politics

politics and a health

This is the discussion question that is needed to be answered

Module 2: Discussion

Attached Files:
 

 In your reading assignments for this module, you read about a classic example of politics and health promotion in the episode of Rick Perry and the HPV vaccine. For your original post, cite another example of politics and a health promotion topic. An example could be smoking cessation and politics (whether on the local, state, or national level). Thoroughly explain how politics and the selected health promotion topic are related. Your post should clearly demonstrate a thorough understanding of the example being provided. Remember to include an APA formatted in-text citation and corresponding reference from a recent (within last 5 years) professional journal or website (NIH, CDC, etc.).

 

Provide your initial post, then engage at least two of your online colleagues in a discussion about his/her initial posts. Therefore, you should have at least one initial post and one response to each of two colleagues. Please note that your postings and responses must be “substantive”, which means that they are to be made AFTER you have read the assigned course material and additional self-chosen material. Please note that your Discussion Board assignments are worth a significant part of your course grade, therefore, you are expected to put thought and effort into these entries.

Original post is due by Wednesday at 2359, and the two responses to peers are due by Saturday of Module 2 at 2359.

An APA formatted in-text citation and corresponding reference from a recent (within last 5 years) professional journal or website (NIH, CDC, etc.) are required in your initial discussion post. Blogs, magazines, and newspapers are NOT considered scholarly, professional sources.

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Laws That Influence The Doctorally Prepared

Bills Or Laws That Influence The Doctorally Prepared Nurse 4 DQ 1

74J Adv Pract Oncol AdvancedPractitioner.com

Section Editors: Heather M. Hylton and Wendy H. Vogel

PRACTICE MATTERS

Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus MARY E. PETERSON, MS, APRN, AOCNP®

From St. David’s South Austin Medical Center, Austin, Texas

Author’s disclosures of potential conflicts of intersst are found at the end of this article.

Correspondence to: Mary E. Peterson, MS, APRN, AOCNP®, HCA Physician Services Group, 4700 James Casey, Suite B-149, Austin, TX 78704. E-mail: Mary.Peterson2@hcahealthcare.com

/orders/doi.org/10.6004/jadpro.2017.8.1.6

© 2017 Harborside Press®

In 1965, in answer to the growing demand for primary care, nurs-ing pioneer Loretta Ford, along with Dr. Henry Silver, created the first certificate program that pro- vided nurses with the skills to provide primary care to underserved popula- tions. Since the inception of that first program, the field has grown to include adult/gerontology, women’s health, neonatal, and other specialty roles, with minimum requirements for edu- cation at the master’s/doctoral level.

The growth of nurse practitioners (NPs) across all 50 states is unsur- prising given the current landscape of health care, yet barriers that limit practice need action at both the state and national levels. Access to care is a significant challenge for patients. This access is negatively impacted when qualified NPs are willing and able to deliver quality, cost-effective care, yet governmental bodies continue to ig- nore legislation that would update the laws and modernize health care.

IDENTIFYING RESTRICTIONS Individual states regulate NP practice. Currently, 22 states and the District of Columbia, or 44%, have adopted full practice authority licensure and prac- tice laws for NPs. Full practice author-

ity is defined by the American Associ- ation of Nurse Practitioners (AANP) as follows: “State practice and licen- sure law provides for all nurse practi- tioners to evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments—in- cluding prescribe medications—un- der the exclusive licensure authority of the state board of nursing.” The remaining states are categorized as either “reduced practice” (17 states, or 34%) or “restricted practice” (12 states, or 24%). The AANP further defines these categories as follows (AANP, 2016):

• Reduced Practice: The NP has the ability to engage in at least one element of the NP practice and is regulated through a collaborative agreement with an outside health discipline to provide patient care. • Restricted Practice: The NP has

the ability to engage in at least one element of NP practice and requires supervision, delegation, or team management by an outside health discipline to provide patient care.

In 2010, the Institute of Medicine (IOM), with the Robert Wood John- son Foundation (RWJF), published a landmark report titled, “The Future J Adv Pract Oncol 2017;8:74–81

75AdvancedPractitioner.com Vol 8  No 1  Jan/Feb 2017

BARRIERS TO PRACTICE PRACTICE MATTERS

of Nursing: Leading Change, Advancing Health.” This paper outlined four key messages: (1) Nurses should practice to the full extent of their educa- tion; (2) nurses should achieve higher levels of education and training through an improved edu- cation system that promotes seamless academic progression; (3) nurses should be full partners, with physicians and other health-care profession- als, in redesigning health care in the United States; and (4) effective work force planning and policy making require better data collection and an im- proved information infrastructure (IOM, 2010).

The report gives recommendations for imple- menting the key messages and recognizes “overly restrictive scope-of-practice regulation of NPs in some states as one of the most serious barriers to ac- cessible care” (IOM, 2010). Soon after the release of this report, the RWJF, with the American Associa- tion of Retired Persons (AARP), launched the Future of Nursing: Campaign for Action (the Campaign), which has since worked at the national and state lev- els to shepherd the report’s recommendations.

As a follow-up to the 2010 report, in 2015 RWJF released the report, “Assessing Progress on the In- stitute of Medicine Report: The Future of Nursing,” which states that the Campaign had made signifi- cant progress in a short period of time, but points out that barriers still exist and more work needs to be done. The report adds that we need to continue to “address challenges in the areas of health care delivery and scope of practice, education, collabora- tion, leadership, diversity in the nursing profession, and work force data” (National Academies of Sci- ences, Engineering, and Medicine, 2015).

SCOPE-OF-PRACTICE REGULATIONS Despite the original report in 2010, we still struggle against some of the same barriers. In some states, the battle to practice within the scope-of-practice regulations becomes further impeded by archaic hospital bylaws. Nurse practitioners with the same educational preparation and national certification may face a host of restrictions when relocating from one state to another, thus limiting their scope of practice (Safriet, 2011). Variations in the scope-of- practice regulations across states have an indirect impact on patient care, as the degree of physician supervision may affect practice opportunities and payer polices for NPs (Yee et al., 2013).

Further research looks promising in regard to health-care costs. One such study in 2013 “was in- conclusive for total health-care spending” (Mart- solf et al., 2015). However, it did show that prices ap- pear to go down slightly while utilization increases due to improvements in access to care. Spending in nine states that grant NPs full prescriptive author- ity does seem to increase slightly for some services, such as office visits, but acute coronary syndrome (ACS)-related emergency visits tend to drop.

Nurse practitioner independence might reori- ent spending toward higher-value services. If, as the studies suggest, full practice authority of NPs leads to more office-based primary care visits and checkups and fewer ACS emergency visits, then value per dollar spent should increase. There is not enough evidence to know the answer definitively. It does appear that restrictive laws could, in some states, force NPs to pay a significant share of prac- tice revenues to their collaborating physicians.

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Research Methods

Sociological Research Methods

SOC101: Week 1 Assignment Page 2

`

Worksheet: Sociological Research Methods

Assignment Overview

Each week day morning, you might purchase a caffeinated beverage from your favorite coffee shop. As you wait to receive your order, you notice some customers adding cream and/or sugar to their coffee. You read somewhere that 65% of coffee drinkers add cream and/or sugar. How was that fact determined? Sociologists use a variety of research methods – surveys, interviews, focus groups, observation, content analysis, and so forth when they study human behavior.

In this assignment, you will select a research method for doing a small sociological research study. For example, you might use a 10-question survey to determine attitudes about texting while driving. You will conduct your research and summarize your findings.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· Attend the instructor session to prepare for this assignment.

· To complete this assignment:

· Choose one of the following methods to conduct research for a sociological purpose:

· Survey, Interview, Focus Group, Observation, or other method

· Note: Review Week 1 readings on the intent of sociological research studies.

· Use the worksheet to track your research.

· Identify the research method that you will use.

· In a 50-word paragraph, write your survey, questions, or other indications on the topic that you are researching.

· Write a 200-250 word summary of your research findings; In addition, summarize what your learned about the research method used.

· Check your written draft against unintended plagiarism.

· Ensure that your responses are free of spelling and grammatical errors.

· Use the proper naming convention when saving your assignment:

· SOC101_wk1_assn_jsmith_mmddyyy

· Submit your assignment for grading.

Grading:

Grading Criteria Possible Points Points Achieved
Indicated clearly which research method was used. 10  
Stated clearly the sociological purpose of the brief research study with support from the textbook. 20  
Summarized the findings of the research method used and any other learning about this research method. 30  
Total Possible Points 60  

Assignment Worksheet:

1. Identify the research method used.

2. In a 50-word paragraph, write your survey, questions, or other indications on the topic that you are researching and explain the sociological purpose of your brief research study.

3. Write a 200-250 word summary of your research findings. In addition, summarize what your learned about the research method used.

Brief Research Study

1. Identify the research method used.

[Write your response here.]

2. In a 50-word paragraph, write your survey, questions, or other indications on the topic that you are researching. Be sure to explain the sociological purpose of your brief research study.

[Write your response here.]

3. Write a 200-250 word summary of your research findings. In addition, summarize what your learned about the research method used.

[Write your response here.]

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#35373 6 Pgs Editing In 8 Hrs

#35373 6 Pgs Editing In 8 Hrs

#35373 Topic: Decolonization through the journey of reflection

Number of Pages: 6 (Double Spaced)

Number of sources: 15

Writing Style: Harvard

Type of document: Editing

Academic Level:Undergraduate

Category:   Nursing

VIP Support: N/A

Language Style: English (U.K.)

Order Instructions: ATTACHED

DOCUMENT TO BE EDITED IS “CIHW_Reflection” other attached documents are order instructions, references and plagiarism report of the assignment already done.

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Case Study: Mr. C.

Case Study: Mr. C.

Case Study: Mr. C.

Case Study: Mr. C.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay 

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice

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NURS 6551 FINAL EXAM

NURS 6551 FINAL EXAM / NURS6551 FINAL EXAM (3 VERSIONS) (50 CORRECT Q & A IN EACH VERSION, TOTAL: 150 Q & A)

NURS 6551 Final Exam / NURS6551 Final Exam (Latest): Primary Care of Women: Walden University

Walden University NURS 6551 Final Exam / Walden University NURS6551 Final Exam

· Question 1

 

What is the general goal of surgical treatment for stress   UI?

 

· Question 2

 

Gender differences in heart disease can be found in:

 

· Question 3

 

Sarah, who just found out she is pregnant, is taking   prenatal vitamins with extra daily supplements of iron. She may be a   candidate for

 

· Question 4

 

Margie, who has been breastfeeding for 4 weeks, has   mastitis in her right breast and is taking Dixcloxacillin. She asks you what   she needs to do about feeding the baby. You respond

 

· Question 5

 

A 25-year-old obese female has a history of frequent   candida vaginal infections in the past year. She is in a monogamous sexual   relationship and uses and intrauterine device (IUD) for contraception. Of the   following, which is the most likely underlying condition predisposing her to recurring   candida vaginitis?

 

· Question 6

 

Qualitative urine testing for hCG (human chorionic   gonadotropin) can be done reliably ________ days after implantation of the   blastocyst (fertilized egg).

 

· Question 7

 

Karen is taking oral contraceptive pills for fertility   control. Karen calls the clinic and reports the presence of chest pain and   shortness of breath. You instruct Karen to:

 

· Question 8

 

A new mother asks, “Is it true that breast milk will   prevent my baby from catching colds and other infections?” You should   give which of the following replies based on current research findings:

 

· Question 9

 

What is a contributor to the increased incidence of   heartburn during pregnancy?

 

· Question 10

 

Nettie, who is pregnant, is suffering from exacerbation of   peptic ulcer disorder. Which is the best medication to order for her?

 

· Question 11

 

A common prenatal care model in which women have their   first visit with one provider and then subsequent visits in a group setting   is called:

 

· Question 12

 

Lynn comes to the clinic for her initial prenatal visit.   Based on her menstral history, the client is at 9 weeks’ gestation and is   scheduled to have an ultrasound for estimation of the gestational age of the   fetus. Which fetal measurement is the best indicator of gestational age at   this time?

 

· Question 13

 

What is a possible cause of abdominal pain during   pregnancy?

 

· Question 14

 

A 28-year-old pregnant patient, at 18 weeks gestation,   complains of feeling lightheaded when standing. which of the following is an   appropriate response by the nurse practitioner?

 

· Question 15

 

In order to maintain continence bladder pressure must be

 

· Question 16

 

How does the third stage of labor end?

 

· Question 17

 

Which of the following drugs should be used with extreme   caution in breastfeeding mothers?

 

· Question 18

 

How can hormonal influences during pregnancy cause   backache?

 

· Question 19

 

According to Naegele’s rule, if a woman’s last normal   menstral period (LNMP) was September 23, what is her estimated date of   delivery?

 

· Question 20

 

A poorly defined, flat, blue-black macule, present at   birth and usually on the trunk and buttocks, is a

 

· Question 21

 

The majority of early pregnancy losses are due to:

 

· Question 22

 

Without treatment shortly after birth, as many as 90   percent of infants born to hepatitis B–infected mothers will:

 

· Question 23

 

A 28-year-old pregnant patient gives a history of smoking   1 pack of cigarettes per day (1 PPD). The nurse practitioner is accurate when   she tells the patient that cigarette smoking is associated with:

 

· Question 24

 

Which of the following does not increase a woman’s risk   for developing cervical cancer?

 

· Question 25

 

A nurse practitioner is holding a prenatal nutrition class   for a group of patients. Considering cultural variations, which of the   following women may be increased risk for inadequate intake of calcium?

 

· Question 26

 

What is the best description of Bishop’s score?

 

· Question 27

 

Sandra, who is 5 months pregnant and of average height and   weight, asks you how many extra calories she should be adding to her diet per   day. You tell her to add:

 

· Question 28

 

What components make up the biophysical profile?

 

· Question 29

 

What is the leading cause of first-trimester maternal   death?

 

· Question 30

 

A newborn delivered by a mother with no prenatal care   exhibits the following: dysmorphic facial features including short palpebral   fissures, a thin upper lip, an elongated and flattened philtrum, and a   flattened midface region. You suspect that the mother engaged in what   behavior during pregnancy?

 

· Question 31

 

What is a common cause of leg cramps during pregnancy?

 

· Question 32

 

What is the simplest and safest method of suppressing   lactation after it has started?

 

· Question 33

 

Uncomplicated acute bacterial cystitis occurs in women   who:

 

· Question 34

 

Which of the following diseases is not acquired   transplancentally?

 

· Question 35

 

NSAID use during pregnancy has been linked to which   condition in newborns?

 

· Question 36

 

Carrie is due to deliver her second baby. During your work-up,   you note that she hemorrhaged after delivering her first baby 2 years ago,   has always had menorrhagia, and bruises easily. Her lab work reveals a normal   blood work-up, including a normal prothrombin time and activated partial   thromboplastin time. What do you suspect?

 

· Question 37

 

Screening for hyperlipidemia is recommended to begin at   what age for women with no risk factors?

 

· Question 38

 

A 20-year-old female patient presents with lower abdominal   pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure   is 85/50 mmHg, pulse 140, respirations 28, and temperature 98 deg. F. She has   a history of pelvic inflammatory disease (PID). Her urine pregnancy test is   positive. Which of the following is the most likely diagnosis?

 

· Question 39

 

Which of the following recommendations should you provide   to parents about reducing the risk of sudden infant death syndrome (SIDS)?

 

.

· Question 40

 

What is the recommended timing for gestational diabetes   screening?

 

· Question 41

 

What is an indication of the second stage of labor?

 

· Question 42

 

Liza is 34 weeks pregnant and has mild hypertension. You   are performing a nonstress test (NST). What is the criterion for a reactive   NST?

 

· Question 43

 

You see G5P4015 on a client’s history form. You surmise   that

 

· Question 44

 

A 50-year-old patient has abnormal vaginal bleeding with   heavy periods and intermenstrual water discharge with a small amount of   blood. What is the most likely diagnosis?

 

· Question 45

 

What is significant about cytomegalovirus (CMV)?

 

· Question 46

 

A 30-year-old female patient is seeking advice from the   nurse practitioner about becoming pregnant. She is currently taking an oral   contraceptive. She gives a history of having a hydatidiform molar pregnancy 2   years ago. The appropriate plan of care for this patient should include:

 

· Question 47

 

A woman with hyperemesis gravidarum would most likely   benefit from a plan of care designed to address which of the following   nursing diagnosis?

 

· Question 48

 

All except which of the following are important historical   questions for a 29-year-old woman in clinic for right-sided weakness?

 

· Question 49

 

The onset of labor is indicated by regular uterine   contractions and:

 

· Question 50

 

An example of an X-linked recessive condition or trait is

 

· Question 51

 

When completing this quiz,   did you comply with Walden University’s Code of Conduct including the   expectations for academic integrity?

 

NURS 6551 Final Exam / NURS6551 Final Exam (Latest): Primary Care of Women: Walden University

Walden University NURS 6551 Final Exam / Walden University NURS6551 Final Exam

What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs?

 

a. Seven-day regimens   are now recommended.

 

b. Three times a day   of oral antibiotics are now recommended.

 

c. Three-day regimens   are now recommended.

 

d. A single dose is   now recommended.

What is considered to be a common trigger of psoriasis?

 

a.   Stress

 

b.   Pregnancy

 

c.   Migraines

 

d.   Menstruation

The clinician is seeing a 48-year-old woman for the first time. She is overweight and has a blood pressure of 120/92. She is on no medications and does not smoke or drink alcohol. Her family history is negative for heart disease. Her physical exam is unremarkable. The clinician should advise her as follows:

 

a.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

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521 Replies Week 5

521 Replies Week 5

 

Discussion 1

COLLAPSE

Top of Form

Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.

Bottom of Form

Reply 1

Hannie

Patients have many needs that are associated with being hospitalized. Often patients may not have the understanding, resources, or ability to ensure that they are receiving the best care. Additionally, when a patient comes to the hospital they often have many different dynamics that make up their lives (Butts & Rich, 2016). According to Jacksonville University (2017), nurses must advocate on behalf of their patients as is supported by the ANA code of ethics. Many times, a patient may be scared to ask a physician more details about their diagnosis. It is the responsibility of the nurse to ensure they can understand what is going on. One instance that comes to mind is related to last fall when I volunteered in Houston, Texas with the flood victims. Having been called to provide emergency care at a shelter that was housing 5000 people, I readily left and joined this amazing team. One night a gentleman came to the clinic complaining of chest pain. Initial indications showed the patient was most likely having a heart attack. The patient needed emergent treatment and transport to the hospital. However, the patient refused all care and said he could not leave. After the patient was gone, my charge nurse and I decided to follow him back to his cot. From a distance, we could see he had three dogs. We cautiously approached him and told him we were extremely concerned for this wellbeing. He looked at us and said to us, “See these three dogs, they are the only family I have. They are the only things that are valuable to me. If I leave and go to the hospital no one will care for them, and the animal shelter will take them and I’ll never get them back.” We could easily see his dilemma. We asked him if we could figure out a better option if he would go to the hospital. Ultimately, we found out that animal services would watch his dogs for 15 days, and that he would get them back without having to pay money or any hassle. He was able to go to ER for care. This is just one example. However, daily nurses must advocate for their patients. A few other examples are related to medication, code status, end of life care, family dynamics, appropriate, timely treatment, and the list goes on and on.

In my experience, nurses receive extensive treatment related to the subject of advocacy. However, it is possible that nurses lose sight of how to be true advocates due to personal biases. The nursing program I attended and this BSN program have both had strong support for nursing advocacy. There is always a chance for growth, and nurses should actively seek out ways to learn how to be better advocates for their patients.

Reply 2

Krostopher

The role of a registered nurse in patient advocacy includes helping patients make informed choices or decisions about their health. The nurses are tasked with the role of assisting patients in navigating the complex medical system, enable patients to made essential ethical choices and help in translating medical terms for patients (Hewitt, 2002). Since registered nurses have direct contact with patients, they are positioned to advocate for care services that are offered. Further, the role of the registered nurse in patient advocacy includes promoting patient equality, so respect for the patient’s worth, uniqueness, and dignity is enhanced. As a result, by successfully ensuring that the care needs of the patients have been advocated, the healing process will be promoted.

There are distinct situations that nursing advocacy can help patients within the care environment. One of the situations is when patients do not have understanding of medications or or therapies they are undergoing. A registered nurse needs to give patients a voice when a doctor is describing a treatment or a diagnosis so it enables them to ask questions, translate information about medical information, and ask a question about things that they do not understand (Bu et al., 2008). Further, patients experiencing chronic conditions can be helped through nursing advocacy, where patients are assisted when they are in such a care environment. They should be taught how they can improve their everyday quality of life through eating healthy.

Nurses are adequately prepared in pre-licensure education to enable them to act as patient advocates. In recent years, patient advocacy has been moved beyond a duty that is associated with a Registered Nurse but a specialty role in care institutions, governmental agencies, and non-governmental organizations (Seal, 2007). Nurses can now promote patient advocacy by supporting patient rights, advising them, helping them make the right care decision, and educate them about medical terms that a doctor tells them.

Discussion 2

COLLAPSE

Top of Form

The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not?

Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text.

Bottom of Form

Reply 1

Veronica

The ANA Code of Ethics prefers medical professionals use the word “patient” instead of the word “client” when referring to those who are receiving care, and is something I agree with. According to Butts (2016), the term “patient” has ancient roots that correlate with suffering, while the “root of client implies one who listens, leans upon, or follows another” (Butts, 2016, p. 461). When patients come into the clinic or hospital, they are typically ill which could be considered to fall under suffering. The term “patient” feels more personal, caring, and interconnected.  On the other hand, the term “client” feels more unsentimental and businesslike, which is not ideal when caring for individuals who are ill and at their most vulnerable. As a patient, we would want the individual taking care of us to be compassionate and feel as though they truly care about your well-being.

Reply 2

Ingrid

COLLAPSE

Top of Form

Based on the text, the word patient has its roots derived in the term of “suffering” and has the connotation and association with an individual who receives treatment whereas the word “client” suggests a more transactional connotation often associated with consultation or business. The word “client” involves an individual who listens and follows another (Butts, 2015).

Personally, I agree with this change and retention of the term “patient” and the understanding that patients are considered to be consumers of health care. The word “client” has a more transactional sense to me and that it feels less personable as compared to a “patient”. Nursing provides the service of caring and preservation of human dignity therefore the term “client” makes a person seem like a commodity versus as a human being. Referring to a patient involves a deeper connection in that a person relies on the nurse for their care and well-being. A patient is entrusting his/her health to a health care professional to guarantee that they are kept safe.

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Advanced Health Assessment

Advanced Health Assessment

Advanced Health Assessment

Advanced Health Assessment

Back pain

A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

Respond to this

#1

42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

 

Patient Information:

R.E, 42-year-old African American male

Subjective

CC: “Lower back pain”

HPI: A 42-year-old black African American male who came to the clinic today for complaining of lower back pain which he reported started a month ago. The patient stated that the pain sometimes radiates to his left leg.

 

Location: Lower back

Onset: One month ago

Character: Sharp, constant, radiating to left leg

Associated signs and symptoms: None

Timing: Starts when at work

Exacerbating/ relieving factors: Any movement. Ibuprofen helps to relief the pain temporarily.

Severity: 7/10 pain scale

Medications:

Ibuprofen 200mg 3 tablets every 6 hours PRN for lower back pain.

Amlodipine 10mg daily for hypertension x1 years.

Allergies: No known drug allergy, no food allergy, no seasonal allergy and No known allergy to latex/rubber.

PMHx:

Hypertension diagnosed one year ago.

Influenza vaccine November of 2020.

Tdap vaccine 2018.

Pneumonia: Not yet had any pneumococcal vaccine.

Up to date on all childhood immunizations.

Past surgical history: None.

Social History: Mr. R.E is happily married with three children. He has a bachelor’s degree in medical laboratory and works in the hospital setting. Mr. R.E denies ever smoking, but he drinks Corona beer occasionally and during festive period with friends and family. He denies using any illicit drugs and the thought of suicidal ideation. He goes to the gym at least 1-2 times in a week and walk around his neighborhood to keep him physically active and healthy.  He loves dancing as a hobby and going for vacations with his family. The patient reported that he loves to maintain his activities of daily living and dress according to weather, as for his instrumental Activities of Daily Living he said he manages his finances and financial assets by paying his bills early. Mr. R.E loves his traditional African food and occasionally eat out. The patient reported that he keeps to safety measures by putting on his seatbelt and not texting while driving, he also reported having a working smoke detector and a security camera in his house. He has a good family support system for his wife and children. He sleeps 6-8 hours per night.

Family History:

Mr. R.E mother is still alive, age 70, has hypertension and type 2 diabetes mellitus. The Father is still living; he is 72 years old who has asthma.

Maternal grandmother deceased at age 78, had a stroke, she was diabetic.

Maternal grandfather, deceased at age 80, had prostate cancer.

Paternal grandmother deceased at age 70, from chronic obstructive pulmonary disease (COPD)

Paternal grandfather age 95, still alive had asthma.

Brother age 55 has type 2 diabetes mellitus.

Son, age 20, no health issues

Daughter age 16. No health issues.

Daughter 12, no health issues.

General:

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Legislation Comparison Grid And Testimony

Legislation Comparison Grid And Testimony/Advocacy Statement

To Prepare:

  • Select a bill that has been proposed (not one that has  been enacted) using the congressional websites provided in the Learning  Resources.

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you  selected, complete the Legislation Comparison Grid Template. Be sure to  address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?
  • Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to  2-page Legislation Testimony/Advocacy Statement that addresses the  following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • Recommend at least one amendment to the bill in support of your position.

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Personality Disorder

Personality Disorder

Spring 2021 Prof Lavon Williams FINAL EXAM

1. In child psychotherapy consideration of systems that promote a child’s ongoing development include which of the following?

A .

Peers

B .

Family

C .

School

D .

Communi ty

2. Which of the following is a philosophical approach to psychotherapy which deals with universal themes of life?

A .

Gestalt Therapy

B .

Psychoanalysis

C .

Existential psychotherapy

D .

Person-Centered Psychotherapy

Dysregulation of this area of the brain is associated with memory problems and this person may be unable to integrate memories into the present and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation.

A .

Locus coeruleus

B .

Cerebellum

C .

Thalamus

D .

Hypothalamu s

Which of the following is true about communication with children and adolescents?

A .

Communication is developmentally based.

B .

Offices should be free of toys or distractions.

C .

Speak to children in adult manner as it lets them know you take them seriously.

D .

Communicate at level lower than the child or adolescent to improve their self-esteem.

Question 5 There is growing evidence that some behavior problems can be prevented in children. Effective prevention strategies do not include which of the following?

A .

Supporting parent’s mental health

B .

Reducing exposure to stresses

C .

Helping parents learn ways to stimulate and have positive interaction s with their infants and young children.

D .

Guided exposure to stressors to increase resilience.

The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model?

A .

Pretreatme nt

B .

Stage 1

C .

Stage 2

D .

Stage 3

Question 7 According to the Trauma Resiliency Model which of the following occurs?

A .

Emotions precede and underlie physical sensations of trauma,

B .

Physical sensations precede and underlie emotions of trauma.

C .

Physical sensations and emotional sensations occur simultaneously.

D .

None of the above have anything to do with TRM.

Question 8

When referring a patient to a 12-step group the advanced practice psychiatric nurse realizes which of the following supports successful patient engagement in 12-step group participation?

A .

Provide an overview of the 12-step approach, explain the concept of powerlessness and spirituality within the 12-step tradition.

B .

Use MI to contract for attendance at several different groups to find the right “fit” and encourage attendance.

C .

Encourage patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.

D .

A and B only

Which of the following medications may be recommended for patients with insomnia due to PTSD?

A .

Any antidepressant can offer as first-line treatment in adults for PTSD.

B .

Non-benzodiazepines such as trazodone (Desyrel)

C .

Prazosin (Minipress) may be helpful if nightmares are present.

D .

B and C

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