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3 REFERENCES

Cognitive Behavioral Therapy has been the most often form of therapy delivered in my practicum. Its fundamentals include manipulating unhealthy ways of thinking for a more positive approach; understanding others’ behaviors and their motivations; using learned coping patterns to help relieve symptoms and to become more operative in life (Apa.org, 2020). CBT offers that behavioral patterns are learned and therefore can be unlearned through treatment (Apa.org, 2020). Treatment is based on the premise that one can become a therapist to themselves through the guidance of their counselor (Apa.org, 2020). CBT has been within keeping of my personal philosophy that life is about choices and their consequences, either positive or negative. One must be able to take responsibility for their actions and inactions to become more self-aware. I believe this concept is now, more than ever, a necessary perception. Victim-stancing  or being a victim in situations transfers power to other entities that do not serve the individual’s common good.  Taking control of oneself and identifying ways to do so is empowering and allows for self-actualization.

Existential-Humanistic Therapy

Existential-Humanistic therapy focuses on the individual’s increasing self-esteem to help make contributions to society (Human-studies.com, 2020). These contributions are linked to the help of others and are focused on the interconnectedness of people and societies (Human-studies.com, 2020). Their self-awareness allows for them to see others who are more unfortunate and allows for an appreciation and giving in which the individual feels good about contributing to their society (Human-studies.com, 2020).

            The differences between CBT and Existential-Humanistic therapy is the patient focus.  CBT has a more immediate focus on the person receiving therapy, and their choices, whereas Existential-Humanistic Therapy would like to take the focus and expand it to the individual and their contributions not only to themselves but to society as well (Human-studies.com, 2020). Their contributions to society have a ripple effect, helping others to feel well about themselves and being able to expand their positive energy and experiences past themselves (Human-studies.com, 2020).

            The strengths of CBT are that the patient can become empowered through the process of therapy, having realized they are in control of their thoughts, feelings, and emotions; therefore they are in charge of their choices.  The downside to CBT is sometimes the patients are very deep-seated into victim-stancing and may take longer to help channel them to a more self-actualized individual.  The strengths of existential-humanistic therapy are when one becomes a better self, they also influence their society.  The difficulty of this type of therapy is that it is difficult to help others when you are not in a healthy place. 

Fictional Clients

            A.B., a 39-year-old male diagnosed with Post-traumatic stress disorder and General anxiety disorder would benefit from CBT.  He has recurring nightmares and flashbacks.  He suffers from a generally low mood and struggles with alcoholism.  He no longer participates in activities that he once appreciated.  He has had a recent DUI for which his license has been revoked.  The patient is now estranged from his wife of 7 years and their two children, aged 6 and 4. 

            This patient would be a prime candidate for CBT.  His negative thinking, actions, and choices have brought him negative results for which he is responsible.  Changing how he makes decisions and his thinking patterns are necessary for this patient to begin practicing good decision making and yield generally positive results.  The change in perception and the focus on self and his ability to control the situations he puts himself in is the goal for this patient.

            A fictional client that would benefit from existential-humanistic therapy would be a 22-year-old college student.  She is transsexual and emotionally imbalanced suffering from manic episodes and deep depression.  She is on the brink of failing most of her classes, oversleeps, overeats, and does not participate in any activities on campus.  When she does participate in class, her contributions are minimal at best and her parents are fed up with her wild and outlandish behavior. 

            This patient would benefit from existential-humanistic therapy.  To guide this patient to see how her actions and inactions affect others such as her classmates and parents would be beneficial to her. Helping her to resolve her inner conflicts would be of great importance for this patient to self-actualize and for change. Counseling this patient to be self-aware and to motivate this patient to have better self-esteem, better grades, and better contributions would be of benefit to this patient and would allow her to see the correlation between her choices and the consequences.  

Reference

Apa.org. 2020. [online] Available at: [Accessed 21 October 2020].

Center for Substance Abuse Treatment. Brief Interventions and Brief Therapies for Substance      Abuse. Rockville (MD): Substance Abuse and Mental Health Services Administration      (US); 1999. (Treatment Improvement Protocol (TIP) Series, No. 34.) Chapter 6 –Brief                    Humanistic and Existential Therapies. Available from:     https://www.ncbi.nlm.nih.gov/books/NBK64939/

Human-studies.com. 2020. Existential-Humanistic Psychology, Mindfulness And Global Change.             [online] Available at: [Accessed 21 October 2020].

Read chapters 13 of the class textbook and review the PowerPoint presentations located in the PowerPoint folder. Once done work on the following case studies;

Case study Number 1 

1. Annie was widowed when her son was 4 years old. She later remarried a man with a child 2 years younger than her own. The children now being 17 and 19 years old, respectively, Annie is preparing for her oldest son to leave for college in the fall. Suddenly, Annie’s father dies, and her mother has expressed the desire to move in with Annie. She explains that her income will be limited to her husband’s social security, and now that Annie will have additional room in her home, this will be a good situation for the whole family. 

a. Using family systems theory, how would you define this family?

b. What would be the purpose of using a family mapping (ecomap) technique to descry

this family?

c. How would you describe the structure of this family?

Case Study Number 2

A community health nurse is visiting a family with a newborn child. This is the fourth baby for the family. All four children in the family are below the age of 5. Both sets of grandparents live in the same home. The community health nurse has to complete a family assessment, and recognizes that the significant event of the newborn can place the overall family health at risk. (Learning Objectives: 2, 3, 5)

a. The nurse has 15 minutes to complete a family assessment. What are ways that the nurse can acknowledge the family’s strengths?

b. What is the purpose of an ecogram of the family?

c. The community health nurse recognizes that four children below the age of 5 and two sets of grandparents residing in the same home can create alterations in routines. What is the aim of assessing rituals and routines for the family?

d. What is the nurse’s goal for family assessment when utilizing the Roy Adaptation Model?

Instructions:

APA format (intext citations and references)

Plagiarism FREE

700 words

 A minimum of 3 evidence-based references no older than 5 years must be used.  

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

Assignment: Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

This assignment will help you understand your personality type. Through this assignment, you will analyze how your specific personality type can enhance or hinder effective leadership in the health care environment.

Using the South University Online Library or the Internet, research about personality types.

Note: You can use the following link to access the online assessment: Jung Typology Test

Based on your research and understanding, write a 3- to 4-page Microsoft Word document that:

• Integrates how your specific personality type can enhance or hinder effective leadership in the health care environment.
• Explains all four aspects of your personality gleaned from the assessment.
• Includes 2- to 3-journal article references.
• *** Humanmetrics Jung Typology Test™Your Type INFJ

On a separate references page, cite all sources using APA 7 format. 

Please note that the title and reference pages should not be included in the total page count of your paper.

Submission Details

• Support your responses with examples.
• On a separate references page, cite all sources using APA 7 format.

 Assignment:Complete the following case studies using the CSM-1500 and UB-04 forms.   CSM-1500 form:Appendix A: Case A-6 Carlos Clemenza pp. 570- 572Appendix B: Case B-16: Earl Abbot pp. 648- 649UB-04 form:Appendix C : Case C-4: Harold Janovich pp. 666-667                        Case-18: Tyrone Clark pp. 694-695Assignment Expectations: 

• Length:
  • The amount of information needed for the forms
• Structure:
  • no title or reference page required
  • address each question in a numbered list
• References:
  • no references required
• Format:
  • save your assignment as filled PDF documents

Read chapter 40: Musculoskeletal Systems Function

The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following:

‘A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”

1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?

DO NOT EMAIL ASSIGNMENTS. PLEASE UPLOAD ALL ASSIGNMENTS TO CANVAS. LATE ASSIGNMENTS WILL NOT BE GRADED!!! PLEASE PROVIDE REFERENCES FOR  ALL  WRITTEN ASSIGNMENTS!!!

Less than 10 % similarity

References APA

Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Also, please ensure to have read the assigned chapters for the current week. 

Case Study, Chapter 14, Medical Errors: An Ongoing Threat to Quality Health CareA nurse manager is reviewing occurrence reports of medical errors over the last six months. The nurse manager knows that medical errors are not the only indicator of quality of care. They are, however, a pervasive problem in the current health care system and one of the greatest threats to quality health care. The nurse manager is putting together a list of possible solutions to decrease the number of occurrences of medication errors.

1. Recognizing that health care errors affect at least one in every 10 patients around the world, the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre identified priority program areas related to patient safety. What are the patient safety program areas the nurse manager should consider for implementation?

2. Describe the Joint Commission 2017 National Patient Safety Goals for Hospitals.

3. Discuss the Institute of Medicine’s four-pronged approach to reducing medical mistakes?

• Go to the website using this link: Outbreak at Watersedge
• Click the Play button to start the game.
• Follow the instructions. They will lead you on a search for an infected organism.
• Once you have found the infected organism, write a three- to four-page review of the process you went through and the results you obtained. You must identify the disease found and define the epidemiological process you used. Make sure to describe how you used it. This paper must be written in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. Use at least two references that support your findings.

Due: Sunday, 11:59 p.m. (Pacific time)

Points Possible: 75

This game was developed by the Midwest Center for Life-Long-Learning in Public Health (MCLPH) funded in part by a grant from the Health Resources and Services Administration, DHHS, Public Health Training Center Program. MCLPH is part of the Centers for Public Health Education and Outreach at the University of Minnesota School of Public Health

Do you believe that healthcare is a right? Defend your response with resources. APA format