For this assignment, you will locate two research studies related to the topic and PICOT questions that you developed in Week 2. The articles must be current (within the last five years), and one article must be quantitative, and one article must be qualitative. (THE TOPIC THAT I CHOSE WAS MEDICAL INDUCED SUICIDE)

Article choice is very important, therefore:

• Articles used for this assignment cannot be used for the other assignments. The selected articles should be original research studies. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review articles should not be used.
• Mixed-methods studies should not be used.

There are two parts to this assignment.

Part 1: Complete a Rapid Critical Appraisal Checklist

• Select one each: qualitative and quantitative research articles.
• Create a Rapid Critical Appraisal Checklist for the two research articles (one column per article).
• Complete with brief, concise, summarized information.

Part II: Write a summary (one- to two- pages)

• Identify differences between quantitative and qualitative designs and research methods.
• Use current APA Style for your summary paper and to cite your sources.
• Submit the checklist and summary.

Discussion Question

Download and open the AACN Essentials Self-Assessment. Complete the self-assessment of your current comfort levels and total your score. If you are willing, please share your results with your classmates in your discussion post. (Remember, this is the starting point for our course and the start of the knowledge we will learn over 8 weeks).

As you reflect on your score, identify areas where your knowledge could use improvement. Whether you are a new graduate or a seasoned nurse, it is important to keep in mind that all professional nurses are knowledge workers. Utilizing the readings from your textbook, describe your current knowledge base in informatics and how you can improve your knowledge as they relate to nursing informatics and AACN essential. What additional questions do you have as they relate to nursing informatics and the AACN essentials?

2 reflection Assignment 

 Identify disparities in health among populations for a Healthy People 2020 health issue. For this assignment:

1. Describe the chosen Healthy People 2020 topic area and specific health issue.
2. Contrast causes of disparities related to this health issue within populations.
3. Propose a public health communication strategy to reduce disparity and promote health.
4. Outline a plan for the communication.
5. Describe an evaluation plan for the communication.
6. Create targeted communication for each population.
7. Reflect on learning through this project.

 The paper is to be formatted per current APA, be clear and concise and students will lose points for improper grammar, punctuation and misspelling.

• The paper is to be 5 – 7 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to current APA style

Using supporting documentation from at least one nursing publication, describe how evidence-based practice is different from research. How would you identify a research project as being an evidence-based intervention project versus the creation of knowledge in a nursing research project?

Expectations

• Due: Tues
• Length: A minimum of 300 words, not including references
• Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Discussion question: Joshua Martin is a 5-year-old boy who started kindergarten this year. Joshua’s wheezing intensifies after he lies on the floor mats in his classroom for a nap. Joshua receives albuterol (a β2-agonist) treatments four to five times a year in the emergency department for this condition and experiences temporary relief of symptoms. The school nurse’s observations of Joshua include the following: absence of fever or sore throat, persistent dry cough, wheezing, exercise intolerance, and a history of resolution of symptoms after β2-agonists treatments. After a pulmonary function test is done at his pediatrician’s office, it is determined that Joshua has moderate persistent asthma and allergic rhinitis. 

• Which of the school nurse’s observations are consistent with the diagnosis of asthma?
• How would you explain the purposes and expected results of a pulmonary function test?
• In providing education to Joshua and his mother, how would you incorporate the use of a peak flow meter and what developmentally appropriate instructions would you give?
• In developing plan of care goals, the school nurse recognizes what level of activity is appropriate for children with asthma?
• The school nurse recognizes that Joshua is using correct inhaler technique by observing which demonstrations? What would you use for a child unable to use a MDI correctly?

Module 05 Written Assignment – Acid-Base Imbalance

Competency

Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

Scenario

Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 4 L via NC and an arterial blood gas.

Tony’s ABG results:

pH 7.28
PaCO2 – 55 mm Hg
PaO2 – 70 mm Hg
HCO3 – 30 mEq/L

Instructions

In a 1-2 page Word document:

1. Determine Tony’s acid-base imbalance
2. Describe possible causes of the imbalance
3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
4. List the multidimensional care strategies that are appropriate for the care of Tony

Resources

For assistance with citations, refer to the APA Guide.

For assistance with research, refer to the Nursing Research Guide.

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

·  By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

16-year-old white pregnant female living in an inner-city neighborhood

·  How would your communication and interview techniques for building a health history differ with each patient?

·  How might you target your questions for building a health history based on the patient’s social determinants of health?

·  What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks.

·  Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

·  Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

·  Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day of Week 1

1-Post a Summary of the Interview and a Description of the Communication techniques you would use with your assigned patient. 

“16-year-old white pregnant female living in an inner-city neighborhood”

2-Explain Why you would use these techniques. 

3-Identify the risk Assessment Instrument you selected and Justify Why it would be applicable to the selected patient. 

4-Provide at Least Five targeted questions you would ask the patient.

NOTE: Remember at least three references and use APA format

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Learning Resources

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Standard 10 “Quality of Practice” (pages 73-74)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Schizophrenia Spectrum and Other Psychotic Disorders”

Giles, L. L., & Martini, D. R. (2016). Challenges and promises of pediatric psychopharmacology. Academic Pediatrics, 16(6), 508-518. doi:10.1016/j.acap.2016.03.011

Hargrave, T. M., & Arthur, M. E. (2015). Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. International Journal of Psychiatry in Medicine, 50(1), 60-72.

McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 31, “Child Psychiatry” (pp. 1268–1283)

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

To Prepare for this Assignment:

• Review the Learning Resources concerning early-onset schizophrenia.

The Assignment (2 pages):

• Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.

• Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.  

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and at least three references less than five years old.

Week 4 Project

This assignment will help you to understand EI (Emotional Intelligence).

Using the University Online Library or the Internet, research about EI theories (The Bar-On Theory, The Mayer and Salovey Theory),  communication styles, team building, and decision making.

Go to the website berkeley.edu and take the quiz. https://greatergood.berkeley.edu/quizzes/ei_quiz

Based on your research and understanding, create a white paper in a 3- to 4-page Microsoft Word document that:

Describe how your EI level can either enhance or hinder effective leadership in the health care environment.

Discuss the results of the EI Quiz.

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

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.