Psychiatric Nursing essay assignment paper

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Psychiatric Nursing essay assignment paper

Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in the field. For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders. Psychiatric Nursing essay assignment paper

Learning Objectives

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Students will:
  • Assess client factors and history to develop personalized plans of antidepressant therapy for adult and geriatric clients
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in adult and geriatric clients requiring antidepressant therapy
  • Evaluate efficacy of treatment plans
  • Analyze ethical and legal implications related to prescribing antidepressant therapy to adult and geriatric clients. Psychiatric Nursing essay assignment paper

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

  • At each decision point stop to complete the following:
    • Decision #1
      • Which decision did you select?
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
    • Decision #2
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
    • Decision #3
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources. Psychiatric Nursing essay assignment paper.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

 

Review the following medications:

  • amitriptyline
  • bupropion
  • citalopram
  • clomipramine
  • desipramine
  • desvenlafaxine
  • doxepin
  • duloxetine
  • escitalopram
  • fluoxetine
  • fluvoxamine
  • imipramine
  • ketamine
  • mirtazapine
  • nortriptyline
  • paroxetine
  • selegiline
  • sertraline
  • trazodone
  • venlafaxine
  • vilazodone
  • vortioxetine

you can edit my work bellow, add more information  , and use same medication therapy. Plagiarism must be less than 15 %

Introduction

Improving depression care for depressed older men is a public health priority because older men are less likely than older women to receive depression treatment and are also more likely to commit suicide .Depressive disorder causes a continuous feeling of worthlessness , hopelessness and unhappiness to the victim and loss of interest in what they used to enjoy doing, also call major depressive disorder (MDD) or clinical depression (Unützer & Park, 2012). 3 Depression is one of the most common mental health problem leading to disabling in older men (Unützer & Park, 2012). A Late-life depression (LLD), is referring to depression that recurs in old age (having begun earlier in life) and again late in life; this negatively affect patients cognitive impairment, functional impairment, and development of Alzheimer’s disease and vascular dementia (Diniz & Reynolds, 2014).

3 Late-life depression (LLD is associated with burden of medical illnesses (especially cardiovascular and cerebrovascular) and risk of death. Patients assessment for depression should be using a standard rating scale, and initiate effective treatment such as antidepressant medications or evidence-based psychotherapies and psychiatric follow up. Electroconvulsive therapy (ECT) (Unützer & Park, 2012) can be an alternative for patients who are not improving. Antidepressants reduce the consequences of depression. 3 It is important to note that depressed adults may be at increased risk for antidepressant adverse effects. (Diniz & Reynolds, C. F. (2014). 3 This week paper focuses the identifying and trPsychiatric Nursing essay assignment papereatment of late-life depression of an Elderly Hispanic Man with history of Major Depressive Disorder (MDD)

Decision #1

1 Will start with Zoloft 25 mg orally daily

Reason for the Selection:

3 Assessment tool used is Montgomery–Åsberg Depression Rating Scale (MADRS), patient score 52, which is an indication of severe depression. When choosing an antidepressant my treatment option is based on the best side effect profile and lowest risk of drug-drug interactions Wiese, (2011). Wellbutrin is an antidepressant, but can cause seizures and Effexor may increase blood pressure Wiese, (2011). Zoloft is one of the most effective and safest medication for the treatment of severe depression in adults (Flint & Rifat, 2013. My best option is Zoloft 25mg which is best choice because of harmless to the elder (Flint & Rifat, 2013). Antidepressant use in the elderly are thought to be due to changes in hepatic metabolism with aging, concurrent medical conditions, and drug-drug interactions (Wiese, B. 2011). 3 (Flint & Rifat, 2013).

Expected Results

The patient should be able to improve within two weeks. Some signs should might be am improve in his work, exercise, hobbies, intellectual pursuits, as well improve sleep. 3When using Zoloft, the level of awareness should improve. It must be noted that the patient is back on track with motivation to follow his normal activities and relate well with associates (Flint & Rifat, 2013).

1 Differences between Expected Results and Actual Results

3 Expected outcome after the use of Zoloft 25mg is the patient will see improvement in his mental capability and importantly that there was no side effect of the medication.The patient revisited after four weeks on his follow up appointment and reported of a decrease in the symptoms, but with a complain of sexual dysfunction and insomnia. The difference in the expected result and the outcome may be reason out that the body of the patient is trying to adjust to the medication while solving the problem of MDD (National Alliance on Mental Illness, 2017).

1 Decision Point Two

Selected Decision: 1 Augmenting agent such as Wellbutrin XL 100 mg in morning

Reason for Selection

3 The added augmenting agent such as Wellbutrin XL150mg in morning was because the patient has some complain of having decrease sex drive, impotence, or difficulty in having an orgasm and sleep problem (insomnia). Bupropion is an antidepressant with excellent tolerability in elderly person improve depression, insomnia, somatic symptoms, work functioning, and certain quality-of-life measures in elderly depressed subjects with medical disorders (American Psychiatric Association, 2013). Though, patient verbalized decrease in the depression symptoms because of using Zoloft, but because of decrease sex drive and insomnia, Zoloft will be decrease to 12.5mg orally every day and continue to watch for side effects, like suicidal tendency in the elderly, and complain about ejaculatory and sexual dysfunction (American Psychiatric Association, 2013).

Expected Results

3 With the combination of using Wellbutrin and Zoloft, it is still expected to see the patient to continue to experience reduction in depression symptom. The therapeutic effect should be observable which will motivate and encourage the patient.

1 Differences between Expected Results and Actual Results

3 The expected outcome after four weeks visitation is that the therapeutic effect of the medication will be clear and no more report of adverse reaction, that shows patient is tolerating the medications as agree. The actual result was that the patient report that there was more reduction in the MDD symptom and improved in the side effect which is insomnia and sexual dysfunction.

Decision Selected. Psychiatric Nursing essay assignment paper

1 Decision Point Three

3 Selected Decision I will discontinue Zoloft 12.5mg orally daily and increase the dosage of Wellbutrin to 150mg XL every morning.

1 Reason for Selection

3 The desire result was not obtained in the second stage though the patient observe reduction in the symptom of MDD, but the resulting side effect is not reducing or eliminated. Wellbutrin XL can help to reduce depression and remove most of the side effect of Zoloft (Mangoni, & Jackson, 2004), also this will help attain therapeutic effect with his symptoms until his next appointment to evaluate response to therapy (Mangoni, & Jackson, 2004). The patient will have to be monitor closely because of the medication adjustment side effect, the suicidal tendency (Mangoni, & Jackson, 2004).

Expected Results

3 At this point the patient is anticipated to experience close to zero symptom of major depressive disorder without any side effect, the sleeping problem or insomnia, sexual dysfunction. He is also expected to have good interaction with neighbor and friends.  Psychiatric Nursing essay assignment paper

1 Differences between Expected Results and Actual Results

Wellbutrin 150mg XL, there is a solution in the treatment of the patient with MDD, (Laureate Education, 2016). 3 When the medication is working well with no side effect, patient will continue with Wellbutrin XL 150mg orally daily dose and will be re-evaluated during the next appointment, medication can be increase if there is a reduction in symptoms to achieved desired maximum therapeutic effect. The actual result from the patient is that the medication is achieving the therapeutic effect that is nePsychiatric Nursing essay assignment papereded by the patient (Mangoni, & Jackson, 2004).

1 Impact of Ethical Considerations on Treatment Plan

3 Ethical Considerations on treatment plan of a psychiatry patients can be complicated which can arise from plan therapy. Addressing the side effects of medications should be the most important in the plan of this therapy which include suicidal tendencies, dosage adjustment and close monitoring for effects (Flint & Rifat, 2013. Some drugs can cause patients to have suicidal tendencies (Flint & Rifat, 2013. Ethically there are sometimes practitioner are being influence by the health insurance of the patient, that is it easier to have a claim for drug treatment than physical therapy, therefore the health professional will choose to go the route of drug treatment. In all consideration the beneficence and no maleficence principles must be observe, the best treatment and best drug that sooth the patient must be administered.

Conclusion

When treating patients, we must understand that some drugs are good for a patient but the side effect on the patient might be grave. A careful treatment and monitoring of patients is important for total healing (NAMI National Alliance on Mental Illness, 2017). Psychiatric Nursing essay assignment paper

References

4 American Psychiatric Association. (2013). 3 Diagnostic and statistical manual of mental

disorders (5th ed.). Washington, DC: Author. Note: 3 Retrieved from Walden Library databases.

Diniz, B. 3 S., & Reynolds, C. F. (2014). 3 Major Depressive Disorder in Older Adults:

Benefits and Hazards of Prolonged Treatment. Drugs & Aging, 31(9), 661–669.http://doi.org/10.1007/s40266-014-0196-y

Flint, A. 3 J., & Rifat, S. L. (2013). 5 The effect of sequential antidepressant treatment on

geriatric depression. 3 Journal of affective disorders, 36(3), 95-105.

Laureate Education. (2016g). Case study: 1 An elderly Hispanic man with major depressive

disorder [Interactive media file]. Baltimore, MD: Author.Psychiatric Nursing essay assignment paper

Mangoni, A. 3 A., & Jackson, S. H. D. (2004). 3 Age-related changes in pharmacokinetics and

pharmacodynamics: 3 basic principles and practical applications. British Journal of Clinical Pharmacology, 57(1), 6–14. Retrieved from: 3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884408/

6 National Alliance on Mental Illness. (2017). 3 What Is Sertraline and What Does It

Treat? Retrieved from: 7 https://www.nami.org/learn-more/treatment/mental-health-medications/sertraline-(Zoloft)

Unützer, J., & Park, M. (2012). 3 Older Adults with Severe, Treatment-Resistant

Psychiatric Nursing essay assignment paper

 
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Discuss the changes you would make to your digital media presentation, including visual enhancements, if you wanted to disseminate it to a wider audience via social media sites.

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Prior to completing your Discussion post or taking the Quiz, be sure to review the resources noted below. The resources from the Writing Center (WC) will focus on visual rhetoric, which is the use of visuals to convey a message, and on how to create advanced PowerPoint presentations.
Begin the Unit 10 Learning Activities.
After reviewing this unit’s Learning Activities, complete the Quiz. The next step will be to read the Discussion instructions and respond to the topics.
 
The inspiration for change can come from unexpected circumstances, yet the idea can then be catapulted into communities through digital media and social networking opportunities. With your digital media presentation, you have the opportunity to share your idea for change with your community or colleagues. With that opportunity in mind, respond to the question below:

  • Discuss the changes you would make to your digital media presentation, including visual enhancements, if you wanted to disseminate it to a wider audience via social media sites. Do you think your presentation could generate change, and do you foresee pursuing this argument for change in the future?

You can review a sample Discussion post by clicking on the following link: Unit 10 Sample Discussion Assignment.
You can review a sample PowerPoint presentation by clicking on the following link: Unit 10 Sample PowerPoint.
The Discussion post should be written in complete sentences using Standard American English. Before posting, proofread for grammar, spelling, and word-choice issues. Be sure to respond fully to every aspect of the Discussion.
When you refer to concepts from the unit Learning Activities, be sure to use a signal phrase like “According to . . .[name of reading].” If you are directly quoting the Learning Activities or another source, be sure to use quotation marks and cite the source using proper APA in-text citations and full references. The Writing Center has resources on APA citation formatting.
https://kucampus.kaplan.edu/MyStudies/AcademicSupportCenter/WritingCenter/WritingReferenceLibrary/ResearchCitationAndPlagiarism/Index.aspx
Since this unit does not require responses to classmates, the grading rubric differs from those in units 1-9. You can review the rubric the instructor will use when determining your Discussion grade by clicking on the following link:Unit 10 Discussion Assignment Grading Rubric.
response to leon:
Hello Fellow Classmates and Professor!
Wow I cannot believe we have come to the conclusion of this class! It seems like we have started it yesterday and I was struggling to find a good theme to talk about throughout the whole class (which seemed impossible to do at first, by the way!), and now we are done! I have truly enjoyed working with all of you guys, and reading about your valuable feedback and comments, which helped me revise some of my work! Through this class I have learned some awesome new techniques when it comes to writing papers and also common (and not so common) issues that afflict today’s society.
Although I have done my very best to put together my first ever Power Point Presentation for Unit 9, I do not feel 100% confident about it, as I feel like there’s always space and opportunity for improvement. In particular, if I could change anything, it would be to add one more source and some more visuals to further prove my point. I always feel like there is never enough information when one is trying to make an impact and talk about something dear to one’s heart, and in the case of my presentation, I didn’t want to put too much information on it and risk losing the message.
I would love to pursue this theme outside the classroom and really make a substantial change in society, so that my child and all other bilingual children can have more resources available to them in the future and stress the importance of speaking different languages all the way up to the academic level. I know social media is the way to go to make sure the message is mainstreamed, but I don’t believe a power point presentation is the best way to push the message forward, so I would choose to make a video presentation rather than a power point in that case.
Thank you all again, and I wish all of you good luck for this all other classes to follow!
response to zachary: Some changes that I would make to my digital media presentation is maybe the integration of my voice in the slides.  It is difficult to actually relay something like a power point presentation without your voice because you want to avoid cluttering the presentation with text.  I was always taught to have minimal wording and actually explain to the audience rather than read from a slide.  I would also maybe include some video clips in the slide to help the audience visualize what I’m talking about

 
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Identify, analyze, and discuss the components that comprise a valid evidence-based research study

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INTERVIEW A HEALTH CARE LEADER ABOUT HIS/HER EXPERIENCES RELATED TO USING EVIDENCE-BASED RESEARCH

Identify, analyze, and discuss the components that comprise a valid evidence-based research study. Based on the information compiled above, interview a health care leader about his/her experiences related to using evidence-based research to drive changes in practices in his/her facility.

Write a report (1,000-1,250 words) of your findings. Include the following in your report:

1. The changes that the health care leader has been involved in implementing.

2. How strong did the leader feel the research on the topic was? Why?

3. Have they ever rejected research findings? Why or why not?

4. Include any concerns they have had or resistance they have experienced when implementing changes based on research.

5. Analyze your findings as they apply to the components of evidence-based research.

 
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Post an argument either for or against the use of “baby signs” with infants.

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Post an argument either for or against the use of “baby signs” with infants.
The effects of baby sign language on verbal language development; study support the effect on verbal language development of purposefully encouraging hearing infants to use simple gestures as symbols for objects, requests, and conditions. To this end, 103, 11month-old infants were divided into three groups, all of whom were seen in the laboratory for a variety of assessments, including standardized language tests at 15, 19, 24, 30, and 36 months.  Parents of those in the Sign Training group modeled symbolic gestures and encouraged their infants to use them. Parents of infants in the Non-intervention Control group knew nothing about symbolic gestures or our special interest in language development. As a control for “training effects” (i.e., effects attributable to families being engaged in a language intervention program), parents of a second control group of infants (the Verbal Training group) were asked to make special efforts to model verbal labels. After comparisons of the two control groups minimized concerns about training effects, comparisons between the Sign Training and the Non-intervention Control group indicated an advantage for the Sign Training group on the vast majority of language acquisition measures. These results provide strong evidence that symbolic gesturing does not hamper verbal development and may even facilitate it (Goodwyn, 2000).
The effects of baby sign language on verbal cognitive development; The primary consequence of childhood deafness is that it blocks the development of spoken language both the acts of speaking and comprehending. This fact leads us to ask what spoken language contributes to the child’s cognitive development. Because deafness impedes the development of spoken language, we must ask whether complex and logical thought can develop in the absence of spoken language. Can the child develop ‘inner thought’ or working memory without the ability to hear? Consider sign language. Can sign language foster the same kinds of abstract mental development and complex thought as speech? Now consider an even more complex situation, namely, the cognitive development of children who grow up with little or no exposure to any language in any form, be it signed or spoken, as a simple consequence of being born deaf. What are the effects of such linguistic and social isolation on the child’s development of a mental life (Mayberry, 2002)?
Does it help or hinder a child’s language development; A long-standing belief is that sign language interferes with spoken language development in deaf children, despite a chronic lack of evidence supporting this belief. This deserves discussion as poor life outcomes continue to be seen in the deaf population. This commentary synthesizes research outcomes with signing and non-signing children and highlights fully accessible language as a protective factor for healthy development. Brain changes associated with language deprivation may be misrepresented as sign language interfering with spoken language outcomes of cochlear implants. This may lead to professionals and organizations advocating for preventing sign language exposure before implantation and spreading misinformation. The existence of one—time-sensitive—language acquisition window means a strong possibility of permanent brain changes when spoken language is not fully accessible to the deaf child and sign language exposure is delayed, as is often standard practice. There is no empirical evidence for the harm of sign language exposure but there is some evidence for its benefits, and there is growing evidence that lack of language access has negative implications. This includes cognitive delays, mental health difficulties, lower quality of life, higher trauma, and limited health literacy (Hall, 2017).
Has research demonstrated that it positively or negatively effects a child’s cognitive development; Research suggests that stimulating environment and strong contextual support during the first years of life has a positive impact on child development (Gabbard et al. 2012). The toddler motor behavior is shaped by a combination of environmental, organismic, physiological, and genetic factors. The primary agent for learning and developing the foundation for lifelong behaviors is the home environment (Caçola et al. 2014). In addition, while genetics play an importantrole in determining the main neural circuits, activity-dependency is also effective for optimal development of the brain. In general, it is argued that rich environments have positive effects on brain development. A window of opportunity during a specific stage development would allow toddlers to achieve critical and optimal developmental growth (Gabbard 2012).

 
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Evaluate the authors’ use of      literature using the Use of Literature Checklist as a      guide.

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Resources for this week’s question, please incorporate resources into answer.
Babbie, E. (2017). Basics of social research (7th ed.). Boston, MA: Cengage Learning.
· Chapter 15, “Reading and Writing Social Research”
· Laureate Education (Producer). (2016b). Literature review [Video file]. Baltimore, MD: Author.
·
· Note: The approximate length of this media piece is 8 minutes.
·
· Dr. Patton speaks about the role of literature in the research process.
·
· Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Brown, M. (2013). Developing social problems into research problems for graduate study [Online webcast]. Retrieved from Evaluating Use of Literature and Problem Statement

Researchers use scholarly literature for various purposes in their work, such as, but not limited to, establishing the need for and importance of their study or describing a theory. The problem statement is typically tied to the literature, and for this reason, these two components of research are presented together this week; this connection among research components will be a recurring theme throughout this course.
For this Discussion, you will evaluate the use of literature and problem statements in assigned journal articles in your discipline to understand what it means for a research study to be justified, grounded, and original. You will use the Use of Literature Checklist, the Problem Statement Checklist, and the Litmus Test as guides for your post.
With these thoughts in mind, refer to the Journal Articles document for your assigned articles for this Discussion. If your last name starts with A through L, use Article A. If your last name starts with M through Z, use Article B. Follow the prompt below for your program.
Master’s and research doctorate (PhD) students
By Day 4
Post a critique of the research study in which you:
· Evaluate the authors’ use of literature using the Use of Literature Checklist as a guide
· Evaluate the research problem using the Problem Statement Checklist as a guide
· Explain what it means for a research study to be justified and grounded in the literature; then, explain what it means for a problem to be original using the Litmus Test as a guide
Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.
Stedman-Smith, M., DuBois, C. L., & Grey, S. F. (2015). Hand hygiene performance and beliefs among public university employees. Journal of Health Psychology, 20(10), 1263–1274. doi: 10.1177/1359105313510338
By Day 4
Post a critique of the research study in which you:

  • Evaluate the authors’ use of      literature using the Use of Literature Checklist as a      guide.
  • Evaluate the problem using      the Problem Statement Checklist as a guide.
  • Explain what it means for a      research study to be justified and grounded in      the literature; then, explain what it means for a problem to be original using      the Litmus Test as a guide

· https://www.youtube.com/watch?v=udfldYXvUxw&feature=youtu.be
Problem Statement Checklist Use the following criteria to evaluate an author’s problem statement:
• Is a problem identified that leads to the need for this study?
• Is a rationale or justification for the problem clearly stated?
• Is the problem framed in a way that is consistent with the research approach?
• Does the statement convey how the study will address the problem?
• Are the citations to literature current (i.e., within the past 5 years with the exception of seminal works)?
Use of Literature Checklist
Use the following criteria to evaluate an author’s use of literature.
• Look for indications of the following ways the author used literature:
• Introduce a problem
• Introduce a theory
• Provide direction to the research questions and/or hypotheses
• Compare results with existing literature or predictions
• Did the author mention the problem addressed by the study?
• Is the purpose of the study stated?
• Are key variables in the study defined?
• Is information about the sample, population, or participants provided?
• Are the key results of the study summarized?
• Does the author provide a critique of the literature?
• Are sources cited to support points?
• Are the citations to recent literature (within the past 5 years with the exception of seminal works)?
• Does the literature justify the importance of the topic studied?
Litmus Test for a Doctoral-Level Research Problem
Background on these “litmus test” questions 
· The distinguishing characteristic of doctoral-level research (as opposed to masters level) is that it must make an original contribution to the field. However, students may struggle to identify what will authentically contribute to their field or discipline.
· The most critical step in making such a contribution is to first identify a research problem with the 4 doctoral hallmarks below. Identifying a doctoral-level research problem is “necessary, but not sufficient,” to produce doctoral-level capstone.
REQUIRED DOCTORAL HALLMARKS OF THE RESEARCH PROBLEM
 
In   Walden’s scholar-practitioner model, a research problem shows promise of   contributing meaningfully to the field ONLY if the answer to ALL of the   following questions is “yes.”

 
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Discuss the differences between a leader and a manager.

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Discuss the differences between a leader and a manager.

Nursing

1. Discuss the differences between a leader and a manager.

2. Which is more important, working for an effective leader or an effective manager? Explain your answer.
3. Observe the nurse manager in a unit to which you are assigned . What management style is displayed? How does the staff respond to this style?
4. What qualities do you think are most important to be a good nurse manager?
5. Interview the nurse manager on your assignment unit. What interpersonal, decisional, and
informational activities does he or she complete on a daily basis?
6. You are the nurse manager on your unit. One of the most experienced staffers has been out on sick leave, and another just had a baby. The rest of the staff is working very hard to pick up the slack to avoid using agency personnel. What tangible and intangible rewards might you use to thank to the staff?

7. PART 1: Begin by writing a 50-word description of the ideal nurse manger, someone you would like to work for. Describe a real-life nurse manager whom you have encountered in one of your clinical rotations. What qualities of this person meet your ideal? In what ways does this individual not meet your ideal? (Reminder: nobody’s perfect.)
PART 2: Then think about becoming an ideal manager yourself. What qualities of an ideal manager do you already possess? What qualities do you still need to develop? How will you accomplish this?
1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.2. What are your thoughts on multistate licensure? How does it strengthen and weaken professional nursing?
3. As a new nurse, how can you ensure confidentiality in clinical settings?
4. How can nurses safeguard the confidentiality of medical information when sending it by faxes or electronic mail?
5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice? Explain your answer.
6. Should nurses carry malpractice insurance? Explain your answer.
7. Should all patients have advance directives? Explain your answer
8.Find your own state’s requirements for informed consent. Do elective procedures and emergency situations use the same standard?
9. Obtain a copy of your state’s Nurse Practice Act. Does the act give adequate guidance for nurses to know if an action is within the scope of nursing practice?
10. Investigate the existence of a peer assistance program for substance abuse and/or mental illness within your state. Find out how the program is administered. What is its success rate? How does the program assist nurses?
11. Interview nursing professionals within your facility to see what certificates are required for various nursing positions. Is there a pay differential for certification?

12. How are specialty nurses (critical care, emergency, trauma, maternal-child, etc.) urged to attain certification in your facility?

 

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How prepared are you for such a challenge? What knowledge and skills will you need to acquire on your own leadership development journey to successfully prepare for such a challenge?

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QUESTION # 7

A

Today’s complex organizations often require the smooth, integrated functioning of teams across several functional areas. Leading of a team of diverse individuals is quite a challenge. Encouraging the effective collaboration of multiple teams of diverse individuals is even more challenging and requires skilled leaders who can understand and impart organizational vision to team members. Skilled leaders must also foster leadership skills in others to achieve collaboration and organizational success.

Imagine yourself in the complex situation of ensuring the integrated functioning of multiple teams. How prepared are you for such a challenge? What knowledge and skills will you need to acquire on your own leadership development journey to successfully prepare for such a challenge?

B

Leadership positions within teams can often be fluid and dynamic. Circumstances may require an individual to step forward and lead in some situations and then adopt the role of follower in others. As a leader, how do you know when it is appropriate to lead and when it is appropriate to follow? How can you foster leadership skills in your team members so they too feel confident enough to lead when the situation calls for it?

Resources

1. Constructing a Coaching Model to Promote Well-Being Based on Attributes of Spiritual Leadership: Keeping Leaders Healthy

Read “Constructing a Coaching Model to Promote Well-Being Based on Attributes of Spiritual Leadership: Keeping Leaders Healthy,” by Nobles, from Journal of Practical Consulting (2012).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=85205122&site=eds-live&scope=site

2. Leadership Styles of Effective Project Managers: Techniques and Traits to Lead High Performance Teams

Read “Leadership Styles of Effective Project Managers: Techniques and Traits to Lead High Performance Teams,” by DuBois, Koch, Hanion, Nyatuga, and Kerr, from Journal of Economic Department Management, IT, Finance and Marketing (2015).

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3. Shared Leadership and Innovation: The Role of Vertical Leadership and Employee Integrity

Read “Shared Leadership and Innovation: The Role of Vertical Leadership and Employee Integrity,” by Hoch, from Journal of Business and Psychology (2013).

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4. Team Member Change, Flux in Coordination, and Performance: Effects of Strategic Core Roles, Information Transfer, and Cognitive Ability

Read “Team Member Change, Flux in Coordination, and Performance: Effects of Strategic Core Roles, Information Transfer, and Cognitive Ability,” by Summers, Humphrey, and Ferris, from Academy of Management Journal (2012).

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1. Build a Tower, Build a Team

Watch “Build a Tower, Build a Team. from Ted Talks.

 
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Describe how exactly the technology works. Discuss the biological principles that underlie this technology.

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Describe
how exactly the technology works. Discuss the biological principles that underlie this technology.

Gene technology carries with it social and ethical implications—many of which engender personal views
and discussion.

Select one (1) of the following biotechnology topics to write about:

Genetically modified crop plants

Genetically modified microorganisms

Genetically modified animals

Personal genomics and / or personalized medicine for humans

Gene therapy

Write a four to six (4 to 6) page paper on your chosen topic. Organize your paper into sections
corresponding to the following requirements:

Biological basis. Describe the technology. Discuss what it accomplishes. Elaborate on the
scientific principles that make this technology possible. Your goal in this section of the paper is to
show the instructor that you understand the underlying science behind the technology. Describe
how exactly the technology works. Discuss the biological principles that underlie this technology.

Social and ethical implications. Without disclosing your personal view about this technology,
provide an analysis of its social and ethical implications. State the ethical concerns apparent in
the use of this technology. Discuss the benefits and risks. Your goal in this section is to look at all
sides of the issue. In the next section, you will give your opinion.

Personal viewpoint. In the previous section, your goal was to be as objective as possible, to look
at all sides of the issues. In this section, your goals are to give a personal opinion about the
technology and provide a justification of that opinion.

Use at least three (3) quality resources in this assignment, in addition to the course text. Note:
Wikipedia and similar Websites do not qualify as quality resources. The body of the paper must
have in-text citations that correspond to the references. Integrate all sources into your paper
using proper techniques of quoting, paraphrasing and summarizing, along with proper use of in-
text citations to credit your sources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all
sides; citations and references must follow APA or school-specific format. Check with your
professor for any additional instructions.

Include a cover page containing the title of the assignment, the student’s name, the professor’s
name, the course title, and the date. The cover page and the reference page are not included in
the required assignment page length.

The specific course learning outcomes associated with this assignment are:

Examine DNA structure, and function, gene expression, and control.

Discuss the various applications of genomics and biotechnology.

Use technology and information resources to research issues in biology.

Write clearly and concisely about biology using proper writing mechanics.

 

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The post Describe how exactly the technology works. Discuss the biological principles that underlie this technology. appeared first on nursing term paper.

 
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How much is housing related to the “American Dream”?

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 Psychology homework help

Housing is a critical issue for the working poor. Key findings of the Department of Housing and Urban Development (HUD) (2000) analysis show the following:

  1. From 1993 to 1998, the number of subprime refinancing loans increased ten-fold.
  2. Subprime loans are three times more likely in low-income neighborhoods than in high-income neighborhoods.
  3. Subprime loans are five times more likely in black neighborhoods than in white neighborhoods.
  4. Homeowners in high-income black areas are twice as likely as homeowners in low-income white areas to have subprime loans.

Using the module readings, Argosy University online library resources, and the Internet, research the subprime crisis. Then, answer the following:

  • How much is housing related to the “American Dream”?
  • How did this housing crisis affect the working poor?
  • Identify any new policies in place to help the working poor find affordable housing.

Write a 2–4-page paper in Microsoft Word format, following current APA formatting. Include a separate page for your references.

Use the following file naming convention: LastnameFirstInitial_M3_A2.doc. For example, if your name is John Smith, your document will be named SmithJ_M3_A2.doc.

  • How much is housing related to the “American Dream”?
  • How did this housing crisis affect the working poor?
  • Identify any new policies in place to help the working poor find affordable housing.
 
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Analyze the intersection of social, political, and economic factors affecting vulnerability

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The first of your two written assignments for the course will provide a beginning framework that you will utilize in the development of your Final Project: a proposal for a community-based program in

The first of your two written assignments for the course will provide a beginning framework that you will utilize in the development of your Final Project: a proposal for a community-based program in your area. For this first written assignment, you will select one of the vulnerable groups identified in the text that will serve as your target population of interest throughout the duration of your next written assignment and Final Project.

Select one among the following groups from Chapter 1:

  • Vulnerable mothers and children
  • Abused individuals
  • Chronically ill and disabled people
  • People diagnosed with HIV/AIDS
  • People diagnosed with mental conditions
  • Suicide- and homicide-liable people
  • People affected by alcohol and substance abuse
  • Indigent and homeless people
  • Immigrants and refugees
  • Groups for special consideration (you may propose a different vulnerable population at the consent of the instructor)

Once you have selected a group of interest, write a three page paper that covers the following:

  • Discuss the impact that at least two of the factors below have on the vulnerability of your chosen group:
    • Age
    • Gender
    • Culture/Ethnicity
    • Income
  • Analyze the intersection of social, political, and economic factors affecting vulnerability (must address all three factors).
  • Draft the design of a new model program, not currently existent within your community. Provide a two- to- three paragraph statement that introduces your proposed community program. This section is tentative and might change as you conduct more research. At a minimum, however, items to address should include:
  • An explanation of the issues and risk factors experienced by the selected population.
  • An evaluation of the health needs of the group and a proposed continuum of care level (preventive, treatment, or long-term care) based on the group’s issues, risk factors, and needs.  Justify the proposed level with supportive research/evidence.
  • A description of one to two proposed services your program will include.
 
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