Nursing  DUE TOMORROW 10/13/2021…..PLEASE FOLLOW ALL INSTRUCTIONS

Chinn and Kramer (2015) suggest that, “…the discipline of nursing concerns phenomena that are rather elusive—phenomena that nurses know exist and deal with on a daily basis yet that are difficult to describe and fully understand.” p. 154*******Reflect on the following:“Identify a situation or phenomena (a concept) in nursing that you believe has not been named or clarified. Consider why this may be the case. Is this an important concept to address?” p. 184ReferenceChinn, P.L., & Kramer, M.K. (2015). Knowledge development in nursing: Theory and process. (9th ed.). St. Louis, MO: Elsevier Mosby.Initial post:Each student must post an initial posting of their own that is one paragraph which is approximately 250 words and includes at least 2 scholarly references to support the posting. One of the references can be from the texts, or assigned readings. The other reference(s) must be an additional source that you have found that supports your posting. Scholarly, peer reviewed, articles meet this requirement. If the professor responds and asks you for clarification or a question, you must respond to the professor.

 
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Nursing  watch and answer

Respond to 2 of the following three “news clippings” related to virtue ethics from your Pozgar text.  Write a  2 page essay addressing the discussion questions posed for the one you selected.  Be sure to clearly identify the news clipping you selected.Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.Watch the following 3 videos and choose one to address for your assignment.

 
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Nursing  The 8-year-old girl who was naughty

I NEED A RESPONSE FOR THIS ASSIGNMENT1 PAGE3 REFERENCESZERO PLAGIARISMThere are a few questions that come to mind when reading this case. One of the things that stood out was the fact that the patient does not see her father a lot. If possible, I would want to speak with her father to find out if the types of behaviors described by the teacher and mother also exist when the patient is with him. This would give me a more holistic view of the patient’s behavior. For example, the diagnosis may change if the patient does not act this way when her father is present.The timeline of the patient’s tantrums is not very clear, and I would ask her mother to clarify them. She states that the patient has had tantrums since age 5, but then states that she has been resentful since her younger sister was born (they are two years apart). She also states that her tantrums are improving. I would like to know if this is really related to the birth of her sister, or if other factors contributed to her behavior. Was her behavior influenced by her belief that her mother’s attention had to be shared? Was she showing signs of being angry or resentful toward her mom before her sister was born?Finally, I would also speak with the child’s grandmother to see if she too shares the same feelings about the child’s behavior. Is the child “negative” and defiant with her? Does she seem difficult to deal with as well? This will help me to see if the child’s behavior is the same in all settings or if she is deliberately this way with certain people. Once again, this may alter her diagnosis.People to Speak with in the Patient’s LifeAs previously stated, the persons I would like to speak with (besides her mother and teacher) are her father, grandmother, and sister. These are three people at different ages who interact with the patient in different settings and may be able to provide other perspectives not given by the mother or teacher.Physical Exam and Diagnostic TestsWhile there is no specific test to diagnose ADHD, the DSM-V lists that criteria that the child or adolescent must meet in order to be diagnosed with this condition (Felt et al., 2014). It is also important to note that there are other conditions that may mimic and/ or coexist with ADHD. These include anxiety disorder, autism spectrum disorders, fetal alcohol syndrome, hearing loss, intellectual disability, mood disorder, oppositional defiant disorder (ODD), sleep disorder and speech and language disorder and finally, problems with hearing or vision (Felt et al., 2014). Behavioral rating scales are also used in the assessment of ADHD. There are several but Conner’s scale was used in this scenario.Differential DiagnosesThree differential diagnoses include:ADHD comorbid with reactive attachment disorderADHD comorbid with Disruptive mood dysregulation disorderConduct disorderThe differential diagnosis I believe most suitable for this patient with ADHD comorbid with disruptive mood dysregulation disorder (DMDD). While the ADHD symptoms are clear with this patient, there are other behaviors that may suggest DMDD. These include, irritability, anger, and temper outbursts (National Institute of Mental Health (NIMH), 2017); all of which have been described by the teacher and her mother. Trouble functioning due to irritability has also been described by both the patient’s mother and teacher, which is another criterion for this diagnosis (NIMH, 2017).Pharmacologic AgentsExtended-release stimulants are the first-line treatment for children with ADHD (Brown et al., 2018). Either Methylphenidate or Amphetamine should be chosen and depending on how the patient tolerates the drug, as well as how well their symptoms improve will depend on dosing. This patient was initially given D-methylphenidate, however, she had insomnia and her ODD symptoms persisted and as a result the medication had to be changed. Lisdexamfetamine (Vyvanse) proved to be the most beneficial for this client.Lessons LearnedTreating a child with ADHD can be tricky. There are several different preparations that one must consider before initiating treatment. I also noted that while stimulants are good for treating ADHD and ODD, in this case, polypharmacy was more beneficial as there were no changes with her ODD symptoms until guanfacine was added. These cases have shown me how imperative it is to get complete assessment before diagnosing so that nothing (or very little) will be missed. Ruling out other possible neurodevelopmental disorders is essential so that treatment can be efficient and accurate.ReferencesAmerican Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders(5th ed.). Washington, DC: Author.Brown, K. A., Samuel, S., & Patel, D. R. (2018, January). Pharmacologic management ofattention deficit hyperactivity disorder in children and adolescents: a review for practitioners. Translational Pedicatrics, 7(1), 36-47. doi:10.21037/tp.2017.08.02Conduct Disorder. (2018, June). In American Academy of Child and Adolescent Psychiatry.Retrieved from https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Conduct-Disorder-033.aspxDisruptive Mood Dysregulation Disorder. (2017, January). In National Institute of MentalHealth. Retrieved from https://www.nimh.nih.gov/health/topics/disruptive-mood-dysregulation-disorder-dmdd/disruptive-mood-dysregulation-disorder.shtmlDisruptive Mood Dysregulation Disorder (DMDD). (2019, May). In American Academy ofChild and Adolescent Psychiatry. Retrieved from https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Disruptive-Mood-Dysregulation-Disorder-_DMDD_-110.aspxFelt, B. T., Biermann, B., Christner, J. G., Kochhar, P., & Van Harrison, R. (2014, October 1).Diagnosis and Management of ADHD in Children. American Family Physician, 90(7), 456-464. Retrieved from https://www.aafp.org/afp/2014/1001/p456.htmlStahl, S. M. (2017). Essential Psychopharmacology Prescriber’s Guide (6th ed.). New York, NY: Cambridge University Press.Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practicalapplications (4th ed.). New York, NY: Cambridge University Press.

 
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Nursing  health promotion

how to educate community

 
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Nursing  Nursing Assignment

what are your thoughts on practice differences between the RN and the BSN prepared nurse? What have you heard (if anything)? Think about the differences between the 2 year RN and the BSN… If you have not had any experience or contact to draw upon, ask someone! (a nurse you might know, someone else at the college, check online resources, etc)

 
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Nursing  evidence based practice in nursing

How is evidence-based practice (EBP) used in nursing and how does the EBP influence Quality Improvement?·       Must address the topic.·       Rationale must be provided.·       May list examples from your own nursing practice.·       150-word minimum/250-word maximum without the references.·       Minimum of two references in APA format, must have been published within last 3-5 years.

 
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Nursing  Door door

1.EBP (PowerPoint Slides 7 and 8)  assignment number 12. Resume and Cover Letter. ssignment number 2 & 3Each student will submit a copy of his or her resume and cover letter to the assignment area in BrightSpace. The goal of this assignment is to allow the student to begin preparing for their professional nursing career.  Grading will focus on the student’s ability to professionally present themselves. Please utilize career services for assistance. Gear your resume and cover letter toward the specialty that interests you.Resume Grading Rubric and CriteriaOpening/IntroIncludes name, address, telephone, professional email address. ALL page(s) must have header with name and page number.Summary of QualificationsSummary of Qualifications are focused, targeted, and concise. Uses action verbs in the same tense.Education section emphasizes relevant coursework, GPA if better than average (3.5 or greater), what degree student expects to attain.Education is put before employment unless student has extensive career-related job experience (LPN, EMT, MA).Education is listed in reverse chronological order and all institution/degrees earned are listed.Do not include High School experience after attaining a college degree.Do not include colleges or universities that were attended but no degree was awarded.Work experience includes job titles, locations, list of duties/ accomplishments. Experience listed in resume parallels position applicant is applying for.1OR2 full pages; Balanced, white space, good font choices, pleasing design; Single spaced; 1-inch margins.Begin each bullet with an action verb. Approved action word list provided. No spelling errors. No grammatical errors. Word processing mechanics are perfect.Cover Letter Grading RubricOpening ParagraphThe opening paragraph arouses the interest of the employer by stating why you are interested in the organization, names the specific job applied for and states where you heard of the job.Middle ParagraphThe middle paragraph is neatly written and creates a desire for an employer to know more about you.  It emphasizes the resume pointing out achievements and qualifications that meet the job description.Closing Paragraph  The closing paragraph paves the way for an interview by offering to call in the future.Layout  The letter is organized.  It includes all the required components in the correct order with the correct spacing between elements.

 
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Nursing  Health

Managed Care Organizations and Information Technology

 
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Nursing  4413 Discussion Board 9.1: Future of Nursing

Respond to the following:What does your future of nursing look like?What does 1 year in the future look like?What does 5 years in the future look like?What does 10 years in the future look like?How will you adjust to the changes?(two sentences for each)

 
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Nursing  Homework

Ageing, cognition, and instruction:  How does ageing affect the physical capacity to learn and how might the nurse educator design educational strategies which may enhance learning based on changes related to ageing?Andragogical process models for learning: Knowles recommended asking four basic questions when structuring any learning experience for students of any age:1. what content should be covered?2. How should the content be organized?3. What sequence should be followed in presenting the content?4. What is the most effective method for transmitting this content?How would you as a nursing educator of adult learners decide what learning experience and content should be given?  How would you decide the most effective method of planning and instruction?In answering the above, consult this link: https://files.eric.ed.gov/fulltext/ED492132.pdfAndragogy in practice: based on Knowles’ theory of andragogy what are the outcomes of education during adulthood? Specifically discuss how nursing students may benefit from learning with application of andragogical principles.   This link may help you:   https://www.cornerstone.edu/blog-post/a-simple-easy-to-understand-guide-to-andragogyInstruction:-  answer three questions in one THREAD- One citation from a professional (book, journal) is a minimum requirement and should be in APA format.

 
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