please check the attachment for instructions
Journal Entry
I NEED A RESPONSE FOR THIS
2 REFERENCES
For this discussion, I selected the angry adolescent that blamed others for his mistakes and getting in trouble. Some of the patient’s behaviors include increased irritability, anger, poor impulse control, argumentative, unwilling to accept his wrongdoings, blaming others, projecting his faults onto the student that told on him and on his gym teacher for leaving his car keys inside the car, as well as denying the need for therapy stating that his parents should be the ones who need it instead. However, although this information is not enough to make a proper diagnosis, based on these observations, I believe that this patient might meet criteria for oppositional defiant disorder (ODD). According to the American Psychiatric Association (2013), the criteria for ODD consists of a pattern of angry or irritable mood, argumentative or defiant behavior, or vindictiveness that lasts at least for 6 months. In order for the diagnosis to be made, at least four symptoms of the following need to be present: often losing their temper, getting angry, easily annoyed, frequent arguing with adults, refusing to comply with rules, annoying others on purpose, and frequently blaming others for their mistakes. These symptoms must also occur during interactions with individuals who are not considered siblings (American Psychiatric Association, 2013). Some therapeutic approaches that might be effective would be parent management training (PMT), family therapy, and individual therapy such as cognitive behavioral therapy (CBT). Parent training has shown to be effective in treating ODD by providing parents with short-term interventions that focus on specific strategies such as positive attending, ignoring, using effective forms of rewards and punishment and time out to help with the behavioral problems (CHADD, 2020). Family therapy has also shown to be effective in teaching parents how to strengthen their relationships with their children and to help manage their behaviors. Additionally, CBT has shown to be helpful by targeting emotion regulation and social problem-solving skills that are associated with aggressive behavior by using interventions with an emphasis on teaching structured strategies to children to create a change in the way they think, feel, and behave (Sukhodolsky et al., 2016). Although psychotropic medications have shown to be effective in treating ODD, I do not feel that this would be appropriate for this patient at this time. Since children and adolescents with ODD are at an increased risk for developing adjustment problems as adults such as antisocial behavior, poor impulse control, substance abuse, anxiety and depression, an expected outcome of this therapeutic approach would be to prevent this from occurring, meanwhile decreasing the current symptoms the patient is having and helping to manage them better (American Psychiatric Association, 2013). Setting goals for the patient as well as his family will also help with the treatment by providing better strategies for the patient in order to help control his behaviors by identifying the symptoms.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
CHADD. (2020). Disruptive Behavior Disorders. Retrieved from: https://chadd.org/about-
adhd/disruptive-behavior-disorders/
Sukhodolsky et al. (2016). Behavioral Interventions for Anger, Irritability, and Aggression in
Children and Adolescents. Journal of child and adolescent psychopharmacology, 26(1), 58–64. doi:10.1089/cap.2015.0120
Professional Nursing and State-Level Regulations
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a Florida/region. In addition, nurses may find the need to be licensed in multiple states or regions.
To Prepare:
· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
· Consider how key regulations may impact nursing practice.
· Review key regulations for nursing practice in Florida /region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on.
Post a 2- page comparison of at least two APRN board of nursing regulations in Florida/southwest with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
colleague differ from your state/region. Be specific and provide examples.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 4, “Government Response: Regulation” (pp. 57–84)
Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002
Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001
Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349
Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author
Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author
Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author
Incivility and Healthful Environments
Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care (CO1)
- Apply concepts of person-centered care to nursing practice situations (CO2)
- Analyze essential skills needed to lead within the context of complex systems (CO3)
- Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings (CO4)
III. Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week.
- What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).
- Contains references for sources cited
- Written by a professional or scholar in the field and indicates credentials of the author(s)
- Is no more than 5 years old for clinical or research article
- What is not considered a scholarly resource?
- Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)
- Information from Wikipedia or any wiki
- Textbooks
- Website homepages
- The weekly lesson
- Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm)
- Can the lesson for the week be used as a scholarly source?
- Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.
- Are resources provided from CU acceptable sources (e.g., the readings for the week)?
- Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.
- Are websites acceptable as scholarly resources for discussions?
- Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources
IV. Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.
V. Wednesday Participation Requirement: The student provides a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.
VI. Total Participation Requirement: The student provides at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.
Preparing the Assignment
Introduction
This graded discussion will explore the impact of systems theory on a practice problem or issue. Please provide an initial response to the discussion question by Wednesday at 11:59pm MT and two interactive dialogue responses no later than Sunday 11:59 PM MT at the end of WEEK 7. The discussion is worth 75 points. Please refer to the discussion grading rubric for additional criteria.
Assignment
Reflect on an experience in which you were directly involved or witnessed incivility in the workplace. Provide a brief synopsis of the situation. How did this make you feel? How did you respond? What were the consequences of this situation? Provide an example of how this negatively affected the work environment and outcomes. How could the situation have been prevented? Discuss strategies that would support a healthy work environment.
reading:
American Nurses Association. (2015). Incivility, bullying, and workplace violence [Position Statement]. https://www.nursingworld.org/~49baac/globalassets/practiceandpolicy/nursing-excellence/official-policy-statements/ana-wpv-position-statement-2015.pdf
Centers for Disease Control and Prevention. (2013). Workplace violence prevention for nurses. http://wwwn.cdc.gov/wpvhc/Course.aspx/Slide/Unit1_5
Edmonson, C., Bolick, B., & Lee, J. (2017). A moral imperative for nurse leaders: Addressing incivility and bullying in health care. Nurse Leader, 15, 40-44. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.mnl.2016.07.012
Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39—42.
Phillips, J. M., Stalter, A. M., Winegardner, S., Wiggs, C., & Jauch, A. (2018). Systems thinking and incivility in nursing practice: An integrative review. Nursing Forum, 53(3), 286-298. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1111/nuf.12250
Roberts, S. J. (2014). Lateral violence in nursing: A review of the past three decades. Nursing Science Quarterly, 28(1), 36-41. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1177/0894318414558614
Optional Resources:
American Nurses Association. (n.d.). Violence, incivility and bullying. http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse/bullyingworkplaceviolence
America Nurses Association. (2016). Healthy nurse, healthy nation. http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse
Mennella, H. D. A.-B., & Karakashian, A. R. B. (2017). Lateral violence in nursing. CINAHL Nursing Guide. https://doi.org/10.1177/0894318414558614
Qualitative and quantitative research comparison.
Look for 2 different articles, a qualitative and a quantitative research and compare them.
Critique quality of the literature reviews conducted for both articles.
Identify and discuss the research questions, sampling and sampling sizes, research designs (qualitative vs. quantitative), hypothesis, data collection methods, and research findings.
Discuss the credibility of the sources and the research/researchers findings.
400-word minimum/550-word maximum without the references (2 pages).
Minimum of 3 references in APA format, must have been published within last 3-5 years.
Discussion: Strategies for Academic Portfolios
In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.
Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio.
To Prepare:
- Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
- Review one or more samples from your own research of resources focused on portfolio development.
By Day 3 of Week 8
Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.
By Day 6 of Week 8
Respond to at least two of your colleagues’ posts by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.
APA 7 formatting at least 3 references including DOI number, and two paragraphs each.
Discussion for reply one (Eliz)
Week 8 Main Discussion Post
Besides the day to day bustle of nursing life, it is important to have vision of future plans. These plans, when clearly laid out, create a map to success. Achieving the “stops” on the way along the map to success, are opportunities for growth that, when accomplished, should be added to our portfolio. This portfolio will be used to help leverage our position among other qualified individuals and set us apart when vying for employment opportunities, as well as help us excel in our practice.
Along with advancing my education in this program, one of the ways I have contributed to my academic portfolio is by becoming certified in my area of nursing practice. Certified nurses have shown to be a benefit to patients, their families, and employers (Certification Benefits Patients, Employers and Nurses, n.d.). By achieving certified status, it has been shown that certified nurses make decisions with more confidence and gain more satisfaction in their profession (Certification Benefits Patients, Employers and Nurses, n.d.). I have to agree with these statements as I have seen a tremendous benefit in my practice since achieving certification, as well as a respect from colleagues that I hadn’t been as aware of previously.
Another strategy that I plan to add to my portfolio is working with nursing education on RN competencies. I have had the opportunity to participate in annual nursing competencies at my facility on mechanical circulatory support, since I am the content expert for the facility. I really enjoy teaching and find that I am also able to learn more myself by coming up with new and innovative ways to present the material. Focusing on continuing education and becoming an expert has been shown to expand professional development in nursing exponentially (Sadler, 2018). Although teaching is not ultimately what I want to do, it is nice to have the opportunity to participate and contribute to the continuing education of my colleagues.
Walden University’s vision of social change is to change practice on a global scale (Social Change, 2020). I believe both of these initiatives will help contribute to this mission as they will allow for the advancement of practice in nursing. Having an advanced certification and sharing that knowledge with colleagues can only benefit patient care and increase outcomes in the long run. I look forward to being able to continue to contribute to this change by obtaining my advanced degree and being able to expand my scope of practice as well.
References
Certification benefits patients, employers and nurses. (n.d.). American Association of Critical-Care Nurses. Retrieved October 1, 2020, from https://www.aacn.org/certification/value-of-certification-resource-center/nurse-certification-benefits-patients-employers-and-nurses#:~:text=By%20becoming%20certified%2C%20nurses%20validate,licensure%20measures%20entry%2Dlevel%20competence.
Sadler, F. (2018, September 14). 3 critical components of nursing professional development across the care continuum. RELIAS. Retrieved October 1, 2020, from https://www.relias.com/blog/3-components-of-professional-development-for-nurses
Social change. (2020). Walden University. Retrieved October 1, 2020, from https://www.waldenu.edu/about/social-change
Discussion for reply 2 ( kasmika)
I look forward to becoming my own boss in nursing entrepreneurship. A strategy for my portfolio is to gain skills and network with entrepreneurs by attending their specific training workshops. This will be a great way to a meet with those who have already mastered nursing entrepreneurship. There I can gain knowledge and also certificates in the wellness industry. Learning about new and more effective ways to accomplish things and gaining more knowledge about business subjects and concepts are all benefits of attending professional development workshops (Stambaugh & Anderson, 2017).
Another strategy to add to my portfolio would be to volunteer and community involvement. I am usually the first to sign up for community service projects because it teaches compassion and understanding for those who are in need. Additionally, community service volunteering can also be the avenue to explore areas that you express interest (Henry, 2017). I am passionate about spreading wellness in my community so volunteering with likeminded professionals would aid in teaching me successful habits.
As a registered nurse I have always set goals to achieve so that I don’t remain stagnant in my profession. From a very young age my dream has always been set on combining nursing and entrepreneurship. I was not surrounded by many nurse entrepreneurs, so I sought to change the narrative. Walden University defines positive social change as a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies (n.d.). This aligns with my goals as my perfect portfolio would portray them along with the accomplishments I’ve attained while pursuing my dreams.
References
Stambaugh, C., & Anderson, D. (2017, November 10). The Benefits of Attending Professional Development Events. https://www.mycpid.com/benefits-attending-professional-development-workshops/.
Henry, J. (2017, April 7). Why is Community Service Important?
https://www.21stcenturyleaders.org/why-is-community-service-important/.
Walden University Catalog. (n.d.). Social Change.
https://catalog.waldenu.edu/content.php?catoid=41&navoid=5182
Discussion 250 words minimum and 3 references
What modifications from the adult head-to-toe physical assessment would be required when performing a head-to-toe assessment on a pediatric client?
should be a minimum of 250 words with three references in correct APA format.
Benchmark – Human Experience Across the Health-Illness Continuum
Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:
- Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
- Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
- Reflect on your overall state of health. B. Discuss what behaviors support or detract from your health and well-being. C. Explain where you currently fall on the health-illness continuum.
- Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. B. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Benchmark Information
This benchmark assesses the following competency:
RN-BSN
Jarvis 2 and 3
1. Describe the provisions of Title VI of the Civil Rights Act of 1964.
2. Describe the rationale for providing culturally competent care.
3. List the basic characteristics of culture.
4. List and describe factors related to socialization.
5. List 8 items of information that should be communicated to the client concerning the terms of expectations of the interview.
6. Describe the points to consider in preparing the physical setting for the interview.
7. List eth pros and cons of note-taking during the interview.
8. Contrast open-ended versus closed questions, and explain the purpose of each during he interview.
9. State at least 7 types of nonverbal behaviors that an interviewer could make.
10. List 10 traps of interviewing.
Reply answering the questions above using APA format.