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 I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

Diagnosis from Diagnostic and Statistical Manual of Mental Health Disorders, DSM-5 and justification

The most likely DSM diagnosis for the patient is Major Depressive Disorder, recurrent episode, severe with psychotic features.

I diagnosed the patient with Major Depressive Disorder, recurrent episode, severe, with psychotic features because of the symptoms she is exhibiting like being sad, anxious, depressed most of the time, cutting self ,suicide attempts by overdose on acetaminophen. He continues to be withdrawn to self. According to the American Psychiatric Association (2013), this diagnosis can be specific if the patient exhibits signs of anxiety, with melancholic features; or mixed with atypical features and mood-incongruent psychotic features. Also, if the patient has during the same 2-week period shown five or more of the following symptoms: In the case study the patient continues to manifest

Depressed mood example, feeling sad, empty, or hopeless (most of the day, nearly every day) 

 clearly diminished or loss of interest or pleasure in all, or almost all, activities most of the day, nearly every day

-Feelings of worthlessness as stated by patient after the breakup.

-Fatigue and loss of energy nearly every day

-Insomnia nearly every day.

-Recurring and persistent suicidal ideation without or a suicide attempt or a precise plan for committing suicide.
The above symptoms enumerated are based on what is specific on the patient from the list in the DSM-5 because this is what the patient presents with (American Psychiatric Association, 2013). Also, Oyama and Piotrowski (2013), states that depression is mostly used to express diverse feeling.

Explain group Therapeutic Approaches you might use with this Client

CBT is the treatment modality I will use to treat the client through cognitive restructuring and positive self-talk to eliminate negative thoughts. It attempts to correct cognitive distortions, particularly negative conceptions of one’s self.

Possible ways of coping with these feelings discussed along with activities that may help to reduce the symptoms.

Explain Expected Outcomes for the client based on these Therapeutic approaches

Open Communication with therapist and staff about depression

Improved sleep patterns

Reduced Anxiety

Legal and/or ethical implications related to counseling each client

            Ethically both the child and parents should be involved in the child’s healthcare decisions. According to Vitello (2013the parents give legal consent for treatment and thus the physician ought to carry the parent along with treatment plans, and medication management. Communication is important because any misunderstanding between parent and prescribers’ instruction can be harmful to the child. Effective communication between the parent and the provider is important because the parent is accountable to guarantee that the child is medicated as ordered and to report any adverse effect. Purnell (2014) advices that understanding communication styles, the cultural variances and values, and other communication competencies is important to be acquainted with the patients from different cultures.  

References

American Psychiatric Association. Task Force on DSM-IV. (2013). Diagnostic and statistical      manual of mental disorder: DSM-IV. Washington, D.C.: American Psychiatric.

Oyama, O. P., & Piotrowski, N. P. (2013). Depression. Magill’s Medical Guide (Online Edition).

Purnell, L. D. (2014). Guide to culturally competent health care. F.A. Davis.

Vitello, B. (2013). How effective are the current treatments for children diagnosed with    manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-     0060-3 https://mym.cdn.laureate-  media.com/2dett4d/Walden/NURS/6630/02/mm/therapy_for_pediatric_clients_with   mood disorders/1.html

#1)  Write down sample nursing diagnoses, interventions, and expected outcomes for the following client:

Elaina, 27 years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. She also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. She intends to keep the baby and would rather not tell her partner because “they don’t have that kind of a relationship.” Elaina asks the nurse “If I take good care of myself, why do I need prenatal care?”

#2) Explain how the fetus is affected by tobacco use during pregnancy.  Keeping in mind the 2020 National Health Goals, what are some things you can do as a nurse to promote these goals and carry your ideas out into the community.

#3) You are asked to perform an assessment of a pregnant  woman and her family. Prior to the assessment, devise a list of interview questions to use to assess the woman’s readiness for parenthood and current health status as well as her goals for the pregnancy.

#4) For each of the following QSEN competencies write a list of nursing interventions for promoting fetal and maternal health related to each competency:

         Patient centered care

        Teamwork and collaboration

         Evidence-based practice

        Quality improvement

         Safety

         Informatics.

#5)  List the four major hormones produced in early pregnancy.  Describe what each one does.
APA Format

Assignment Outcomes:

At the conclusion of this assignment, students will be able to: 

• Describe the scope of foodborne illness in the United States 
• Describe four core food handling practices to reduce the risk of foodborne illness 
• Identify foods most likely to be associated with foodborne illness

 Access information related to safe food handling at FightBac.org and the CDC. Although students may browse the entire site, they should focus the majority of their time reading the sections entitled, “Clean,” “Separate,” “Cook,” and “Chill.” 

Students will research a recent outbreak of foodborne illness in the news and write a written report. Although students may include additional information, the following information is required: 

• News source 
• Date of news report 
• Number of individuals affected 
• Food source 
• Microorganism causing the illness 
• Symptoms of illness 
• How could this foodborne illness have been prevented?

 Within the written report, students should also address these points:

• Define foodborne illness in your own words 
• Identify a favorite food that would be classified as a potentially hazardous food
• Give examples of cross contamination of food
• Provide at least one recommendation from each of the 4 core practices (e.g. prior to cooking, store chicken in refrigerator at 40 F or lower).

Please review attached grading rubric and for the sources please use credible online sources. 

Actual work where 2 students given their post on this:

Discuss in 500 words or more best practices for incident response in the cloud. Refer to at least one incidence response framework.

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’.   

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  

Please find the attachment. 

Cultural competence is “a process for addressing disparities, based on race, ethnicity, and culture” (Isaacs et al., 2005, p. 5). Nurses must be culturally competent to provide effective and therapeutic care for patients.  It is part of a holistic treatment process. 

How does culture shape an individual’s view of mental health?

Every culture has a different way of looking at mental health and its own way of explaining mental illness which is based on a set of beliefs and practices. Due to shame and stigma associated with mental health illness and individual’s cultural beliefs, what culture has taught them on what to approach and what to avoid, a person may tend not to discuss their mental health challenges and ask for help (Gopalakrishnan, 2018). Furthermore, due to cultural influences on mental health, it may affect the way a person may describe their symptoms because of fear of being mistreated and discriminated.

Discuss why culture competence is important to nursing?

 Cultural competence is the mainstream of a great nurse- patient relationship. It helps the growth and development of nurses while also incorporating relevant societal values. Cultural competence is important in nursing care because it gives nurses the ability to provide the best health care to patients while demonstrating cultural awareness for their beliefs, race, and values. Cultural competence in nursing is necessary because it leads to significant satisfaction of care on the side of the patient and the key point is help nurses to have broader knowledge base of different cultures, communicate, and interact with their patient effectively.

What steps can a nurse take to be culturally competent?

Cultural competence is the capacity to recognize, respect and respond with appropriate words and actions to the needs and concerns of individuals from different ethnicities, social classes, genders, ages, or religions. The steps that nurses can take to be culturally competence includes cultural knowledge, cultural awareness, avoid making assumptions, build trust and rapport, educate patients about medical practices, and practice active listening (Sperry, 2012). Overcoming language barriers would also be beneficial for nurses to effectively communicate with patient by checking with facility for translator availability and using pictures and hand gesture to communicate when needed.

Paper of a video case of client rights! 3 pages minimum. 

First discussion

 Discussion PromptCOLLAPSE

Abortion is one of the most difficult and controversial moral issues we will consider. Listen to both sides, even if it is difficult to do. Both sides have important moral insights, even if ultimately these insights are outweighed by the insights of the other side. The goal of this discussion is not to convince you to accept one position over the other, but to help you to understand both sides. As you consider this difficult issue, it is important to distinguish two questions:

• Is abortion morally wrong?
• Should abortion be illegal?

Choose one of the questions above and argue both sides with supporting evidence. Please write your discussion choice in the title line. Remember to respond to at least two of your classmates’ posts.

Second discussion 

 As you near the completion of your personalized study plan,

share with your classmates what test taking strategies you have implemented

to prepare for your posttest. How will this be useful in your other General Education courses?

* Each discussion need two responses

*Both work need PLAG report

  Choose a global health issue. For this assignment, you will introduce the health issue and discuss the interventions necessary to prevent the issue and promote health.

Topic: Tuberculosis 

Include the following in your paper:

• Introduction/overview of the health issue and the prevalence in the United States and worldwide
• Contributing factors
• Prevention strategies
• Signs and symptoms
• Diagnostic tests (if applicable)
• Advanced practice nursing role and management strategies
• Medical/pharmacological management (if applicable)
• Follow-up care
• Conclusion

Write a 4 page paper following APA format. You must include 2–3 scholarly sources in your citations and references not older than 2015.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

attached is the case scenario

Great post. What designs were used within the articles that you reviewed? 

The identified problem can be categorized under qualitative design. The level of evidence that can be used to explain this problem is Level VI. First, it’s important to note that qualitative design research is specifically expressed in terms of words. It’s basically used for understanding concepts, thoughts or even experiences. This research helps in gathering an in-depth insights on the topics that are well understood. In the identified problem, the patients as well as families will be basically be the center of the research. The type of information that will be collected will actually depend on the decision that will be made by the patients as well as the family members. The healthcare quality will specifically depend on individual preferences depending on the standards of living and financial stability of a patient. Hence this is an indication that the information which will be collected will specifically qualitative. The methods to be applied in data collection for instance will be interviewing the patients with open ended questions, observing which will entail describing the situation in words, besides the exploration of the concepts and theories surrounding patients’ quality care (Peterson, 2019).

This is specifically the fundamentals of qualitative research design. The surveys are also other common method that will be applicable in data collection. This is because it contains a list of closed or multiple choice questions which are distributed to a sample of patients either directly or even via online. The Level IV evidence is chosen for it is actually an evidence from a single descriptive or qualitative study. This being a qualitative design, it qualifies this Level IV evidence to be one of the best evidence levels to address this identified problem (Bengtsson, 2016).

References:

Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2, 8-14. Retrieved from https://www.sciencedirect.com/science/article/pii/S2352900816000029 (Links to an external site.)

Peterson, J. S. (2019). Presenting a qualitative study: A reviewer’s perspective. Gifted Child Quarterly, 63(3), 147-158. Retrieved from https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3808-0 (Links to an external site.)

House, J. (2020). Nursing Research: Reading, Using and Creating Evidence 4th                Edition  Retrieved 10 September 2020,