Mental Health;Nursing Theory.

Mental Health;Nursing Theory.

Mental Health;Nursing Theory Term 4 – Short Essays

The body of the paper will be 5-6 pages in length, not including title page and references page.

A minimum of 3 peer-reviewed or evidence-based sources (1 peer reviewed or researched journal article, 1 Foundational textbook in nursing, and 1 reputable internet

website) must be used for this paper.
Use of APA formatting from the “Publication Manual of APA 6th Edition” is required. You must use Level 1 headings in order to organize your academic paper.

Choose Only Two from the following three cases in order to complete your two short essay assignments:
Case A:
A client with paranoid schizophrenia has made a great deal of improvement. His hallucinations have abated; he is taking his medications, is compliant, and is

nonviolent. As the nurse is planning his discharge and discussing it with him, along with other members of the health care team, the client states, “I am not ready to

be discharged yet. I think I need to stay a bit longer.”
Case B:
Matt Wexler is being admitted to the psychiatric unit for violent behaviour. He is a 28-year-old member of the Canadian Armed Forces who has just returned from three

tours in Afghanistan. His girlfriend stated that he tried to strangle her when he confused her with an undercover Afghani secret agent. Marlene is the nursing student

assigned to Mr. Wexler. She reviews his intake forms and health care provider’s orders. His diagnoses are post-traumatic stress disorder, paranoia, and psychosis.
Case C:
Mrs. Celia Scherer is a 33-year-old woman admitted to the medical-surgical unit for management of a bowel infection secondary to a colostomy. She has had a colostomy

and colostomy pouch for three years, but she is not compliant in correctly cleaning the area and changing the dressing and pouch as required. She is placed on

antibiotics to fight the infection, intravenous fluids to maintain hydration, and nonsteroidal anti-inflammatory medications for pain. Lucy is the nursing student

assigned to Mrs. Scherer. Lucy’s priority in caring for Mrs. Scherer is to educate the patient about the importance of maintaining hygiene and to promote comfort.

Nursing Theory Term 4 – Short Essay
MARKING RUBRIC FOR EACH Short ESSAY:
Your Short Essay Must INCLUDE Marks
Discuss how you would approach the case study as a Registered Practical Nurse (2 Paragraphs) 2
Discuss how the nursing process (ADPIE) would influence your caring of the patient in the case study (4 to 5 Paragraphs) 4
Conclusion: Brief summary of main points (2 Paragraphs) 2
Conclusion: What influence will the knowledge gained from this assignment have on your future care of patients in similar situations as the one detailed in this case

study? (2 Paragraphs) 2
APA Format:
Title page; page numbers; font (Courier or Times New Roman 12); whole paper is double spaced; one inch margins; proper citation format within the body of the paper;

References List Page; minimum of 3 peer-reviewed or evidence-based sources; headings; and proper sentences, spelling, and grammar. 4
Total / 14


 

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HEALTH CARE PRACTICES THERE ARE MANY OBSTACLES IN THE WAY OF CHANGING THE CULTURE OF HEALTH CARE PRACTICES

HEALTH CARE PRACTICES THERE ARE MANY OBSTACLES IN THE WAY OF CHANGING THE CULTURE OF HEALTH CARE PRACTICES.

Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY.There is a large push for evidence-based practice to become the main foundation of all clinicalpractices and clinical decision making. In order to provide the best up to date quality careevidence-based practice must be used. By the year 2020 90% of clinical decisions will besupported by accurate timely and up-to-date clinical information and will reflect the bestavailable evidence (Boswell& Cannon 2017). Though it is ideal to have evidence-base practicedriving health care practices there are many obstacles in the way of changing the culture ofhealth care practices. There are many obstacles to change such as resistance to change fromstaff available resources to support changes lack of support and training from mentors andresearch findings incompatible with the realities of their practice (Johnston Coole Feakes Whitworth Tyrell & Hardy 2016 p. 392).Working at Shands Hospital in Gainesville Florida there is most definitely a strong push forthe best quality of care through evidence-based practice. Each unit throughout the hospital hasa clinical leader. The units clinical leaders main job description is to assure the unit is clinicallyusing practices that are evidence-based. The main obstacle that I have found on my unit hasbeen research findings incompatible with the realities of their practice (Johnston et al. 2016 p.392 ). Working on such a high acuity unit in the cardiovascular intensive care unit a lot ofevidence-based hospital driven policies and practices have had to be adjusted specially to fit ourunit. Hospital wide practices have had to be adapted because certain practices do not apply tothe realities and acuity of our unit. One main example is the MEWS assessment. The modifiedearly warning score (MEWS) is an example of a physiological track and trigger system designedto identify patients at risk of clinical deterioration in order to provide a timely response torequest appropriately-trained nursing or medical staff to assess the patient and provide anyinterventions required (Harris 2013 p.432). MEWS is an extremely useful tool on floor units but on my particular unit a majority of our patient population have such a high baseline MEWScore. If following our hospital protocol for our patients MEWS we would be constantly callingphysicians and bringing them to the bedside. Our patients have extremely high acuity which isone of the reasons they are in the intensive care unit. Our physicians are aware of the acuity ofour patients and therefore the hospital wide MEW score does not really apply to our unit. Wehad to adjust the triggers of the MEW Scores of when to notify a physician. On the floor aMEWS of 4 a physician is notified and needs to come assess the patient but in the CICU thescore for when a physician has to come to bedside was adjusted to a 6. MEWS is just one ofthe many obstacles present in implementing evidence-based practices on our unit. There aremany obstacles to implementing evidence-based practices in our clinical practices but it isimperative that we adjust or policies and practices to reflect the research found in order toprovide the best quality care.Answer rating (rated one time)

 
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Using a sample dataset that has been created by SPSS called Employee Data, complete the following assignment; simply open the Employee Data on any computer running SPSS.

This lab is designed to provide you with a hands-on experience using the statistical software package SPSS to describe data.
Using a sample dataset that has been created by SPSS called Employee Data, complete the following assignment; simply open the Employee Data on any computer running SPSS.
If you do not have much experience using SPSS, or if you feel you need a refresher on how to use it, visit theDr. Borman’s You Tube Video Tutorials (Links to an external site.)Links to an external site.https://learn.maricopa.edu/images/play_overlay.png
This link offers tutorials from the basics (Typing In Data, Descriptive Statistics) to the complex (e.g., Regression Analysis).
Lab Assignment:
1. Run a Frequency Distribution on the variable ‘jobcat’
2. Using the Statistics Option, find the Mean, Median, Mode, Standard Deviation, Variance, Minimum and Maximum for the variable ‘salary’
3. Run an exploratory data analysis, using the Explore option within Descriptive Statistics, comparing the variables ‘salbegin’ and ‘gender’.
4. Create a summary outlining what you learned about the data from these analyses.
Once you have run your analyses, submit your SPSS output file (as an attachment) and your answer to question # 4.

 
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Statistical Analysis

Statistical Analysis PresentationPresent a PowerPoint slide presentation or a written report (you do not have to do both) depicting your analysis of historical juvenile crime data for a specific category of crime, or criminal issue. As an alternative to PowerPoint, you can use one of the presentation applications listed here, or one approved by your instructor: MoveNote, VoiceThread, Prezi, or Google Present. Select one component of the criminal justice system (e.g., law enforcement, courts, or corrections) to focus your research. The data and charts you develop may be used in your Final Paper. For this Week 2 Assignment, you will:
Present national juvenile data and trends based on the FBI – Uniform Crime Reports and the Bureau of Justice Statistics – Crime Type, or other comparable nationally recognized data bases, such as the U.S. Department of Education data on campus crime. Make sure you standardize your data – usually 1:1000; 1:10,000; or 1: 100,000 and incorporate the scale in a key for each chart.
Present local data from a city, county, or state for three comparable locations in size from three different regions of the country (e.g., Indianapolis, Austin, and San Francisco). This information should be found on official government websites.
Obtain data on at least three demographics such as: crime, education levels, gender, ethnicity, race, sexuality, education, or socio-economic data where available.
Develop questions you would like to address based on the data you retrieved? (Note you do not have to answer these questions for this assignment.) What juvenile delinquency programs or initiatives are available to potentially address the crime or criminal justice issue?
PowerPoint Presentation must be 10 slides and graphically display the statistical data developed for three comparable cities, counties, or states. Your presentation must incorporate national statistics for comparison. Your assessment may be in bullet or paragraph format and will be provided in the notes section of the presentation.
The Written Report must be five pages and graphically display the statistical data developed for three comparable cities, counties, or states. It must incorporate national statistics for comparison. Your assessment may be in bullet or paragraph format below the graphic display.
Your paper or presentation must include a cover slide/title page and reference slide/reference page in APA format. You must use at least three scholarly resources from the Ashford University Library, other than the textbook, to support your claims. Cite your sources within the text of your paper and on the reference page. For information regarding APA, including samples and tutorials, visit the Ashford Writing Center, located within the Learning Resources tab on the left navigation toolbar.
Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.
Waypoint Assignment Submission
The assignments in this course will be submitted to Waypoint.  Please refer to the instructions below to submit your assignment.
Click on the Assignment Submission button below. The Waypoint “Student Dashboard” will open in a new browser window.
Browse for your assignment.
Click Upload.
Confirm that your assignment was successfully submitted by viewing the appropriate week’s assignment tab in Waypoint.

For more detailed instructions, refer to the Waypoint Tutorial.

 
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Using theory and research evidence, critically discuss whether and how Artificial Intelligence can improve decision making in organizations?

Using theory and research evidence, critically discuss whether and how Artificial Intelligence can improve decision making in organizations?


Question descriptionUsing theory and research evidence, critically discuss whether and how Artificial Intelligence can improve decision making in organizations?

Please remember you are required to submit an individual 500 word (this does not include the title page and the reference list) critical contribution to the group essay in Brightspace to the group essay a few days before the group essay is due. Each individual contribution will require that the focus of your critical analysis be a different element of Brookfield’s first three components of critical thinking to your group members (you can find a copy of Brookfield’s four components of critical thinking here). Each individual contribution should have a minimum of 3 references from academic journal articles.The most important thing is each individual contribution should have a minimum of 3 references from academic journal articles!

 
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What theoretical orientation do you want to use in this case for your treatment recommendations?

Create a mock forensic assessment report based on a patient in a selected vignette. Provide your diagnostic impressions based on the DSM-5 criteria.
For this assignment you are to:

  • Improve your interview and referral questions for the case vignette you selected in M1 Assignment 3. Use the case vignette you selected in M1 Assignment 3 for this assignment.
    Next, create and document a set of mock interview questions and potential referral questions to ask your client and yourself. You can determine the questions in relation to the case vignette that you choose.
    You might also want to consider some of the example referral questions listed below.
    Analyze all the information provided in the case vignette and begin to formulate a hypothesis as to why the individual needs referral.
    Example Referral Questions:

    • As a forensic mental health professional, what factors need to be considered in your psychological testing for the forensic assessment report?
    • What behavioral observations do you make about the client by reading the case vignette?
    • What are your assessment options in working with the client?
    • What standards and accepted psychological tests might you apply to your client in forensic settings? Select from the instruments you researched in M3 Assignment 2 RA.
    • How will you recognize and evaluate your client’s offender behaviors associated with malingering and deception?
    • What theoretical orientation do you want to use in this case for your treatment recommendations?
    • What is the case scenario you have selected?
    • What is the reason for referral?
    • What is the purpose of the forensic assessment and report?
    • What is the nature of the problem presented in your selected case vignette?
    • What is the context in which the forensic assessment report will be used?
    • What is the background of your client? What are the symptoms displayed by your client and the significance they have in this case?
    • What is the mental status of your client? Be sure to elaborate on every major component addressed in the mental status examination.
    • What interview type and approach did you use with your client?
    • What tests are appropriate to use in your forensic assessment report? Identify one intelligence test, one objective personality test, and one projective test.
    • What collateral information will you use in the process of the evaluation?
    • How will you present your impressions of the client?
  • Write a Forensic Mental Health Professional Individual Assessment Report. Use the Forensic Mental Health Professional Individual Assessment Report template (you can download the template from this link).
    Evaluate and interpret the information provided to you in the case vignette that you have selected in M1 Assignment 3. Synthesize the information you collected to create a Forensic Mental Health Professional Individual Assessment Report. Your findings should be in a report format.
    In a 10- to 12-page report, include only the following components:

    • Reason for Referral: Explain the objective of your case vignette analysis, clearly bringing out the aspects or reasons that motivated you to carry out the study.
    • Presentation: Create mock interview data and collateral information (you are to identify the questions to ask in the interview). Provide a synopsis of the interview. Provide data to support the mental status of your client, based on your forensic assessment report and the mental status components you have identified.
    • Current Life Situation and Background Information: Explain the problem provided in your selected case vignette using the interview and mental status data. How does the data relate to the background of your client and your behavioral observations?
 
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Historical and Cultural Influences of Career Counseling

 

Each question should be answered individually and have references to back up… 300 words min each question.

Historical and Cultural Influences of Career Counseling

Identify two ways in which cultural and historical events have influenced the career development field.  In addition, what do you think is influencing career counseling in the present?
Please respond to two classmates asking at least one question to stimulate discussion on the topic.  Possible ideas for responding to your classmates include but are not limited to:  Asking questions for increased insight about the event described, your opinions and insight into the event described, interesting trends about how your event corresponds to the event of your classmate’s. Try to choose events that are different from your classmates.
Your initial post should be at least 300 words.

Critiquing Career Theories

Choose a theory to write about.  Write a few brief sentences about the theory and some of its constructs.  Name two benefits and two places you see this theory could improve and how.  Use at least two references in your response, one may be your textbook. Please try to choose a different theory than your classmates.
Respond to two peers.  Ask questions about what you are not clear on or questions to help the original poster to think more deeply about the theory.  Ideas for your peer responses can include, but are not limited to: Adding to the benefits or areas of improvement, asking the original poster to talk about something more in depth, working from your personal knowledge, asking questions that you think would help in the future with respect to working with this theory in the future.
Your initial post should be at least 300 words.

 
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ommunicate in manner that is consistent with the expectations of a nursing professional. 

 
Overview
Write a 3-4 page analysis that assesses your professional development needs as a nurse leader.
Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.
For professional nurse-leaders, effective communication skills are essential for interprofessional teamwork and collaboration. Kelly and Tazbir (2014) emphasize the importance of this interaction:
Interprofessional teamwork and collaboration among staff nurses and other disciplines in the health care setting are so critical to optimizing patient care safety and outcomes that they are a priority for most health care administrators, directors, and managers (p. 140).
Successful leadership strategies are based on a leader’s strengths, the situation, the environment, and the stakeholders involved. Developing a plan for professional development is integral in developing leadership and management skills.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Integrate key nursing leadership, management, and communication concepts into collaborative practice situations.
. Differentiate between leadership and management.
. Explain key nursing leadership, management, and communication concepts that facilitate collaboration and support interprofessional teams.
. Describe a personal leadership and communication style.
. Identify skills or areas for future professional development.
· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
. Correctly format citations and references using current APA style.
Assessment Instructions
Preparation
Use the Capella library and the Internet to research key nursing leadership, management, and communication concepts, and take several self-assessment tests to identify your leadership style and understand how to adapt your style to various situations. Although most of the free online tests are informal measures of skills and attitudes, the results may provide helpful insight into your leadership style and strengths and weaknesses.
Instructions
Deliverable: Develop a Professional Development Needs Assessment.
Scenario:
You have been promoted to Nurse Manager. As you transition into your new role, Human Resources (HR) requires you to participate in a leadership and management training workshop. The first day of the workshop involves a self-assessment of your leadership and communication style and an examination of key characteristics of an effective nursing leader, culminating in an assessment of your professional development needs. HR requires you to submit a Professional Development Needs Assessment so future training sessions are designed to meet those self-identified needs.
Use the following subheadings to organize your Professional Development Needs Assessment:
· Leader and Manager: Differentiate between leadership and management.
. What job tasks require a manager?
. What situations require a leader?
· Key Concepts: Explain key nursing leadership, management, and communication concepts that facilitate collaboration and support interprofessional teams.
· Explain how key nursing leadership, management, and communication concepts facilitate collaboration with interprofessional teams.
· Leadership Self-Assessment: Describe your personal leadership and communication style.
. Explain the strengths of your style that make an effective leader.
· Skill Development: Identify skills or areas for future professional development.
. What training do you need to be a successful leader in your new position?
Additional Requirements
· Written communication: Written communication should be free of errors that detract from the overall message.
· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
· Length: The plan should be 3–4 pages in content length, double-spaced.
· Font and font size: Times New Roman, 12 point.
· Number of resources: Use a minimum of three peer-reviewed resources.

 
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Analyze the findings of the Perry study, addressing the strengths and shortcomings of the neurodevelopmental approach.

Analyze the findings of the Perry study, addressing the strengths and shortcomings of the neurodevelopmental approach.

Cognitive Maltreatment and Neural Development
Chapter 5 of the course textbook discusses the brain development of the child in early life as well as the impact of accidents and maltreatment. The required article by Perry (2009) illustrates and defends an approach to child maltreatment based on neurodevelopmental analysis that seeks to understand and treat abuse victims with reference to the areas of the brain affected.

Based on these readings, account for or respond to each of the following in your initial post:

Analyze the findings of the Perry study, addressing the strengths and shortcomings of the neurodevelopmental approach. Are there limits to this sort of approach, and if so, what alternative approach might add something to a neurobiological analysis?
Offer a real life experience, alternative study, or recent news report that in some way illustrates or casts light upon Perry’s findings.
In your responses to no fewer than two of your classmates, compare and contrast your respective responses to the Perry study and illustrative examples, offering constructive criticism of your respective arguments and conclusions. Additionally, identify any insights you have gained as a result of reading the responses of others.


 

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Identify one area of nursing research that has improved patient outcomes. State the study and its impact on patient care. NRS-433V DQ 1, 2, and 3….5

Identify one area of nursing research that has improved patient outcomes. State the study and its impact on patient care.
NRS-433V DQ 1, 2, and 3….5

Discussion questions. At least 150- 200 words each with references.

Identify one area of nursing research that has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice?
What similarities and differences can you identify between the nursing process and the research process? Explain your answer.
Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.


 

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