Public speaking
Step 1: Post the following on the discussion board.
Respond to the following, and if appropriate, include personal experience as part of your answers.
Think about this statement: The most common major error that a speaker can make is to attempt to cover a topic that is too broad in scope.
Imagine that you are preparing to speak to a group of high school students, with the purpose of motivating the students to vote. Your topic for this speech is “Today’s Teens Just Don’t Care.” Do you believe this topic is too broad? Explain why or why not.
List the steps that you would take to narrow your topic.
Step 2: Read other students’ posts and respond to at least 2 other students.
Again, use any personal experience if appropriate to help support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.
Step 3: Instructor reviews posts.
Step 4: Instructor circulates an email summarizing steps public speakers can take to narrow their topic
Course Reflection
As the quarter is coming to a close, reflect back on the concepts and learning experiences which have occurred, and answer the following:
What did you learn from this course that you did not already know?
How will you apply what you learned to your patient care?
Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations.
Include in-text citation and References APA format.",######$$$$$$$$$##########
W2 Practicum Assignment,"Assignment 2: Week 2 Practicum Journal: Safe Prescribing
There is probably no greater responsibility that the psychiatric mental health nurse practitioner assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.
In this Practicum Journal Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state.
Students will:
Analyze roles of the Drug Enforcement Administration
Analyze PMHNP responsibilities when issued a DEA number
Analyze DEA number application procedures
Analyze state requirements for safe prescribing and prescription monitoring
Analyze PMHNP responsibilities for safe prescribing and prescription monitoring
Analyze Schedule II-V drug levels
To prepare for this Practicum Journal:
Review the Learning Resources.
In 2-3 pages:
Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.
Explain your responsibilities when having a DEA number.
Explain how you apply for a DEA number.
Explain your state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements.
Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.
LINKS:
https://www.dea.gov/sites/default/files/drug_of_abuse.pdf
https://www.deadiversion.usdoj.gov/pubs/manuals/pract/pract_manual012508.pdf",######$$$$$$$$$##########
Discussion Board Protecting Patient information,"122,000 Providence Health Plan Members Impacted by Dominion National Data Breach
Go to the HIPAA Journal website (Links to an external site.).
In your initial post summarize and include the following information:
healthcare organization and location
type of service(s) provided by the organization
type of breach
time period over which breach occurred
number of and type of clients impacted
recommendation actions to resolve the case including any fines or penalties.
in conclusion, formulate an opinion on a risk management activity that could have been implemented to prevent the breach.
Provide a thoughtful and complete initial post that is two to three paragraphs (minimum of 400 words),
1 . Use APA format and cite sources, as necessary.
2. Student’s must use a minimum of 3 scholarly references – scholarly references can include peer-reviewed articles, textbooks, journals, and scholarly news articles. No YouTube videos.
No plagiarism
Textbook Title: The Law of Healthcare Administration
Edition #:8
Author: J. Stuart Showalter, JD
Year: 2017
Public speaking
Step 1: Post the following on the discussion board.
Respond to the following, and if appropriate, include personal experience as part of your answers.
Think about this statement: The most common major error that a speaker can make is to attempt to cover a topic that is too broad in scope.
Imagine that you are preparing to speak to a group of high school students, with the purpose of motivating the students to vote. Your topic for this speech is “Today’s Teens Just Don’t Care.” Do you believe this topic is too broad? Explain why or why not.
List the steps that you would take to narrow your topic.
Step 2: Read other students’ posts and respond to at least 2 other students.
Again, use any personal experience if appropriate to help support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.
Step 3: Instructor reviews posts.
Step 4: Instructor circulates an email summarizing steps public speakers can take to narrow their topic
Adaptive Response
As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.
Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.
To Prepare
Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
Review the Application Assignment Rubric found under Course Information
To Complete
Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:
For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.
Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
This Assignment is due.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting
Disorders of the Veins and Arteries
Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT.
To Prepare
Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.
Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis.
To Complete
Write a 2- to 3-page paper that addresses the following:
Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.
Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper
ARNP scope of practice
Review the following article: https://journals.sagepub.com/doi/full/10.1177/0193945918820338
Mark, B. A., & Patel, E. (2019). Nurse Practitioner Scope of Practice: What Do We Know and Where Do We Go?. doi:https://doi.org/10.1177/0193945918820338 This week assignment:
From above identify three challenges the Advanced Nurse Practitioner encounter in their Scope of practice (SOP)
Screening, Brief Intervention, and Referral to Treatment Presentation
","Purpose
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice intervention used to identify, reduce, and prevent problematic use, abuse, and dependence on substances such as tobacco, alcohol, and illicit drugs. The SBIRT model was incited by an Institute of Medicine (IOM) recommendation that called for community-based screening for health-risk behaviors. The purpose of this assignment is to integrate SBIRT into nursing practice to help stimulate positive change at the individual and population-focused level of care.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes (COs).
CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO4, PO8)
CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO1)
Due Date
Submit your completed SBIRT presentation by 11:59 p.m. MT Sunday of Week 6.
Points:
225 points
Background information
SBIRT consists of three major components.
1. Screening—A healthcare professional assesses a patient for concerning behaviors using standardized screening tools. Screening can occur in any healthcare setting.
2. Brief Intervention—A healthcare professional engages a patient in a short conversation, providing feedback and advice regarding concerning behaviors.
3. Referral to Treatment—A healthcare professional provides a referral to resources and/or treatment options and additional services available (Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.)
Directions
Prior to starting the presentation, you are to read the assigned training.
SBIRT Education. (n.d.). Overview of screening, assessment and brief intervention: A nursing response to the full spectrum of substance abuse retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm. Here is the direct link: Intervention and Nursing Response article (Links to an external site.)
Choose ""Watch On-Demand Recording""
Start at minute 9:08/slide 12 and end at 1 hr 27 sec (slide 80)
Or you may go directly to the YouTube video:
SBIRT Education. (2015, May 10). Overview of SBIRT: A nursing response to the full spectrum of substance use [Video File]. Retrieved from https://www.youtube.com/watch?v=TZvCQUmN8c. Here is the direct link: YouTube Video for Intervention and Nursing Response (Links to an external site.)
Use this BNI checklist for the role play at the end: BNI Checklist (Links to an external site.) SBIRT Education. (n.d.). Brief negotiated interview checklist [PDF Document]. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm
You are encouraged to review the assignment tutorial found at the end of the Academic Integrity Reminder.
Next, choose one addiction or problem to focus on for this assignment from the options below.
Nicotine (all tobacco and electronic nicotine delivery systems)
Alcohol
Drug use (addictive prescription or illicit)
You must be specific to which drug you are choosing
You are required to use one of the problems listed above. Assignments that do not follow the current guidelines or use the required forms or templates will be evaluated for evidence of an academic integrity violation. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.
After you have chosen the addiction/problem, you are to research SBIRT training specific to that addiction/problem. Before starting to work on the presentation, it is vital you understand how SBIRT is used with that particular addiction/problem. You must find at least two scholarly resources (other than readings assigned in the course) and one video resource. Search YouTube for one SBIRT training video from a reputable source that shows a provider using SBIRT with a patient. Watch this video so that you understand the steps of SBIRT.
You may choose to complete this assignment as a PowerPoint poster or PowerPoint multiple slide presentation. Download the SBIRT PowerPoint poster (Links to an external site.) or slide presentation template (Links to an external site.).
Submit the completed PowerPoint poster or slide presentation by Sunday, 11:59 p.m. MT at the end of Week 6.
Length: The poster should be one page with all boxes on template complete. The slide presentation should be no more than twelve slides, not including the title and references slides.
Guidelines
Below are the requirements needed for successful completion of the SBIRT: Screening, Brief Intervention, and Referral to Treatment presentation.
Introduction to the problem and/or addiction: Clearly identify the problem, and discuss specific statistics from your community related to this problem. You may use city or county data. For example, if you choose tobacco use, you should find the tobacco use rate in your city or county. **Please note, this is only an example, you must choose from one of the topic options provided in the guidelines above.**
Problem description: Utilize one scholarly reference (not assigned in this course) to describe this problem/addiction. Discuss reasons why this may be a problem in your community. Cite all sources.
SBIRT description: Utilize at least one scholarly reference different from the one selected for the problem description above, and not assigned in this course, to describe how SBIRT is used with this specific addiction/problem. Identify specific steps and questions that are used.
Video: Locate and describe at least one video that demonstrates SBIRT related to the addiction you chose.
Citation: Cite all sources.
Community resources: Describe at least two available community resources to which you may refer people who have this problem or an increased potential for acquiring this problem. You are to provide the names of these resources and brief descriptions. You may use online resources if community resources are not available.
Conclusion/future implications for nursing: Provide a summary of your findings. Discuss the use of SBIRT in nursing practice.
References: Provide all references for all sources utilized. Use APA format; however, a hanging indent is not necessary.
Best Practices in Preparing PowerPoint
The following are best practices in preparing this presentation.
Review directions thoroughly.
We recommend that you use one of the linked templates. Replace the placeholder text with your own content. Use a black or colored font that is easy to read.
Be creative. You may choose a design (from Design tab) to enhance visual appeal.
Incorporate graphics, clip art, or photographs to increase interest.
Use short bullet points and large font for easier reading. For PowerPoint slides, use no more than eight lines per slide and no more than eight words per line.
Do not use the notes section in the PowerPoint format (they are not visible in Canvas-Speedgrader)
Cite all sources within the slides or poster with (author, year) as well as on the Reference slide or section.
Proofread prior to final submission.
Spell check for spelling and grammatical errors prior to final submission.
Reference
Substance Abuse and Mental Health Services Administration (SAMHSA). (n.d.). SBIRT: Screening, Brief Intervention, and Referral to Treatment.
References: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.
Nies, M. A., & McEwen, M. (2019). Community/public health nursing: Promoting the health of populations (7 ed.). St. Louis, MO: Elsevier
Psychiatric Care and Mental Health in the Community
Psychiatric Care and Mental Health in the Community
Read chapter 24 (PowerPoint Attached) once done answer the following questions;
1- Explain and give some examples of the concepts of community mental health and discuss the importance of community mental health promotion in special populations.
2- Describe the biological, social, and political factors associated with mental illness.
3- Describe different types of evidence-based treatment for mental disorders, including the use of psychotropic medication management, community case management, and crisis intervention. Give at least one example.
4- Describe the role of mental health nurses in the community.
INSTRUCTIONS:
*Original papers (NO Plagiarism)
*APA format word document, Arial 12
*A minimum of 3 evidence-based references besides the class textbook no older than 5 years.
*A minimum of 750 words is required. Please make sure to follow the instructions as given
Evidence-Based Project Implementation Issues
Consider the issues you have noticed while implementing the intervention and/or gathering data for your DNP Project or another evidence-based project. Bring to mind Dr. Mauk’s comments on social, political, technological, and/or financial considerations in the Weeks 2 and 3 media program. Reflect on how these considerations have, or may, affect your implementation.
Think about any unexpected developments that arose (or may arise) during the implementation phase of your evidence-based project. What was the root cause of each development and its effect on your project?
Return to the literature and note any variances between your activities, relevant standards and guidelines, and what is considered “best practice.”
Evaluate your original plan for developing and implementing your DNP project (regardless of where you are in the process right now) or another evidence-based project. What, if anything, would you change in order to improve the process, quality of data, etc.?
By Day 3 of Week 2
Post a cohesive response that addresses the following:
Describe one or more significant issues related to the implementation of and data gathering for an evidence-based project. Assess the cause and meaning of each issue for your evidence-based project. If applicable, describe how the issue may have compromised your project.
What insights related to variances between project activities, relevant standards and guidelines, and what is considered “best practice” are most significant for this evidence-based project?
Summarize your evaluation of the planning for and implementation of the intervention, noting opportunities for improvement with future projects
Health care informatics
Conduct a literature search to locate a nursing intervention delivered via telehealth. Summarize the findings of the literature review in the form of a table. This table should include the article title, database used, summarize the key points of article, summarize findings, Is this applicable to patient population
Imagine that you are a public health informatics specialist and you and your colleagues have determined that the threat of a new strain of influenza indicates a need for a mass inoculation program. What public health data would have been used to determine the need for such a program and what data will be collected to determine the success of such a program?
What are the ethical considerations related to interoperability and a shared electronic health record?
Please submit the literature review table and one APA formatted analysis for bullets 2 and 3 between 500-1000 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.
McGonigle, D. & Mastrian, K. (2017) Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett
please I need an introduction and a conclusion.
