Nursing

Predictions Outcomes and Variables
Predictions Outcomes and Variables
Week 7 Predictions, Outcomes, and Variables
Develop your project predictions and desired outcomes portion of your paper using the following as starting points:
Describe the desired outcomes: Specifically, state the purpose, focus, and viewpoint of the project as well as its expected accomplishments. While you may not be implementing your project, you should have a goal in mind that relates to solving your problem.
A project goal should reference the project’s benefits in terms of cost, time, and/or quality that address needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions.
Goals and objectives should be measurable, shared, and hypothetically agreed on by all key stakeholders. They are directly linked to the concept of project success factors.
What variables need to be considered and would you have control over them? For example, if you were to implement a department wide system change, would budget be an issue and how would you address that variable?
If you were to implement your study, how would you gather data? Would the focus be qualitative or quantitative?
What will your research provide to the community or to social change?
In the statistical sense, what is already known about your problem? Cite evidence from your literature review.
Compose a 2- to 3-page paper that addresses the intended outcomes of your project.
Question 2
Week 4 Integrative Literature Review
Write a literature review of your topic using peer-reviewed articles and books, as well as non-research literature such as evidence-based guidelines, toolkits, and standardized procedures. Identify and cite all sources of data according to APA guidelines.
In at least 5 pages:
Critique the most current research to support your problem; this research will help drive the focus of your project.
Summarize the key findings of the research and it’s relevancy to your project.
Describe any gaps in knowledge that you found and the effects this may have on health informatics as it relates to your project topic. The literature review should be a synthesis of how each article or study relates to your project.
When writing your literature review, remember to include subtopics to your main topic and gather data on these areas as well.
Your integrative literature review should be at least 5 pages in length, not including the cover or reference pages, and must contain a minimum of 10 scholarly articles published within the past 5–7 years.
This literature is considered a draft and will need to be revised for integration into your final paper. Please make sure to review your instructor’s feedback.

Assignment: Patient With Cerebral Palsy
Assignment: Patient With Cerebral Palsy
Question 18. Question :
Your fifteen-year-old male patient with cerebral palsy has been experiencing an alteration in mood for the past two days and complains of an unusual odor and then begins to have forceful muscle contractions followed by flaccidity and then lethargy. You would describe this as a _______________.
prodrome
postictal state
tonic-clonic seizure
petit mal seizure
Question 19. Question :
Which statement regarding Duchenne muscular dystrophy is true?
Females are not affected
Because Duchenne muscular dystrophy is X-linked recessive, females are affected and males are carriers
Because Duchenne muscular dystrophy is X-linked recessive, males are affected and females are carriers
The sons of women who are older than forty years of age when pregnant are affected
Question 20. Question :
Which malignancy is associated with genitourinary anomalies?
Acute lymphocytic leukemia
Chronic myelogenous leukemia
Osteosarcoma
Wilms’ tumor
Week 10 final exam (limited questions)
8. Question :
The number one psychological disorder in the United States has been identified as _________.
depression
anxiety
schizophrenia
bipolar disorder
Question 10. Question :
The most common form of juvenile rheumatoid arthritis is ____________.
systemic
pauciarticular
osteoarticular
polyarticular
Question 13. Question :
An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient?
MMR
Hib
Pneumococcal conjugate vaccine (PCV) 13
DtaP
Question 15. Question :
Attention deficit hyperactivity disorder may be ___________.
familial
learned
acquired
triggered by a virus
Question 21. Question :
Bipolar disease requires _____________ for successful treatment.
no medication only cognitive therapy
a limited amount of medication for a short period of time
no intervention
lifetime medication
Question 34. Question :
The National Youth Risk Behavior Survey (NYRBS) evaluates risk factors that contribute to violence or injuries. Which of the following has the highest percentage of noncompliance for safety?
Riding with someone who has been having alcohol
Driving while or after using alcohol
Not wearing a seatbelt
Not wearing a bicycle helmet
Question 35. Question :
A sixteen-year-old male presents to your office accompanied by his parents. They are concerned about his absenteeism from school. You suspect the patient has ________.
made a conscious decision to miss school (truancy)
suffers from attention deficit disorder
social anxiety disorder
panic attacks
Question 39. Question :
Which group of adolescents is more likely to develop Type 2 diabetes?
Non-Hispanic white adolescents
American-Indian adolescents
African-American adolescents
Pacific Islander adolescents
Question 42. Question :
The nurse practitioner sees a three-week-old infant in the clinic. Initial assessment findings show an infant with a 100.5 degree Fahrenheit rectal temperature, heart rate 120, respiratory rate 50. Upon physical exam no noted abnormalities are found. What would be the appropriate response of the primary care, clinic nurse practitioner?
Transport immediately to the ER
Obtain CBC with diff, urinalysis, urine culture, blood culture
Obtain CBC, urinalysis, urine culture and stool culture
Observe since this is not considered a
Question 47. Question :
Genu Varum is considered an abnormal condition when extreme knock knees continues
after seven years of age
extreme bowing continues after two years of age
parents are concerned about their child’s appearance
evident before two years of age
Question 67. Question :
Bipolar disease is often diagnosed in ____________________.
childhood years
the fifth or sixth decade
mid puberty
post puberty to early adulthood
Question 68. Question :
Of the following advice, which would be most helpful for the parents of a baby with GERD?
Most babies continue to vomit until they are walking.
Laying prone after eating will decrease the amount of vomiting.
Increase the intervals between feedings to minimum of four hours.
Medications are generally necessary to prevent further problems.
Question 69. Question :
A healthy eleven-year-old male had a Td booster two-year ago after stepping on a nail, but otherwise has had no immunizations since age six when his vaccinations were up to date. Which of the following vaccines would be indicated as a part of his well-child visit?
HPV2 (Cervarix)
Tdap (Adacel)
Meningococcal vaccine (MPSV) 4 (Menomune)
Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax)
Question 70. Question :
The adolescent should be screened for Type 1 diabetes _______________.
every year
every two years
once every five years
never
Question 74. Question :
Eating disorders are diagnosed during _________________.
fifth and six decades
childhood
adolescent period
any age frame
Question 77. Question :
Which of the following is a very important question to ask during the history taking for a sports evaluation?
Has the child ever had a head injury?
Has the child ever fainted or lost consciousness during exercise?
Does the child ever get short of breath with exercise?
Has the child ever had prior surgery
Question 79. Question :
An adolescent with which of the following would not be considered at an increased risk for dental erosion?
Gastroesophageal reflux disease (GERD)
Asthma
Anorexia Nervosa
Bulimia Nervosa

Assignment: Applied Nursing Theory
Assignment: Applied Nursing Theory
Week 7 discussion
Nursing Theory Applied to Evidence Based Practice
This week we are focusing on the application of nursing theories to evidence-based practice. In NR 500, you explored an area of interest related to your selected specialty track. You then identified an issue/concern related to that area of interest. For this discussion: select a nursing theory or model that can be used as a framework to support the resolution of your identified issue/concern.
In your initial response, address the following:
How the selected nursing theory or model is relevant to your specialty track
A brief description of the issue/concern
How the selected nursing theory or model can be used to guide the resolution of the issue/concern
Include an example from the literature or your own experience to illustrate your points. Remember to include at least one outside scholarly source.
Question 2
The Value of a Master’s-Prepared Nurse
Consider the current healthcare delivery models and practice settings. Reflect on how nursing practice is transforming in response to the current demands of the healthcare system and answer one of the following questions:
What differentiates the practice of a master’s-prepared nurse compared to that of a baccalaureate-prepared nurse?
What is the value of a master’s degree in nursing?
What do you consider to be the most essential professional competency for a master’s-prepared nurse practicing in the 21st century?
Refer to AACN Essentials, NLN competencies, and CCN Nursing Conceptual Framework. Use at least one outside scholarly article to support your position. Provide an example to illustrate an application to professional practice.
Week 2 discussion
Caring Concepts in Nursing
This week’s topic is centered on the concept of caring in contemporary nursing practice. In your initial response, provide a definition of caring that aligns with your perspective on the concept of caring. Identify your selected program of study specialty track (Executive, Education, FNP, Healthcare Policy, or Nursing Informatics). Describe how you will apply the principles of caring and holistic nursing in your future professional practice. Use at least one outside scholarly article to support your position. Provide an example to illustrate an application to professional practice.
Week 3 discussion
Knowing Self
Reflect the concepts addressed in this week’s lesson plan and required reading. Recall a challenging experience in either your personal or professional life. In the initial response, start with an introduction that includes a brief description of two core values that influence your nursing practice and interaction with others. Provide a concise description of the challenging experience. What core values were challenged in this experience? What lessons were learned from this experience? How did the experience inform future professional behaviors, decisions, and actions? Provide a specific example on how lessons learned from the challenging experience were applied in your professional practice. Use at least one outside scholarly reference to support your position.
Week 4 discussion
Leadership: Establishing Relationships and Influencing Change
This week’s focus is on developing foundational interpersonal skills that will prepare you for professional practice as a leader and change agent. As a leader, how will you influence change in your professional specialty area? Identify two strengths you have that will promote strong leadership. Identify two areas of improvement to your skill in leading and influencing change. What are two priority strategies you will implement to improve and/or enhance your leadership skills?
Week 5 discussion
Evidence-Based Practice
Discuss the EBP process and importance to nursing practice. Identify your selected specialty track. Provide a rationale on why you selected the specific professional track. Identify a concept or topic you have a passion about or an area of interest related to your future specialty advanced practice area. Provide an example, using the best evidence available, substantiating the significance of your selected area of interest as it relates to your specific specialty track.
Week 6 discussion
Systems-Structure and Function
Many of you have experience in complex adaptive systems whether you realize it or not. Thinking about your future practice specialty area, identify an issue or concern common to your future practice setting. (Note: This can be the same practice issue identified in Week 5.) In your initial response, please identify your specialty track, as well as the issue or concern. Discuss how this issue or concern impacts the system at the micro, meso, and macro levels. How will you address this issue or concern at the microsystem level? What is the expected impact of your solution on the meso- and macrosystems? Remember you can use an information technology-based solution to address the issue or concern.
Week 7 discussion
Healthful Environments
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.
Week 8 discussion
What Did You Learn
Reflecting on this course, consider and answer the following questions: How do you envision using the AACN essentials and information learned in this course to identify, guide, and evaluate your MSN project? How do you envision using the concepts learned in this course in your future nursing practice?

Assignment: Abilities and Traits in Nursing
Assignment: Abilities and Traits in Nursing
Week 1 assignment
Week 1 Project
Time Management
This assignment is about you. It is an assessment of your abilities and traits.
Every week you will complete a personal assessment–your own personal leadership framework.
This assignment will help you figure out what style of leadership you have been following and whether this style works for you.
Through this assignment, you will find the various approaches of leadership that complement each other. There is no one theory that describes the only way to be an effective leader. Each theory focuses on different issues, but they all help you to better understand how to become a successful leader.
Using the South University Online Library or the Internet, research about Time Management Assessment.
Note: You can also use the following link to access the Time Management Assessment: Time Management Assessment
Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:
Incorporates your time management self-assessment information and the concepts learned this week (leadership theories, leadership versus management, professional nursing organizations, and time management.
Includes identification of one leadership theory, which you feel best describes your leadership style.
Includes a comparison between leadership and management
Includes a suggestion on how to apply this week’s concepts to the work environment.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details
Support your responses with examples.
On a separate references page, cite all sources using APA format
Name your document SU_NSG4029_W1_Project_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.

Sociocultural Influences on Women’s Health
Sociocultural Influences on Women’s Health
Week 1 discussion
Discussion: Political, Social, and Sociocultural Influences on Women’s Health
As an advanced practice nurse, you must remain current on health issues that commonly impact women such as birth control, abortion, family planning, the human papillomavirus (HPV) vaccine, and human immunodeficiency virus (HIV). Many of these women’s health issues are heavily influenced by political, social, and sociocultural factors. These influences might not only affect a woman’s ability or desire to receive care, but also a provider’s ability or willingness to offer care. How might political, social, and sociocultural factors influence your personal perceptions of these women’s health issues?
To prepare:
Review this week’s media presentation, as well as Chapter 1 of the Schuiling and Likis text.
Select and research one of the following women’s health issues: birth control, abortion, family planning, human papillomavirus (HPV) vaccine, human immunodeficiency virus (HIV) in women, or another issue approved by the course Instructor.
Consider the impact of political, social, and sociocultural factors on the women’s health issue you selected.
Reflect on how the personal perceptions of providers might influence their ability or willingness to care for women in relation to this issue.
Week 2 assignment
Assignment: Assessing and Treating Pediatric Clients With Mood Disorders
When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.
Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.
Learning Objectives
Students will:
Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients
Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy
Evaluate efficacy of treatment plans
Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 6, “Mood Disorders”
Chapter 7, “Antidepressants”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Review the following medications:
amitriptyline
bupropion
citalopram
clomipramine
desipramine
desvenlafaxine
doxepin
duloxetine
escitalopram
fluoxetine
fluvoxamine
imipramine
ketamine
mirtazapine
nortriptyline
paroxetine
selegiline
sertraline
trazodone
venlafaxine
vilazodone
vortioxetine
Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdf
Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171
Note: Retrieved from Walden Library databases.
Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf
Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Assignment: Emergency Department Unit
Assignment: Emergency Department Unit
Module 8 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Discussion A
Missy is 3 years old. She enjoys being with mom and grandma in the kitchen. She pulls a chair close to the stove, climbs on the chair and looks inside the pot of boiling water. The steam is hot on her face, she steps back and as she falls off the chair, the boiling water is pulled down on her. Missy is rushed to the emergency department. Grandma has put some butter on her fingers, but her face was not treated.
Review the Rule of Nines found on page 1021.
In the ED, the nurse discovers that her hands, face, chest and arms are burned. The Dr. believes it to be a partial thickness burn, but notes her hands are blistered and very edematous.
Provide nursing care to this young patient that is complaining of pain, crying, and uncooperative. Educate the mother and grandmother on the extent of the burn and the on-going care that will be needed.
Include medication you may wish to request from the physician and the dosage.
Group B Response
After several days the doctor begins discussing grafting of the hands and face. Can you educate the parents on the care the child will need. What is the home care situation for this child? Please also discuss long term issues, physical, emotional, how will she relate to peers?
Discussion B
Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom. He thought if he stood on the railing and reached with the badminton racket he could get it.
Currently he is 2 days postoperative from repair of the left femur. He is being transferred out of the pediatric ICU where the Neurologist has stated he is stable but needs continued neuro checks q2 hours. He has a full left leg cast. The Foley catheter is to be replaced today, or he can attempt to roll onto a bedpan if needed.
Please list the systems that are affected by this boy’s injuries.
List the nursing interventions now that he is on your nursing unit.
Start a list of nursing diagnosis match the system you are presenting.
Group A Response
Please add the interdisciplinary team that needs to attend to this boy’s health care needs. Plan home care if appropriate. And continue the list of nursing diagnosis.
Module 9 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Discussion A: Complete the initial discussion
Roslyn is complaining of severe pain. She is 6 years old and has been placed in public school for the first time. Now she is complaining of her legs hurting. She is so excited about being in school finally, but her parents report that she is not participating in play time, seems weaker, and is pale. She is diagnosed with sickle cell anemia, parents undergo genetic testing as well as all her siblings and it is found that she is the only child with the disease.
Provide nursing diagnosis and nursing interventions for this child. What is your priority nursing care?
Group B: Complete the subsequent discussion
Once the crisis is over what education will you provide to Roslyn and her parents?
Discharge teaching should include?
Is it appropriate that Roslyn stay in school? What about activities?
Group B: complete the initial discussion
Charley is 10 months old. His parents brought him to the pediatrician because he was sleeping more than average, refusing to eat, and is not pulling himself up as other children.
He cries while in the ‘jumper’ and screams when they try to have him stand. After some time Charley’s pediatrician informs the parents that the diagnosis is ALL.
In your research, what have you learned regarding this cancer and the prognosis?
What are the treatment modalities recommended for this disease?
Group A: Complete the subsequent discussion
Charley’s parents are devastated with the diagnosis and are grieving. Their pediatrician and oncologist are supportive but realistic and scheduling a meeting with hospice for education and grief counseling.
Describe grieving.
Provide palliative care to your patient. Provide support to his parents.
Module 10 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Group A – Complete the initial response.Intimate Partner Violence: A 30 y/o woman presents to the Emergency Department with a complaint of sexual assault by a co-worker in her office. She has no facial or body trauma, bruising or lacerations. She is withdrawn, crying and relates feeling very guilty about coming into the clinic but is afraid of getting pregnant. They had begun dating a week ago, but she never believed this man would become so aggressive.
How can you best help this woman?
What medical care should be provided?
What education will you provide to her?
Group B: responding to this discussion
Care for this patient does not conclude at the end of this ED visit.
What follow up care should be provided?
Who is best suited to provide care to this patient?
http://www.rainn.org/ this is a link to the web site.
Discussion: Group B – please complete this initial discussion.
You are working in a rural Family Planning Health clinic and a 16 y/o presents with complaints of vaginal pain, discharge, odor x 4 days. Pain is getting worse. Her mother relates she has a cognitive learning delay and has tried to talk to her about her consensual sexual behavior with multiple partners. She tells you she has “felt some ‘bumps’ down there.” She relates multiple sexual partners because she is now popular and it is part of the ‘game’ to stay popular with her new friends. Diagnosis: HPV with several condyloma lesions, a vaginal yeast infection, and chlamydia.
She is given a prescription for Chlamydia, and the vulvar lesions, told to follow up in 2 weeks.
How do you approach her and begin the conversation regarding safe sexual practices? What are your thoughts about this young lady? How do you feel about her game? How would you proceed to give her education?
Group A: respond to this discussion.
This client is a victim to sexual coercion. As the nurse what is your role and responsibility.
As the nurse what is your role and responsibility?
Can you direct her to a support system that would be on going to assist her?
What will happen to her if she begins to refuse to participate in this sexual behavior?
Assignment: Emergency Department Unit
Assignment: Emergency Department Unit
Assignment: Emergency Department Unit

What are Aspects of Nurse Leader
What are Aspects of Nurse Leader
Week 1 discussion
Discussion Question
Post a detailed description of your experience of working with a nurse leader. Include the following aspects in your description.
Of the leadership theories discussed this week, which one did this nurse leader subscribe to? Why?
How has your experience been with the nurse leader? Provide a description of your interactions with him or her?
Week 2 discussion
Discussion Question
Using the South University Online Library or the Internet, research about power sources for a nurse leader. Based on your understanding, answer the following questions:
In your opinion, what are the three most important power sources for a nurse leader? Why?
How are they best used in a leadership role? Describe.
What sources of power do you see most often displayed in your work environment? Why?
Week 3 discussion
Discussion Question
Effective leadership can help nurse leaders to bring about a desirable change within the system. Using the South University Online Library or the Internet, gain adequate insight into change theories and change management, and answer the following questions:
What does it mean to be a change agent? Give two examples of when you were a change agent or witnessed another nurse as a change agent
What happened and how did the change occur? Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.
Week 4 discussion
Discussion Question
With a society that is so diverse in its own nature, issues pertaining to cultural diversity are bound to occur in the process of team management and leadership. Using the South University Online Library or the Internet, research about cultural diversity. Based on your research and understanding, answer the following questions:
How does having members of different cultures on a team affect the team’s performance?
How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?
Week 5 discussion
Discussion Question
Using the South University Online Library or the Internet, research about nursing informatics or technologies used in nursing. Based on your research, answer the following questions:
What technology does your facility use?
How has it improved patient care or outcomes?
What can be done to make it more useful or to further improve patient care or outcomes?

Assignment: Assessing Level of Pain
Assignment: Assessing Level of Pain
Week 7 assignment
Assignment: Assessing and Treating Clients With Pain
Pain can greatly influence an individual’s quality of life, as uncontrolled pain negatively impacts mood, concentration, and the overall physical and mental well-being of clients. Although pain can often be controlled with medications, the process of assessing and treating clients can be challenging because pain is such a subjective experience. Only the person experiencing the pain truly knows the intensity of the pain and whether there is a need for medication therapies. Sometimes, beliefs about pain and treatments for pain can have an adverse effect on the provider-client relationship. For this Assignment, as you examine the interactive case study consider how you might assess and treat clients presenting with pain.
Learning Objectives
Students will:
Assess client factors and history to develop personalized therapy plans for clients with pain
Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for pain
Evaluate efficacy of treatment plans for clients presenting for pain therapy
Analyze ethical and legal implications related to prescribing therapy for clients with pain
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 10, “Chronic Pain and Its Treatment”
Stahl, S. M., & Ball, S. (2009a). Stahl’s illustrated chronic pain and fibromyalgia. New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated Guides tab and then the Chronic Pain and Fibromyalgia tab.
Chapter 5, “Pain Drugs”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
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.
Review the following medications:
For insomnia
amitriptyline
amoxapine
carbamazepine
clomipramine
clonidine (adjunct)
desipramine
dothiepin
doxepin
duloxetine
gabapentin
imipramine
lamotrigine
levetiracetam
lofepramine
maprotiline
memantine
milnacipran
nortriptyline
pregabalin
tiagabine
topiramate
trimipramine
valproate (divalproex)
zonisamide
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Note: Retrieved from Walden Library databases.
National Institute of Neurological Disorders and Stroke. (2016). Pain: Hope through research. Retrieved from http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm#3084_2
Required Media
Laureate Education (2016a). Case study: A Caucasian man with hip pain [Interactive media file]. Baltimore, MD: Author
Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment:
Review this week’s Learning Resources. Consider how to assess and treat clients requiring therapy for pain and sleep/wake disorders.
The Assignment
Examine Case Study: A Caucasian Man With Hip Pain. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
Week 8 assignment
Assignment: Assessing and Treating Clients With Impulsivity, Compulsivity, and Addiction
Impulsivity, compulsivity, and addiction are challenging disorders for clients across the lifespan. These disorders often manifest as negative behaviors, resulting in adverse outcomes for clients. In your role as the psychiatric mental health nurse practitioner, you have the opportunity to help clients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.
Learning Objectives
Students will:
Assess client factors and history to develop personalized therapy plans for clients with impulsivity, compulsivity, and addiction
Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction
Evaluate efficacy of treatment plans
Analyze ethical and legal implications related to prescribing therapy for clients with impulsivity, compulsivity, and addiction
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 14, “Impulsivity, Compulsivity, and Addiction”
Stahl, S. M., & Grady, M. (2012). Stahl’s illustrated substance use and impulsive disorder New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated Guides tab and then the Substance Use and Impulsive Disorders tab.
Chapter 10, “Disorders of Impulsivity and Compulsivity”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
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.

Asignment: Critical Commentary in Nursing
Asignment: Critical Commentary in Nursing
Week 8 discussion
DQ1 Post your “Evidence-Based Practice Proposal Project Presentation.” Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.
DQ2 There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.
Question 2
Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.
You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.
DQ2 What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?
Week 3 discussion
DQ1 What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?
DQ2 What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?
Week 4 discussion
DQ1 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.
DQ2 Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.
Week 5 discussion
DQ1 Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?
DQ2 Consider an obstacle or barrier to the implementation of evidence-based practice you identified in last week’s discussion. What are two ways to address this problem?
Week 6 discussion
DQ1 When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a help or a hindrance when wanting to create a change?
DQ2 What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project?
Week 7 discussion
Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information?
Week 8 discussion
DQ1 Post your “Evidence-Based Practice Proposal Project Presentation.” Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.
DQ2 There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.

Assignment: Discuss Clinical Judgment
Assignment: Discuss Clinical Judgment
Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.
Keeping that in mind, answer the following scenario:
You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:
RN with 12 years of Trauma ED experience
New RN with 6 months ED experience
RN from the Medical Surgical floor with 8 years of experience
The following patients are in the ED, which patient will you give to each of the nurses and why?
A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
A 38-year-old client with kidney stones complaining of severe pain.
A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
An 80-year-old client that has not had a bowel movement for 4 days.
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Question 2
Module 1 discussion
Preventative Care / Care of Women and Children
Respond to each discussion prompt as your initial post. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Group A:
Healthy People 2010 – is a guide to promote preventative care. Review primary, secondary and tertiary prevention and relate this to women and children at risk in your community. Identify those risk factors that a prevention program could impact the health of the group you identify.
This video is the Healthy People 2020 initiative
Group B:
Please research medical technological advances that may be unique to the care of women and children. Discuss how this technology will improve care to women and children. (ideas may be: genetic screening, public health initiatives, mammography, cervical screening, Fetal monitoring, Electronic medical records, telemedicine).
Which technological advances have been utilized in your local hospital? How has it impacted the care of women and children?
Module 2 discussion
Emergency Contraception / Emergency Department
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Group A will complete the following discussion and then respond to Group B discussion.
Emergency Contraception:
A16 year old reports to the local Family Planning clinic with concerns regarding pregnancy. She relates she had unprotected intercourse 2 nights ago and believes she may be ‘fertile’. She wants to learn more about the ‘morning after pill’
What additional information should you obtain from her?
What do you know about emergency contraception and the side effects?
What educational points should you provide to her?
Group B will complete the following discussion and respond to Group A’s discussion post.
Vaginal Bleeding in pregnancy:
A pregnant patient arrives in the Emergency Department with complaints of vaginal bleeding. You will choose the gestational age of your patient, and based on that gestational age answer the following questions:
Knowing the gestational age, provide information on LMP, and EDD
What are the possible reasons she is bleeding at this gestational age?
What are your nursing interventions for this issue, and please include education to your patient.
Module 3 discussion
Labor Management
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Part 1: An 18 year old Primigravida presents to Labor And Delivery with what appears to be active labor. Upon questioning, you discover she has received no prenatal care. In obtaining some history while placing her on the fetal monitor you learn she is a smoker, approximately 1 pack per day, occasional marijuana for stress, and denies any support system. The Father of the Baby (FOB) has no knowledge of the pregnancy. No prenatal vitamins – they were too hard to swallow. She has no idea when her LMP was and she relates always being very irregular. * remember LMP is to ask the first day of the Last Menstrual cycle, not when the bleeding stopped*
What other questions are essential for her safe care?
What lab values do you need to obtain?
What exam findings should you obtain at this time?
What education will you provide for her?
She asks you how long this will take to have the baby – what is your best response?
Group B
Part 2: Objective information:
Fetal heart tones are 130, with minimal variability
Vaginal exam is 4 cm/90%effaced/ -1 station
She is complaining of pain – 8/10 on a numerical scale.
An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 ml per hr in left forearm.
How can you provide non pharmacological comfort to this patient?
What are the pharmacological methods to use?
Without prenatal records or history GBS is unknown. What must you provide?
Contractions are 5 minutes apart and you receive an order to augment labor – what non pharmacological methods can you employ (or ask the MD to provide?)
Pitocin is ordered, please include at what rate you will start Pitocin, and how often you titrate. What equipment is needed to hang and run Pitocin IV?
Preterm Labor Management
Preterm labor