Discussion questions

1. Because the patient’s reported hallucinations are not persecutory, as a clinician, what medications would you start with?

2. What treatments (pharmacological and non-pharmacological) are most effective for patients with extensive trauma history?

3. What symptoms could be co-occurring in relation to PTSD vs schizophrenia for this patient?  

Response

  

Respond by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.

2 scholarly references

According to Clifton Strengths results, the top 5 Signature Theme report presents.

Consistency –I are keenly aware of the need to treat people the same, no matter what.

Achiever –Achiever describes a constant need for achievement. By the end of the day, I must achieve something tangible in order to feel good about myself.

Significance- I want to be very significant in the eyes of other people. I want to be heard and be part or be useful. You want to stand out.

Restorative – I love to solve problems. I enjoy the challenge of analyzing the symptoms, identifying what is wrong,

Woo- stands for winning others over. I enjoy the challenge of meeting new people and getting them to like me.

                                                                                   Core values

     The two core values I would like to improve on or strengthen are accountability and healthy competition. I am responsible for my own action, so I must make the right decision or do what is right. To me healthy competition is helping my family and friends, colleagues strive to the best and professional outcome.

                                                                                    strengths

   Also, I would like to improve my strength on good communication skills and to learn and acquire more knowledge and skills to help me become a professional Nurse. It will help me to build a better relationship with other people.

                                                                                  Characteristics

    Based on Clifton strength result, the two essential quality I would like to improve is emotional intelligence by helping people to think and act. Emotional intelligent is the ability to build relationships with others and understand their feelings or emotions.  Encouraging myself and others will also help to reach goals. 

                                                            Reference

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert

           clinician to influential leader (3rd ed.). New York, NY: Springer.

Rath, T. (2007). StrengthsFinder 2.0. Gallup Press.

Nursing

please read carefully and follow all the instructions details. thank you

discussion post principles of communication

View the TEDTalk “Why I live in Mortal Dread of Public Speaking”Links to an external site. by Megan Washington (TEDx, 2014). Then, view the Sources of Communication Apprehension presentation (adapted from Engleberg & Wynn, 2015). In light of the TEDTalk, the presentation, and your own experiences respond to the following questions:

  • What strikes you as most interesting about Ms. Washington’s talk?
  • Do you relate in any way to her talk or to the Sources of Communication Apprehension presentation?
  • If you had to pick one or two sources of communication apprehension that you feel relate to you, which ones would they be and how do you manage them?

Be sure to respond to your peers as well. As a note, aim for full credit and connect to a scholarly source beyond the TED Talk to show how the discussion ties to your studies in the course. For this post, an integration of a scholarly course should go beyond a mention of the apprehensions from the text above. 

References 

Engleberg, I. N. & Wynn, D. R. (2015). Think communication. Boston, MA: Pearson 

TEDx. (2014). Megan Washington: Why I live in mortal dread of public speaking. http://www.ted.com/talks/megan_washington_why_i_live_in_mortal_dread_of_public_speaking 

Case Study

 

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

  • What other assessment findings should you anticipate?
  • Why does this patient probably have bradycardia?
  • Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?
  • What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format.

Foundations and Essentials

 AACN COMPETENCIES  

PN1

20231011_093053.jpg

20231011_093148.jpg

20231011_093159.jpg

20231011_093136.jpg

wk4691B

1

This assignment and the following two months' work should be written related to your

previous writing. You should not change the stories. Then I will lose the points(scores). If

you talked about improvement of patient flow in the urgent care setting, your next

writing should be something similar with the previous style. I mean you should not write

about totally different topics like cancer patient management or something like that. If

you have any questions, you can ask me. I can give you enough time to complete it. One

week for this job.

Pls read your previous writings. Keep these links unless you remember about your

previous writings.

https://www.sweetstudy.com/thread/473292317

https://www.sweetstudy.com/thread/473883197

https://www.sweetstudy.com/thread/473172845

https://www.sweetstudy.com/thread/473003787

https://www.sweetstudy.com/thread/472667933

Week 4: Change Project Rough Draft

2

This week, you will bring together all of the assignments you have completed thus far,
and compose the rough draft of your change project paper. At this point, you will have
submitted each section and received feedback. An attempt to incorporate all previous
assignment feedback should be evident. 
Your rough draft contains all of the expected
components of the final draft and is presented in APA format including a cover page,
references, and appendices when warranted. Your rough draft is your opportunity to
polish previously submitted assignments and combine the sections in a comprehensive
paper that show your change project is ready to be implemented.

You will take this time to identify and address any weaknesses or gaps in your change

project. Your rough draft should only require minor revisions before the final paper.

Your paper should be between 20 and 30 pages in length, not including the cover page,

references, and any appendices. It must follow the current APA manual style and

format. Each section of the paper should be clearly identified using proper headings.

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based
Change Project Paper Rubic (rough draft)

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper

Rubic (rough draft)

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome
Introduction and
Background

3.5 to >2.87 pts

Meets Expectations

The change project topic is introduced. All

background information is included. Project

importance within the field or significance

for the designated facility is described.

3.5
pts

3

This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT
Format

3.5 to >2.87 pts

Meets Expectations

Presents a thorough and insightful analysis of the

chosen topic/problem. Describes the problem

thoroughly, including the target population

description and history/background information

at the assigned clinic or hospital. The significance

and applicability to nursing is included and well

presented. Includes an appropriate topic

identification related to an advanced practice

nursing issue or practice problem of concern.

Population is fully defined and present in the

research question. Includes specific interventions,

identifies comparisons, and presents appropriate

outcomes in a timely manner for the question.

Overall, the question is well-built using the PICOT

format.

3.5
pts

This criterion is linked to a
Learning Outcome Critical
Appraisal/Literature
Review

3.5 to >2.87 pts

Meets Expectations

The minimum requirement of peer-reviewed

articles, books, or limited non-research literature

(tool kits or standardized procedures) are present.

Literature is supported by scientific evidence that is

credible and timely. Subtopics are used to support

the main topic. In-text citations are present and

correctly formatted. Presents a thorough and

insightful analysis of significant findings related to

the change project topic. Ideas are synthesized and

professionally sound and creative. Insightful and

comprehensive conclusions and solutions are

present.

3.5
pts

4

This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired
Outcomes

7 to >5.74 pts

Meets Expectations

The project, aims, values, and desired outcomes are

well-developed. They are clear and thorough. Aims

include examples of projected features and

functions. Values include implementation benefits

for specific stakeholders. Desired outcomes state the

purpose, have a quality focus, and describe the

benefits that will occur as a result of

implementation.

7 pts

This criterion is linked to a
Learning Outcome
Theoretical Framework

7 to >5.74 pts

Meets Expectations

Identifies independent theories or conceptual models

that relate to the change project topic and describes

how they will be applied to the change project.

Thoroughly discusses how each element of the

phenomenon applies to the framework. Clearly

applies each element of the theory to the elements

of the phenomenon under study. Develops the

rationale for the sample selection criteria, and

expertly discusses, analyzes, and critiques pertinent

research that uses the framework.

7 pts

5

This criterion is linked to a
Learning Outcome
Intervention

7 to >5.74 pts

Meets Expectations

Provides keen insight into obstacles and proposes

sound, creative solutions or interventions based on

the literature review findings. Expertly compares

other views on the problem and solutions with detail.

Uses examples to thoroughly address the FNP role in

the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its significance

to the nursing profession and filling gaps in

knowledge. Accurately categorizes and thoroughly

explains specific methods of data collection to be

used. Explains in detail how data will be analyzed and

used. Provides a sound justification for subject

selection and sampling procedure. Accurately and

thoroughly describes potential limitations to data

collection and control.

7 pts

This criterion is linked to a
Learning Outcome
Recommendations and
Conclusion

10.5 to >8.61 pts

Meets Expectations

Provides an insightful and thorough summary of the

project, main points, and details the significance of

the project to the advanced practice nursing

profession. Provides detailed and creative

recommendations for future research and

implications for clinical practice. Discusses limitations

of the study in detail. Suggests specific directions for

future research. Insightfully considers changes in

theoretical construct and provides reasonable and

creative suggestions for public policy and/or changes

in educational practice. Expertly ties the theoretical

framework to the overall product.

10.5
pts

6

This criterion is linked to a
Learning Outcome Rough
Draft

17.5 to >14.35 pts

Meets Expectations

Submission shows a concerted effort to present a

high-quality draft requiring minimal adjustments to

content and mechanics. All parts of the research

paper are submitted and efforts to integrate

feedback are highly apparent. Significant and

substantive improvements have been made to each

section of the paper.

17.5
pts

This criterion is linked to a
Learning Outcome
Mechanics and APA

10.5 to >8.61 pts

Meets Expectations

Writing is clear, concise, formal, and organized.

Information is well organized and clearly

communicated. The assignment is free of spelling and

grammatical errors. All the requirements related to

format, length, source citations, and layout are

followed. A complete reference page is included and

formatted using correct APA format. If applicable,

appendices and tables are complete and

appropriate.The

10.5
pts

Total Points: 70

7

  • Week 4: Change Project Rough Draft

60s

Introduction

Many organizations work to better local and global communities' quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.

This assessment provides an opportunity for you gain insight into the mission, vision, and operations of a community services organization.

Preparation

You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way. You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.

Research a local, national, or global nonprofit organization or government agency selected from the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource. Determine how the selected organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Note: As you revise your writing, check out the resources listed on the Writing Center's 
Writing Support page.

Instructions

First, select one of the local, national, or global nonprofit organizations or government agencies presented in the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource.

Then research the nonprofit organization or government agency that you selected. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report structured according to the following specifications:

Document Format and Length

Format your paper using APA style.

· Refer to the 
APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:

· A title page and references page. An abstract is not required.

· Appropriate section headings.

· Your paper should comprise 3–5 pages of content plus title and references pages.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Graded Requirements

The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.

· Explain how the organization's mission and vision enable it to contribute to public health and safety improvements.

· Include examples of ways a local and/or global initiative supports organizational mission and vision and promotes public health and safety.

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in the community.

· Consider the effects of social, cultural, economic, and physical barriers.

· Assess the impact of funding sources, policy, and legislation on the organization's provision of services.

· Consider the potential implications of funding decisions, policy, and legislation for individuals, families, and aggregates within the community.

· Explain how an organization's work impacts the health and/or safety needs of a local community.

· Consider how nurses might become involved with the organization.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

· Write with a specific purpose and audience in mind.

· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze health risks and health care needs among distinct populations.

·

·

· Explain how an organization's work impacts the health and/or safety needs of a local community.

Competency 2: Propose health promotion strategies to improve the health of populations.

·

·

· Explain how an organization's mission and vision enable it to contribute to public health and safety improvements.

Competency 3: valuate health policies, based on their ability to achieve desired outcomes.

·

·

· Assess the impact of funding sources, policy, and legislation on an organization's service delivery.

Competency 4: Integrate principles of social justice in community health interventions.

·

·

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in a community.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

·

·

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

To Prepare:

  • Review the Resources below and identify a clinical issue of interest (psychiatric related) that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden University Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template attached under files to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Resources:

  • Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
    • Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)
    • Chapter 22, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 731–776)
  • Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries JournalLinks to an external site., 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x