Nursing

Assignment:Adressing Childs Pain
Assignment:Adressing Childs Pain
As in prior discussion forum. Your initial post can be to either option #1 or option #2. However, the group must split so that half the group does #1 and the other half does #2.
Option #1 – S.P. is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit. The child complains that her leg hurts. Subjective data includes: PMH of otitis media; up to date immunizations; no medications; no allergies; pain is 3/5 on pain scale; attends preschool and unable to recall injuring leg. Objective data includes: vital signs – T 98.6, P 92, R 18, B/P 100/70. Lungs clear in all anterior and posterior fields, heart rate and rhythm regular, moving all extremities; full ROM in legs and arms, and strength 5/5 in all extremities.
1. What other question should the nurse ask?
2. What other techniques are helpful to incorporate in assessing a patient in this age group?
3. What other assessments should the nurse make for this clinical presentation?
4. What are a few of the major differences in the musculoskeletal assessment of a child?
5. Based on the readings what is the most likely cause of leg pain for this patient?
Option #2 – Discuss the developmental, age, socioeconomic, and cross-cultural considerations that should be considered during the gathering of the subjective and objective data and the provision of healthcare. Discuss the findings presented. Is there additional information / assessments you would like to know prior to making a clinical judgment? Also, relate the anatomic area of injury or physiologic alteration to the neurologic source of that condition.
J.L. had a CVA within the past week. J.L. is easily frustrated, anxious, and fearful, and her speech is slurred. She needs verbal cuing for any task she is asked to carry out. She eats only food on the left side of the tray and responds only when approached from the left side.

Assignment:Reflective Paper
Assignment:Reflective Paper
· Papers must be a minimum of 2 pages (double-spaced) in length. This paper involves your own perspectives, so do not include any references. No title or reference page is needed. However you must follow principles of good writing (no typos, clarity of sentences, attention to grammar, etc.)
· What is a reflective paper?
o A reflective paper gives you the opportunity to reflect back on the experiences and learning you have obtained from this course and to place your learning in context with your past, present, and future practice and experience. Reflecting on your learning helps to facilitate the integration and synthesis of newly acquired knowledge and experience.
· What should not be included?
o A list or description of what you learned
o An evaluation of the course – that will be done through the course evaluation process.
Reflection Questions (15 points) (worth 3 points each)
· Discuss experiences and learning in this course on your past, present, and future practice
· What progress have you made in acquiring technology skills since the beginning of this course?
· How will you continue to expand your skills in this area?
· Envision the nursing informatics applications that are currently in use. What will or should come next?
· How will you become involved in the creation of theories, tools, and knowledge of the future?
Scholarly Writing (5 points)
Correct APA Font and size (1 point)
Correct double spacing, margins, and follows page length (1 point)
Correct Grammar & sentence structure (1 point)
Organization (1 point)
Proofreading (1 point)
Total
· What is a reflective paper?
o A reflective paper gives you the opportunity to reflect back on the experiences and learning you have obtained from this course and to place your learning in context with your past, present, and future practice and experience. Reflecting on your learning helps to facilitate the integration and synthesis of newly acquired knowledge and experience.
· What should not be included?
o A list or description of what you learned
o An evaluation of the course – that will be done through the course evaluation process.
Reflection Questions (15 points) (worth 3 points each)
· Discuss experiences and learning in this course on your past, present, and future practice
· What progress have you made in acquiring technology skills since the beginning of this course?
· How will you continue to expand your skills in this area?

Assignment:Transcultural nursing assessment
Assignment:Transcultural nursing assessment
Purpose
The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by conducting a transcultural nursing assessment and reflection on completion of the Course Project. The purpose of Milestone 3 is to perform an assessment and reflect on learning related to the Course Project (3 Milestones). You will complete a template reflecting on concepts of transcultural nursing related to the assessment and reflect on learning.
Course Outcomes
The completion of the Course Project enables the student to meet the following Course Outcomes.
CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)
CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)
Points
The entire project is worth 600 points. Milestone 3 is worth 300 points of this total.
Due Dates
You are to submit your completed NR394 Milestone 3 by Sunday, 11:59 p.m. MT, at the end of Week 6.
Requirements and Guidelines
Review the Course Outcomes for this assignment, which are listed above.
Schedule a time to meet with the individual to conduct a face-to-face assessment. You may not conduct the assessment by phone call, e-mail, or by asking the individual to fill in the template. You must be able to understand your individual. An interpreter is not allowed.
Do not perform the assessment prior to Week 6 in order to receive feedback from your instructor regarding Milestone 2. This will allow you time to make adjustments in your questions if needed. If the individual’s schedule requires that you perform the assessment prior to Week 6, consult with your instructor regarding early submission of Milestone 2 to ensure that you receive timely feedback before the assessment occurs.
Perform the assessment in a professional manner using the preapproved questions (Milestone 2).
Once you have completed the Assessment and Reflections template (Links to an external site.)Links to an external site., click Save as, and save the file with assignment name and your last name (e.g., NR394_Milestone3_Smith). Submit to assignment page by 11:59 p.m. MT at the end of Week 6 by 11:59 p.m. MT.
Contact your instructor if you have any questions.

Assignment: Theories Related to Transcultural Nursing
Assignment: Theories Related to Transcultural Nursing
Week 3 Course Project, Transcultural Assessment Milestone 1-Individual’s Profile
Course Project, Transcultural Assessment Milestone 1: Individual’s Profile (graded, 100 points)
Updated 7/2018
Purpose
The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by performing a transcultural nursing assessment.
The purpose of Milestone 1 is to identify an adult who is not a relative who is willing to participate in the transcultural assessment and to secure the instructor’s approval for the assessment. Note: The actual assessment does not occur until Milestone 3. It is not a purpose for this assignment.
Course Outcomes
CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)
CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)
CO4: Perform a culturally competent nursing assessment. (PO7)
Points
The entire project is worth 600 points. Milestone 1 is worth 100 points of this total.
Due Dates
You are to submit your completed NR394 Milestone 1 by Sunday, 11:59 p.m. MT, at the end of Week 3.
Requirements and Guidelines
Review the Course Outcomes for this assignment, which are listed above.
Review the guidelines for Milestones 1, 2, and 3, paying particular attention to Milestone 1 for this assignment. The guidelines for all of the Milestones are located in Modules on the left-hand navigation menu. Also, read the Course Project Overview page in Introduction & Resources for more details and helpful tips.
Identify a potential individual who has been living in a culture other than the one of origin for at least 2 years. This individual must be born outside the United States. The individual can be a patient, friend, or colleague, such as a physician, or acquaintance, but cannot be a relative. The individual must be living in your community and must be currently receiving or have previously received healthcare services in your community. The individual’s race, ethnicity, language, religion, and culturally based beliefs about healthcare and illness should be quite different from yours. The individual must speak your language. An interpreter is not permitted for the actual assessment, which occurs in Milestone 3 (Week 6).
Note: This is the same individual for whom you will develop verbal assessment questions in Milestone 2 and whom you will ask those questions in Milestone 3 and then reflect on your learning about the Course Project and the assessment.
Individuals can come from a variety of settings. Recent immigrants, migrant workers, exchange students, international students, long-term care residents, refugees, coworkers, physicians, patients, employees at local ethnic businesses, religious venues, community centers, and individuals who have recently moved to your community are some suggestions. The individual does not need to be a healthcare worker but must have received healthcare services in the country of origin as well as since arriving in the United States. Work with your instructor prior to submitting Milestone 1. Approval must be provided by your instructor before submitting Milestone 1 (this assignment).
Speak with the individual, and obtain permission to conduct an assessment later in the course. Clearly explain that statements made in the assessment will be recorded (written) and submitted to the instructor only. It is not intended for public distribution. Anonymity will be maintained by using first and last initials only. Do not use names in any of your documents.
Download the NR394_Individual_Profile_Template (Links to an external site.)Links to an external site.. Although you are not performing the official assessment until Milestone 3, it will be necessary to obtain some general information about your individual to complete Milestone 1. This information may come from the individual or Internet sources.
Fill in information about the potential individual using the template. You are expected to write clearly and use proper grammar and spelling and eliminate typos.
Submit the completed template by the end of Week 3 at 11:59 p.m. MT.
Example: KC was born in Hwidiem, Ghana, a small village in Africa, where he did not graduate from high school. He is 72 years old. He immigrated to the United States at age 28 and has lived in Grove City near Columbus, Ohio since then. Hwidiem is considered the provincial capital (fill in information about the community or city as you can find). He was married but divorced after a traumatic brain injury. Since then, he has had many part-time jobs and studies his Bible faithfully. Grove City is a town in Ohio (fill in information about the city or community). Currently, he receives healthcare for his hypertension control. I met him 3 years ago at a senior citizens’ center where I volunteer.
400 × 517

Assignment:Nursing Professional Paper
Assignment:Nursing Professional Paper
Week 4 Professional Paper Worksheet Assignment
Professional Paper Worksheet Guidelines and Grading Rubrics
Updated 7/2018
PURPOSE
The purpose of this assignment is to allow the learner to demonstrate good organization, appropriate resources, and correct APA formatting for preparing a professional paper.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO3. Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)
CO4. Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)
CO5. Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)
CO9. Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using resources provided to Chamberlain students. (PO5)
DUE DATE
Submit the assignment by Sunday end of Week 4, 11:59 p.m. MT.
POINTS
This assignment is worth a total of 150 points.
PREPARING THE Professional Paper Worksheet
Carefully read these instructions and the Rubric.
Download the Professional Paper Worksheet Template (Links to an external site.)Links to an external site.
You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
Rename that document as Your Last Name Professional Paper Worksheet.docx, for example Smith Professional Paper Worksheet. You must save as a .docx file. Save it to your own computer or drive in a location where you will be able to retrieve it later.
Type your assignment directly on the saved template. Remember that only Microsoft Word 2010 or a later version is acceptable. Save frequently to prevent loss of your work.
The topic of your paper is Communication. This will also be the title of your paper.
Your Hood textbook will be one of the two resources for your paper. Locate pages in your Hood textbook that correspond to the paper topic listed above. HINT: Begin with the readings in Hood for the paper topic.
The other resource for your paper is the following assigned article: [https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=26390744&site=eds-live&scope=site (Links to an external site.)Links to an external site.]
Note: logging in to the Chamberlain Library is needed to access this article. IMPORTANT: Download the article to your computer or flash drive and exit the library. Read the article offline.
Hood and the assigned article are the only sources to be used to write this paper.
Follow the instructions and specifics on the Template and the rubric. You will demonstrate your APA abilities in references, citations, quotations, and paraphrasing.
Prepare a detailed outline for your Professional Paper as indicated on the Template (specific descriptions only; complete sentences not needed). The outline (and later the Professional Paper) should not be a summary of the article. NOTE: The Professional Paper will contain 500-600 words of content (introduction, body, and conclusion).
Double check your answers with the rubric prior to submission.
**Academic Integrity Reminder**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Please see the grading criteria and rubrics on this page.
NOTE: Please use your browser’s File setting to save or print this page.
TOPIC Robins, H., & Dai, F. (2015). Handoffs in the Postoperative Anesthesia Care Unit: Use of a Checklist for Transfer of Care. AANA Journal, 83(4), 264-268.
Directions:
1. Carefully read the Professional Paper Worksheet Guidelines and Rubric found in Week 4 Assignments area, which provides specific details on how to complete this assignment.
2. Rename this template by clicking Save As. Change the file name so it reads Your Last Name Professional Paper Worksheet.docx. For example, if your last name is Smith, type Smith Professional Paper Worksheet.
3. Save the document as a .docx file . See instructions in Week 4 Professional Paper Worksheet Assignment page.
4. Type your name and date at the top of this template.
5. Type your answers directly on the template. Follow all instructions on this Template and the Guidelines document (including the Rubric). Save frequently to prevent loss of your work.
6. Submit this completed assignment in the Week 4 Assignments area by the end of Week 4, Sunday at 11:59 p.m. MT.
7. Post questions about this assignment to the Q & A Forum so your classmates can read the advice, too. You may also e-mail private questions to your instructor
Item Instructions
Type your answers below
Page numbers in Hood textbook on the assigned paper topic:
Clearly state page numbers in Hood textbook that correspond to the assigned paper topic.
General Reference Form
Type the general reference form for a journal article from Publication Manual of the APA from page 198.
Reference for Journal Article:
Create a reference for the assigned article using correct APA format including: author(s), year, article title, journal name, volume number, issue number, page numbers, italics, parentheses, punctuation, double line spacing, and hanging indent. Include DOI if available.
[See page 198 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers]
NOTE: Do not use reference or citation examples found in the library database.
Quotation with Citation:
Type a quotation (10–25 words) from the assigned article using correct APA citation including quotation marks, authors’ names, year, page numbers, and parentheses. Do not use words or ideas the authors cited from another source.
[See pages 170-171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers]
Paraphrased Area and Citation:
Type appropriately paraphrased version of the words quoted in the section above using correct APA citation including authors’ names, year, and parentheses. Do not use words or ideas that the authors cited from another source.
[See pages 171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers]
Professional Paper Outline:
Develop outline on the assigned topic for professional paper including introduction, 2 subtopics consistent with each of the two main topics provided, and conclusion (summary and concluding statements). Excellent specifics used.
Introduction
· Paper topic is Communication
· [type definition of topic in relation to professional nursing here]
Essential Principles of Communication in Professional Nursing (first main topic)
· [type required first subtopic here]
· [type required second subtopic here]
Advantages of Using a Formulated Checklist for Handoff Communication(second main topic)
· [type required first subtopic here]
· [type required second subtopic here]
Conclusion
· [type summary statement here]
· [type concluding statement here]
Assignment:Nursing Professional Paper

Assignment: Nurse of the Future
Assignment: Nurse of the Future
Week 1 discussion
Nurse of the Future Nursing Core Competencies
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO4 Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO 4)
CO9 Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using success resources provided to Chamberlain students. (PO 5)
Now that you have examined the Nurse of the Future Nursing Core Competencies, why do you think these competencies were selected? Which 2 of the 10 competencies will be most important to your future nursing practice and why?
Week 2 discussion
Interprofessional Collaboration Strategies
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO4 Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO 4)
CO9 Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using success resources provided to Chamberlain students. (PO 5)
In today’s changing healthcare environment, it is more important than ever for professional nurses to be skilled in collaborating with professionals from other healthcare disciplines. What communication strategies can professional nurses use to specifically promote collaboration with other healthcare disciplines and professionals?
Week 3 discussion
Integration of Evidence-Based Practice Into Professional Nursing Practice
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO8 Discuss the role of evidence-based practice in the provision of professional nursing care. (PO 8)
As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion.
Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like.
Week 4 discussion
Nursing Roles in Quality Improvement
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
How do nurses promote patient safety and improve quality at your workplace? How do you report errors and near misses? What changes would you suggest be made on your unit or facility to improve a nonpunitive culture of safety?
Week 5 discussion
Leadership to Improve Quality in Diverse Situations
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
Nurses demonstrate leadership in many situations. For this discussion, identify only one situation from the choices below that you have not previously experienced, and tell us how the nurse could improve quality through demonstrating leadership.
Communicating with legislators to influence health policy
Clinical leadership at the bedside
Nursing management of units or facilities
Impact of systems-based practice on leadership
Week 6 discussion
Use of Informatics in Professional Nursing
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO3 Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO 3)
How do you use informatics and technology in your nursing practice? How do you see that use changing in the future? What ethical issues have arisen or might arise from use of technology and informatics in professional nursing?
Week 7 discussion
Application of Nursing Theory to Practice
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer that resulted in a temporary colostomy. Select one of the nursing theories from our textbook and address the following:
How you would provide professional nursing care for Mr. R. using the theory you have selected? Be sure to use terminology from the selected nursing theory to explain your interventions.
How can patient-centered care and the patient’s cultural preferences be enhanced by use of this theory?
Relate applications of legal and/or ethical standards to this case study.
Week 8 discussion
AACN BSN Essentials and Your Future Practice
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice.
In your post (intended to provide a clear and thorough answer), be sure to
identify the AACN BSN Essential that you have selected by name and number.
explain why you selected this Essential.
explain how this Essential will be used to improve quality in your future professional nursing career.
For your response to a classmate to further develop that person’s ideas, select at least one classmate who has written about a different AACN BSN Essential from the one you selected.
Assignment: Nurse of the Future

Case Study: Discuss Fibromyalgia
Case Study: Discuss Fibromyalgia
A 25-year-old female patient is being prescribed milnacipran to treat fibromyalgia, and expresses concern regarding “how she will feel and look” from taking the medicine. Which statement correctly describes the side effects as a result of taking this medication?
Question 52
Mr. Ruby is a 33-year-old single father who is requesting pharmacological intervention to treat his fibromyalgia. The PMHNP sees in the medical chart that he has a recent diagnosis of arrhythmia and a BMI of 29. During his assessment, the PMHNP learns that Mr. Ruby works 40–50 hours a week as a contractor and “manages his stress” by smoking 3–4 cigarettes a day and having 8–10 drinks of alcohol each week. Why would duloxetine be contraindicated for Mr. Ruby?
Question 53
A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should the PMHNP do?
Question 54
A patient is prescribed 50 mg of desvenlafaxine to take every other day for major depressive disorder. What does the PMHNP understand about this patient?
Question 55
The PMHNP understands that which mechanism contributes to a worse tolerability profile for patients taking tricyclic antidepressants (TCAs)?
Question 56
A patient who was prescribed an MAO inhibitor is learning about dietary modifications. Which statement made by the PMHNP demonstrates proper teaching of the food-drug interactions for MAO inhibitors?
Question 57
A patient who is prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates proper understanding of drug-drug interactions?
Question 58
Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil), and reports “I take my 45 mg pill, three times a day, just like I’m supposed to.” What does the PMHNP understand about this patient?
Question 59
The PMHNP is caring for several patients who present with various symptoms and health issues. For which patient does the PMHNP prescribe pregabalin (Lyrica)?
Question 60
Mr. Gutier is 72 years old with anxiety and depressive symptoms. His PMHNP is prescribing lorazepam (Ativan). What does the PMHNP understand regarding this prescription?
Question 61
A patient is being prescribed a sedating antidepressant, but is concerned about weight gain. Which medication is most likely to be prescribed to addresses the patient’s concerns?
Question 62
A patient who was diagnosed with bipolar disorder without mania, asks the PMHNP why he is being prescribed a mood stabilizer. What is the appropriate response?
Question 63
The PMHNP is assessing a patient in the emergency room. The patient shares that he has been on lithium (Lithobid) for many years. What blood tests does the PMHMP order?
Question 64
A 39-year old female patient presently on lithium would like to try a new medication to treat her bipolar disorder. She has had concerns about side effects from lithium and wants to learn more about Lamotrigine (Lamictal) as a treatment option. The PMHNP conveys some of the unique aspects of this agent, including which of the following?
Question 65
A nursing student is seeking clarification on the use of anticonvulsants to treat depression and is unclear about most effective outcomes. Which of the following agents does the PMHNP convey as having uncertain outcomes?
Question 66
A 46-year old male patient mentions several alternative treatments to Carbamazepine (Tegretol) as a way to manage symptoms of his bipolar depression. Which of the following does the PMHNP indicate would not be an agent to treat bipolar depression?
Question 67
The PMHNP is meeting with a new mother who would like to begin taking medication again to treat her bipolar depression; she is breastfeeding her 2-month old daughter. The PMHNP recognizes that which of the following medications is contraindicated for this patient?
Question 68
The PMHNP assesses a 10-year old male child in the ER and suspects mania. Which of the following symptoms and recommendations for follow-up evaluation are appropriate?
Question 69
A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he asks the PMHNP why it is necessary to wean him off of the Clonazepam (klonopin) the best response is:
Question 70
During assessment a patient states “Why are you asking me about my heart, I am here for my head”, the PMHNP’s best response is:
Question 71
The PMHNP understands that the potential of alcohol abuse in the anxious patient is higher for the following reason:
Question 72
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which possible effect?
Question 73
A patient is prescribed escitalopram (Lexapro) for his anxiety. When he asks why he was given an antidepressant the PMHNP’s best response is:
Question 74
The PMHNP evaluates the patient for “fear conditioning” when he asks:
Question 75
A patient diagnosed with PTSD is prescribed propranolol (Inderal) and the PMHNP understands that he was prescribed this medication for what purpose:
Question 76
When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

Assignment: Treating Chronically ill
Assignment: Treating Chronically ill
Week 1 Project
Introduction
While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver. You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan.
In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 Topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team.
Each week, you will complete a part of this project. You will submit a final completed project in Week 5. Be sure to take the time to carefully complete each of the weekly assignments and then put it all together in Week 5.
Ensure that you save a copy of this course project after you have submitted it at the end of this course. You are expected to resubmit this project along with the other course projects at the end of the Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) program. File Transfer Protocol (FTP) details will be provided in the Capstone course.
Identifying a Group
Identify an area of chronic illness of specific interest to you and that is represented as a Healthy People 2020 topic (healthypeople.gov). Explain your choice and your interest in it. Prepare a questionnaire utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group. Submit your information in a 4- to 5-page Microsoft Word document. In addition to your questionnaire, be sure to include the following details in your paper.
Chronic Illness of interest
Morbidity and comorbidity of the disease
Impact of the chronic illness and patient morbidity and the affect to overall health of nation
Healthy People 2020 goals and objectives for specific illness group
Support your responses with examples.
On a separate references page, cite all sources using APA format.
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.
Week 2 Project
The Impact of Chronic Illness
Identify one person from the illness group you chose in Week 1. The person should not be a patient at the facility in which you work. You can use friends, family members, or coworkers. Do not use the person’s name in the paper but only initials. Administer the questionnaire you created in Week 1 to that person. Compile the data and analyze the responses to better illustrate where this person, his or her family, and friends are in relation to accepting the diagnosis in relation to the standard health or illness definitions. The analysis should also include coping skills, treatment, and support aspects of the illness. Identify how this will direct care plan development for the chosen illness group.
Compile a report of your interview with the questions you created, the responses you received, your analysis, and your interpretation of how it will affect planning care for the group in a 4- to 5-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
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.
Week 3 Project
Instructions
Using the information from the interview you conducted in Week 2, list in descending order the support needs of your participant. Also discuss how to implement objectives of Healthy People 2020 to increase wellness. Give examples of appropriate interventions of the professional caregiver, for example, the nurse.
Submit your findings in a 4- to 5-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
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.
Week 4 Project
Locating Resources
Locate a minimum of three community or national resources for your illness group chosen in Week 1, preferably in your community. Study these resources and write a report about them in a 4- to 5-page Microsoft Word document. Include in your response all the information the patient should know about them (the specific services they offer, fee schedules, if and when appropriate, criteria for eligibility, and any other important information). Discuss potential advantages and disadvantages for vulnerable populations in seeking these resources.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
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.
Week 5 Project
Creating a Plan of Care
Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.
Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:
Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.
You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week.
The paper should include the care plan for your chronic illness group organized under the following headings:
Nursing Diagnoses
Assessment Data (objective and subjective)
Interview Results
Desired Outcomes
Evaluation Criteria
Actions and Interventions
Evaluation of Patient Outcomes
You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.
Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.
Include a reference page to provide reference for all citations for the paper as well as the care plan.
On a separate references page, cite all sources using APA format.
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.
Major Challenges in Developing a Plan

Assignment:Professional Nursing Practice
Assignment:Professional Nursing Practice
Integration of Evidence-Based Practice Into Professional Nursing Practice
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO8 Discuss the role of evidence-based practice in the provision of professional nursing care. (PO 8)
As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion.
Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like.
Our Professional Practice Model is a visual representation of the values, organizational structures, and processes that provide a unifying framework for the practice of nursing at University of Iowa Hospitals & Clinics. It ensures consistency in the delivery of nursing care, and defines for all registered nurses their authority, autonomy and accountability as they care for patients and families in our community, our state and world.
Authority: The recognition and use of our rights and responsibility to use our nursing knowledge, skills, and judgments, to provide high-quality outcomes for our patients.
Autonomy: The making of independent nursing decisions about the best nursing practices to implement in order to provide safe, high-quality outcomes for our patients.
Accountability: The acceptance of responsibility for our actions, judgments, and the resulting outcomes.
The Elements
Dome
Dome
Safe, High-Quality Patient and Family-Centered Care
– Safety: Based on our knowledge of patient needs and the health care environment, we plan and implement interventions to help patients get through the hospital stay without preventable complications and delay.
– Quality: We use our knowledge and skills to help the patient reach optimal outcomes.
– Patient and Family Centered Care: Our nurses provide safe, high-quality care — a model of care that is grounded in mutually beneficial partnerships among health care professionals, patients, and families.
Community
Efforts to deliver safe, high-quality patient and family-centered care to promote a healthier local, regional, and global community.
Within this model, we aspire to provide care with:
Dignity and Respect—We listen to and honor the perspectives and choices of our patients and families. We integrate patient and family knowledge, values, beliefs and culture into the assessment, planning, delivery, and evaluation of the care we provide.
Compassion—Caring for patients, families, visitors, co-workers, and colleagues with minds, hands, and hearts is the art of nursing.
Information Sharing—In a timely manner, we communicate with and share information in plain language so patients and families can make the best health care decisions that match their care goals. We contribute to the development and implementation of electronic tools and systems that provide patients with direct access to their medical records, their health care team, and to education and information that promotes health.
Participation—We encourage and support the active involvement and participation of patients and families in decision-making at whatever level they feel most comfortable.
Pillars
Pillars
Leadership
Our nurse leaders are highly visible and accessible. They are key to the success of this practice model. Through transformational leadership, staff nurses are empowered to be leaders ofpatient care at the bedside. The chief nursing executive (CNE) is a member of the Vice President for Medical Affairs Cabinet, the CEO SeniorManagement Team, and the University Hospital Advisory Committee (executive advisory board). The CNE advocates for nurses throughout the health care system. Leadership is dedicated to succession planning and mentoring to ensure the continuity of nursing administration, goal achievement, and fostering future nursing leaders.
Shared Governance
Our nurses share decision-making responsibilities at the unit, division, department, and organizational levels through a shared governance structure dating back to 1974. All levels of nursing staff participate in councils and committees through this structure. Nurses are members of all University Hospital Advisory committees; they participate in unit-based committees; they help design unit-based care-delivery models; and they participate in unit-based multidisciplinary care councils, sharing decision-making responsibilities.

Assignment: Ethical Standards for Transferring Knowledge
Assignment: Ethical Standards for Transferring Knowledge
Week 4 Professional Paper Worksheet Assignment
Professional Paper Worksheet Guidelines and Grading Rubrics
Updated 7/2018
PURPOSE
The purpose of this assignment is to allow the learner to demonstrate good organization, appropriate resources, and correct APA formatting for preparing a professional paper.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO3. Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)
CO4. Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)
CO5. Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)
CO9. Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using resources provided to Chamberlain students. (PO5)
DUE DATE
Submit the assignment by Sunday end of Week 4, 11:59 p.m. MT.
POINTS
This assignment is worth a total of 150 points.
PREPARING THE Professional Paper Worksheet
Carefully read these instructions and the Rubric.
Download the Professional Paper Worksheet Template (Links to an external site.)Links to an external site.
You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
Rename that document as Your Last Name Professional Paper Worksheet.docx, for example Smith Professional Paper Worksheet. You must save as a .docx file. Save it to your own computer or drive in a location where you will be able to retrieve it later.
Type your assignment directly on the saved template. Remember that only Microsoft Word 2010 or a later version is acceptable. Save frequently to prevent loss of your work.
The topic of your paper is Communication. This will also be the title of your paper.
Your Hood textbook will be one of the two resources for your paper. Locate pages in your Hood textbook that correspond to the paper topic listed above. HINT: Begin with the readings in Hood for the paper topic.
The other resource for your paper is the following assigned article: [https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=26390744&site=eds-live&scope=site (Links to an external site.)Links to an external site.]
Note: logging in to the Chamberlain Library is needed to access this article. IMPORTANT: Download the article to your computer or flash drive and exit the library. Read the article offline.
Hood and the assigned article are the only sources to be used to write this paper.
Follow the instructions and specifics on the Template and the rubric. You will demonstrate your APA abilities in references, citations, quotations, and paraphrasing.
Prepare a detailed outline for your Professional Paper as indicated on the Template (specific descriptions only; complete sentences not needed). The outline (and later the Professional Paper) should not be a summary of the article. NOTE: The Professional Paper will contain 500-600 words of content (introduction, body, and conclusion).
Double check your answers with the rubric prior to submission.
**Academic Integrity Reminder**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Please see the grading criteria and rubrics on this page.
NOTE: Please use your browser’s File setting to save or print this page.
TOPIC Robins, H., & Dai, F. (2015). Handoffs in the Postoperative Anesthesia Care Unit: Use of a Checklist for Transfer of Care. AANA Journal, 83(4), 264-268.
Directions:
1. Carefully read the Professional Paper Worksheet Guidelines and Rubric found in Week 4 Assignments area, which provides specific details on how to complete this assignment.
2. Rename this template by clicking Save As. Change the file name so it reads Your Last Name Professional Paper Worksheet.docx. For example, if your last name is Smith, type Smith Professional Paper Worksheet.
3. Save the document as a .docx file . See instructions in Week 4 Professional Paper Worksheet Assignment page.
4. Type your name and date at the top of this template.
5. Type your answers directly on the template. Follow all instructions on this Template and the Guidelines document (including the Rubric). Save frequently to prevent loss of your work.
6. Submit this completed assignment in the Week 4 Assignments area by the end of Week 4, Sunday at 11:59 p.m. MT.
7. Post questions about this assignment to the Q & A Forum so your classmates can read the advice, too. You may also e-mail private questions to your instructor
Item Instructions
Type your answers below
Page numbers in Hood textbook on the assigned paper topic:
Clearly state page numbers in Hood textbook that correspond to the assigned paper topic.
General Reference Form
Type the general reference form for a journal article from Publication Manual of the APA from page 198.
Reference for Journal Article:
Create a reference for the assigned article using correct APA format including: author(s), year, article title, journal name, volume number, issue number, page numbers, italics, parentheses, punctuation, double line spacing, and hanging indent. Include DOI if available.
[See page 198 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers]
NOTE: Do not use reference or citation examples found in the library database.
Quotation with Citation:
Type a quotation (10–25 words) from the assigned article using correct APA citation including quotation marks, authors’ names, year, page numbers, and parentheses. Do not use words or ideas the authors cited from another source.
[See pages 170-171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers]
Paraphrased Area and Citation:
Type appropriately paraphrased version of the words quoted in the section above using correct APA citation including authors’ names, year, and parentheses. Do not use words or ideas that the authors cited from another source.
[See pages 171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers]
Professional Paper Outline:
Develop outline on the assigned topic for professional paper including introduction, 2 subtopics consistent with each of the two main topics provided, and conclusion (summary and concluding statements). Excellent specifics used.
Introduction
· Paper topic is Communication
· [type definition of topic in relation to professional nursing here]
Essential Principles of Communication in Professional Nursing (first main topic)
· [type required first subtopic here]
· [type required second subtopic here]
Advantages of Using a Formulated Checklist for Handoff Communication(second main topic)
· [type required first subtopic here]
· [type required second subtopic here]
Conclusion
· [type summary statement here]
· [type concluding statement here]
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