Monthly Archives: May 2023

Imagine that you are a public health nurse, and you and your colleagues  have determined that the threat of a deadly new strain of influenza  indicates a need for a mass inoculation program in your community. What  public health data would have been used to determine the need for such a  program? Where would you locate public health data? What data will be  collected to determine the success of such a program? How might you  communicate this to other communities or internationally?

A patient has been coming into a clinic for the last 5 years. His medical history includes DM type II, hypertension, and obesity.  Previously his blood sugars and blood pressures were well controlled with diet, exercise, and antihypertensive.  However in the last 2 years, the patient has had uncontrolled blood sugars, and his blood pressure is consistently in the severe range, regardless of how medications are prescribed.  You are assigned to this patient, and on entry to the clinic the patient looks to be sad, and disheveled. 

While taking the patient’s vital signs, the patient shares with the nurse that “this medical stuff is just too hard, my wife use to take care of it for me, but she died two years ago, and now I just don’t understand it all.”  As a nurse, you use your therapeutic communication with the patient and find that he has not been taking his medications as ordered, and has not been reading food labels on how to eat a healthy diet.  The patient states again,  “Well my wife always did all that stuff for me, she took care of the bills, and all of the documents, and all that stuff, and now I just don’t know what to do anymore.” After further questioning, you find that the patient is not able to read more than just a few words, and had been “non-compliant” because he hasn’t been able to read his medication labels and by extension doesn’t know how to read nutrition labels.  

What can you do for this patient?  What types of patient teaching would be useful for this patient? What resources could you use in his care? Write a nursing diagnosis for this patient, and create a teaching plan for this patient, including expected learning outcomes for this patient. 

Assignment:

Write a 800-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be four sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.

• What are the four functions of deviance? Explain four different times in your life when each of these functions was present.
• Imagine you are a principal at an inner-city high school. Many of the students come from families where at least one parent had a negative influence on their childhood and they have formed a gang that promotes violence in the school. Which theory of deviance would you apply to this situation and how would you apply it? 
• At the peak of your career, you were earning $120,000 and holding a top-level position. However, when the recession hit, your job was eliminated and you were offered a position within the company paying half your salary. Explain how each of the dimensions of stratification would change your status in society.
• As part of your senior class grade, you are required to do 40 hours of community service at a homeless shelter. Explain what you see in the shelter based on issues discussed within Chapter 6 dealing with poverty in the United States. 

no 1

1. Describe at least five populations who are vulnerable to PTSD

2. What are eight DSM5 criteria for PTSD

3. Describe possible signs and symptoms a client experiencing PTSD could exhibit

4. Describe at least five triggers and how they can be manifested in client experiencing PTSD

5. Describe five treatment options for clients experiencing PTSD

no 2

1) Describe some day to day challenges that face people who are voice hearers

2) Explain the subjective experience of hearing voices that are disturbing

3) Describe cultural humility for people who hear distressing voices through self-reflection, self-awareness and self-critique

4) What other conditions can stimulate or trigger hearing voices in the mind? 

Write a 700- to 1,050-word paper describing the process for tracking outcomes and improving quality and safety. Include the following in your paper:

• Impact of external and internal standards
• Role of continuous improvement in quality and safety
• Plan for employee development in quality and safety
• Role of technology in quality and safety

Cite 3 references, one of which MUST be the course textbook.

 I need a response to this assignment

3 references

zero plagiarism

The psychotherapy I selected is cognitive behavioral therapy (CBT) which focuses on changing dysfunctional emotions, behaviors and thoughts by stopping the negative thought cycle. CBT is considered a solution-oriented form of therapy due to the idea of thoughts and perceptions having a big influence on how an individual behaves (Psychology Today, 2020). I selected CBT because it is appropriate for use in all age groups and it can be used to address many conditions with research showing that it is most effective in treating anxiety and depression. Although CBT might not be helpful in treating everyone, as not one type of therapy is effective for every individual, my preceptor and I have had the opportunity to use this form of therapy with many clients and it seems to show great results. The biggest goal of CBT is to change the way individuals think and behave, knowing that this will not take away their problems, but rather change the way they look at them and help manage in a more positive way (Your.MD, 2020). On the other hand, existential-humanistic therapy has a foundation on the emphasis of holism, self-actualization, enhanced communication, and the overall therapeutic relationship between the therapist and client. The focus is on understanding human experience and focusing on the client instead of focusing on their symptoms, with interventions focused on increasing self-awareness and making authentic decisions (American Psychiatric Association, 2013). Existential-humanistic approaches focus on the idea that people have the ability to make their own choices and have self-awareness while doing so as part of human experience, focusing on the here and now but with the understanding that reality is influenced by past experiences, current perceptions and future expectations (Center for Substance Abuse Treatment, 1999). The strengths of CBT include the way it is structured, that it can be helpful in a short period of time, it has a focus on thought retraining in order to refrain from past behaviors and make changes to current behaviors, as well as providing clients with useful skills that can be used in everyday life in order to cope with stress and difficult situations even when therapy has completed (The CBT Clinic, n.d.). On the contrary, some challenges of CBT might be as simple as this just might not all together be the right fit for everyone as each client has special and focused needs and concerns. In order for individuals to benefit from CBT they have to be committed and willing to work for change to happen, however this form of therapy might not be so suitable for individuals that have complex mental health needs or learning difficulties (Your.MD, 2020). Another disadvantage to using CBT might be the focus of the current problem instead of addressing underlying past experiences which could contribute to the current problem. Inversely, existential-humanistic therapy has its own pros and cons with its focus on establishing rapport and establishing meaningful engagement with the client in all aspects of the treatment process (Center for Substance Abuse Treatment, 1999). The humanistic approach views individuals as being good with a potential to maintain healthy relationships and make good choices that will benefit themselves and others, whereas the existentialist approach focuses on guiding the individual to find meaning while they face their problems in the way of making choice the act of importance and responsibility (CCPE, 2020). However, some people might not be okay with the idea of making their own decisions without feeling like they have any guidance, therefore this form of therapy might not be suitable for everyone as well. Nonetheless, a main goal of this therapy is to increase self-awareness, self-esteem and promote individuals to get in touch with their own thought process (Chopra, 2020). A fictional client that could be suitable for CBT would be a 15-year-old female with a history of depression and recurrent suicidal ideation, self-harm behavior who recently lost her brother by overdose. Client blames herself and thinks that she should have done better to help her brother with his addiction. Client reports having coping mechanisms to help with her self-injurious behaviors but could use some help when the urge comes on. This patient would benefit from CBT by working out her guilt as well as helping develop new coping skills. A fictional client that would be suitable for existential-humanistic therapy would be a 16-year-old female with a history of depression and eating disorder who has the tendency to self-harm when feeling low. Since the main goal of this therapy is to increase self-esteem and self-awareness, this would be a good form of therapy for this client by allowing the client view her choices and decisions in a more positive way. 

References 

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

CCPE. (2020). Humanistic-existential approach. Retrieved from:

https://www.ccpeweb.ca/en/services/psychotherapy/humanistic-existential-approach/

Center for Substance Abuse Treatment. (1999). Brief Humanistic and Existential

Therapies. Brief Interventions and Brief Therapies for Substance Abuse. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK64939/

Chopra, P. K. (2020). Existential-Humanistic Psychology, Mindfulness and Global Change.

Retrieved from: http://www.human-studies.com/articles/existential-humanistic-psychology-mindfulness.php

Psychology Today. (2020). Cognitive Behavioral Therapy. Retrieved from:

https://www.psychologytoday.com/us/basics/cognitive-behavioral-therapy

The CBT Clinic. (n.d.). Pros & Cons of CBT Therapy. Retrieved from:

http://www.thecbtclinic.com/pros-cons-of-cbt-therapy

Your.MD. (2020). Cognitive Behavioural Therapy (CBT). Retrieved from:

Literature Review Paper
  

The purpose of this assignment is to evaluate your ability to formulate a SIGNIFICANT Clinical question and to summarize, critique, and synthesize current research. This assignment will be a review of the literature directly related to the topic or problem under questioning, followed by an explanation of how your clinical question gets answered out of that review. The purpose of the literature review is to know what others have discovered before you begin your investigation of your own, in order to establish a foundation for the topic (or question) being reviewed. In addition, you will be considering the clinical application of this research to professional nursing practice.  This Literature Review will be based upon your individual clinical interest. Each student will choose a problem faced by clients in your practice area that you think is important and would like to learn more about (You may use the topic of your final EBP group paper). Students will turn in a 3-4page literature review paper (excluding cover page and references) on the standing knowledge of the chosen question. The purpose of this assignment is to demonstrate your ability to complete an online literature search on a topic of interest. You will locate, retrieved and summarize at least eight (8) research studies that research articles, which meet the following criteria:

1. Original research studies preferably published from 2013 to the present.
2. At least six of the eight studies should be quantitative research.
3. Two studies may be qualitative (but this is not a requirement).
4. You may also use systematic reviews, metanalysis or clinical practice guidelines. 

Make sure that in your paper address the scope of the problem. Including, what is that you are trying to achieve (purpose). In addition, include a description of search strategy you used, including search terms and databases that help you retrieve the material. This assignment should be preparatory work for your practice improvement paper and poster presentation. Follow APA style rules.Outline for writing your literature review: (see Presentation How to write an EBP paper)

1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusion
6. References

The purpose of this assignment is to demonstrate your ability to complete an outline literature search on a topic of interest. This assignment is preparatory work and practice for your EBP Quality  Improvement Group paper and poster.

Instructions:

1. Choose a problem faced by clients in your practice area that you think is important and would like to learn more about. 
2. You may use your PICOT questions.
3. Write a five (5) page literature review paper on the standing knowledge of the chosen question.
4. Include a minimum of five (5) journal articles, at least three (3) from nursing journals.

((( (–PLEASE ONE PAGE THREE REFERENCES…..)))

COLLAPSE

Top of Form

I currently work in a psychiatric hospital on the acute adult unit.  My hypothetical scenario that occurs frequently and requires the acquisition and application of information is an admission to the unit.  Upon arrival to the unit, we obtain vital signs, height, weight, and other alphanumeric data (McGonigle & Mastrian, 2018, p. 22).  I obtain subjective information from the client and objective information from my perspective during the intake interview. 

Frequently our clients have been treated by us on other occasions.  In this case, I will also access electronic health records (EHRs) to obtain previous treatment files to determine past medications and diagnoses.  I can also access information from hospitalizations at our other campus when needed.  This “shared knowledge” allows for continuity of care and reduction of possible errors in treatment (Nagle, Sermeus, & Junger, 2017).  Another type of information that would be gathered is a computer-based MMPI (Minnesota Multiphasic Personality Inventory).  The MMPI is “…the most frequently used clinical testing instrument and is one of the most researched psychological tests in existence” (Cherry, 2020).  Our psychologist uses this data to make diagnostic and treatment recommendations. 

The initial admission information is compiled in an easily accessible format so that the other team members can access the information to complete their portions of the new admission paperwork.  Unfortunately, my organization still utilizes paper-based charting, which contributes to a great deal of redundancy and wasted time.  We hope to move to computer-based charting soon. 

Read chapters 10 and 12 of the class textbooks and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions. 

1. Discuss the meaning of culture and its effect on transcultural nursing.

2. Discuss the term subcultures and give some examples.

3. In your own words describe what is case management and care management? Mention the similarities and differences between the two concepts.

4. Identify and discuss the role of the home care nurse as part of the interdisciplinary team.

PLAGIARISM FREE

APA format (intext citations and references)

A minimum of 3 evidence-based references no older than 5 years must be used.  

A minimum of 800 words not to exceed 1,000 are required without counting the first and last page. 

 Assignment Objectives:Print Assignment InfoAssessment and Care Plan with clinical focus on:
• Managing Patient Care
• Infection Prevention and Control
Care Plan on- Methicillin- Resistant Staphylococcus Aureus Patient
Document Medical TerminologyCompetencies You are Expected to Address in this Assignment:

• Quality and Safety Education for Nurses (QSEN):  Patient-Centered Care
• Quality and Safety Education for Nurses (QSEN):  Teamwork & Collaboration
• Quality and Safety Education for Nurses (QSEN):  Evidence-Based Practice
• Quality and Safety Education for Nurses (QSEN):  Quality Improvement
• Quality and Safety Education for Nurses (QSEN):  Safety
• Quality and Safety Education for Nurses (QSEN):  Informatics
• The NCLEX-RN® Client Needs:  Safe and Effective Care Environment: Management of Care
• The NCLEX-RN® Client Needs:  Safe and Effective Care Environment: Safety and Infection Control
• The NCLEX-RN® Client Needs:  Health Promotion and Maintenance
• The NCLEX-RN® Client Needs:  Psychosocial Integrity
• The NCLEX-RN® Client Needs:  Physiological Integrity: Basic Care and Comfort
• The NCLEX-RN® Client Needs:  Physiological Integrity: Pharmacological and Parenteral Therapies
• The NCLEX-RN® Client Needs:  Physiological Integrity: Reduction of Risk Potential
• The NCLEX-RN® Client Needs:  Physiological Integrity: Physiological Adaptation
• National Patient Safety Goals:  Identify Patients Correctly
• National Patient Safety Goals:  Improve Staff Communication
• National Patient Safety Goals:  Use Medicines Safely
• National Patient Safety Goals:  Use Alarms Safely
• National Patient Safety Goals:  Prevent Infection
• National Patient Safety Goals:  Identify Patient Safety Risks
• National Patient Safety Goals:  Prevent Mistakes in Surgery