What electronic communication strategies are used at your organization to communicate with patients? Based on your organization’s HIPAA policy, how is patient privacy and confidentiality protected?
Submission Instructions:
Learning Theories and Their Usefulness to Advanced Practice Nurse (APN)
Learning is an integral part of an Advanced Practice Nurse (APN). It is the foundation for understanding patients and improving patient-care skills and competencies (Çeliköz et al., 2016). An advanced practice nurse should comprehend patients’ mental, behavioral, and emotional patterns. To cater to these healthcare demands, APN should be apprised of the relevant learning theories that allow them to understand patient care dynamics (Bastable, 2017). Understanding learning theories is significant to influencing behavior, and creating and emotional connection with patients. Cognitive, behaviorist and social learning theories are the principal psychological and motor learning theories useful to APNs’ delivery of patient care.
The cognitive theory looks at what happens in the learner’s mental functions and does not ignore the external environment’s influence. APN benefits from this theory since it helps them understand the internal operations of their thought process. The theory asserts that internal thought processes and external factors are essential for cognitive functions (McSparron et al., 2019). Therefore, this learning theory’s applicability is a bidirectional mechanism where an APN develops self-thoughts and patients’ skills. The understanding of one’s thought process is significant in the reconstruction of learning paradigms. The theory is broken into sub-theories that addresses specific learning and understanding elements. APN uses this theory to understand patients’ patterns and construct appropriate care procedure that matches high-quality care-delivery.
Behaviorist theory focuses on observable events and connects them to learning principles. According to behaviorists, leaning is an association between stimulus conditions and the environment. Hence the view depends on a stimulus-response model of understanding. It connects individuals’ behaviors to the environment’s influences and detaches the internal factors that stimulate learning (Çeliköz et al., 2016; Illeris, 2018). APN use this theory to learn how to change their attitudes and responses to different patient situations, thus improving care. To achieve the desired patient outcomes, APN uses behaviorist learning theory to observe a patient’s response to the environment and manipulate the external stimuli to achieve the desired learning outcomes.
The social theory maintains that learning is an observable event, and people acquire new behaviors by imitating observable actions from others. It is a continuous learning paradigm that capitalizes on cognitive, behavioral, and environmental influences from others. Before imitating observed behaviors, people evaluate and perform a reinforcement analysis to assess the new behaviors’ consequences. If other people are positively rewarded, they mimic the learning process and learn from others’ successes (Akers & Jennings, 2016). APN learn from experienced practitioners on the best approaches to improving patient care. If particular care yields the best results, then APN realizes the rewards of the process and integrates them into patient care.
In conclusion, learning is a fundamental aspect of patient care, and Advanced Practice Nurse (APN) should prepare to implement it in delivering high-quality patient care. There are many learning theories implemented by APNs in improving quality, and each has a significant function in the construction of learning behaviors. However, the most used theories applied by APNs include Cognitive, behaviorist, and social learning theories. These theories generally look at internal thought processes, the external environment’s influences, and personal changes.
References
Akers, R. L., & Jennings, W. G. (2016). Social learning theory. Wiley Handbooks in Criminology and Criminal Justice, 230-240.
Bastable, S. B. (2017). Nurse as educator: Principles of teaching and learning for nursing practice. Jones & Bartlett Learning.
Çeliköz, N., Erişen, Y., & Şahin, M. (2016). Cognitive learning theories. Learning and teaching: Theories, approaches, and models, 31-45.
Illeris, K. (2018). Contemporary theories of learning: learning theorists… in their own words. Routledge.
McSparron, J. I., Vanka, A., & Smith, C. C. (2019). Cognitive learning theory for clinical teaching. The Clinical Teacher, 16(2), 96-100.
Pick out a recipe. It can be one that you or your family has made before or one you find online. Write out the calories, fat, protein, and carbohydrates of the meal. Then, figure out some substitutions that you could use to make the recipe healthier. Post healthier calories, fat, protein, and carbohydrates.
Attention Wizard Kim.
Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal 3 pages.
Rubrics
You have been hired as the manager of a community health center. This health center provides medical care to children. One of your first tasks is to develop a static annual budget for the health center. In fact, the Board of Directors wants to see your budget by Saturday at midnight.
In order to develop an accurate static budget you know you need to get some facts. You ask around to see what kind of information you can gather. This is what you find out:
Unfortunately, that’s all that you can find out on such short notice. Nobody seems to have any more information. You know that this is not enough information to build a proper static budget, so you will need to make some assumptions to get the job done. You are comfortable with making assumptions because you know that it is OK to incorporate assumptions into a budget as long as you clearly identify the assumptions when you present the budget. You also know that it is important to make assumptions that are based on reliable information. Luckily, you recall that you have an HFMA membership and access to a variety of online databases with credible information!
You go home to review your old Health Services Finance text to see if there is anything there that can help you. You find Chapter 16 and begin to read. Luckily, you come across Table 16-4 (page 185) which shows you what a typical static budget looks like. It’s all coming back to you now!….You need to show your Revenue, your Expenses, and your Net Income. You open a new Excel file and begin.
Requirement: Create an annual static budget for the health center described above using Excel. Submit the budget using the link provided below.
Below is the case scenario that you will use for your 1-2 page paper.
A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He also has noticed some tremors in his leg as well. The patient is accompanied by his son, who says that his father has become “stiff” and it takes him much longer to perform simple tasks. The son also relates that his father needs help rising from his chair. Physical exam demonstrates tremors in the hands at rest and fingers exhibit “pill rolling” movement. The patient’s face is not mobile and exhibits a mask-like appearance. His gait is uneven, and he shuffles when he walks and his head/neck, hips, and knees are flexed forward. He exhibits jerky or cogwheeling movement. The patient states that he has episodes of extreme sweating and flushing not associated with activity. Laboratory data unremarkable and the HCP has diagnosed the patient with Parkinson’s Disease.
In your Case Study Analysis related to the scenario provided, explain the following:
MUST BE IN APA 7 FORMAT
AT LEAST 3 REFERENCES FROM WITHIN THE LAST 5 YEARS…….
In a 1- to 2-page paper, address the following:
A staff nurse has to administer medications for blood pressure to several patients in the coronary care unit. The medications include captopril, diltiazem, and nitroprusside. The medications have to be administered to three older adults.
a. What are the indications for captopril?
b. What are the therapeutic actions for diltiazem?
c. What are the most common adverse reactions for nitroprusside?
d. What are the lifespan considerations in the older adult for the use of drugs that affect blood pressure?
e. What are the nursing implementation considerations for a patient receiving nitroprusside for blood pressure?
A student nurse is preparing a paper on coronary artery disease, including the risk factors and the clinical presentation. The paper must include a review of common antianginal agents: nitrates, beta-blockers, and calcium channel blockers.
a. What are the therapeutic actions, indications, and pharmacokinetics for nitroglycerin?
b. What are the indications and pharmacokinetics for metoprolol?
c. What are the therapeutic actions for diltiazem?
d. What are the considerations for the older adult for the use of antianginal agents?
e. What are the important teaching points for patients receiving antianginal nitrates?
Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750‐1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:
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.
RUBRIC
Due Date: 22-Nov-2020 at 11:59:59 PM
Maximum Points: 250.0
Most patients with mental health disorders are not aggressive. However, it is important for nurses to be able to know the signs and symptoms associated with the five phases of aggression and to appropriately apply nursing interventions to assist in treating aggressive patients. Please read the case study below and answer the four questions related to it.
Aggression Case Study
Christopher, who is 14 years of age, was recently admitted to the hospital for schizophrenia. He has a history of aggressive behavior and states that the devil is telling him to kill all adults because they want to hurt him. Christopher has a history of recidivism and noncompliance with his medications. One day on the unit, the nurse observes Christopher displaying hypervigilant behaviors, pacing back and forth down the hallway, and speaking to himself under his breath. As the nurse runs over to Christopher to talk, he sees that his bedroom door is open and runs into his room and shuts the door. The nurse responds by attempting to open the door, but Christopher keeps pulling the door shut and tells the nurse that if the nurse comes in the room he will choke the nurse. The nurse responds by calling other staff to assist with the situation.
1. What phase of the aggression cycle is Christopher in at the beginning of this scenario? What phase is he in at the end the scenario? (State the evidence that supports your answers).
2. What interventions could have been implemented to prevent Christopher from escalating at the beginning of the scenario?
3. What interventions should the nurse take to deescalate the situation when Christopher is refusing to open his door?
4. If a restrictive intervention (restraint/seclusion) is used, what are some important steps for the nurse to remember?
