Mention one of the therapeutic options use as intervention for child sexual abuse. How does it work? (explain it) 

1. Medicaid plans face several operational challenges, including challenging populations and an uncertain policy and payment environment. 
2. True
   False

4.5 points   

QUESTION 2

1. Sandy is the new practice manager of Precise Physicians group. Part of her new role is to explain the goal of managed care, in order to educate staff on its purpose and how it impacts the business’ activities and reimbursement strategies. If you were Sandy you would explain that the goal of managed care activities include all but the following?
2. manage the cost of health care 
3. provide free healthcare service to the uninsured
4. influence the quality of that health care
5. provide better access to that care

4.5 points   

QUESTION 3

1. Data analysis is a powerful asset to businesses and individuals, to be able to compare information for decision making. But in order to be considered useful for data analysis purposes, data must be all of the following except:
2. Be clean and valid
3. Encompass a specific and short time period
4. Link appropriately if it comes from multiple sources
5. Be consistent and mean the same thing from 
6. provider to provider

4.5 points   

QUESTION 4

1. Which of the following scenarios BEST describes how capitation works in regard to physician reimbursement?
2. A physician is paid the same amount regardless of how many members receive services in a given month or how expensive those services are.
3. A physician is paid based on use of services by members or race or gender.
4. A physician rate can vary depending on such factors as age, gender, current health status, geography, and practice type.
5. None are correct

4.5 points   

QUESTION 5

1. Administrative claims data can serve many different uses for reporting and analysis in managed care. Which of the following examples BEST describes possible uses of this data:
2. Monitor utilization patterns and the cost of health care
3. Conduct clinical investigations
4. Patient profiling
5. None are correct

4.5 points   

QUESTION 6

1. Which of the following calculation scenarios describe capitation in regard to physician reimbursement?
2. If a physician receives $100 per month per member and the plan has 20 members, then the physician will receive $2000/month.
3. Even if no members seek services in a given month, the physician is still compensated $2000.
4. On the other hand, if all 20 members seek services in a given month, the physician is still only paid $2000.
5. All are correct

4.5 points   

QUESTION 7

1. In most situations, providers have the option whether or not to participate in P4P programs though involuntary participation is possible. This may be a reflection of the idea that most of pay-for-performance (P4P) incentives are financial. 
2. True
   False

4.5 points   

QUESTION 8

1. Which of the following is NOT a descriptive element of a P4P program?
2. A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid.
3. Rewards include the following: tiering, reimbursement adjustments, and bonus payments
4. A common method of per diem is straight per diem; this method is a negotiated single charge for a day in the hospital regardless of any actual charges or costs incurred.
5. None are correct

4.5 points   

QUESTION 9

1. Managed care organizations have a wide array of tools to promote prevention through the use of activities, such as case management. To achieve maximum impact, managed care organizations need to make use of the entire set of tools available to them. Components of a strong managed care prevention program include the following.
2. immunizations and screenings included in benefits
3. health risk assessments for select populations only
4. free fitness center memberships
5. none are correct

4.5 points   

QUESTION 10

1. The following should be considered when designing and implementing technology and information systems:
2. Visibility, because only external customers should be considered.
3. Security and privacy, because employees should be individually responsible for security audits.
4. Usability, because users’ needs should not be met.
5. Flexibility, because systems should have the capability to be easily modified to meet changing requests.

Nursing Doctorate degree level paper: 

2 pages. APA fomart, At least 2 references (must be withing 5 yrs). Absolutely plagiarism free. See quesions below. 

Week 3: Conflict Resolution through Emotional Competence

Only when leaders integrate technical skills, goal-directed activities, and the ability to form meaningful relationships through emotional competence does optimal organizational effectiveness result.

Scenario:

A team of highly competent members has become adept at organizing and managing itself. The self-sufficiency of the team is appreciated by senior leadership who assumes the team can respond to challenges without support or guidance, given the team’s legacy of success. Recent challenges incited the team to request assistance; when assistance was not provided, the team began to make independent decisions. The team members believed they were the only ones who understood their work and avoided asking for help. The leaders involved believed that no news equaled good news. Neither the leaders nor the team members considered their work within the context of the entire organization. As a result, the team’s level of emotional competence decreased, along with their productivity.

Consider this scenario and address the following.

·  Identify three strategies to reduce friction and build unity between the parties using emotional competence as the framework.

·  What outcomes would you identify to measure the effectiveness of each strategy?

·  Consider an adversarial relationship that exists between leaders and departments in your organization. How does the culture of the organization affect the situation? What knowledge, skills, and attitudes do you bring to the organization? What would others say are your leadership strengths? How can these strengths be used to reduce the adversarial relationship?

Reading:

Chism, L. A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues (4 th ed.). Jones & Bartlett Publishers.

·  Chapter 1: Overview of the Doctor of Nursing Practice Degree

oEssential Vi: Interprofessional Collaboration for Improving Patient and Population Health Outcomes, p. 16.

oNACNS Core Practice Doctorate Clinical Nurse Specialist Competencies, pp. 19-20.

Dreher, H. M., & Glasgow, M. E. S. (2017). Role development for doctoral advanced nursing practice (2nd ed.). Springer Publishing Company.

·  Chapter 17: Interdisciplinary and Interprofessional Collaboration: Essential for the Doctoral Advanced Practice Nurse, pp. 397-404

Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

·  Chapter 9: Creating and Shaping the Organizational Environment and Culture to Support Practice Excellence

oCreating and Sustaining a Culture of Excellence, p. 253

·  Chapter 10: Building Cohesive and Effective Teams

oShared Leadership and Managing Team Conflict, pp 288-296.

Learning Activity

Introduction and Alignment

The PMHNP must be knowledgeable about substances of abuse, including signs and symptoms of abuse, intoxication and withdrawal, and appropriate treatment options. 

Upon completion of this assignment, you should be able to:

• Describe the neuropharmacology of substances of abuse
• Discuss assessment and treatment of substance use disorders

Resources

• Textbook: Sadock, B., Sadock, V.A.,& Ruiz, P.(2015) – Chapter 20
• Textbook: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
• Website: https://www.drugabuse.gov/sites/default/files/files/ClinicalOpiateWithdrawalScale.pdf
• Website: https://www.hopkinsmedicine.org/johns_hopkins_healthcare/downloads/cage%20substance%20screening%20tool.pdf

Instructions

1. Choose a substance of abuse and briefly describe the neuropharmacology of the substance.
2. Write a 3-5 page paper describing clinical and psychological symptoms that clients may experience as a result of using the substance
3. Provide examples of withdrawal presentation for the identified substance.
4. Explain current treatment options. 
5. Use APA formatting throughout the paper, citations/references should be included
6. When you have completed your assignment, save a copy for yourself and submit a copy to your instructor using the Dropbox by the end of the workshop. 

Select here to access the Dropbox.

Assessment Criteria

Criteria

Points

Question answered comprehensively

• Neuropharmacology of substance (10)
• Clinical and psychological symptoms (10)
• Examples of a withdrawal presentation (10)
• Current treatment options (10) 

40

Paper APA formatted, references and citations in correct APA format

5

Writing style/punctuation/grammar, the minimum length of 3 pages

5

Total Points

50

please summarise the attached in one page 

use APA citation indicate the page number  

1. Need help formulating a PICO question using the information provided in the word document and then I need to briefly explain the model or theory or framework related to your inquiry. 

2. Find an additional reference for the theory or model or framework in a research study and explain its significance to the original PICOT question

Vital Signs
1. You are a nurse caring for a 58-year-old ironworker who has been admitted to your unit with acute hypertension. He became extremely symptomatic at work and was brought to your emergency department (ED) via ambulance. After receiving a report from the ED nurse, he is brought to your unit asymptomatic (other than his BP of 178/106) and seems in good spirits. After completing his admission paperwork, he settles in and awaits his health care provider. Four hours later, you answer his call light and he reports headache (rated 6 on a 0-to-10 scale) and dizziness. 
a. Outline the pertinent information within this case study.
b. How often would you expect to measure the patient’s vital signs based on his history?
c. What would be your first intervention upon his reporting increased symptoms? Include rationale.
d. What is the patient’s pulse pressure?
e. Describe risk factors that could be contributing to your patient’s hypertension.
2. As a nurse in a critical care unit, your newest admission is a 24-year-old victim of a motor vehicle accident (MVA). Report from the OR nurse indicates that the patient has several surgically repaired fractures, a closed head injury, and elevated temperature. Additionally, he has IV fluid running postoperatively and dressing changes scheduled every shift. The patient is intermittently alert and disoriented, with his pain adequately controlled by IV analgesics. 
a. Outline the pertinent information within this case study.
b. What factors could be causing the patient’s elevated body temperature?
c. Why is determining the fever’s cause important?
d. Indicate areas that are important to monitor in a patient with elevated body temperature.
e. Describe cause-specific interventions useful in treating the patient’s elevated body temperature.

PLEASE, answer each question in order and separately. PLEASE,  this is the bibliography( Chapter 29-30).
1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404

Complete the worksheet.

NR103 Transition to the Nursing Profession 3-Minute Reflection

“WHY COMMUNICATION IS IMPORTANT AS NURSE”

Required criteria 

1. Writes about the assigned topic. 

2. Demonstrates strong evidence of reasoned reflection. 

3. Demonstrated depth of original thought. 

 Respond to your colleague by providing at least two ways that their strategies may be expanded or improved.  

NOTE: Positive comment

                                                 Main Post

Clinicians  of all kinds tend to come into contact with victims of abuse many  times. This includes children who have been abused and molested in  different ways such as Morgan in the Case study. Victims of abuse are  susceptible to mental health issues such as anxiety, depression, and  PTSD. There is a very high connection between psychological outcomes in  adults and childhood maltreatment (Kisely et al., 2018). To put it  differently, childhood maltreatment is a major risk factor for mental  health issues in adulthood. This can be seen in Morgan’s case. he is  already 19 and an adult but he suffers from mental health issues because  he was molested as a child by his cousin. 

 Psychiatric  mental health nurse practitioners might interact with victims of child  abuse more than other clinicians because of the psychological outcomes  that are associated with child abuse and molestation. In some cases, the  victim may not be able to open up and point detailed information about  their past such as abuse and molestation. In such a case, the PMHNP  should have different strategies that can be used to make an assessment  and conclude that a client might be a victim of child abuse. For  example, during a client’s comprehensive assessment, physical assessment  must be done. During a physical assessment, a clinician should be able  to detect cases of physical trauma that the patient may find hard to  explain. An assessment also requires questions to be asked about trauma  history. Here, the client can be asked to point out ten most significant  disturbing events in their lives (Wheeler, 2013). This is an  opportunity to prompt the client to provide detailed information about  possible cases of child abuse. In order to be effective there is need to  make sure that the client can trust the process. A rapport should be  created from the very beginning of interacting with the client to make  sure that the client feels comfortable to share details that he would  rather not. Morgan has been silent about this for a long time and  therefore he has not been able to get over the trauma. This is an  opportunity to make sure that he is able to share as a way of helping  him face his disturbances. This will help in coming up with treatment  strategies that suit his needs. When it comes to psychotherapy,  communication is considered as the core element. It is the verbal and  non-verbal interaction between the PMHNP and the client that helps in  developing a fulfilling psychotherapeutic relationship (Del Giacco,  Salcuni & Anguera, 2019). 

 Thus,  in brief, the best ways of assessing a patient to determine a case of  abuse is through physical assessment and proper communication that  builds on trust. These are strategies that will push the client out of a  comfort zone where they feel not sharing keeps them safe. Communication  that builds on trust allows the client to feel like he is in a safe  place. This should be reinforced by the commitment from the PMHNP that  information shared during counselling cannot be shared with any other  person. Indeed, this might take time, but the client will eventually  learn to open up completely. 

 Being  exposed to the media and social media might be helpful or bad for the  client. This depends on the content that he views or reads online.  Social media might have content that allows him to cope with his  disturbances such as excessive worry and changes in mood. However,  reading or viewing the wrong content might exacerbate his distress.  During the counselling sessions, he should be asked what content he  consumes the most online. This is to allow the clinician to recommend  areas or content that he can focus on or completely avoid. Child  abuse should be reported in the United States. This is mandatory  requirement. The reporting should be done to a child protective service  agency or the police, depending on the requirements and policies in a  state. In this case, reporting will not be necessary because Morgan’s  cousin was already arrested and convicted for abuse and molestation.

                                                                References

Del  Giacco, L., Salcuni, S., & Anguera, M. T. (2019). The communicative  modes analysis system in psychotherapy from mixed methods framework:  introducing a new observation system for classifying verbal and  non-verbal communication. Frontiers in psychology, 10, 782

Kisely,  S., Abajobir, A. A., Mills, R., Strathearn, L., Clavarino, A., &  Najman, J. M. (2018). Child maltreatment and mental health problems in  adulthood: birth cohort study. The British Journal of Psychiatry, 213(6), 698-703

Wheeler, K. (2013). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. Springer Publishing Company