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Discuss the intent of each of these five laws that are presented in Chapter Two of your course text:

1. The establishment of the National Institute of Mental Health (1946)
2. The Mental Health Study Act (1955)
3. The Community Mental Health Centers Act (1963)
4. The Economic Opportunity Act (1964)
5. The Schneuer Sub-professional Career Act (1966)

Additionally, describe the role of the National Organization for Human Service Education and the Council for Standards in Human Service Education in their application.  

Your assignment should be two- to- three pages (excluding title and reference pages).  Include at least two references to online sources and at least one peer-reviewed journal article that was published within the last five years found at the Ashford online library.  All sources must be formatted according to APA guidelines as outlined in the Ashford University Library.

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”

M2: Lesson 4 – Discussion

1. Create an original posting with a minimum of 250-300 words.
2. Back up your arguments with reliable evidence.

Asking the Relevant Clinical Questions

Evidence-based nursing is a process founded on the collection, interpretation, appraisal, and integration of valid, clinically significant, and applicable research. It is not about developing new knowledge or validating existing knowledge, but rather translating existing evidence so that it can be applied to clinical decision making. This process starts with formulating a sound PICO question. PICO is a format for developing a good clinical research question prior to starting a review or research. It is a mnemonic used to describe the four elements of a sound clinical foreground question.

Scenarios:

#1   A nurse in the PACU is interested in ways to decrease the use of pain medication in post-op patients. She’s wondering if classical music or guided imagery might be efficacious.

#2   A 17-year-old African American woman, just diagnosed with hepatitis B, has been taking acetaminophen for headaches. Her mother has heard that acetaminophen can cause liver problems, and she asks you if her daughter should continue taking the drug for her headaches, considering her hep-b diagnosis.

#3   You are on a hospital committee exploring best practices in inpatient oncology nursing. The first question to come before the committee is, “how can we improve patients’ sleep quality and quantity without resorting to sleep medication?” The committee decides to explore relaxation techniques (e.g., massage; music), noise reduction, bed/pillow comfort, and ambient temperature changes. Your assignment is to find the best practices to reduce noise levels on the unit.

#4   A 53-year-old woman with rheumatoid arthritis wants to possibly change her medication to short-term low-dose corticosteroids instead of NSAIDS, which are upsetting her stomach. Will the corticosteroids be as effective?

#5   Jeff, a smoker of more than 30 years, has tried to quit unsuccessfully in the past. A friend of his recently quit with acupuncture. He wonders if he should try it.

Instructions:

1. Choose one (1) clinical scenario above, and answer the following questions:
   1. What is evidence-based nursing practice and why is it important?
   2. What is the PICO process?
   3. Formulate a well defined clinical question that will yield the most relevant and best evidence.
   4. Describe the background of the question
   5. Present the question using PICOT format
   6. Indicate what will be the best study to answer the clinical question.

This week you have learned about common cardiovascular disorders in the Adult and Geriatric patient. For the purpose of this discussion select one of the following cardiovascular disorders and provide the following in your initial post:

• Common Signs and symptoms seen
• Screening assessment tools
• Recommended diagnostic tests (if any)
• Treatment plans both pharmacologic and non-pharmacologic based on current clinical practice guidelines

Cardiovascular disorders:

• CHF
• Valve disorders
• Angina
• PVD

see attached

Although a seemingly basic question, the difference between a dataset and a database has important implications for how data is applied in practice—how it is viewed, extracted, and importantly for the nurse informaticist, how it is exchanged. In this Discussion, you examine this difference.

This Discussion has two components. The first component prompts you to consider different types of datasets or databases within professional practice. 

The second component aligns with the Assignment in this module, where you will interview a professional nurse informaticist. In this component, you post draft questions in the Discussion for feedback from your colleagues.

To Prepare

· Review the Resources and consider the differences between datasets and databases.

· Reflect on the types of data obtained and how they are used in sharing across health information systems.

· Review the Module 2 Assignment.

· Review the requirements of the Assignment and the guidelines for developing interview questions.

· Develop a set of draft questions to post as the second component of your Discussion.

Post a response explaining the differences between datasets and databases. Explain how you might use each type of data in your professional practice. Be specific and provide examples. Then, post the questions you plan to ask your interviewee during your scheduled interview for your module Assignment.

McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.

Chapter 11, “Electronic Health Records and Health Information Exchanges Providing Value and Results for Patients, Providers, and Healthcare Systems” (pp. 248–271)

Chapter 13, “Public Health Data to Support Healthy Communities in Health Assessment Planning” (pp. 296–331)

Chapter 14: Violent Behavior in Institutions

Statistics shows that 48% of no fatal injuries from occupational assaults in the United States occurred in health care and social services particularly mental health workers. Mention and discuss at least 3 precipitating factors for violent behavior in institutions?  Please no more than 21% of plagiarism 

Q1: Review the Agency for Healthcare Research and Quality (AHRQ) website on Health Literacy. Define health literacy and discuss the “Universal Precautions” approach to health literacy. What are three approaches nurses can use to improve health literacy in patient-centered care?

Q2:Define the challenges of interdisciplinary teams according to the IOM. From a nursing perspective, do you agree with this statement? If so, why do you think interdisciplinary work is difficult to achieve? If not, why not?

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.

You must post your initial response to the discussion topic before reviewing your classmate’s responses.

Topic: Pediatric Musculoskeletal and Integumentary

This unit’s discussion will focus on sharing experiences that you have encountered so far in your pediatric clinical rotation, specifically with children suffering from Musculoskeletal and Integumentary Conditions. For example, rashes, acne, skin infections, and skin lesions are all common in the pediatric setting. Additionally, children are very prone to strains, sprains, fractures and dislocations.

Needs to be at least 500 word with at least 2 scholarly articles within the past 5 years. 

APA format.  No plagiarism!!