Nursing  Assignment: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

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Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.To Prepare:Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also, review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

 
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Nursing  Discussion on Priority Actions to Take When Floating

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Week 3: Discussion on Priority Actions to Take When FloatingCaroline CombsNo unread replies.No replies.Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.Step 1: Read the following articlesAmerican Nurse Association. The American nurse. On less familiar ground. Strategies aim to reduce random floating, improve the experience. August 31, 2017. (Attached to discussion)(Links to an external site.)Brown T. Nurses are talking about: floating and rapid response duty. Medscape Sunday September 17, 2017.http://blog.diversitynursing.com/blog/nurses-are-talking-about-floating-and-rapid-response-duty (Links to an external site.)Davies K. Advance healthcare networks for nurses. Float assignments. Nursing advisor.http://nurseadvisormagazine.com/nurse-advisor/in-the-breakroom/float-nursing-to-reduce-healthcare-costs/ (Links to an external site.)Nurse.com. Do registered nurses have to float to areas where they have not been trained or feel comfortable working? Is this legal? December 11, 2013.https://www.nurse.com/blog/2013/12/11/do-rns-have-to-float-to-units-where-they-have-not-been-trained-or-feel-comfortable-working-is-this-legal/ (Links to an external site.)O’Connor K, Dugan LJ. Addressing floating and patient safety. RN Nursing February 2017-Vol 47-Issue2-page 57-58 doi:10.1097/01. NURSE.0000511820.95903-78.https://journals.lww.com/nursing/Fulltext/2017/02000/Addressing_floating_and_patient_safety.15.aspx#:~:text=%20Addressing%20floating%20and%20patient%20safety%20%201,nurses%20may%20perceive%20floating%20negatively%2C%20it%27s…%20More%20 (Links to an external site.)RN responsibility when floating to new patient care unit or assigned to new population.https://www.rn.ca.gov/pdfs/regulations/npr-b-21.pdf (Links to an external site.)Priority Actions to take when FloatingFloating is defined as “the reassignment of staff from one nursing unit to another based upon the patient census and acuities”. Floating is difficult and has always been a problem for nurses but safe patient care is always the goal. Floating is a reality that often cannot be avoided, particularly in the hospital setting. Floating may cause anxiety, stress, overwhelming, scary, draining, dissatisfaction, disruptive, and feeling of frustration even to a very experienced and skillful nurse to be pulled to work on a unit outside her/ his comfort zone. This might be caused by discomfort from unfamiliarity related to diverse patient population, staff, unit, and the processes to a work on a different department. Working in unfamiliar area makes nurses uneasy by not knowing what to expect. Yes, they know how to take care of the patients but without proper orientation to the unit/ area one will be floating is not easy. Whenever staff members are sent to float to an unfamiliar unit, it is expected that at least they will be able to perform the basic assessment and skills.What Should the Registered Nurse Do When She/He Has to Float?Before accepting patient assignment when floating to a different unit…Make sure you have the necessary knowledge, judgement, skills, and ability to provide the required patient care. The nurse should not accept any patient care assignment he/ she is not competent to deliver the care but instead accept limited assignment of nursing care duties you can utilize your current competence.Remember that the department you are floating will be glad to have you to help them decrease their patient work load. You will be responsible for your own actions and will be the one to face disciplinary action by a State Board of Nursing if you are not competent to perform the assignment delegated to you.Talk to the Charge Nurse of the unit you are floating if you refuse the assignment being given to you and discuss the reason of your refusal. Let him/ her know that you are there to help but they should give you patient assignments that you are competent and comfortable to handle. The Charge Nurse of your permanent unit may be able to help you as well in talking to the unit you are floating If they insist for you to take the assignment. You may seek the help of the Nursing Supervisor. You can write an incident report to cover yourself.According to American Nurses Association (ANA), “Registered Nurses must have the professional right to accept, reject, or object in writing to any assignment that puts patients or themselves at serious risk for harm.” The Joint Commission on floating clearly states that when an employee is asked to float to a different unit, that unit must be similar to his or her own and that the nurse must demonstrate competencies specific to that unit. Furthermore, the assigned employees should be floated to areas of comparable clinical diagnoses and acuities.Initial Discussion Assignment:You are a nurse on a medical-surgical unit that is currently well staffed with each nurse at a 3:1 ratio. There were two call outs in the oncology unit and it is your turn to float. The charge nurse informs you that you are being floated to the oncology unit and that you have been assigned to care for four patients.Your discussion posting must address all of the following issues:Summarize the concepts of floating that were addressed in the attached articles.What steps would you take in this scenario to ensure a safe transition into the unfamiliar unit?Why are these steps important?What are some of the legal ramifications that can occur if you accept an assigned that is out of your scope of practice?On less familiar ground Strategies aim to reduce random floating, improve the experience.pdfSearch entries or author Filter replies by unreadUnread   Collapse replies Expand replies Subscribe ReplyReply to Week 3: Discussion on Priority Actions to Take When Floating

 
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Nursing  Diagnosis Cases (Due 19 hours)

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1) Minimum 4 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per pagePart 1: minimum 2 pagesPart 2: minimum 2 pagesSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphBulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 5 references per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX__________________________________________________________________________________Part 1:PneumoniaBased on File Part Pneumonia,  answer the questions, as instructed below:Critical Thinking Questions1. What are some other tests that could help delineate the cause of shortness of breath?2. To what antibiotic is Klebsiella commonly sensitive?3. Should antibiotics be provided empirically upon the initial visit or should antibiotics be withheld until culture and sensitivity reports are available?4. What are the potential social problems associated with this man’s care and future discharge?5. What do the abnormal liver enzymes tell you about his alcohol use?Part 2:CholelithiasisBased on File Part Cholelithiasis ,  answer the questions, as instructed below:Critical Thinking Questions1. Why was the patient’s urine dark-colored?2. What is the difference between a direct and an indirect type of hyperbilirubinemia?3. Mention the differential diagnosis of Cholelithiasis. Explain4. What is the treatment option for this patient? Why?5. Mention the risk factors of cholelithiasis.

 
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Nursing  Health Education Teaching Assignment

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Health Education Teaching AssignmentPlease click (the link about  to access the assignment files).Please submit your WRITTEN plan here AND you can submit your VIDEO file here as well.Please either take your video and upload it as an attachment or use the RECORD VIDEO button provided below to record directly to this site.AttachmentsDiabetes-Teaching-Self-Care-Print and Go (2).pdf(644.49 KB) Health Education Pre-Brief Activity – STUDENT1.docx(16.94 KB) Health Education Teaching Activity FINAL Revised blank due date.docx(40.5 KB)

 
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Nursing  Thoughts

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What are your thoughts??The most interesting aspect I felt of the readings was the topic of Ethics. I have not been a nurse very long however I have already had many different cases of ethics through nursing school and my brief ICU nursing experience. The book definition of ethics is that it is an “understanding of concepts of right and wrong, principles of moral behavior and the intentions and actions of moral agents (Bogue & Hogan, 2020). Everyone has their own understanding of ethics which is why there are ethical boards in the hospital for those “ethics” cases. It was interesting reading the different views of ethics such as metaethics, normative ethics and applied ethics. Ethics is an important topic and is definitely every nurse encounters in their career. Many of the ethical cases I have experienced have had to do with death and dying. It’s often a hard situation to be in as a nurse because all we want is to help people and make them better so they can come home and continue living their lives. However, I have faced the challenge of having patients being pronounced brain dead yet the family is still debating on how to proceed with care and not wanting to withdraw care despite the medical evidence. This is hard when family members ask why their loved one looks dead after medical diagnosis and prognosis has been given to them. Ethics are important and every nurse or healthcare professional hopefully is aware of what they feel is right and wrong so they are able to respectfully care for all patients in the safest and best way.The readings mention how “in modern society, medicine is often seen as the true savior of life’s ills” (Bogue & Hogan, 2020). I feel that medicine is very important to today’s world because it does help people live longer, have appropriate medical treatment and have resources to encourage and motivate living healthy lifestyles. There is not a cure for every disease which is why we are constantly seeing individual’s die but also that is a part of life’s cycle. Healing can come from medicine but then also it can be empowered by many other outside sources. Those miracles can happen even when medicine did not think it would.

 
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Nursing  The Use of Clinical Systems to Improve Outcomes and Efficiencies

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Conduct a search for 4 recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies.Synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.Include an introduction.Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.Use APA format and include a title page.

 
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Nursing  outline 2

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What part does negotiation play in patient education?Using the NIH website, how would you describe CAM and the typical person who uses CAM?

 
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Nursing  Health Organization Case

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Assignment Health Organization CaseView Rubric   Due Date:   Apr 08, 2018 23:59:59Details:Research a health care organization or a network that spans several   states within the U.S. (Example: United Healthcare, Vanguard, Banner   Healthcare, etc.).Harvard Business Review Online and Hoover’s Company Records, found   in the GCU Library, are useful sources. You may also find pertinent   information on your organization’s webpage.Review “Singapore Airlines Case Study.”Prepare a 1,000-1250-word paper that focuses on the organization or   network you have selected.Your essay should assess the readiness of the health care   organization or network in addressing the health care needs of   citizens in the next decade, and include a strategic plan that   addresses issues pertaining to network growth, nurse staffing,   resource management, and patient satisfaction. Provide a comparison to   the health care organization or network and the Singapore Airlines.   Include any cultural issues that may influence the practices listed above.Prepare this assignment according to the APA guidelines found in the   APA Style Guide, located in the Student Success Center. An abstract is   not required.This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.You are required to submit this assignment to Turnitin. Please refer   to the directions in the Student Success Center.NRS451V.R.SingaporeAirlinesCaseStudy_Student_02-04-13.docx

 
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Nursing  Discussion Question

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What is sampling theory? Describe it and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.Instruction: Not less than 250 words, in text citation, zero plagiarism.

 
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Nursing  outline 2

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What possible reservations could a health care professional have in working with Sister Mary? (Discuss the psychosocial responses the professional might have.)

 
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