Monthly Archives: May 2023

 Choose a legislator on the state or federal level who is also a nurse and discuss the importance of the legislator/nurse’s role as advocate for improving health care delivery. What specific bills has the legislator/nurse sponsored or supported that have influenced health care. 

case study:

 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle.

The patient is a 23-year-old Native American undergoing an annual physical exam. The main area of concern is that he has been having anxiety issues. The patient seeks to have something prescribed to help him cope with constant anxiety. He states that smoking pot and drinking are some of the ways he has been using to help him cope. He is also concerned that he may not make it to heaven if this lifestyle is not controlled. During the exam, the patient seemed anxious observed from his pacing in the exam room and fidgeting.

Factors Related to Patient’s Health

From the exam, several factors can be linked to the patient’s state of health. The spiritual factor is observed when the patient says he is afraid that he will not get into heaven if he does not stop taking marijuana and alcohol. This shows that the patient has spiritual convictions which could be a contributing factor to his anxiety. The patient’s lifestyle is clear when he confesses that he regularly smokes marijuana and drinks alcohol. Socioeconomic factors are established from observations. The patient appears to be well-nourished and well developed. This shows that the patient is well off as he canremain nourished. Cultural factor also contributes to the health of a patient. Native Americans are thought to be a collectivist culture where the people are interdependent and interconnected with each other (Beckstein, 2014). Research shows that conflict between personal values and societal values can contribute to anxiety disorders and particularly for a collectivist culture (Hofmann & Asnaani, 2010). This can be explained to be the cultural factor that could be related to the patient’s anxiety.

Assessment Domains for Conducting a Comprehensive Nutritional Assessment

A comprehensive nutritional assessment is crucial in the process of collecting information that will be used to make decisions for nutrition-related health issues for a patient as well ass developing patient-centered intervention plans (Frank, 2018). To conduct a comprehensive nutritional assessment of the patient, I would use the following domains. Biochemical measurement and analysis of the biochemical data to analyze lab data such as metabolic rate and electrolytes. The Food/Nutrition related history domain will be used to assess the patient’s history of food and nutrients intake in the past. The Anthropometric measurements domain will be used to assess the physical aspects of the patient such as height, weight, and BMI. Lastly, I would use the Nutrition-Focused Physical Findings domain that considers physical appearance, appetite, and muscle (Frank, 2018).

Functional Anatomy and Psychology of a Psychiatric Mental Health Patient

Mental disorders have been over recent years been linked to biological disorders (Weir, 2012). The brain is one of the organs of the mind and therefore any illnesses of the mind are to be approached as a biological illness. To assess specific functions, nurses need to know several key concepts. These include memory/ orientation, speech patterns, body movements,and posture, and level of consciousness (Fortinash & Worret, 2014). By assessing these concepts, a nurse is in a position to assess the specific functions of the brain that might be contributing or exhibiting the patient’s anxiety issues.

References

Beckstein, A. (2014). Native American subjective happiness: An overview. Indigenous Policy Journal, 25(2).

Fortinash, K. M., & Worret, P. A. H. (2014). Psychiatric mental health nursing-E-book. Elsevier Health Sciences.

Hofmann, S. G., Anu Asnaani, M. A., & Hinton, D. E. (2010). Cultural aspects in social anxiety and social anxiety disorder. Depression and anxiety, 27(12), 1117-1127.

Weir, K. (2012). The roots of mental illness: How much of mental illness can the biology of the brain explain. Monitor on Psychology, 43(6), 30.

 2.  Practicum Journal Entry: You will write about a client you  observed or counseled and explain whether cognitive behavioral therapy  would be effective with this client. Select a client that you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and  identify any pertinent history or medical information, including  prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether cognitive behavioral therapy would be effective  with this client. Include expected outcomes based on this therapeutic  approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

Attached to this is what is done and i only want the last two part done

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio.

To Prepare:

• Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
• Review one or more samples from your own research of resources focused on portfolio development.

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

 PLEASE FOLLOW THE INSTRUCSTION

5 REFERENCES

ZERO PLGIARISM

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

• Assess clients presenting for psychotherapy
• Evaluate effectiveness of therapeutic approaches for clients receiving psychotherapy
• Apply existential-humanistic therapy to clients with psychiatric disorders

To prepare:

• Review this week’s media and consider the insights provided.
• Reflect on the clients you are currently counseling at your practicum site.

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 Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a 3- to 5-minute Kaltura video that addresses the following:

• Describe a client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client’s actual name.

• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1.  Temperature: 37.1 degrees C

2.  BP 123/78 HR 93 RR 22 Pox 99%

3.  Denies pain

4.  Height: 69.5 inches; Weight 87 kg

Laboratory Results

1.  WBC: 19.2 (1,000/uL)

2.  Lymphocytes 6700 (cells/uL)

3.  CT Head shows no changes since previous scan

4.  Urinalysis positive for moderate amount of leukocytes and cloudy

5.  Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1.  Describe the clinical manifestations present in Mr. M.

1.  Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.

2.  When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

3.  Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.

4.  Discuss what interventions can be put into place to support Mr. M. and his family.

5.  Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Friday 4 

 One of the best traits of a leader is being able to recognize that there is always room for improvement. Change can be hard and sometimes even harder when we have to look to our own behaviors to make a change. Have you had a situation with a supervisor or co-worker that you wish you had handled differently? Based on what you have learned so far what are three strategies you would have implemented to address the situation and why? 

One page with 2 references

Using the input and suggestions from the peer-edited first draft, write the final version of your research paper in 2,500 and 3,000 words.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.  Use your chosen peer-reviewed journal for in-text citations and references.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Discussion Question:

The Joint Commission determines the highest priority patient safety issues and how best to address them, including as a National Patient Safety Goal (NPSG). Access the Joint Commission website for the most current NPSGs. Select one or more NPSGs and address the following: Explain the rationale for applying the NPSG in nursing practice. Discuss some of the benefits and/or challenges of implementing the NPSG in a health care organization? How does appropriate application of the elements of performance in the NPSG reduce negative patient outcomes? 400 words required.