the patient’s movement since he appears heavy and has difficulty in moving. Having a nurse move the patient or leaving the patient move on his own could result in additional injury. Addressing the three concerns as mentioned ensures that the patient’s case does not worsen even as diagnosis proceeds before an appropriate treatment is recommended.

    Part 3. 

    The patient’s interdisciplinary care team would comprise of a doctor, nurse, orderly, laboratory technician, and pharmacist. The doctor conducts the patient’s examination and recommends tests to be conducted before presenting a diagnosis and treatment plan. The nurse receives the patient and implements a care plan that proceeds until the patient is discharged. The orderly manages the patient’s movement and positioning. The laboratory technician conducts the tests as recommended by the doctor DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper. The pharmacist dispenses medication based on the doctor’s prescription.

    References

    American Sentinel University (2014).
    How Does Your Nursing Degree Affect Patient Mortality Rates?
    Retrieved from http://www.americansentinel.edu/blog/2014/06/04/how-does-your-nursing-degree-affect-patient-mortality-rates/

    Williams, I. (2013).
    Find the Black Box: Prevent needless hospital deaths
    . Bloomington, IN: iUniverse LLC.

    This Discussion Board is designed to assist the RN-BSN integrate the Texas Differentiated Essential Competencies (DECs), Baccalaureate Essentials, QSEN & IOM competencies into their future professional nursing practice. Using the Standards of Professional Performance (ANA’s Nursing: Scope and standards of practice, pages 5-6), the DECs, Baccalaureate Essential IX, and the QSEN & IOM competency; Teamwork and Collaboration/Work in Interdisciplinary Teams, students will read and analyze a case study to determine the differences in care provided by the Associated degree prepared registered nurse and the Baccalaureate degree prepared registered nurse; list 2 safety factors associated with the patient in the case study and measures to be taken to protect both the patient and nurse from harm or injury; and in addition identify key interdisciplinary team members who should be DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper

  • root cause analysis examples in healthcare case study essay

    Root cause analysis examples in healthcare case study essay

    Complete required Root Cause Analysis Chart; and fishbone diagram pertaining to the systems and processes associated with Mr. Jones’s issues and write a 2 page Plan of action addressing the question ” What can be done to prevent a similar incident?” root cause analysis examples in healthcare case study essay.

  • Personal Philosophy of Helping Essay

    Personal Philosophy of Helping Essay

    A Personal Philosophy of Helping – Midterm Assignment

    1.Describe your personal philosophy of helping using your personal and professional life experiences. Integrate your values, beliefs, and ethics

    ORDER A PLAGIARISM-FREE PAPER HERE

    A. Personal Experiences:

    What or whom has been a driving force in formulating your personal helping philosophy?

    B. Professional Experiences:

    Discuss the impact of nay professional experience (employment, volunteer etc.) that was influential in shaping or creating your philosophy.

    2. How do you integrate your beliefs, values and ethics in your personal philosophy of helping? How will or how has your personal values impacted on your role as a professional social worker?

    3. Discuss why you have chosen to become a professional social worker.

    Note: This ia a self relfective paper. The paper should demonstrate self-awarenesss and also integrate some of the material discussed in class. Personal Philosophy of Helping Essay.

    Grading Criteria:

    Did the paper include a reflection on the role of personal experiences in shaping the student’s philosophy?

    Did the paper include a reflection on the role of professional experiences in shaping the student’s philosophy?

    Did the paper dlearly define the student’s actual philosophy of what helping is?

    did the paper clearly define how helping is achieved from te students personal perspective?

    Did the student explain her personal values/belief system? Personal Philosophy of Helping Essay

    Did the student reflect on how these personal values and beliefs may impact thir work with clients?

    Did the student discuss how they formed the desire to become a social worker?

    Was the paper clearly written and well organized?

    Was the paper grammatically and typographically correct?

    Does the paper follow APA guidelines Personal Philosophy of Helping Essay

  • Patient Protection and Affordable Care Act

    Patient Protection and Affordable Care Act

    The Patient Protection and Affordable Care Act (ACA) of 2010 provided comprehensive healthcare reform intended to improve healthcare access, contain healthcare costs, and improve healthcare delivery in the United States. In June 2012, the Supreme Court upheld virtually all of the provisions of ACA in a case that questioned its constitutionality. Review the major provisions of the ACA and then respond to the questions below.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Do you agree with the Supreme Court decision? Support your response.

    What do you believe some of the challenges will be in implementing the provisions of the Patient Protection and Affordable Care Act of 2010? Patient Protection and Affordable Care Act.

  • Nursing and Counseling Theories essay

    Nursing and Counseling Theories essay

    Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.

    Explain why you selected Psychoanalysis/Psychodynamic Theory and Peplau’s nursing theory. Support your approach with evidence-based literature within last five years.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Develop at least three goals and at least three objectives for the practicum experience in this course.

    Create a timeline of practicum activities based on your practicum requirements listed below.

    Week 2:You will write about two clients from a family you observed or counseled. (Assignment to be submitted by Day 7 of Week 4)

    Week 3: You will complete a comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 4) Nursing and Counseling Theories essay.

    Week 5: You will write about two clients from a family you observed or counseled and explain whether solution-focused or cognitive behavioral therapy would be effective with the family. (Assignment to be submitted by Day 7 of Week 7)

    Week 7: You will write a progress note and privileged psychotherapy note for the client family you assessed in Week 3 for the comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 7.)

    Week 8: You will write about two clients you observed or counseled during a group therapy session and explain whether cognitive behavioral therapy would be effective with the group. (Assignment to be submitted by Day 7 of Week 10)

    Week 10: You will write about two clients you observed or counseled during a group therapy session for children and adolescents. (Assignment to be submitted by Day 7 of Week 10)

    Week 10: You will write a client termination summary for a client who is ready to complete group therapy. (Assignment to be submitted by Day 7 of Week 11) Nursing and Counseling Theories essay.