Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Include Speaker Notes on Each Slide (except on the title page and reference page)

see attached

• Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
• Review the health policy you identified and reflect on the background and development of this health policy.

I NEED A RESPONSE TO THIS ASSIGNMENT 

ZERO PLAGIARISM

2 REFERENCE

After reading the case study “I am feeling like I’m going crazy” (Walden University 2020), I identified some criteria that will support the diagnosis of major depressive disorder. Patient has been self-harming about ten months ago; he has been having insomnia; patient expresses anhedonia; low self-esteem; two suicide attempts; depressed mood; low energy, and . According to the American Psychiatric Association (2013), when five of these criteria causes the individual emotional social and occupational distress, and not related to any substance use, the diagnosis is major depressive disorder, severe. Although patient’s meets the criteria for major depressive disorder, the patient also displays irritable mood, which is criteria for diagnosing the patient with manic episode with irritable mood. However, the patient did not display any manic behavior and hence could not be diagnosed with this diagnosis. Also, the patient displays mood disorder which he could be diagnose with, but this is not due to any medical condition (American Psychiatric Association, 2013). Hence the diagnosis of major depressive disorder , severe is patient’s diagnosis because patient meets the criteria for this diagnosis.

            For this client, the therapeutic approach I can use is cognitive behavioral therapy. Patient has irrational thoughts of not being supported, low self-esteem and has pressure of getting better grades in school. Irrational thoughts are the cause of emotional and behavioral disturbance that affects the thinking process of the individual (Ellis , 1962 cited by McGillivray, and Evert, 2014). McGillivray, and Evert. (2014), explained that cognitive behavioral therapy helps to change the irrational beliefs and thoughts into rational thoughts that will improve the mental health of the individual. In a research with teenagers of autism spectrum disorder, CBT proved to be effective when used for patients with depression and anxiety (Chalfant et al2007, cited by McGillivray, and Evert, 2014).

Counselors providing therapy to adolescent should make sure that they have the training and skills to do so. This is because knowledge in the treatment of adolescent will help improve mental health of adolescent. Research on the preparation of interns to work with adolescent shows that those who were trained and skilled in working with adolescents contributed more to the mental wellbeing of the adolescent than the unskilled and trained intern (Russ, 2019).

Another ethical problem that counselors faced with counseling adolescent is confidentiality. Adolescents will be at ease in talking to their counselors that to their parents, and they want that to be confidential between them and the counselors.

References

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

McGillivray, J. A., & Evert, H. T. (2014). Group Cognitive Behavioural Therapy Program Shows Potential in Reducing Symptoms of Depression and Stress Among Young People with ASD. Journal of Autism Development Disorder, 44: 2041-2051

DOI 10.1007/s10803-014-2087-9

Russ, B. R.(2019). Mental Health Counselors Preparing to Work with Adolescents in Internship. Journal of counselor practice, 10(2): 70-89 DOI: 10.22229/bri1022019

Walden University. (2020). “I am feeling like I’m going crazy”. (Unpublished).

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Assignment Content

1. In this assignment you’ll examine the role of a health care manager regarding ethical issues and decision-making. You’ll have the opportunity to practice your professional skills in conducting interviews and communication, in general. Being able to have professional conversations with all stakeholders in an organization, including managers at various levels, is an important skill to have as a health care manager.

   Research a health care facility (pharmacy, medical office, nursing home, hospital). Become familiar with the company, including the mission, vision, and goals of the company.

   Select a leadership position at the facility – for example, a supervisor, manager, director, vice president, compliance officer, or similar.

   Use the Health Care Leadership Interview Questionnaire to conduct an interview with the person you selected. 

   Write a 700-word summary of your interview. Title your assignment “Health Care Manager Interview.” Note: Double-space the interview responses and use proper grammar and sentence structure. 

Writing Assignment: Bone, Joint, and Muscle Injuries

Overview

After reading chapter 14 in your textbook, you should be able to recognize and care for bone injuries, including open and closed fractures, and joint injuries, including dislocations and sprains. Additionally, you should be able to recognize muscle injuries, such as strains, cramps, and contusions.

Instructions

Write a brief 3-paragraph compare-and-contrast essay.

1. The first paragraph should compare and contrast open and closed fractures.
2. The second paragraph should compare and contrast dislocations and sprains.
3. The third paragraph should compare and contrast strains and cramps.
   • 5 sentences per paragraph is required.
   • MLA format (Links to an external site.) is required

Scenario: 

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation, usually a paragraph with citation(s) should suffice to cover each point. Citations would reflect classroom textbook, primary, current peer-reviewed journal articles (published in last 5 yr) usually, 3 will support your points.

• The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics) would change your response.

Learning Resources

Required Readings (click to expand/reduce) 

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
Chapter 1: Cellular Biology; Summary Review
Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents (pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review
Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases
Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review
Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review
Chapter 7: Innate Immunity: Inflammation and Wound Healing
Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review
Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review
Chapter 10: Infection (pp. 289–303; stop at Infectious parasites and protozoans); (start at HIV); Summary Review
Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review
Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review
Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review 

Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactions. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/
Credit Line: Immediate Hypersensitivity Reactions – StatPearls – NCBI Bookshelf. (2019, June 18). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/. Used with permission of Stat Pearls

• Consider the community surrounding your school of nursing. Pick two environmental conditions and assess these conditions. Where do you think you could locate data to support your observations?
• Fort lauderdale, florida
• 1 page

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1.  Is very anxious and asks whether she is going to die.

2.  Denies pain but says she feels like she cannot get enough air.

3.  Says her heart feels like it is “running away.”

4.  Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1.  Height 175 cm; Weight 95.5kg.

2.  Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

3.  Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.

4.  Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.

5.  Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1.  IV furosemide (Lasix)

2.  Enalapril (Vasotec)

3.  Metoprolol (Lopressor)

4.  IV morphine sulphate (Morphine)

5.  Inhaled short-acting bronchodilator (ProAir HFA)

6.  Inhaled corticosteroid (Flovent HFA)

7.  Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1.  Describe the clinical manifestations present in Mrs. J.

2.  Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

3.  Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

4.  Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

5.  Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

6.  Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

7.  Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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. 

Book: Grand Canyon University. (Ed.). (2018). Pathophysiology: Clinical applications for client health.

URL:

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php

Due date: Friday 27