Explain your understanding of the function of Clinical Reasoning Cycle in relation to nursing assessment

NRSG125: Functioning of Clinical Reasoning Cycle – Nursing Assignment

1. Explain your understanding of the function of Clinical Reasoning Cycle in relation to nursing assessment

2. List any additional health assessment data would need to be collected for this patient as part of a focused nursing assessment?

3. Considering the patient’s demographics (age, gender, lifestyle,) identify two focused nursing assessments that would assist you in collecting appropriate data for this patient?

Q2

Complex Nursing Care: Mental Health – Nursing Assignment

Referring to evidence-based literature, including references to mental health consumers’ views and

experiences of participation in their health care, discuss:

– The principles and the benefits of collaborative, consumer-centred mental health nursing practice 
– How consumers’ experiences of living with mental illness can inform mental health nursing practice. 
– How relevance of these finding for your own nursing practice development- in this section of the discussion you can use the first person, ‘I’ when you are discussing your own practice development, however, you must also support this section of the discussion with references to relevant literature.

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Framework for Exploring the Discipline of Nursing

Directions:

Part I:

A) Spend 1 hour scanning the journal volumes for the year(s) you are assigned. If you are assigned the year 1952 and beyond, spend part of your hour scanning the table of contents for each month in the Nursing Research to identify the types of research being conducted during that time frame.

B) After looking at the table of contents, choose to read a couple of articles that intrigued you.

C) Out of all the articles you skim and/or read, find one RESEARCH article that you found most influential and print out a hard copy, attach it to your written paper, and keep it for part II of this assignment. If you find a picture, table of contents, another article or something that also intrigues you, make a copy and attach it to the assignment.

• Each student will summarize his/her assigned years’ content in a short 2-page paper. Use the Framework for Exploring the Discipline of Nursing (see below) to guide your exploration of the journal volumes and use as a guide to write your Part I paper.

Framework for Exploring the Discipline of Nursing

1. What was the role of the nurse during this time frame?

2. At that time, what did we know about health?

3. What were the common health issues/trends of this time frame?

4. What new discoveries impacted health care and/or what big changes were occurring at this time?

5. Describe the key nursing figures.

6. Describe the development of any professional nursing organizations – name organization, purpose and key players.

7. What did your readings tell you about how nurses were educated for practicing nursing? Were there any nursing specialties?

8. What was the 3 most important findings of your journal review for your time period? (Be prepared to share in class)

Grading Rubric Theorist-Journal Review Paper

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Determine what type of critical reasoning – inductive or deductive – best suits the situation – or do you need both?

Deductive arguments are top-down, working from general principles to specific cases. Inductive reasoning, on the other hand, is bottom-up, working from specific observations and looking for patterns that lead to a general conclusion. Your career path in healthcare and health-related fields will present many problems that will require critical reasoning. Think about potential issues or even issues you have already encountered. Determine what type of critical reasoning – inductive or deductive – best suits the situation – or do you need both? If you are short on ideas, use one of these scenarios as a starting point:

Suppose you are on a committee that has to decide whether to cut nursing staff or social services staff. How would you approach the problem?
Suppose your hospital suddenly sees an enormous increase in emergency room patients, and you are on a committee to investigate the problem and relieve pressure on the ER. How would you approach the problem?

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.
Let’s discuss
Professor Stephens
Jackson, D. & Newberry, P. (2016). Critical thinking: A user’s manual (2nd ed.). Boston, MA: Wadsworth: Cengage Learning.
Trochim, W. (2006). Deduction & Induction.  Retrieved from https://socialresearchmethods-.net/kb/dedind.php

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Locate a primary research report from the University Library that is nursing focused. The study should be current research (within 5-7 years). For this source include the following information:

Locate a Primary Research Study

Locate a primary research report from the University Library that is nursing focused. The study should be current research (within 5-7 years). For this source include the following information:

  • description of search strategy including databases and online resources used and search terms;
  • brief description of the study including research problem, research methodology, andfindings from the study;
  • rationale explaining how article supports clinical practice
  • provide the reference for the study in correct 6th edition APA style and format.
  • Provide an attachment of the article you choose in the discussion thread as a PDF
  • 3 reference need. topic related to nursing focus is hypertension
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How to define a nursing philosophy, a nursing model, and nursing theory

This file of NUR 403 Week 3 DQ3 encompasses:

This week you develop an understanding of how to define a nursing philosophy, a nursing model, and nursing theory. In what way does each theorist expand your view of the nursing process? How does each of the theories fit with what you do during your workday?

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Choose and describe a nursing (or other discipline’s) theory that supports your intervention. A common error with this assignment is to write about your proposal as if it were a theory (hypothesis). Please review the readings for this week so that you can choose a nursing theory that will make the most sense to support your proposal. (Examples: The theory of planned behavior, the health promotion model, organizational change model

  1. this is announcemnt by professor
  2. Build a thorough literature review based on your rapid appraisal from last week.  Use the literature review sample format questions provided in the course materials and
  3. Choose and describe a nursing (or other discipline’s) theory that supports your intervention.  A common error with this assignment is to write about your proposal as if it were a theory (hypothesis).  Please review the readings for this week so that you can choose a nursing theory that will make the most sense to support your proposal. (Examples:  The theory of planned behavior, the health promotion model, organizational change model

assignment 1 :

Identify a theory that can be used to support your proposed solution.

Write a summary (250-500 words) in which you:

Describe the theory and your rationale for selecting the theory.

Discuss how the theory works to support your proposed solution.

Explain how you will incorporate the theory into your project.

Refer to the “Topic 2: Checklist.”

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

You are not required to submit this assignment to Turnitin.

assignment 2 :

Identify a theory that can be used to support your proposed solution.

Write a summary (250-500 words) in which you:

Describe the theory and your rationale for selecting the theory.

Discuss how the theory works to support your proposed solution.

Explain how you will incorporate the theory into your project.

Refer to the “Topic 2: Checklist.”

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

You are not required to submit this assignment to Turnitin.

DQ2 :

The article “Evidence-Based Practice Step by Step: Critical Appraisal of the Evidence: Part I” provides a critical appraisal guide for appraising quantitative studies. Select one quantitative study from the research articles you have identified for your project.

Using the quantitative study you have selected, answer three of the questions listed in the critical appraisal guide in the above article.

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3) Evaluate the cost effectiveness of addressing this health problem at the population level versus the individual level.

Epidemiology and Population Health
Reflect on your nursing practice for a moment. If you could wipe out one illness, what would it be? How would that impact not just an individual patient, but your entire patient population? What would be the long-term benefits of eliminating that one illness?
The eradication of smallpox by 1979 provides an excellent example of this scenario. This eradication came about as a result of global collaborative efforts involving many countries and organizations, as well as the application of epidemiologic methods. In spite of high initial financial costs, it is estimated that millions of dollars continue to be saved around the world each year as a result of the eradication of this disease.
The eradication of smallpox illustrates the rich history of epidemiology and demonstrates the cost/benefits and implications of improving health at the population level. The application of epidemiologic methods and principles to other critical population health issues continues to play an essential role in improving health and health outcomes.
For this Discussion, you will identify a current population health problem, and you will examine how, and if, the problem is being addressed through the application of epidemiologic principles. You will also discuss the cost-effectiveness of dealing with the problem at the population level.

To prepare:

Review      the Learning Resources, focusing on the smallpox epidemic of the 1960s and      1970s and how health organizations applied principles of epidemiology to      eradicate this disease. (See attached file)
In      light of this example, consider the cost effectiveness of addressing      smallpox at the population level.
Using      the Learning Resources, research a current population health problem      (local or global). Select one on which to focus for this Discussion.
Think      about how principles of epidemiology are being applied—or could be      applied—to address the problem.
What      lessons from the use of epidemiology in the eradication of smallpox might      be applicable to this selected problem? What are the financial benefits of      addressing this issue at the population level as opposed to the individual      level?

By tomorrow Wednesday 02/28/18 by 12pm, write a minimum of 550 words in APA format with a minimum of THREE scholarly references from the list of required readings below. Include the level one headers as numbered below:
Post a cohesive response that addresses the following:

1) Briefly summarize your selected population health problem and describe how principles of epidemiology are being applied—or could be applied—to address the problem.

2) Are there any lessons learned from the use of epidemiology in the eradication of smallpox that can be applied to your selected problem?

3) Evaluate the cost effectiveness of addressing this health problem at the population level versus the individual level.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.
Chapter 1, “History and Scope of Epidemiology”
Chapter 2, “Practical Applications of Epidemiology” (pages 49–80 only)
Epidemiology is defined and introduced in Chapter 1. This chapter also presents an interesting historical overview that explains the emergence of the field. The assigned section of Chapter 2 addresses several uses of epidemiology.

Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning.
Building Cultures of Health and Wellness (xxvii)
In the “Population Health Mandate” section of the course text, the authors provide an introduction to population health, noting that it has three core components: health outcomes, health 
determinants, and policies.
Chapter 2, “The Spectrum of Care”
In Chapter 2, the authors examine the purposes of the population health approach. Two key themes are introduced in this chapter: 1) population health as it relates to the challenges of quality and cost in health care, and 2) population health as an approach to not only reducing the burden of chronic illness but also to promoting wellness and increasing prevention.
Chapter 8, “Behavioral Economics”
In Chapter 8, the authors examine effect of social and cognitive function on an individual’s economic decisions. Reinforced by legislation, behavioral economics can be applied in population health to influence and change health outcomes. Compelling examples of incremental improvements (e.g., corporate wellness programs) are provided throughout the chapter.

Larkin, H. (2010). Managing population health. Hospitals & Health Networks, 84(10), 28–32. 
This article uses examples from a diabetes pilot program to demonstrate the value of population health management. The author discusses how the application of individual patient interventions can positively affect the entire target population, as well as improve the cost effectiveness of management programs.

Center for Global Development. (n.d.). Case 1: Eradicating smallpox. Retrieved March 5, 2012, from http://www.cgdev.org/doc/millions/MS_case_1.pdf
This reading presents the eradication of smallpox in the form of a case study. Many lessons can be learned from the successful global effort to eliminate smallpox.

Centers for Disease Control and Prevention. (2011). Morbidity and mortality weekly report. Retrieved from http://www.cdc.gov/mmwr/
The Morbidity and Mortality Weekly Report (MMWR) is a weekly epidemiological report distributed by the U.S. Centers for Disease Control and Prevention (CDC) to provide, according to the MMWR website, “timely, reliable, authoritative, accurate, objective, and useful public health information and recommendations.” It is one of the most important sources of timely public health data published anywhere.

World Health Organization. (2001). Smallpox. Retrieved from http://www.who.int/topics/smallpox/en/
The World Health Organization provides a succinct overview of the eradication of small pox and its impact on population health.

Note: Explore population health issues presented at the websites below as you prepare for this week’s Discussion and Assignment:

American Public Health Association. (2011). Retrieved from http://www.apha.org/
Centers for Disease Control and Prevention. (2011). Retrieved from http://www.cdc.gov/

Food and Agricultural Organization of the United Nations. (2011). Retrieved from http://www.fao.org/index_en.htm

U.S. Food and Drug Administration. (2011). Retrieved from http://www.fda.gov/

Healthy People 2020. (2011). Global health. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=16

U.S. Food and Drug Administration. (2011). Public health focus. Retrieved from http://www.fda.gov/NewsEvents/PublicHealthFocus/default.htm

Required Media

Laureate Education (Producer). (2012). Epidemiology and population health: Introduction to epidemiology and population health [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 6 minutes.
In this week’s program, “Introduction to Epidemiology and Population Health,” Dr. Hull and Dr. Frerich introduce foundational concepts related to epidemiology, noting that this scientific arena focuses on the study of human populations rather than individuals.

Laureate Education (Producer). (2012). Epidemiology and population health: Epidemiology in nursing practice [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 4 minutes.
In “Epidemiology in Nursing Practice,” Dr. Rebecca Lee, Dr. Donna Shambley-Ebron, and Dr. Missie Willmarth discuss how epidemiology is utilized in nursing practice and, in particular, why it is salient for DNP-prepared nurses.

Optional Resources

Long, D. A., & Sheehan, P. (2010). A case study of population health improvement at a Midwest regional hospital employer. Population Health Management, 13(3), 163–173.

Oudin, Åström D., Bertfil, F., & Joacim R. (2011). Heat wave impact on morbidity and mortality in the elderly population: A review of recent studies. Occupational and Environmental Medicine, 69(2), 99–105.

Excite. (2004). An introduction to epidemiology. Retrieved from http://www.cdc.gov/excite/classroom/intro_epi.htm

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sexual transmission

Question 1

2 / 2 pts

After sexual transmission of HIV, a person can be infected yet seronegative for _____ months.

24 to 36

6 to 14

18 to 20

1 to 2

Question 2

2 / 2 pts

Once they have penetrated the first line of defense, which microorganisms do neutrophils actively attack, engulf, and destroy by phagocytosis?

Mycoplasma

Fungi

Viruses

Bacteria

Question 3

2 / 2 pts

Cells in _____ may act as a reservoir in which HIV can be relatively protected from antiviral drugs.

bone marrow

the lungs

the thymus gland

the central nervous system

HIV may persist in regions where the antiviral drugs are not as effective, such as the

CNS.

Question 4

2 / 2 pts

What of the following remains a significant cause of morbidity and mortality worldwide?

Cardiovascular disease

Starvation

Traumatic injury

Infectious disease

Question 5

2 / 2 pts

Which statement about vaccines is true?

Most viral vaccines are made by using dead organisms.

Vaccines require booster injections to maintain lifelong protection.

Vaccines provide effective protection for all people against viruses, bacteria, and fungal infections.

Most bacterial vaccines contain attenuated organisms.

Question 6

2 / 2 pts

Which statement is true about fungal infections?

They are prevented by vaccines.

They result in release of endotoxins.

They occur only on skin, hair, and nails.

They are controlled by phagocytes and T lymphocytes.

Question 7

2 / 2 pts

What is the mechanism in type III hypersensitivity reactions?

Antibodies bind to the antigen on the cell surface.

Antibodies bind to soluble antigens that were released into body fluids and the immune complexes are deposited in the tissues.

Cytotoxic T lymphocytes or lymphokine-producing Th1 cells attack and destroy cellular targets directly.

Antibodies coat mast cells by binding to receptors that signal its degranulation followed by discharge of preformed mediators.

Question 8

2 / 2 pts

A person with type O blood is likely to have high titers of anti-___ antibodies.

O

B

A

A and B

Question 9

2 / 2 pts

What disease involves the deposition of circulating immune complexes containing an antibody against host DNA, resulting in tissue damage?

Pernicious anemia

Myasthenia gravis

Hemolytic anemia

Systemic lupus erythematosus (SLE)

Question 10

2 / 2 pts

In which primary immune deficiency is there a partial to complete absence of T-cell immunity?

DiGeorge syndrome

Bruton disease

Reticular dysgenesis

Adenosine deaminase (ADA) deficiency

Question 11

2 / 2 pts

Hypersensitivity is best defined as a(n)

disturbance in the immunologic tolerance of self-antigens.

altered immunologic response to an antigen that results in disease.

undetectable immune response in the presence of antigens.

immunologic reaction of one person to the tissue of another person.

Question 12

2 / 2 pts

The class of antibody involved in type I hypersensitivity reactions is

IgE.

IgM.

IgA.

IgG.

Question 13

2 / 2 pts

Deficiencies in which element can produce depression of both B- and T-cell function?

Magnesium

Iron

Iodine

Zinc

Question 14

2 / 2 pts

What effect does estrogen have on lymphocytes?

Enhancement of B cells and T cells

Depression of T cells and enhancement of B cells

Depression of B cells and enhancement of T cells

Depression of B cells and T cells

Question 15

2 / 2 pts

Stress-age syndrome results in decreased

ACTH.

catecholamines.

cortisol.

immune system.

Question 16

2 / 2 pts

Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?

IL-1 and IL-6

TNF-ß and IL-4

IL-2 and TNF-?

IFN and IL-12

Question 17

2 / 2 pts

During a stress response, increased anxiety, vigilance, and arousal is prompted by

ACTH.

norepinephrine.

cortisol.

epinephrine.

Question 18

2 / 2 pts

Cells from a muscle tumor show a reduced ability to form new muscle and appear highly disorganized. This is an example of

anaplasia.

dysplasia.

myoplasia.

hyperplasia.

Question 19

2 / 2 pts

What is the role of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and transforming growth factor-alpha (TGF-?) in cell metastasis?

To stimulate growth of nearby tumor cells

To develop new blood vessels to feed cancer cells

To prevent cancer cells from escaping apoptosis

To act as a chemical gradient to guide cells to blood vessels

Question 20

2 / 2 pts

Which of the viruses below are oncogenic DNA viruses?

Adenoviruses, herpesviruses, and retroviruses

Herpesviruses, retroviruses, and papovaviruses

Retroviruses, papovaviruses, and adenoviruses

Papovaviruses, adenoviruses, and herpesviruses

Question 21

2 / 2 pts

Which of the following represents the correct nomenclature for benign and malignant tumors of adipose tissue, respectively?

Liposarcoma, lipoma

Adipoma, adisarcoma

Adisarcoma, adipoma

Lipoma, liposarcoma

Question 22

0 / 2 pts

In chronic myeloid leukemia (CML), a piece of chromosome 9 fuses to a piece of chromosome 22. This is an example of which mutation of normal genes to oncogenes?

Chromosome fusion

Chromosome translocation

Gene amplification

Point mutation

Question 23

0 / 2 pts

Inherited mutations that predispose to cancer are almost invariably what kind of gene?

Growth-promoting genes

Oncogenes

Tumor-suppressor genes

Proto-oncogenes

Question 24

2 / 2 pts

Tobacco smoking is associated with cancers of all of the following except

bladder.

kidney.

pancreas.

lung.

skin.

Question 25

2 / 2 pts

What percentage of children with cancer can be cured?

40%

50%

70%

60%

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Transcultural Perspectives in Childbearing

Question Description

Transcultural Perspectives in Childbearing

Read chapter 5 of the class textbook and review the attached PowerPoint presentation. Once done answer and/or develop the following answers;

1. Madge is an intake nurse at high-acuity labor and delivery unit. She is taking down information about a family’s birth plan and notice that the mother is accompanied by only another woman. Write three paragraphs on the following issues;

a. Include cultural assessment technique to explore the family composition without offending the woman present.

b. Discuss the potential challenges lesbian couples may have in childbearing.

c. What are current policies like regarding who is allowed in the labor and delivery in the labor and delivery room? How might these look in the future?.

Question Description

Substance abuse as a community health problem.

Violence and nursing response.

Read chapter 26 and 27 of the class textbook and review the attached PowerPoint presentations. Once done answer the following questions.

  1. Discuss the historical trends and current conceptions of the cause and treatment of substance abuse.
  2. Describe the ethical and legal implications of substance abuse.
  3. Identify factors that influence violence.
  4. Identify at-risk populations for violence and the role of public health in dealing with the epidemic of violence.

Present your assignment in an APA format word document, Arial 1

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Has your workplace prepared for an active shooter? What is the protocol? What preparations has your hospital taken?

APA paper. This assignment should be between 750 and 1250 words in length and contain all four scholarly sources provided plus the textbook and one more scholarly source of your choice. Read the following 4 articles:
(from the ProQuest Library already in APA format for the Reference section)

Security InfoWatch. (2013). Responding to active shooters in hospitals. SecurityInfoWatch.Com. Retrieved from http://search.proquest.com/docview/1434488744?accountid=34574
Balingit, M. (2012, March 9). Hospital shootings shock Oakland 2 dead, 7 injured at Western Psych; Police kill gunman in exchange of fire. Pittsburgh Post – Gazette. Retrieved from http://search.proquest.com/docview/926869011?accountid=34574
Hospital Employee Health. (2013). Most hospital shootings are not preventable. Retrieved from http://search.proquest.com/docview/1282083457?accountid=34574

(from the World wide web already in APA format for the Reference section)

The Joint Commission. (2014, July). Preparing for active shooter situations. Quick Safety. Retrieved from https://www.jointcommission.org/issues/article.aspx?Article=h1wY0qOAjXjKMD9Np15aXCoh6JDFt4iaFxb%2f%2fTKfNWE%3d

Part 1: Active Shooters
First: Compare and discuss the information in the 4 articles above (any similarities, differences, surprises).  
Next: Answer these questions on your personal experience, you can use 1st person on this part: 

Has your workplace prepared for an active shooter? What is the protocol? What preparations has your hospital taken?
What is your responsibility as a nurse caring for patients?
Do you feel a live active shooter drill should take place, with live gunfire? Why or why not?

Part 2. Bullying in the nursing workforce has become an increasing topic of concern. Research this topic.

Describe reasons why bullying is a problem in nursing.
Provide suggestions for a new nurse who is being bullied by coworkers.
What is your responsibility if you see a fellow nurse being bullied?

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