Wk 3 – Summative Assessment: Critical Thinking

Over the last few weeks, you have read and heard a lot about critical thinking, identified barriers to critical thinking in your life, assessed your communication style, and identified your stage of development as a critical thinker. You’ve accomplished quite a bit in this course so far.In the 1980’s, a popular cartoon series, G.I. Joe, ended every episode with a lesson concluding, “Now you know. And knowing is half the battle.” What you know is really important, but knowing isn’t enough.In this assignment, you’re going to consider the barriers to critical thinking again, and this time, you will figure out how you might overcome them. Overcoming barriers to critical thinking may not always be possible, but you should be able to use different strategies to reduce the barriers you face, and in that way reduce their impact on you. Thinking up strategies might sound intimidating at first, but you can think of it simply as “How can I think through this situation or problem?” As you become more adept at identifying barriers to your critical thinking, you’ll more easily apply a strategy to deal with them, and eventually, go through this process quickly.

 
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Summary & Analysis

Interview a nurse manager to explore the external factors that influence decision making with 4 pages and 3 journal articles

 
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100 word positive response 10/27/2022

9 minutes agoJennifer Moore-Fischer Main Post MooreFischer COLLAPSECognitive Behavioral Therapy is the recommended first line treatment of OCD, especially during pregnancy (Iniesta-Sepúlveda and Storch, 2017).  CBT is also the non pharmaceutical intervention of choice (Viswasam, Eslick, and Starcevic, 2019). And truly, if the risks of pharmaceutical nontreatment  versus benefits gained by pharmaceutical treatment are weighed and pharmaceutical nontreatment is risked, then CBT should be heavily encouraged to keep mother and baby as healthy as possible during the pregnancy (Viswasam, Eslick, and Starcevic, 2019).With the exception of paroxetine, SSRIs (Such as fluoxetine and sertraline) are the drugs of choice to treat Obsessive Compulsive Disorder in pregnancy, though they are secreted in small (considered relatively safe) amounts in breastmilk during breastfeeding (Bharadwaj et al., 2022). Paroxetine is of increased risk and should be avoided in favor of lower risk alternative SSRIs as previously listed (Burton et al, 2022).Escitalopram (Lexapro) can be prescribed off label to treat OCD during pregnancy if fluoxetine and sertraline etc fail to relieve symptoms or cause significant side effects that fail their trial (Peggy, Cummings, and Mark, 2017). It should also be noted that Buspar is actually a category B drug for pregnancy use risk (Bharadwaj et al., 2022).The risk assessment tool I woulod use during pregnancy for women struggling with OCD is the Perinatal Anxiety Screening Scale. The PASS screening can be used after a GAD7 indicates moderate to high anxiety, in the categories of: “… acute anxiety and adjustment, general worry and specific fears, perfectionism, control and trauma, and social anxiety” (Bharadwaj et al., 2022).   Potential side effects of SSRIs include dry mouth, insomnia, blurred vision, drowsiness, nausea, dizziness, nervousness, headaches, reduced libido, blurred vision (Bharadwaj et al., 2022).The APA does publish regularly updated treatment guidelines for the assessment and treatment of OCD. They recommend use of CBT and SSRIs for appropriate ytreatment of OCD  (Viswasam, Eslick, and Starcevic, 2019).ReferencesAmerican Psychiatric Association (APA). (2013). Diagnostic and statisticalmanual of mental disorders (5th ed.). Arlington, VA: Author.doi: 10.1176/appi.books.9780890425596.dsm06Bharadwaj, B., Endumathi, R., Parial, S., & Chandra, P. (2022). Management of psychiatric disorders during the perinatal period. Indian Journal of Psychiatry, 64, 414–428.https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_12_22Burton, H. A. L., Pickenhan, L., Carson, C., Salkovskis, P., & Alderdice, F. (2022). How womenwith obsessive compulsive disorder experience maternity care and mental health care during pregnancy and postpartum: A systematic literature review. Journal of Affective Disorders, 314, 1–18.https://doi.org/10.1016/j.jad.2022.06.041Iniesta-Sepúlveda, M., & Storch, E. A. (2017). Cognitive-behavioral therapy as an effective,safe, and acceptable intervention for OCD during pregnancy. Revista Brasileira de Psiquiatria, 39(1), 84.https://doi.org/10.1590/1516-4446-2016-1952Peggy, L., Cummings, N., & Mark, T. (2017). Off-Label Prescribing of Psychotropic Medication, 2005–2013: An Examination of Potential Influences. Psychiatric Services, 68(6), 549–558. https://doi.org/10.1176/appi.ps.201500482Viswasam, K., Eslick, G. D., & Starcevic, V. (2019). Prevalence, onset and course of anxiety disorders during pregnancy: A systematic review and meta analysis. Journal of Affective Disorders, 255, 27–40.

 
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Universal health care system

Describe the universal health care system in place in Massachusetts.

 
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Competency for ABG

CompetencyDescribe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.ScenarioTony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.Tony’s ABG results:pH 7.28PaCO2 – 55 mm HgPaO2 – 70 mm HgHCO3 – 30 mEq/LInstructionsIn a 1-2 page Word document:Determine Tony’s acid-base imbalanceDescribe possible causes of the imbalanceIdentify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalanceList the multidimensional care strategies that are appropriate for the care of TonyResourcesFor assistance with citations, refer to theAPA Guide.For assistance with research, refer to theNursing Research Guide.

 
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Asthma and Stepwise Management

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the “Stepwise Approach” for asthma treatment. Be sure to address the following:Describe long-term control and quick-relief treatment options for the asthma patient from your practice, as well as the impact these drugs might have on your patient.Explain the stepwise approach to asthma treatment and management for your patient.Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.3-4 references.

 
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schizophrenia

It’s common to find patients with schizophrenia that do not complain about their psychiatric medications. What strategies can you use to engage such patients in treatment? Why is long-term injection medication a great option for these patients? What non-pharmacological treatments could be appropriate for a schizophrenic patient? (behavioral therapy and providing the patient with community resources).Your post will be checked in Turnitin for plagiarism. Responses should be a minimum of 350 words, scholarly written, APA formatted, and referenced.  A minimum of 3 references are required (other than your textbook).

 
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Decision Making and Nursing leadership (Due 20 hours)

Parts 1, 2 and 3 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Parts 4, 5, 6, and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 7 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.The number of words in each paragraph should be similarPart 1: minimum 1 pagePart 2: minimum  1 pagePart 3: minimum  1 pagePart 4: minimum  1 pagePart 5: minimum  1 pagePart 6: minimum  1 pagePart 7: minimum  1 pageSubmit 1 document per part2)¨******APA normsThe number of words in each paragraph should be similarAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted 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 3 references (APA format) 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 XXXXQ3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Parts 1, 2, and 3  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 1: Decision Making1. Describe two parallels between Newman’s theory and Relational inquiry (One paragraph)2. Describe how people are conceptualized similarly according to Newman’s theory and Relational inquiry (One paragraph)a. Describe how people are conceptualized differently according to Newman’s theory and Relational inquiry3. How is health defined according to Newman’s theory and Relational inquiry (One paragraph)Part 2: Decision Making1. Describe two parallels between Newman’s theory and Relational inquiry (One paragraph)2. Describe how people are conceptualized similarly according to Newman’s theory and Relational inquiry (One paragraph)a. Describe how people are conceptualized differently according to Newman’s theory and Relational inquiry3. How is health defined according to Newman’s theory and Relational inquiry (One paragraph)Part 3: Decision Making1. Describe two parallels between Newman’s theory and Relational inquiry (One paragraph)2. Describe how people are conceptualized similarly according to Newman’s theory and Relational inquiry (One paragraph)a. Describe how people are conceptualized differently according to Newman’s theory and Relational inquiry3. How is health defined according to Newman’s theory and Relational inquiry (One paragraph)Parts 4, 5, 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 4: Nursing leadership1. What is the term Queen Bee syndrome (One paragraph)2. How Queen Bee syndrome related to leadership (One paragraph)3. Give one example according to your work   (Telemetry medsurge floor)    (One paragraph)Part 5: Nursing leadership1. What is the term Queen Bee syndrome (One paragraph)2. How Queen Bee syndrome related to leadership (One paragraph)3. Give one example according to your work    (ICU nurse)    (One paragraph)Part 6: Nursing leadership1. What is the term Queen Bee syndrome (One paragraph)2. How Queen Bee syndrome related to leadership (One paragraph)3. Give one example according to your work   (PACU nurse and recovery)   (One paragraph)Part 7: Nursing leadership1. What is the term Queen Bee syndrome (One paragraph)2. How Queen Bee syndrome related to leadership (One paragraph)3. Give one example according to your work  (Medsurg/teelemtry step dow unity)  (One paragraph)

 
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Discussion reply

How can we identify health risks, strengths, and needs in our comprehensive health assessment?When conducting a comprehensive health assessment, it provides you with a snapshot of the patient’s health status and the health risk of empaneled patients. For example, the Comprehensive Geriatric Assessment (CGA). Stensvik et al. (2022) noted that “CGA is performed at varying levels of intensity in different settings; accordingly, its content may vary with healthcare settings” (p. 2). In addition, a comprehensive health assessment identifies health problems that could be treated properly for better health outcomes. Due to specialties in healthcare each specialty has a systemic evaluation of the older adult/adult/adolescent/child/infant, accompanied by an individual care plan. These specific care plans provide the patients’ goals of care, who is responsible for obtaining these goals, and an obtainable/realistic timeline to achieve these goals/outcomes. Health assessment is a process involving systematic collection and analysis of health-related information on patients for use by patients, clinicians, and health care teams to identify and support beneficial health behaviors and mutually work to direct changes in potentially harmful health behaviors. In addition, comprehensive health assessments provide insight on health risk integrated with health education programs. Stensvik et al. (2022) noted that “The CC-approach promotes a person-centered care perspective since it involves individualized interventions aiming at assessing unmet needs and health problems, thereby the potential to modifying NPS” (p. 2). In relation to the CC-approach as future providers we need to continue to effectively use comprehensive health assessments. This is evident by reviewing feedback and follow-up support for patients.Give two examples with rationale for each.As I stated, the utilization of CC (Case-conferencing) is a beneficial way to identify health risk, strengths and needs in a comprehensive assessment. Stensvik et al. (2022) noted that “Regular CC-meetings enable the staff to communicate in a structured, systematic, and goal-oriented way, and thereby establish a common thought-through understanding of each case” (p. 2). Another example is to understand what your patients expect out of their comprehensive health assessment. When conducting a comprehensive helth assessment patients want a place where it is safe, and their voices are heard when they state their health concerns that are most important to them. In addition, being able to sit and genuinely listen to your patient’s priorities can help further establish an agenda that will essentially provide a more efficient visit and long-tern plan of care for the patient. Both examples will facilitate patients to engage in their own health and healthcare. As a result, it will lead to improved health choices and behaviors in a prolonged period.

 
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Plan for the Protection of Human Subjects -SUMMARY

the Project Author plan to protect the privacy and safety of the proposed content experts (human subjects) in

 
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