Foundations and Essentials for the Doctor of Nursing Practice
Discussion response
Ethics and the DNP-Prepared Nurse
case study
Read the following case and answer reflective questions.Provide evidence based rationals for your answers APA 7th forma and scholarly references no older than 5 years old
CASE STUDY: Preschool Child: Ricky Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished.
Reflective Questions
1. What additional assessment information would you collect?
2. What questions would you ask, and how would you further explore this issue with the mother?
3. In what ways does the distance of the extended family influence this family’s approach to health promotion?
4. What factors would you consider to determine whether malnourishment is a factor in this family?
Evidence based DISCUSSION REPLIES
attached below are the replies to respond to, please include at least 2 references of each
case1
A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
· 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.
Hi, at least 3 references, free of plagiarism and APA format, plus introduction
Reply to the following 2 Discussion posts
Please see the attachment for instructions
DEVELOP A PORTFOLIO
please see the attached files for detailed information and instructions on rubrics.
Womens Health Brochure
Women’s Health Brochure
Module 01 Content
1.
Top of Form
Competency
Identify multidimensional nursing care strategies for clients with reproductive system disorders.
Scenario
You work in a gynecological office, and your office has been asked to participate in a women’s health fair. The focus of the fair is health promotion. Preventative screening for female reproductive disorders is vital to identify and treat rapidly to produce the best patient outcomes. Preventative screening includes a mammogram and Pap smear and should be performed based on recommended age and associated risk factors. To promote preventative screening, your office will be creating brochures to distribute at the health fair.
Instructions
Design a women’s health brochure by choosing one of the female reproductive disorders covered in this module. In the brochure, include the following:
· Overview of the disease including disease process, signs and symptoms, and risk factors
· Preventative screening
· Diagnostics tests
· Treatment
· Multidimensional nursing care interventions
Bottom of Form
Ethical Issues
After studying Module 2: Lecture Materials & Resources, identify and discuss at least two potential ethical issues that could be of concern for nurses with telehealth-delivered care.
ANA code
The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text.
Nursing Unit 1 Assignment – Clinical Preparation Tool- Instructions- 800w-4 references- due 11-4-23
Instructions Unit 1 Assignment – Clinical Preparation Tool- Instructions- 800w-4 references- due 11-4-23
Topic: Suicidal Ideation
Suicide Assessment C-SSRS
The Columbia Lighthouse Project. (2016).
Identify risk. Prevent suicide
Links to an external site.
. https://cssrs.columbia.edu/
For this week utilize the tool listed above to complete the assignment.
Overview
As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments. This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.
You are tasked with
identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.
Instructions:
Instrument/ Tool criteria:
For each assessment, you are tasked with selecting, you will identify an instrument and:
1. List what
DSM diagnosis the tool/instrument is used for.
2.
Identify an assessment/diagnosis instrument.
3. Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.
4. Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
5. Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.
6. Discuss the psychometrics/scoring of the instrument, including reliability and validity.
7. Discuss any limitations associated with the use of the instrument.
8. Include a link to view the assessment if possible.
Use the following template in completing your portfolio assignments. Your information can be in a bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations. You are NOT required to write this in a paper format. Turn in one document for each week’s topics. (However, create a file on your desktop to compile your portfolio as you move through the term.) This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice. Throughout the program, you will continue to add to the portfolio in each course.
Anxiety and Related Disorders
Week 4
DSM: Generalized Anxiety Disorder
Instrument: Generalized Anxiety Disorder 7 (GAD-7) and Generalized Anxiety Disorder 2
(GAD-2)
Article: Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7)
in the General Population. Medical Care
Appropriateness for Dx: The GAD-7 and GAD-2 is screening tools for initial assessment for
mental health screening. The screening is the process used by healthcare provider to assess the
need to further evaluate for anxiety disorders. This helps determine the need for further
questioning on the anxiety the individual may be experiencing.
Response to Therapy/Treatment: This screening is effective for self-reporting of anxiety for
the healthcare provider. The evidence supports the validity and reliability of the GAD-7 and
GAD-2 for screening for anxiety disorders (Löwe et al., 2008).
Assessment Instruments
Psychometrics: The questionnaire is a self-reporting tool used for the individual to report any
problematic areas dealing with anxiety. The screening tool has 7 questions in the GAD-7 and the
shorter briefer questionnaire has 2 questions. The questionnaire asks the individual “Over the last
2 weeks, how often have you been bothered by the following problems?”. Then list 7 different
items relating to anxiety and the GAD-2 is the same just stops after question 2. The is effective
screening tool to help see the problem areas. The individual has several different choices to
provide feedback. It is on a scaled system to calculate a score. For example, the first choice “0”
has the words “not at all” and the last choice is “nearly every day” with the score of “+3”. The
calculated score at the end is broke down by minimal, mild, moderate, severe anxiety based on
the scoring.
Limitations:
Limitations: The limitations on the screening tool is the individual answering truthfully or to the
best of their ability. The assessment and further evaluation by the healthcare provider is
necessary for validation of the diagnosis.
References
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y.
(2008). Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7) in
the General Population. Medical Care, 46(3), 266–274.
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