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psychopharmacologic treatments

  • Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders
  • Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders
  • Identify medical management needs for clients with depression disorders
  • Identify community support resources for clients with depression disorders
  • Recommend follow-up plans for clients with depression disorders

In 3–4 pages, write a treatment plan for your client in which you do the following:

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

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Skin Conditions document

  • Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
  • Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
  • Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
  • Consider which of the conditions is most likely to be the correct diagnosis, and why.
  • Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
  • Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
  • Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

  • Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
  • Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

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exotoxins

1. Question: Which statement concerning exotoxins is true?

2. Question: The Papanicolaou (Pap) test is used to screen for which cancer?

3. Question:  Fetal hematopoiesis occurs in which structure?

4. Question:  An infant’s hemoglobin must fall below ___ g/dl before signs of pallor, tachycardia, and systolic murmurs occur.

5. Question:  The function of the foramen ovale in a fetus allows what to occur?

6. Question:  Apoptosis is a(an):

7. Question:  What is the life span of platelets (in days)?

8. Question:  Which statement is true concerning the IgM?

9. Question:  Which criterion is used to confirm a diagnosis of asthma in an 8-year-old child?

10. Question:  Which laboratory test is considered adequate for an accurate and reliable diagnosis of gonococcal urethritis in a symptomatic man?

11. Question:  Where in the respiratory tract do the majority of foreign objects aspirated by children finally lodge?

12. Question:  What physical sign is the result of turbulent blood flow through a vessel?

13. Question:  Which primary characteristic is unique for the immune response?

14. Question:  Low plasma albumin causes edema as a result of a reduction in which pressure?

15. Question:  What is the most important negative inotropic agent?

16. Question:  Which drug may be prescribed orally for outbreak management of herpes simplex viral (HSV) infections?

17. Question:  Causes of hyperkalemia include:

18. Question:  Which hormone is required for water to be reabsorbed in the distal tubule and collecting duct?

19. Question:  What are the abnormalities in cytokines found in children with cystic fibrosis (CF)?

20. Question:  Which cardiac chamber has the thinnest wall and why?

21. Question:  The coronary ostia are located in the:

22. Question: What effect do natriuretic peptides have during heart failure when the heart dilates?

23. Question:  Erythrocyte life span of less than 120 days, ineffective bone marrow response to erythropoietin, and altered iron metabolism describe the pathophysiologic characteristics of which type of anemia?

24. Question:  Continuous increases in left ventricular filing pressures result in which disorder?

25. Question:  Where are antibodies produced?

26. Question:  What is the fundamental physiologic manifestation of anemia?

27. Question:  In a normal, nonmutant state, an oncogene is referred to as a:

28. Question:  What is the direct action of atrial natriuretic hormone?

29. Question:  The only surface inside the nephron where cells are covered with microvilli to increase the reabsorptive surface area is called the:

30. Question:  What is the final stage of the infectious process?

31. Question:  What process allows the kidney to respond to an increase in workload?

32. Question:  Which organ is stimulated during the alarm phase of the general adaptation syndrome (GAS)?

33. Question:  What is the most common cause of insufficient erythropoiesis in children?

34. Question:  Which organism is a common sexually transmitted bacterial infection?

35. Question:  Hemolytic disease of the newborn (HDN) can occur if the mother:

36. Question:  When a patient has small, vesicular lesions that last between 10 and 20 days, which sexually transmitted infection is suspected?

37. Question:  Which type of antibody is involved in type I hypersensitivity reaction?

38. Question:  What is the most common cause of iron deficiency anemia (IDA)?

39. Question:  Research supports the premise that exercise has a probable impact on reducing the risk of which cancer?

40. Question:  An individual is more susceptible to infections of mucous membranes when he or she has a seriously low level of which immunoglobulin antibody?

41. Question:  An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect?

42. Question:  What is the life span of an erythrocyte (in days)?

43. Question:  The glomerular filtration rate is directly related to which factor?

44. Question:  Innervation of the bladder and internal urethral sphincter is supplied by which nerves?

45. Question:  What is the action of urodilatin?

46. Question:  The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born between how many weeks of gestation?

47. Question:  Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?

48. Question:  The lung is innervated by the parasympathetic nervous system via which nerve?

49. Question:  Which term is used to identify the movement of gas and air into and out of the lungs?

50. Question:  What is the purpose of the spirometry measurement?

51. Question:  A person with type O blood is considered to be the universal blood donor because type O blood contains which of the following?

52. Question:  Which statement concerning benign tumors is true?

53. Question:  Which cells have phagocytic properties similar to monocytes and contract like smooth muscles cells, thereby influencing the glomerular filtration rate?

54. Question:  How much urine accumulates in the bladder before the mechanoreceptors sense bladder fullness?

55. Question:  Which manifestations of vasoocclusive crisis are associated with sickle cell disease (SCD) in infants?

56. Question:  The drug heparin acts in hemostasis by which processes?

57. Question:  Which compensatory mechanism is spontaneously used by children diagnosed with tetralogy of Fallot to relieve hypoxic spells?

58. Question:  Causes of hyperkalemia include:

59. Question:  What is the primary cause of respiratory distress syndrome (RDS) of the newborn?

60. Question:  Which hormone is synthesized and secreted by the kidneys?

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Conflicts in Intergenerational Workplace

For this second milestone, you will analyze your issue or event in diversity through the first two lenses introduced in this course: history and the humanities. This will provide you with a chance to practice analyzing your issue or event through these lenses. You will receive feedback on this practice attempt.

The Issue/Event is —>   Conflicts in Intergenerational Workplace

To complete this assignment, review the Milestone Two Guidelines and Rubric.

Attached below is completion of Milestone One which is the beginning of this assignment to be done now. Please follow along with milestone one below to help and use all sources attached below to help answer questions in Milestone two rubric.

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Healthcare issues

Healthcare issues turn into law in many ways. Usually, a new debate in healthcare surfaces and then the controversy leads to the formation of a law. But how exactly does this happen? Sometimes a health issue is supported by a lobby group. Some issues start as a means to correct problems in patient care. Some health laws are created from public advocacy.

Regardless, should these current approaches in place today be considered “best practice”? Defend your yes/no stance. Share your thoughts on how healthcare issues become law. Try to point to a specific example. Do you approve of this process? Evaluate how this plan can be improved, and support with specific examples. Please explain and then interact with another student’s views.

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Professional Capstone and Practicum Reflective Journal

Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose.

The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10.

Professional Capstone and Practicum Reflective Journal

Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10.

In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week:

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives.

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

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

You are not required to submit this assignment to Turnitin.

AttachmentsNRS-490-RS-ScholarlyActiv

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Does God Exist

Does God Exist? Which argument on the existence/none existence of God you think is the most convincing in chapter 6? Pick one movie to discuss this argument. Analyze one specific scene in the movie where spectators can clearly see this argument on the existence/none existence of God. The essay must be done in MLA format with a minimum of 500 words

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    Scholarly Activities

Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

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

You are not required to submit this assignment to LopesWrite.

Scholarly Activity Summary

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10.

Overview 

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem 

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.

Solution 

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section.

Opportunity 

This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.

NOTE: The plan that I want you to compile for me would state that I attended a meeting conference at San Antonio State Hospital (SASH) with a Psychiatrist and discussed the action plan for patients with intellectual disabilities.

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LTD Acceptance

Instructions

LTD Acceptance is a private property and auto insurance carrier that specializes in sports cars and motorcycles. This organization is owned by LTD Capital, a large equity group with over 15 holdings. LTD Acceptance is the parent company’s single largest holding as it drives 70% of total revenue. Due to the inherent risk involved in that segment of the market, many of LTD Acceptance’s competitors do not offer policies for sports cars or motorcycles. This market segment is underserved which is why the organization has 20,000 active policies for a sports car or a motorcycle.

LTD is headquartered in Houston, TX. LTD does not sell insurance directly to the public. Instead, it uses third-party agents to sell its policies. LTD handles all customer service needs including claims intake, policy services, and general questions. The company operates in four states: California, Texas, Louisiana, and Florida. Currently, LTD does not have an active system in place to ensure that its agents are in fact using LTD guidelines to screen potential policyholders. However, no evidence of negligence has emerged so far as the organization has yet to have a year in which it was not profitable. LTD has also had the good fortune of not suffering losses because of natural disasters or catastrophic events.

LTD Acceptance has 18,000 active policies in its book of business, and the firm is yet to experience a year period with high loss ratios. To increase its profitability ratios, LTD has invested the premium dollars across various asset classes. LTD’s Chief Financial Officer (CFO) believes the organization should take a calculated risk and allocate the assets more aggressively. As the senior risk analyst, you have carefully analyzed the organization’s numbers and strongly believe that LTD’s favorable loss ratios are a result of chance and not through the sensible use of the firm’s systematic framework for managing risk. You also believe the CFO is purely looking at the rewards and not the risks. Therefore, you do not believe the firm should increase risk exposures at this time.

To convey your point of view, you have decided to conduct a cost-benefit analysis report which should include the following:

  • For this report, provide an introduction which discusses the relationship between risk and reward. Using the information provided in the background of this case, explain why the organization may appear to be in a better position on paper than it really is.
  • Include at least two ways how each party listed below can be adversely impacted if the organization suffers losses as a result of a more aggressive approach.
    • Policyholders
    • Shareholders
    • Vendors
    • Creditors
    • Employees
  • Also include a discussion on how effective financial management aligns with overall risk management.
  • Your conclusion should highlight how the risk assumed in an organization’s activities should be consistent with its long term goals. All business activities include inherent risks. Thus, all the activities and risks the firm takes should help them reach their long-term goals. If the managers engage in activities that create risks outside of this scope, it can create problems. For instance, most firms have the goal of driving sustainability. However, if they are highly leveraged, then seeking additional credit for a project can derail the long term goal of sustainability.
  • Please include 2 references
  • 2 pages

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quality improvement opportunity

Identify a quality improvement opportunity in your organization or practice(nursing). In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

The road to evidence-based practice include the following five steps:

  1. Ask a question
    Converting the need for information (about prevention, diagnosis, prognosis, therapy, causation, etc) into an answerable question
  2. Find information/evidence to answer question
    Tracking down the best evidence with which to answer that question
  3. Critically appraise the information/evidence
    Critically appraising that evidence for its validity (closeness to the truth), impact (size of the effect), and applicability (usefulness in our clinical practice)
  4. Integrate appraised evidence with own clinical expertise and patient’s preferences
    Integrating the critical appraisal with our clinical expertise and with our patient’s unique biology, values and circumstances
  5. Evaluate
    Evaluating our effectiveness and efficiency in executing Steps 1-4 and seeking ways to improve them both for next time

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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.

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