A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT and the PICOT statement will provide a framework for your capstone project.

In a paper of 550 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution

2. Nursing Intervention

3. Patient Care

4. Health Care Agency

5. Nursing Practice

Prepare this assignment according to the guidelines found in the APA Style Guide

Please Notes:

The purpose of this paper is a proposal of the evidence-based practice that will be applied in diagnosis, treatment, and medication of Drug-Induced Mental Disorder. The research shall base on the evidence-base practice on education and sensitization a vulnerable group of individuals in society.

Submit a summary of six of your articles on drug induced mental disorders and discuss one strength and one weakness to each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

Utilize the following references:

Brosey, E. A., & Woodward, N. D. (2017). Neuroanatomical correlates of perceptual aberrations in psychosis. Schizophrenia research, 179, 125-131. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S0920996416304509

Chie, Q. T., Tam, C. L., Bonn, G., Wong, C. P., Dang, H. M., & Khairuddin, R. (2015). Drug abuse, relapse, and prevention education in Malaysia: perspective of university students through a mixed methods approach. Frontiers in psychiatry, 6, 65. Retrieved from https://www.frontiersin.org/articles/10.3389/fpsyt.2015.00065/full.

Fuller, C. M., Vlahov, D., Arria, A. M., Ompad, D. C., Garfein, R., & Strathdee, S. A. (2016). Factors associated with adolescent initiation of injection drug use. Public health reports. Retrieved from https://journals.sagepub.com/doi/abs/10.1093/phr/116.S1.136.

Hides, L., Dawe, S., McKetin, R., Kavanagh, D. J., Young, R. M., Teesson, M., & Saunders, J. B. (2015). Primary and substance-induced psychotic disorders in methamphetamine users. Psychiatry research, 226(1), 91-96. Retrieved from https://www.sciencedirect.com/science/articles/abs/pii/S016517811401004X

Iqbal, E., Mallah, R., Jackson, R. G., Ball, M., Ibrahim, Z. M., Broadbent, M., … & Dobson, R. J. (2015). Identification of adverse drug events from free text electronic patient records and information in a large mental health case register. PloS one, 10(8), e0134208. Retrieved from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0134208

Kirby, B. J., Symonds, W. T., Kearney, B. P., & Mathias, A. A. (2015). Pharmacokinetic, pharmacodynamic, and drug-interaction profile of the hepatitis C virus NS5B polymerase inhibitor sofosbuvir. Clinical pharmacokinetics, 54(7), 677-690. Retrieved from https://link.springer.com/article/10.1007/s40262-015-0261-7.

Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., … & Schultz, T. R. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of autism and developmental disorders, 45(7), 1951-1966. Retrieved from https://link.springer.com/article/10.1007/s10803-014-2351-z.

Part Two:

This assignment will be at least 1500 words or more

This week you will reflect upon the effects of the nursing shortage to answer the following questions:

• What steps can we take to address the nursing shortage?
• Briefly define the series of events that led to the nursing shortage.
• Reflect on your future role as a nurse or healthcare employee in the midst of a nursing shortage crisis.
• How do you see the role of legislature contributing to safe staffing during a shortage?

Assignment Expectations: 

• Length:
  • 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

Details:

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Select an appropriate staffing model for a 30-bed skilled nursing facility or acute inpatient unit.

Create a presentation of 10 to 12 slides, including comprehensive speaker notes to recommend your selected model to nursing leadership and the following information:

1. A description of the staffing model chosen for a 30-bed skilled nursing facility or acute inpatient unit
2. A description of the quality metrics and other data that was used to determine the most appropriate staffing model
3. A description of the budgetary implications of implementing the staffing model
4. A plan for continuous monitoring to ensure the effectiveness and efficiency of the chosen staffing model

Include three to five peer-reviewed references in your presentation, including the textbook.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Question

Question 1 A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to

Question 2 A 55-year-old man’s hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic. As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives. The addition of this medication to his regimen means that  the nurse must prioritize which of the following nursing actions?

Question 3 A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet. The nurse suspects that these signs or symptoms are

Question 4 A nurse is caring for a male patient who has a diagnosis of coronary artery disease (CAD). His drug therapy includes lovastatin.Because the patient has a history of severe renal disease, the  nurse will assess for which of the following?

Question 5 A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by

Question 6 An expected outcome for a patient who has just taken sublingual nitroglycerin should be

Question 7 A clinic nurse has been assigned a 49-year-old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to

Question 8 A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings. The most likely initial drug therapy for this patient will be

Question 9 A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication?

Question 10 Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient’s cholesterol levels. Consequently, the patient has been prescribed cholestyramine. The nurse should recognize that this drugs achieves its therapeutic effect by

Question 11 A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessments?

Question 12 A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for administration of the drug, the nurse will

Question 13 A normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin?

Question 14 A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients. Treatment of high cholesterol using statins would be contraindicated in which of the following patients?

Question 15 A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient’s

Question 16 A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs?

Question 17 A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic receptors in his sympathetic nervous system. This action is characteristic of

Question 18 A nurse is the cardiac care unit is preparing to hang an intravenous dose of dofetilide (Tikosyn) for a patient who has just been admitted. What is the most likely goal of this intervention?

Question 19 A patient has been prescribed lovastatin for a high cholesterol level. The nurse’s teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it

Question 20 A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which of the following would be most important for the nurse to monitor?

Question 21 A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for

Question 22 A 77-year-old patient has a long-standing history of hypertension, a health problem that is being treated with metoprolol and a thiazide diuretic. Before administering the 8 AM dose of these medications, what assessments should the nurse perform and document? (Select all that apply.)

Question 23 Which of the following patients is most likely to benefit from the administration of an adrenergic agonist?

Question 24 A nurse has administered a medication to a patient with hypertension. The prescribed drug is supposed to decrease cardiac output. A decrease in cardiac output would most likely

Question 25 A 62-year-old man has been prescribed extended-release lovastatin. The nurse will instruct the patient to take the medication