Nursing  response 1

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Nursing Regulatory Bodies (NRBs), as stated by the NCSBN, 2021, were established more than 100 years ago with the goal of being in all 50 states and responsible for the regulation of nursing practice. The mission of NRBs is to protect the public’s health and welfare by overseeing safe practice of nursing around the country. In each state, when someone is licensed as a nurse, the NRB of that state monitors their compliance to laws and acts if any regulations are broken. Enforced by the NRB is the Nurse Practice Act which entails the qualifications for nursing licensure, titles, scope of practice, and reprimandable actions (National Council of State Boards of Nursing, 2021).However, even though NRBs are established in all 50 states, there are variables within each NRB depending on their state or jurisdiction. For example, in the state of Massachusetts the NRB has no set regulations or policies regarding telehealth. But, in the state in Rhode Island their NRB does in fact have set regulations or policies regarding telehealth for nurses (regulatoryatlas.com, n.d.).In Massachusetts, the Board of Medicine allows for anyone who can practice medicine in person to be allowed to practice medicine via telehealth. If conducting telehealth services, there is no requirement to have a face-to-face encounter between the provider and the patient prior to the telehealth visit. Massachusetts telehealth includes audiovisual, audio-only, and email. On the other hand, Rhode Island telehealth does not include audio-only or email communication. The Board of Medicine in Rhode Island also does not allow just anyone with a medical license to practice telehealth in their state, but rather they require a Rhode Island license. (Sessions, L., & Novick, J., n.d.). This affects APRNs in both states because the states border each other. Currently with the Covid19 pandemic telehealth has become very popular and patients are keener on using these services. This makes it difficult for APRNs practicing in RI under an emergency license to fulfill their duties and provide telehealth visits to RI residents since they do not have a true RI medical license and RI only allows the emergency license to be used for telehealth for 7 days (Sessions, L., & Novick, J., n.d.).Another difference in regulations affecting APRNs in MA vs RI is that regarding autonomous practice. The latest updates regarding the scope of practice for APRNs in the United States can be found by Barton Associates, last updated on June 16, 2021. In Massachusetts APRNs have full practice, meaning they are allowed to evaluate, diagnose, and prescribe medications to patients. However, an APRN cannot be treated as a sole provider, meaning their autonomous practice is restricted; they must have a collaborative agreement with physicians to gain the benefits of having “full practice”. In Rhode Island, APRNs also have full practice but this is authorized by the state, not by a collaborating physician. This means that in Rhode Island, APRNs have full autonomous practice; APRNs can independently diagnose and treat patients without physician involvement. (Barton Associates, 2021).The state of Rhode Island seems to be going down the right path. As stated in an article found by NPnow, 2018, there are many benefits to having APRNs as independent practitioners. Some benefits include lower healthcare costs, higher patient satisfaction, increased patient education, increased participation in research, and better quality of patient care. Therefore, allowing APRNs to have full autonomous practice would benefit the public and allow patients to have more access to healthcare.References:About U.S. Nursing Regulatory Bodies. (n.d.). NCSBN. https://www.ncsbn.org/about-nursing-regulatory-bodies.htmJurisdiction Comparison. (n.d.). Www.regulatoryatlas.com. Retrieved from:https://www.regulatoryatlas.com/jurisdiction-comparison?Jurisdiction=MassachusettsNational Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved from:https://www.ncsbn.org/index.htmNurse Practitioner Autonomy: A Shift to More Independent Practice – NP Now The Nurse Practitioner Search Firm. (2018, April 5). NP Now the Nurse Practitioner Search Firm. Retrieved from: https://www.npnow.com/nurse-practitioner-autonomy-a-shift-to-more-independent-practice/Nurse Practitioner Scope of Practice Laws. (2021). Barton Associates (En-US). Retrieved from: https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-lawsSessions, L., & Novick, J. (n.d.). Beazley. U.S. Telehealth Laws Interactive Map. Retrieved from:https://www.beazley.com/beazley_academy/interactive_map.html?msclkid=2e0c814b5feb155bb3a2e00549087c47&utm_source=bing&utm_medium=cpc&utm_campaign=Beazley%20Virtual%20Care%20%7C%20US%202020&utm_term=%2Btelehealth%20%2Blaws&utm_content=Telehealth%20Regulations

 
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Nursing  Nursing Philosophy

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Nursing Philosophy (from prior course) as your personal statement. It is what it is your hallmark as an Advanced Practitioner.Example as follow:Personal statement or philosophy statement relating to your role as an APNMy Personal information( I was LPN for 4 years then I did RN, then BSN and now ARNP) I work in Nursing home, Home health and Miami Jewish for 3 years.

 
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Nursing  Multidimensional Care III

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I just need help with filling out the document, I just upload. please

 
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Nursing  Nursing

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You are a population health nurse visiting a 75 year old woman who lives alone in her home and was recently hospitalized for atrial fibrillation. She lost her husband less than a year ago. She is weak, is on continuous oxygen, and uses a walker since her hospitalization. She spent two weeks at a rehabilitation center prior to being discharged home. She used to be very active in her community volunteering and playing cards at the local YMCA. She can no longer drive and has an organization called “Meals on Wheels” bring her meals. She has two adult children that do not live nearby, 6 grandchildren (3 are fairly close), and 4 great-grandchildren. She states to you “I don’t know why you are bothering to see me, I’ve got nothing left and my life is miserable now”. Answer ALL the following questions:What risk factors for depression would the nurse assess for in this patient?What signs/symptoms might be expected to be experienced by the patient?What questions might you ask the patient to elicit pertinent information related to depression?Based on your assessment, would referral be to a psychiatrist be in order? Explain.What resources would be beneficial for this patient?How might you involve the patient’s family in the plan of care?

 
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Nursing  Research 5 page paper

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Worth 10% of total gradeThe purpose of this assignment is to demonstrate your ability to comple an outline literature search on a topic of interest. This assignment is preparatory work and practice for your EBP Qaulity  Improvement Group paper and poster.Instructions:Choose a problem faced by clients in your practice area that you think is important ans would like to learn more about.You may use your PICOT questionWrite a five (5) page literature review paper on the standing knowledge of the chosen question.Include a minimum of five (5) journal articles, at least three (3) from nursing journals.

 
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Nursing  Advanced Primary Care of Family Practicum

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The APRN student will work in a clinical group, discuss how to initiate a plan of action in resolving the clinical issue and present a PowerPoint presentation.No more than 10 slides should be usedThis website explains how to write a Power Point APA format: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/apa_powerpoint_slide_presentation.htmlConflict Resolution Group Case Scenario PowerPoint Presentation. In your slides answer the following questions applying them to the conflict assigned to your group.1 Introduction 10 (what type of conflict is yours: https://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/conflict_resolution-slides/conflictresslides.html#slide172 Your group Case scenario -10 (as given to you by this Instructor)3 Discuss the specific conflict specific to your case -154 Discuss individuals involved 105 Discussed the plan of action 156 Results expected 157 Accountability partners 10 (related your problem case: patient, administration, etcetera)8 References -15Presentation Total 100%Assignment 1: Conflict Resolution Group Case Scenario PowerPoint PresentationSlides Topic Grade1 Introduction 102 Case scenario 103 Discuss the specific conflict 154 Discuss individuals involved 105 Discussed the plan of action 156 Results expected 157 Accountability partner 108 References 15Presentation Total 100%4. Mr. Perez is recently diagnosed with Diabetes Mellitus non-insulin dependent. On your follow up visit your patient acknowledged he is not following your treatment recommendation because he does not believe he suffers from diabetes and even if affected with diabetes, the treatment affects his way of life. How you will target this conflict with your patient?Use the reference included with this scenario, and the assignment rubrics and assignment’s recommendations as on week 7ReferenceBoykins, A., & Carter, C. (2012). Interpersonal and cross-cultural communication for advance practice registered nurse leaders. Journal of Advanced Nursing Pracfice, 11(2).Retrieved from https://pdfs.semanticscholar.org/a761/2feca75583a8cc0d3c3199bd644dff9f5333.pdf

 
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Nursing  MENTAL HEALTH

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This assignment is a two role play. One role as a student nurse  and the other as a client

 
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Nursing  Endocrine System Case Study

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Endocrine System Case StudyJoan Barker, age fifty-six years, comes for a routine physical examination. She states that she has been in perfect health and has no complaints. She has a history of asthma but currently requires no medications of any kind. Her physical examination is completely normal, except for a 2-cm firm, nontender, nonmobile mass in the upper outer quadrant of her left breast. She indicates that she does not perform regular breast self-examination and that she did not know the mass was there. She has no family history of breast cancer and has never been pregnant.Answer the following questions about Ms. Barker’s condition:What term is used to describe the benign condition that may have caused Ms. Barker’s breast mass?What is inside the cysts of fibrocystic breast disease?Mammography and ultrasonography reveal a solid lesion (not cystic). What is the most common type of breast cancer?Biopsy determines that Ms. Barker has invasive carcinoma of the breast. What is the difference between ductal carcinoma in situ and invasive carcinoma of the breast?Ms. Barker’s breast cancer has metastasized to her lungs. What is the difference between metastatic lung cancer and primary lung cancer?

 
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Nursing  Critical Appraisal, Evaluation/Summary, and Synthesis of Evidence

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Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.To Prepare:· Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.· Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.The Assignment (Evidence-Based Project)Part 3A: Critical Appraisal of ResearchConduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.Part 3B: Critical Appraisal of ResearchBased on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

 
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Nursing  tyuui

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Single Space, 1 page/550 words1 Sources, APA, NursingPlease note to write about a hospital in Chicago, Illinois and not in india*For this discussion, review the various healthcare settings in your reading (such as hospital, community health center, etc.) and select one. Once selected, research the internet to identify a facility that represents your selected healthcare delivery setting. Review their website and determine:Location and sizeMission and valuesAccreditation and awardsHow long they have been serving their target populationWhether they are part of a system or a single institutionAre they for profit or not-for profitThe target populations they serveThe clinical and client services they provideThe type of staff who work in the settingContributions to the communityIn a two to three paragraph discussion post, identify key aspects of the selected healthcare setting, how their mission and values compare with the services they provide and their target populations, the type of staff who work there, any special or unique aspects of the healthcare setting, and your impression of the healthcare setting after reviewing their website. You don’t need to identify the name of the healthcare setting just the type.

 
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