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1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 6, 7, and 8 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

Based on how you will evaluate your EBP project ( See file 1), 

1. Which independent and dependent variables do you need to collect? Why?

Part 2:

Not all EBP projects result in statistically significant results. 

1. Define clinical significance, and explain the difference between clinical and statistical significance. 

2. How can you use clinical significance to support positive outcomes in your project? (See File 1).

Part 3:

 A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”

1. What other assessment data would substantiate the diagnosis of menopause?

2. What type of therapy would you expect this patient to receive? Why?

Part 4:

Margo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and that she is gaining weight because she has no interest in her usual exercise activities, and that she has been overeating, even though she is often not really hungry. She notices that she has difficulty falling asleep at night and awakens around 4 a.m. most mornings, without her alarm, and cannot go back to sleep even though she still feels tired. She finds little joy in her life but cannot pinpoint any particular concern or event causing this problem. The PCP asks Angela to fill out a Beck’s Depression Scale, which indicates she has moderate depression.

1. Choose a pharmacologic intervention for Margo and explain its effects.

2. Provide Margo with written education regarding her prescription. (Include what she should expect when first taking the drug, appropriate activity warnings, when to expect improvement, side effects she may experience, and anything she should report to the provider).

Part 5:

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format: 

1. Discuss the epidemiology of allergies.

2. What are your treatment options (consider pharmacoeconomic)? 

3. Compare first and second-generation antihistamines.

4. What education will you provide to the patient?

Part 6:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Part 7:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Part 8:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

 I NEED A RESPONSE FOR THIS 

2 REFERENCES 

For this discussion, I selected the angry adolescent that blamed others for his mistakes and getting in trouble. Some of the patient’s behaviors include increased irritability, anger, poor impulse control, argumentative, unwilling to accept his wrongdoings, blaming others, projecting his faults onto the student that told on him and on his gym teacher for leaving his car keys inside the car, as well as denying the need for therapy stating that his parents should be the ones who need it instead. However, although this information is not enough to make a proper diagnosis, based on these observations, I believe that this patient might meet criteria for oppositional defiant disorder (ODD). According to the American Psychiatric Association (2013), the criteria for ODD consists of a pattern of angry or irritable mood, argumentative or defiant behavior, or vindictiveness that lasts at least for 6 months. In order for the diagnosis to be made, at least four symptoms of the following need to be present: often losing their temper, getting angry, easily annoyed, frequent arguing with adults, refusing to comply with rules, annoying others on purpose, and frequently blaming others for their mistakes. These symptoms must also occur during interactions with individuals who are not considered siblings (American Psychiatric Association, 2013). Some therapeutic approaches that might be effective would be parent management training (PMT), family therapy, and individual therapy such as cognitive behavioral therapy (CBT). Parent training has shown to be effective in treating ODD by providing parents with short-term interventions that focus on specific strategies such as positive attending, ignoring, using effective forms of rewards and punishment and time out to help with the behavioral problems (CHADD, 2020). Family therapy has also shown to be effective in teaching parents how to strengthen their relationships with their children and to help manage their behaviors. Additionally, CBT has shown to be helpful by targeting emotion regulation and social problem-solving skills that are associated with aggressive behavior by using interventions with an emphasis on teaching structured strategies to children to create a change in the way they think, feel, and behave (Sukhodolsky et al., 2016). Although psychotropic medications have shown to be effective in treating ODD, I do not feel that this would be appropriate for this patient at this time. Since children and adolescents with ODD are at an increased risk for developing adjustment problems as adults such as antisocial behavior, poor impulse control, substance abuse, anxiety and depression, an expected outcome of this therapeutic approach would be to prevent this from occurring, meanwhile decreasing the current symptoms the patient is having and helping to manage them better (American Psychiatric Association, 2013). Setting goals for the patient as well as his family will also help with the treatment by providing better strategies for the patient in order to help control his behaviors by identifying the symptoms.

References

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

CHADD. (2020). Disruptive Behavior Disorders. Retrieved from: https://chadd.org/about-

adhd/disruptive-behavior-disorders/

Sukhodolsky et al. (2016). Behavioral Interventions for Anger, Irritability, and Aggression in

Children and Adolescents. Journal of child and adolescent psychopharmacology, 26(1), 58–64. doi:10.1089/cap.2015.0120

Read Chapter 8: Safety and Quality Improvement in Professional Nursing Practice and answer the questions: How can the commitment to quality improvement be integrated throughout all roles and at all levels of professional nursing practice?

 Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

APA format (intext citation and references)

Plagiarism FREE

 100 words – Explain the purpose of an advance directive. 

200 words – As community health nurse what are 5 topics you would discuss with a senior, end of life, client who needs to develop advanced directives? 

200 words Explain why the 5 topics previously discussed  regarding advanced directives are important to the client at end of life stage. 

100 words as a nurse what therapeutic would you choose to communicate with your client about these difficult topics (Advance directive Living will; Durable power of attorney)?

200 words What are ethical issues surrounding the use of advance directive?

200 words Provide client education regarding Advance directive Living will; Durable power of attorney for health care.

Cite and reference all sources using APA 7th edition format, also include subheading for each sections. minimum expectation = 5. Sources and must be 5 years old or less. Including the textbook that is attached. 

Where are task-based language teaching methods, content-based instruction? 

ORIGINAL INSTRUCTIONS

Question 2: First pick up one teaching method from audiolingual, task-based language teaching methods, content-based instruction, total physical response, and cooperative language learning. Then, please give a full description on the method you pick up, including learners’ roles and teachers’ roles, major teaching steps, strengths and weaknesses, etc. Finally, please demonstrate the of the method in a language classroom by describing a teaching scenario where you use the method to teach one of the four language skills. 

 Reflect upon your selected practice problem DIABETES and select one of the organizational or behavioral change models which were used in healthcare for many years up until the early 2000s. (PROCHASKA AND DICLEMENTI’S CHANGE THEORY) (KNOWLEDGE OF BEHAVIOR CHANGE THEORIES)  Due to the changing nature of our healthcare environment and the growing complexity of our patients, these older models and theories lost their ability to provide a successful framework in healthcare and are not currently used for translation science and nursing clinical practice change projects.

• Select one model or theory from the readings or lesson this week.
• Provide a description of the components in the organizational or behavioral change models or theory.
• Does the model or theory contain a component for appraising the evidence?
• Does the model or theory contain a component for networking with the stakeholders during the design phase and continuing through the sustaining phase of the project?
• Does the model contain components for identifying barriers and addressing barriers to implementation?

MY CHANGE THEORY PROBLEM IS RELATED TO DIABETES  PLEASE INCORPORATE WITH PROCHASKA AND DICLEMENTIS’S CHANGE THEORY,

1. THE FUTURE OF HEALTHCARE

 How would a healthcare system of the future look like if you could create it? Offer supportive evidence to your ideas. 

To answer this question, consider all discussions over the last eleven weeks.

2. COURSE REFLECTIONS

Please complete your reflection of this course by answering the following questions (1-4):

1. What skills have you developed that will help you to be successful in your academic and professional career?

2. What advice would you give to the next students taking the same course?

3. What was the single most important lesson you will remember from this course?

4. What advice would you give to the professor to improve this course?

Participation certification

 zero plagiarism

4 references

Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families.

Learning Objectives

Students will:

• Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
• Analyze challenges of using cognitive behavioral therapy for families
• Recommend effective cognitive behavioral therapy strategies for families

To prepare:

• Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.
• Reflect on your practicum experiences with CBT in family and individual settings.

 Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media. 

Reflect upon the selected national practice problem in Week 1 to address the following.

• From a local perspective, how does the practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?
• Identify the local key stakeholders related to the selected practice problem.
• Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem.