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Which of the following types of studies is considered a qualitative study?

Which of the following types of studies is considered a qualitative study? 150 150 Nyagu

Nursing Research
Nursing Research

Question 1 A research question is appropriate for the correlational level of research design. • Question 2 Which of the following types of studies is considered a qualitative study? • Question 3 To be considered researchable, a problem • Question 4 A researcher describes a study as a descriptive study. Which of the following would typically be part of the research methodology for the study? • Question 5 Which of the following would be considered a demographic variable? • Question 6 Identify the independent variable in the following hypothesis: “Cancer patients who receive music therapy complain less frequently of pain and require less pain medication than cancer patients not receiving music therapy.” • Question 7 A friend asks you to explain the difference between a conceptual definition and an operational definition of anxiety. You help her to understand these concepts by providing her with the following operational definition of anxiety. • Question 8 A research hypothesis: • Question 9 Subjects who volunteered to receive an experimental treatment for pancreatic cancer are educated about essential study information, assessed for understanding of this information, and asked to willingly participate in the research study. This process is referred to as: • Question 10 The purpose of an institutional review board (IRB) is to: • Question 11 Which of the following study designs focuses on finding a cause and effect relationship among variables, but uses a lower level of control? • Question 12 One example of a research population with diminished autonomy (vulnerability) would be: • Question 13 Common practice for in-text citations for a single author using APA style includes: • Question 14 In APA format, which one of these statements is not true about the references page: • Question 15 Which of the following questions is important to ask when determining the significance of the research problem? • Question 16 If a researcher wants to understand what it is like to undergo chemotherapy from the patient’s perspective of their lived experience, the study design is: • Question 17 Which of the following is a necessary requirement for experimental designs? • Question 18 In the purpose statement, the researcher should state the • Question 19 Which of the following would be considered to be a research hypothesis? • Question 20 One of the main purposes of conducting a review of the literature before carrying out a research project is to • Question 21 A questionnaire has an ID number in one corner that allows the research team to identify the subject. This is an example of: • Question 22 The concept of causality would be important in which of the following research designs? • Question 23 What is the dependent variable in the following hypothesis? The presence of social support from family affects the pain perception of patients with spinal cord injury while in the hospital. • Question 24 A conceptual definition of a variable is one that is . • Question 25 All of these statements describe the purpose of a research framework EXCEPT

Nursing Research

Explain the decision-making and problem-solving processes.

Explain the decision-making and problem-solving processes. 150 150 Nyagu

PSY 360 Week 5 Assignment One Minute Paper
PSY 360 Week 5 Assignment One Minute Paper

5.1 Explain the decision-making and problem-solving processes.5.2 Analyze how emotion and culture affects decision making.
5.3 Analyze the role of perception, attention, memory, and language in reasoning and problem solving.

Address the following:

A. Review the Weekly Learning Objectives for the week (above).

B. What is the most important thing you learned during class this week?

C. What important question remains unanswered?

Reasoning and Problem Solving

Sample format looks like this.

5.1 Explain the decision-making and problem-solving processes.

Say a few words here – really, just a few.

5.2 Analyze how emotion and culture affects decision making.

Say a few words here – really, just a few.

5.3 Analyze the role of perception, attention, memory, and language in reasoning and problem solving.

Say a few words here – really, just a few.

What is the most important thing you learned during class this week?

Say a few words here – really, just a few.

What important question remains unanswered?

Say a few words here – really, just a few.

Format your paper consistent with APA guidelines.

PSY 360 Week 5 Assignment One Minute Paper

What further questions do you have forMichael or his mother at this visit?

What further questions do you have forMichael or his mother at this visit? 150 150 Nyagu

NR 511 Week 6 Part 2 Discussion – SOAP note & ICD 10 code
NR 511 Week 6 Part 2 Discussion – SOAP note & ICD 10 code

Michael:

With furthering questioning of Mom you find that Michael has not wanted to play outdoors. He says he can’t keep up with the other kids in gym class. He says he gets dizzy sometimes too.

PE

VS

Height: 48 inches weight 78 pounds BP 110/70 T 98.2 P 65 R 16.

General

Caucasian male child, appears stated age, Alert and cooperative, appears tired and distracted. Skin: color is pale pink, no cyanosis or pallor. Skin cool, dry and intact. Poor turgor. No moles or skin changes.

HEENT: head normocephalic. Hair thick and distribution even throughout scalp. Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender Nose: Nares patent without exudate. Sinuses nontender to palpation.Throat: Oropharynx dry, no lesions or exudate. Tonsils ¼ bilaterally. Teeth in good repair, no cavities noted. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored.CV: Heart S1 and S2 noted, RRR, no murmurs, noted. PMI at 5th ICS. Peripheral pulses equally bilaterally. Abdomen: Abdomen round, soft, with hypoactive bowel sounds noted. No organomegaly noted. MS: reflexes WNL. Gait steady.

Labs

CBC:WBC 7, Hgb 14 Hct 40 RBC 4.3 MCV 78 MCHC 34 RDW 11.5

Fasting glucose 136 mg/dL

TSH: 2.6 mIU/L free T4 15 pmol/L

Mary

With further questioning Mary reports feeling more short of breath when doing regular activities, finding it harder to keep up with the kids. Her appetite is less and she is finding it harder to concentrate. At times she feels lightheaded. She says her periods have been heavier since she had her twins but there has been no increased flow or irregular bleeding. LMP was one week ago and lasted four days.

VS

Height: 64 inches, weight 155 pounds BP 115/86 T 99.0 P 62 R 16

General

Caucasian female, appears stated age. Alert, oriented and cooperative. Gait normal. Skin: Skin warm, dry and intact, color is pale pink, no cyanosis or pallor. HEENT: head normocephalic. Hair thick and distribution even throughout scalp. Eyes: .Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. Slight periorbital edema noted. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender Nose: Nares patent without exudate. Sinuses nontender to palpation. Throat: Oropharynx moist, no lesions or exudate. Tonsils ¼ bilaterally. Teeth in good repair, no cavities noted. Tongue noted to have teeth indentations around the edges. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored.CV: Heart S1 and S2 noted, RRR, no murmurs, noted. Peripheral pulses equally bilaterally. Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organomegaly noted.

Labs:

CBC:WBC 8 Hgb 10.1 Hct33 RBC 3.2 MCV 74 MCHC 27.8 RDW 18.1

TSH:6.5mIU/L antithyroid antibodies:1:1,800

Discussion part two:

Summarize the history and results of the physical exam for each patient in a SOAP note for each case study patient. List the primary diagnosis with ICD 10 code. Include your rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients’ symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an EBP citation. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.

NR 511 Week 6 Part 2 Discussion – SOAP note & ICD 10 code

Setting: large urban city family practice clinic which employs physicians and nurse practitioners.

Your next room has 2 charts in the box. It is the mother and son of a family that you know well. You review the chart before entering the room to familiarize yourself with these patients. Both present today with complaints of fatigue.

When you enter the room you see a woman who appears her stated age sitting in the chair and a boy who looks about 10 years old sitting on the exam table. You introduce yourself as you always do and ask what brings them both in to see you today.

Mary states, “We have both been usually tired. I have noticed Michael has not been himself for a few weeks, maybe more. He had a cold like rest of the family had but he just seemed to have it worse. He seems to have no energy, is never hungry anymore and has lost some weight. He seems to be always thirsty and he actually wet the bed last week. He has been sleeping more but I thought maybe he was growing”

Mary states “I have not felt like I had any energy since I got that cold about 6 weeks ago. I am always tired and my eyes are always puffy. I know I have a really busy life but I am more tired than usual. I come home from work and I just want to go to bed. I’m cold all the time and I seem to be having more headaches too”

Michael:

PMH

Mother reports general health as good: no childhood or chronic illnesses. Surgeries: none. Hospitalizations: none. Immunizations: UTD: allergies: Penicillin, gets a rash no ETOH, tobacco, illicit drugs. Sleeping 8-10 hours a night. Medications: daily multivitamin

Social History

Good student, oldest of four children. Lives with parents, grandparents and siblings. Have 2 dogs and a cat.

Family History

Parents and siblings are in good health,MGM: HTN and hyperlipidemia. MGF: HTN and hyperlipidemia. Paternal grandparents deceased: PGM: brain Ca, PGF: leukemia

Mary

PMH

Reports overall good health. Denied past illness or injuries. Hospitalized x 2 for childbirth, no surgeries. NKDA. Drinks alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night. No current medications. Takes a daily multivitamin and a B complex vitamin.

Social

Married, high school graduate, works full time at a local business in the ordering department. Lives with husband, children and parents. Husband and father both smoke but not in the house.

Family

Mary has 2 siblings who are in good health.&; Mother has HTN and hyperlipidemia. Father has HTN and hyperlipidemia.

Discussion Part One:

What further questions do you have forMichael or his mother at this visit? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?
What further questions do you have forMary at this visit?&; Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?
NR 511 Week 6 Part 2 Discussion – SOAP note & ICD 10 code
Setting: large urban city

Family practice clinic which employs physicians and nurse practitioners.

Today is another busy in your family practice clinic. You note your next visit is a “2fer”. This means you have two patients to see in this visit. You ask your medical assistant to tell you why they are here. Your medical assistant tells you the patients are daughter and father. The daughter has burning with urination and the dad came along for the visit because he has some back pain. You review the chart before entering the room to familiarize yourself with these patients.

When you enter the room you note a Caucasian woman who appears to be about 40 years old. She is well groomed and appropriately dressed for the weather. She is sitting in the chair. The man is well groomed, appears to be about 70 years old, and is sitting on the exam table leaning forward. You introduce yourself as you always do and ask what brings them to the clinic today.

Mary

HPI

Reports burning with urination and feeling very itchy and uncomfortable in that area.

PMH

Age 44. No chronic illness or injuries. Recently treated for strep throat with a 10 day course of penicillin. Completed 1 day ago. Hospitalized x 2 for childbirth, no surgeries. NKDA. Drinks alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night. No current medications. Takes a daily multivitamin and a B complex vitamin.

Social history

Mary is married with four children ages 4-9. She works full time. Mary’s parents Katie and John also live in the home. Both are retired and help with childcare and household needs since both parents work full time. Her husband and father both smoke but not in the house.

Family history

Mary has 2 siblings who are in good health. Mother has a history of HTN, hyperlipidemia and osteopenia. Father has HTN and hyperlipidemia. They share their home with 2 dogs and a cat.

John

HPI

States he has had some back pain for three days that has not gotten better. He has taken Tylenol three times per day and though it takes the edge off it has not helped much and the pain is still there.

PMH

Age 75. Has HTN and hyperlipidemia. No previous injuries. No hospitalizations or surgeries. Takes Lipitor 40 mg daily and Lisinopril/HCTZ 20, 12.5 daily. Allergic to Bactrim. Sleeps 6-7 hours a night.

Social

Born in Ireland, has lived in America for 45 years. Lives with his wife in his daughter and son in laws home. Retired carpenter. Helps with the kids by taking them to school and after school activities. Enjoys gardening and fixing things around the house. Drinks ETOH on the weekends and smokes 1 pack a day. Denies other drug use.

FMH

Parents lived until their 80’s. Has 13 siblings, most are alive. One brother died suddenly of a heart attack age 45 and lost a sister at age 4 to consumption. No family health problems except for high blood pressure when they get older.

Discussion part one:

What further questions do you have forMary at this visit? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?
What further questions do you have forJohn at this visit? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?
Week 5: Discussion Part Two
77 unread replies.3434 replies.Before proceeding with some delicate questioning about Mary’s condition you ask if she is comfortable discussing her condition in front of her father. Mary states she does not mind and continues the interview.

Mary

Interview: Her last menstrual period (LMP) was two weeks ago.

No reports of headache or vision changes. No fever, chills, nausea or vomiting. No ear pain. No reports of nasal congestion, or discharge No report of wheezing or shortness of breath. No reports of chest pain, palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Reports vulvar itching and burning with urination x 2 days. No reports of incontinence. No back pain. Feels “not right”. Is sexually active, denies dyspareunia. Has tried drinking more water, Monistat cream and cranberry pills. Nothing has really seemed to work, nothing makes it feel better.

VS

Height: 64 inches, weight 149 pounds BP 128/72, T 101.2, P 100, regular and R 14.

Focused exam

General: Alert, oriented and cooperative. Cardiopulmonary: Heart S1 and S2 noted, RRR, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored. Abdomen soft, slight tenderness noted over suprapubic region, bowel sounds auscultated in all four quadrants fields. No organomegaly noted. No CVAT.

Labs: Urine dip: + leukocyte esterase. Small. Positive nitrites. Small blood. Trace protein, pH 7.0 specific gravity 1.020, negative ketones, and negative glucose. Urine HCG negative.

Based on reports of vulvar itching you perform a pelvic exam. Vulva with erythema and excoriation noted, most likely due to scratching. Urethra without swelling or discharge noted. Bartholin glands nontender, no enlargement bilaterally. Thick white curdy discharge noted in vagina, vaginal walls, erythema noted. Cervix pink, midline, smooth without excoriation, parous os, secretions cloudy, thick, stringy without odor. Bimanual exam: no pain with cervical palpation, uterus and ovaries not enlarged.

Wet prep: negative clue cells, positive hyphae. pH 4.0 Whiff negative

John

No fever, chills, nausea or vomiting. No ear pain. No reports of nasal congestion, or discharge No report of wheezing or shortness of breath. No reports of chest pain, palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Stated he has not had this back pain problem in the past, he does not remember an injury. It is difficult to stand up straight. Pain is in left lower back, no radiation. Pain is worse with standing and bending over. Pain is less when sitting. No reports of trouble with his bladder or bowels.

VS

Height 5 feet 7 inches weight 195 pounds T 98.4, BP 150/84, P 90, R 20.

Focused exam

General: Alert, oriented and cooperative. Cardiopulmonary: Heart S1 and S2 noted, RRR, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored. Back: skin intact, warm and dry, no petecchiae, lesions or masses noted. Patellar reflexes brisk bilaterally. Normal spinal curvature. Tenderness noted upon palpation of left side lateral to lumbar spine. Straight leg raise is negative bilaterally. ROM: Unable to touch his toes, flexion is about 45 degrees. Gait is slow and appears unable to stand up straight, he is leaning forward slightly when walking.

Discussion Part Two

Summarize the history and results of the physical exam for each patient in a separate SOAP note for each case study patient.

Calculate the BMI for each patient.

List the primary diagnosis with ICD10 code. Include your rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients’ symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment (EBP) plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an in-text citation to an approved reference as listed on the Reference Guidelines document. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.

Week 4: Discussion Part One
77 unread replies.3030 replies.

Setting: large urban city family practice clinic which employs physicians and nurse practitioners.

Your next patient is a work in for abdominal pain.

When reviewing the chart you see that this is Patrick Smith, age 42. You met him last month when he brought his mother-in-law in for a sick visit. You remember because you treated him as well for a skin condition.

You enter the room and introduce yourself again to Patrick. He is not the jovial man you met last visit; he appears to be uncomfortable as he reaches forward to shake your outstretched hand.

Patrick says he is in a lot of pain. He thought it would go away but it is lasting and seems to be getting worse. He is also nauseous. He doesn’t think it is anything that he ate and no one at home has had the stomach flu. It is getting worse as he has been sitting in the office. He cannot find a comfortable position to sit.

HPI

Woke up at 5 a. m. started out as pain on one side of his back. He thought he pulled a muscle. Now pain is spreading to his stomach and is getting worse. The pain sometimes shoots down into his groin. He feels nauseous. He seems to be going to the bathroom more often. He thinks he might have a fever because he has been sweating.

PMH

Describes health as good. Has hay fever and psoriasis, medication which was given at last visit worked, not using at this time. No previous back injuries. No daily medications. No herbal medication use. Had his appendix out at age 10.. Previous hospitalization for broken leg requiring traction at age 8. Smokes cigarettes, a pack a day. No ETOH or illicit drug use. Sleeps 5-6 hours a night.NKDA. Immunizations UTD.

Social

Married, has four children. Lives with his immediate family and in-laws. Works full time as a plumber. Work has been so busy no time lately for regular exercise.

Family

Parents are deceased. Mother died at age 51 from a brain tumor and father died age 53 leukemia. Has one brother in good health.

Discussion Questions Part One:

What further questions do you have for Patrick at this visit?? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature or the textbook. List the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests would you order?
Week 4: Discussion Part Two
33 unread replies.3434 replies.On further questioning Patrick has no report of further headaches, no fever, or vision changes. No report of nasal congestion, or discharge. No report of wheezing or shortness of breath with rest, palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Position changes and Tums did not relieve the pain, he did not try to take any other medication, he did not think he could keep it down if he tried because he is so nauseous.

Physical exam:

VS Height: 5 feet 9 inches weight: 198 pounds

T- 98.9, BP 160/96, P 100, R 22, oxygen saturation: 98%.

Reports current pain as 8/10. Describes back and stomach pain as throbbing. The pain seems come in waves and at time shoots down into his groin.

General

Alert, oriented and cooperative. HEENT: head normocephalic. Hair thick and distribution throughout scalp. Sclera clear, conjunctiva white.

Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender. Nares patent without exudate. Oropharynx moist, no lesions or exudate. Tonsils ¼ bilaterally. Teeth in good repair, no cavities noted. Neck supple. No lymphadenopathy. Thyroid midline, small and firm without palpable masses. Cardiopulmonary: Heart S1 and S2 noted, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored.

Abdomen appears slightly distended, symmetric with no visible masses. RLQ scar noted. Decreased bowel sounds noted. No vascular sounds. Tympany noted in all four quadrants on percussion. Abdomen is soft, no organomegaly, no masses or tenderness. Positive CVAT on right side.

Urinalysis: Positive WBCs, Small blood. Trace protein, pH 7.0 specific gravity 1.030, negative nitrites, negative ketones, negative glucose

CBC: WBC 6000 mm3 RBC 5 million Hbg 15g Hct 46% MCV 90 fL MCHC 35 g/dL

You send Patrick to the in-house ultrasonographer. The report states “a 5mm smooth round calculus is noted at the junction of the ureter and the bladder:

Discussion Part Two:

Calculate Patrick’s BMI, does the finding impact his diagnosis or treatment?

Summarize the history and results of Patrick’s physical exam and then answer the additional case study questions below.

List the primary diagnosis with ICD10 code. Include your evidence-based rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients’ symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment (EBP) plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an in-text citation to an approved reference as listed on the Reference Guidelines document. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.

Answer these additional questions in this post regarding this case:

What should the NP do if Patrick continues to come back for pain medication?

What are possible warning signs of prescription drug abuse?

List three of the twelve 2016 CDC recommendations that would help the provider in handling this case.

Week 3: Discussion Part One
11 unread reply.3333 replies.

Setting: large urban city family practice clinic which employs physicians and nurse practitioners.

It is Monday here at your clinic. In addition to your regularly scheduled you are being asked to add some additional patients. You note your next visit is a work-in for cough. You review the chart before entering the room to familiarize yourself with this patient’s chart. Katie has been coming to the clinic for years and she and her husband are well known to you but you still review the chart prior to entering the room to assure you are familiar with her history and previous visits. Most of her visits have been for yearly wellness checkups and her labs and vitals are great, even at age 65.

When you enter the room you see a well-dressed woman looking her stated age sitting on the exam table. Also present is a man who appears to be about 40, the woman introduces him as her son Patrick. Patrick has brought his mother in-law to the clinic today because he is concerned about her cough, it is not getting better. Katie says her son-in-law is worried for nothing but she has had the cough for a bit and it does not seem to be getting better at all.

HPI

Katie describes herself as normally really healthy. This cough started a week ago and it is worse at night. The cough wakes her up. Her chest is starting to hurt from all the coughing. She has noticed that she has been more tired and gets easily winded when she takes her daily walks. She has not gone to Curves this week like she usually does because she doesn’t have the energy. She doesn’t think she has fever, did not take her temperature.

PMH

Had chicken pox, measles and rubella as a child. Katie has a history of osteopenia, HTN and hyperlipidemia. Takes a daily multivitamin, Evista 60 mg daily and HCTZ 25 mg daily. No reports of past injuries. Previous surgeries include a tonsillectomy and cholecystectomy. Hospitalized for surgeries and childbirth. Has seasonal allergies to pollen and reports hayfever. She is allergic to Demerol, it makes her vomit. No alcohol or tobacco use.

Social

Married to John, they live with their married daughter and her family. Takes care of the kids and home as Mary and her husband work. Her husband and son-in-law both smoke, but not in the house.

Discussion Part One:

What further questions do you have for Katie at this visit??
Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literatureor the textbook.Include the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests would you order?
Week 3: Discussion Part Two
11 unread reply.2929 replies.Katie

Interview information: Upon further questioning about sore muscles, she points to area on right side where she is sore from coughing. It hurts in that spot every time she tries to take a deep breath. No reports of headache, fever, or vision changes. No reports of nasal congestion, or discharge. States she has not been hoarse. No report of wheezing or shortness of breath with rest. No reports of palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Tried some cough syrup but that does not stop the cough for long, nothing seems to make it better.

Physical exam

VS: Height: 62 inches weight: 140 pounds. T: 100.4, BP 130/90, P 80, R 22, even, oxygen saturation: 96%

General

Cooperative, talkative, appropriate. Skin color is pale pink, no cyanosis or pallor. HEENT: Head normocephalic, Hair thick and distributed throughout entire scalp. Conjunctiva clear, non-icteric, PERRLA, EOM’s intact. Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender. Nares patent without exudate. Oropharynx moist, no lesions or exudate. Teeth in good repair, no cavities noted. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small, firm. CARDIOPULMONARY: Heart RRR w/o murmur. Respiratory: Lung sounds are clear left side. Right side: crackles noted on inspiration, did not clear with coughing. On assessment of expansion a slight lag was noted on right side. Tactile fremitus symmetrical. An asymmetrical dullness was noted over right side of back. Abdomen soft, non-tender, bowel sounds auscultated in all four quadrants fields. No organomegaly noted.

Based on the exam findings you decide to order a chest x-ray (CXR) on Katie.

While waiting on the CXR results you review her chart more thoroughly. You note she was in for her annual exam one month ago and review her labs. All labs are normal, you note that her CMP results: BUN 19 mg/dl, Creatinine 0.9 mg/dl.

Her CXR report comes back: The CXR shows a dense shadow in the RLL.

After you are discuss the X-ray findings with Katie, she asks if you will “take a look” at her son’s elbows. Is there any cream he can put on it?

Patrick

States he has itchy, dry flaky skin area on his elbows which started 2 weeks ago.

Patrick reports he has been picking at skin and it bleeds when he pulls off skin. He states he has been working a lot of overtime, feels really stressed and tired. He has been having tension headaches, taking NSAIDS almost daily for about 3 weeks. The ibuprofen seems to help the headaches a little He has used wife’s hand lotion on the dry skin but did not seem to make a difference. No new foods, soaps or detergents.

Additional interview responses: No reports of vision changes, ear pan, nasal discharge or sore throat. No reports of difficulty breathing, palpitations or heartburn. No history of health problems or join pain. The rash doesn’t really bother him, but his wife things it is unsightly. Has had a rash on elbows like this once before a few years ago but went away on its own. No surgeries. Previous hospitalization for broken leg requiring traction at age 8. No prescription medications. No herbal medication use. No reports of ETOH, tor illicit drug use. Smokes 1-2 packs/day. NKDA. Reports hayfever in the spring and fall. Immunizations are up to date. Works as a plumber. Sleeps 5-6 hours a night. Parents are deceased. Mother at age 51 from a brain tumor and father age 53 leukemia. Has one brother in good health.

VS

Height: 5 feet 9 inches weight: 195 pounds T: 98.4, BP 130/78, P 76, R 20 Sao2 98%.

Focused exam

Alert, oriented and cooperative Eyes without exudate, sclera clear, PERRLA. Nares patent without exudate Heart RRR w/o murmur. Lung sounds are clear bilaterally. Tympanic membranes gray and intact with light reflex noted Skin: well-circumscribed deep red, scaling oval plaques noted to bilaterally elbows R>L. Scale is silvery white. No lesions noted on rest of body.

Discussion Part Two

Summarize the history and results of the physical exam for each patient in a separate SOAP note for each case study patient.

Calculate the BMI for each patient.

List the primary diagnosis with ICD 10 code. Include your rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients’ symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment (EBP) plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an in-text citation to an approved reference as listed on the Reference Guidelines document. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.

NR 511 Week 6 Part 2 Discussion – SOAP note & ICD 10 code

Setting

Large urban city family practice clinic which employs physicians and nurse practitioners.

Today is another busy in your family practice clinic. You note your next visit is a work in for ear pain. The patients are a set of four year old twins. The entire family has been coming to the clinic for years which is probably why they were worked in despite your full schedule. You review the chart before entering the room to familiarize yourself with these patients.

When you enter the room you note a Caucasian woman who appears to be about 40 years old. She is well groomed and appropriately dressed for the weather. There are also two boys who appear to be about 4 years old who are sitting on the exam table playing games on their tablets and chatting to each other.

You introduce yourself as you always do and ask what brings them to the clinic today.

The mother states “Tommy woke up in the middle of the night saying his ear hurt so badly it woke him up. He says it hurts to touch. Paddy has had a cold for a few and been talking about his ears popping and feeling stuffy. I thought it was just the cold. He woke up this morning and said his ear really hurts too. He also feels warm to me”

HPI

Mom describes the boys as overall healthy and active 4-year-old children. Their older sister just got over a cold. The rest of the family has been well but Mom noticed she has a sore throat this morning and asks if you can look at her too as long as they are here. Her throat has hurt since yesterday, and hurts worse when she swallows. She has not eaten or drank anything because it hurts too much.

PMH

Paddy: age 4. Full-term pregnancy, NSVD twin gestation 5 pounds 2 ounces. No hospitalizations. NKDA. Daily medication – chewable children’s multivitamin with iron.

Tommy: age 4. Full-term pregnancy, NSVD twin gestation 5 pounds 4 ounces. No hospitalizations. NKDA. Daily medication – chewable children’s multivitamin with iron.

Mary (mom): denied past illness or injuries. Hospitalized x 2 for childbirth, no surgeries. NKDA. Drinks alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night. No current medications. Takes a daily multivitamin and a B complex vitamin.

Social

Paddy and Tommy live with both their parents, Mary and Patrick, and two older siblings. They are in a half day K4 program and Mom states they are doing well and like going to school. Mary’s parents also live with the family and care for the children after school. They have 2 dogs and a cat. Patrick and Mary’s father John Foley both smoke, but not in the house.

Discussion Part One (Please answer the questions separately for each patient)

What further questions do you have forMary at this visit?
Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list for this visit thus far with rationale? Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook. Link the patient’s presenting symptoms with your differential diagnoses along with rationale.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?
What further questions do you have forPaddy at this visit??
Use your OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list for this visit thus far with rationale?
Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook. Link the patient’s presenting symptoms with your differential diagnoses along with rationale.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?
What further questions do you have forTommy at this visit??
Use your OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list for this visit thus far with rationale? Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook. Link the patient’s presenting symptoms with your differential diagnoses along with rationale.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?
NR 511 Week 6 Part 2 Discussion – SOAP note & ICD 10 code

What further questions do you have for Katie at this visit??

What further questions do you have for Katie at this visit?? 150 150 Nyagu

NR 511 Week 7 Part 1 Discussion – OLDCARTS
NR 511 Week 7 Part 1 Discussion – OLDCARTS

Setting: large urban city family practice clinic which employs physicians and nurse practitioners.

It is the end of a long day and you are ready to go home. Your last patient of the day is here with chief complaint of fatigue. You review the chart, you know this patient. You saw her last month. You wonder could fatigue be related her previous illness?

You enter the room and see Katie sitting in the chair. She looks up at you as you enter the room and responds quietly to your greeting. You ask Katie what brings her in today.

Katie states” I had pneumonia last month and I have not gotten my energy back. I feel like I got somewhat better, my cough is gone but I didn’t get my energy back. I just don’t feel like doing anything now. It’s hard to get up and get moving in the morning and I don’t sleep very well now. I keep waking up about 4 AM every day and I can’t get back to sleep. I try to go back to sleep but then I start thinking about all the things I need to do and being so tired and wanting to go back to sleep and then I can’t get back to sleep. I have not been to Curves since I had pneumonia”

PMH

Had chicken pox, measles and rubella as a child. Katie has a history of osteopenia, HTN and hyperlipidemia. Takes a multivitamin, Evista 60 mg daily and HCTZ 25 mg daily. No reports of past injuries. Previous surgeries include a tonsillectomy and cholecystectomy. Hospitalized for surgeries and childbirth. Has seasonal allergies to pollen and reports hayfever in the fall. Takes Allegra when needed. NKDA. No alcohol or tobacco use. Up to date on vaccines. Received the pneumonia vaccine last week.

Social

Married to John for 45 years, they live with married daughter and her family. Takes care of the kids and home as Mary and her husband work. Her husband and son both smoke but not in the house.

Family

Her parents died of old age. Siblings are well with same HTN problems she has.

Discussion part one:

What further questions do you have for Katie at this visit??
Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.
What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patient’s signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.
Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests would you order?
NR 511 Week 7 Part 1 Discussion – OLDCARTS

Describe the patient symptoms that concern you on today’s visit

Describe the patient symptoms that concern you on today’s visit 150 150 Nyagu

NR 601 Week 1 Discussion Post
NR 601 Week 1 Discussion Post

Background

L.J. is a 65-year-old Hispanic male who presents to the office with increased shortness of breath that has gotten worse over the last few months. He reports that having shortness of breath is nothing new, but he has recently started to feel shortness of breath when he is performing his daily activities. He denies any fever, contact with any sick individuals or any weight loss. Other than the shortness of breath, he indicates that he has a chronic cough that is occasionally productive of whitish sputum. He has a 65-pack-year history of cigarette smoking. He is in the clinic today because of his concern about his worsening shortness of breath.

PMH

L.J. has a history of hypertension, cataracts, and osteoarthritis

Current Medications

Ibuprofen 600 mg po TID

Lisinopril 20 mg po QD

Hydrochlorthiazide 25 mg po QD

Simvastatin 20 mg po QD

Meloxicam 7.5 mg QD

Surgeries

Left knee arthroplasty in 2013

Allergies: No know allergies

Social History: 65 pack year history of cigarette smoking; denies alcohol intake or illicit drug use; is married and recently retired

Family history: Father has history of HTN; Mother has history of “mild” stroke; Brother has a history of hyperlipidemia.

Discussion Questions Part One:

• Describe the patient symptoms that concern you on today’s visit. What other aspects of the patient history also concern you?
• Provide OLDCARTS and ROS questions needed to develop the differential diagnosis (DD) list.
• Provide a minimum of three differential diagnoses (DD) with rationale for each.
• Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. NOTE: one of the assessment tools must focus on assessing the patient’s respiratory status. Provide a rationale for why you are choosing these tools.

NR 601 Week 1 Discussion Post

Summarize the important data from the patient’s history and reason for the visit today.

Summarize the important data from the patient’s history and reason for the visit today. 150 150 Nyagu

NR 601 Week 2 Part 1 Discussion
NR 601 Week 2 Part 1 Discussion

B.J., a 70-year-old black female has been seen in the clinic several times. The last time she was in for a check-up was 6 months ago to get her prescriptions refilled. She has returned to the clinic today because she “ran out of blood pressure medicine” and would like to get her prescriptions renewed. She has not taken any prescription medicine in approximately 6 months

Background:

The patient indicates that she has noticed shortness of breath, especially when she is playing with her grandchildren. But, it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also tells you that “I noticed over the last week that my legs and ankles have been swollen”. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest.

PMH:

Hypertension

Previous history of MI in 2010

Current medications:

Coreg 6.25 mg PO BID

Colace 100 mg PO BID

K-dur 20 mEq PO QD

Furosemide 40 mg PO QD

Surgeries:

2010-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Amoxicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Has never had a Pneumovax

Has not had a Td in over 20 years

Has not had the herpes zoster vaccine

Other:

Last colorectal screening was 11 years ago

Last mammogram was 5 years ago

Has never had a DEXA/Bone Density Test

Last dilated eye exam was 4 years ago

Labs from last year’s visit: Hgb 12.2, Hct 37%, K+ 4.2,

Na+140 Cholesterol 186, Triglycerides 188, HDL 37, LDL 190, TSH 3.7

Blood pressure on day of visit: 150/90

Social history:

She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her son lives in another state,

Family history:

Both parents are deceased. Father died of a heart attack; mother died of natural causes. She had one brother who died of a heart attack 20 years ago at the age of 52.

Habits:

She drinks one 4-ounce glass of red wine daily. She is a former smoker that stopped 20 years ago.

Discussion Part One:

• Summarize the important data from the patient’s history and reason for the visit today.
• Provide a minimum of three differential diagnoses (DD) with rationale for the chief complaint.
• Include OLDCARTS and additional ROS questions needed to develop DD.
• Based on the LDL level above, indicate if you need to order a statin for this patient? Provide a rationale for your decision based on evidence based clinical guidelines.
• What other patient risk factors put the patient at risk for arteriosclerotic coronary vascular disease (ASCVD)? Reference the guidelines in your response.
• Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

NR 601 Week 2 Part 1 Discussion

Summarize the history and results of the physical exam.

Summarize the history and results of the physical exam. 150 150 Nyagu

NR 601 Week 2 Part 2 Discussion
NR 601 Week 2 Part 2 Discussion

Week 2: Discussion Part Two8 8 unread replies. 34 34 replies.Physical examination:
Vital Signs
Height: 5 feet 2 inches Weight: 163 pounds BMI: 29.8 BP 150/86 T 98.0 po P 100 R 22, non-labored
HEENT: normocephalic, symmetric. Bilateral cataracts; PERRLA, EOMI; Upper and lower dentures in place a fitting well. No tinnitus
NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. Thyroid non-palpable
LUNGS: inspiratory crackles
HEART: Normal S1 with S2 split during expiration. An S4 is noted at the apex; systolic murmur noted at the right upper sternal border without radiation to the carotids.
ABDOMEN: Normal contour; active bowel sounds all four quadrants; no palpable masses.
PV: Pulses are 2+ in upper extremities and 1+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally
GENITOURINARY: no CVA tenderness; not examined
MUSCULOSKELETAL: Heberden’s nodes at the DIP joints of all fingers and crepitus of the bilateral knees on flexion and extension with tenderness to palpation medially at both knees. Kyphosis and gait slow, but steady.
PSYCH: normal affect; her Mini-Cog Score is 3. Her PHQ-9 score is 22.
SKIN: Sparse hair noted on lower legs and feet bilaterally with dry skin on her ankles and feet.

Discussion Questions Part Two:
Post your SOAP note for this patient’s encounter.

Review the SOAP note format for the course. Summarize the history and results of the physical exam. Include one evidence-based journal article that supports your rationale for all diagnoses with ICD 10 codes and include a complete treatment plan that include medications, further diagnostics, patient education, referral and plan for follow-up. Each step of the plan must include an in-text citation to a scholarly source. Review the Reference Guidelines document in Course Resources.

NR 601 Week 2 Part 2 Discussion

Explain the group’s processes and stage of formation.

Explain the group’s processes and stage of formation. 150 150 Nyagu

Group Processes and Stages of Formation Essay Assignment Papers
Group Processes and Stages of Formation Essay Assignment Papers

In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress. For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.

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Learning Objectives
Students will:
Analyze group processes and stages of formation
Analyze curative factors of groups
Analyze the impact of curative factors on client progress
Recommend strategies for managing intragroup conflict
To prepare:
Review this week’s Learning Resources and reflect on the insights they provide on group processes.
View the media, Group Therapy: A Live Demonstration, and consider the group dynamics.
The Assignment
In a 2- to 3-page paper, address the following:

Explain the group’s processes and stage of formation.
Explain curative factors that occurred in the group. Include how these factors might impact client progress.
Explain intragroup conflict that occurred and recommend strategies for managing the conflict. Support your recommendations with evidence-based literature.

Group Processes and Stages of Formation Essay Assignment Papers

Identify the model of nursing care that you observed.

Identify the model of nursing care that you observed. 150 150 Nyagu

NR447 Nursing Care Models Essay Assignment Paper
NR447 Nursing Care Models Essay Assignment Paper

Nursing Care Models Paper Guidelines
Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

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Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7) NR447 Nursing Care Models Essay Assignment Paper

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8) NR447 Nursing Care Models Essay Assignment Paper

Due Dates

Submit by Sunday, 11:59 p.m. MT, end of Week 5.

Rubric

Click to view and download the NR447 Nursing Care Models Paper Rubric (Links to an external site.)Links to an external site..

Points

This assignment is worth 200 points.

Directions

Read your text, Finkelman (2016), pp- 111-116.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model. NR447 Nursing Care Models Essay Assignment Paper
Write a 5 page paper that includes the following:
Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is differentfrom the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a differentnursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific. NR447 Nursing Care Models Essay Assignment Paper
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
Write your paper using APA format using Microsoft Office 2010 or later
NR447 Nursing Care Models Essay Assignment Paper

NR447 Nursing Care Models Paper Rubric

Criteria Ratings Pts
Nursing Care Model in Practice
(Identifies Nursing Care Model for delivery of nursing care. Provides specifics.) NR447 Nursing Care Models Essay Assignment Paper

After an introduction paragraph, thoroughly identifies Nursing Care Model in practice including all the specifics about who, what when, where, etc.
60.0 pts

After an introduction paragraph, generally identifies Nursing Care Model in practice including most of the specifics about who, what when, where, etc.
53.0 pts

After an introduction paragraph, briefly identifies Nursing Care Model in practice including minimum specifics about who, what when, where, etc.
48.0 pts

After an introduction paragraph, briefly identifies Nursing Care Model in practice, but describes only one or two specifics.
23.0 pts

Does not provide an introduction paragraph. Fails to identify a Nursing Care Model. Does not include any specifics.
0.0 pts

60.0 pts
Scholarly Sources Related to Nursing Care Model
(In addition to Finkelman, locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper.)

Thoroughly reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, thoroughly reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.
40.0 pts

Generally reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, generally reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.
35.0 pts

Briefly reviews only one resource (besides the course textbook) related to nursing care model observed in practice setting. Also, briefly reviews only one resource (besides text) related to a nursing care model that is different from the one you observed.
32.0 pts

Reviews only one resource (besides the course textbook) related to the nursing care model observed in practice, and fails to review a resource (besides the course textbook) related to a nursing care model that is different from the one you observed.
15.0 pts

Fails to provide any resources related to the nursing care model that was observed and that was different.
0.0 pts

40.0 pts
Implementation and Recommendations
(Describe implementation of current Nursing Care Model and recommend a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction.)

Thoroughly describes implementation of current Nursing Care Model and recommends a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction
60.0 pts

Generally describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits quality or safety or staff satisfaction.
53.0 pts

Briefly describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits two of the following (quality/safety/staff satisfaction).
48.0 pts NR447 Nursing Care Models Essay Assignment Paper

Minimally describes implementation of current Nursing Care Model but does NOT recommend a different model that could be utilized. Various elements are missing related to improving quality of nursing care, safety and staff satisfaction.
23.0 pts

Does NOT describe a Nursing Care Model or a different model that could be utilized. Elements are missing related to improving quality of nursing care, safety and staff satisfaction.
0.0 pts

60.0 pts
Conclusion and summary
(Summarize what you learned about this experience including new knowledge about nursing care models.)

Includes conclusion paragraph and thoroughly summarizes what you learned about this experience including new knowledge about nursing care models.
20.0 pts

Includes conclusion paragraph and clearly summarizes what you learned about this experience including new knowledge about nursing care models.
18.0 pts

Includes conclusion paragraph but briefly summarizes what you learned about this experience or includes new knowledge about nursing care models but not both.
16.0 pts

Conclusion/ summary is present but difficult to find in closing paragraphs of paper.
8.0 pts

Does not Include a conclusion paragraph.
0.0 pts NR447 Nursing Care Models Essay Assignment Paper

20.0 pts
Clarity of writing
(Content is organized, logical, and with correct grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious.)

Content is organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Less than three errors are noted.
20.0 pts

Content is mostly organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check is obvious. Four to six errors are noted.
18.0 pts

Content is somewhat organized, logical and grammar, punctuation, spelling, and sentence structure are correct. Minor APA formatting errors exist. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check are not obvious. Seven to 10 errors are noted.
16.0 pts

Content is somewhat organized, but may lack logic. Several errors occur in grammar, punctuation, spelling, and sentence structure. Major APA formatting errors exist. Reference page does not match up with in-text citations, i.e., references may be missing for in-text citations, or references appear with no comparable in-text citation. Eleven to 15 errors are noted.
8.0 pts

Content is disorganized and writing has numerous grammar, spelling, or syntax errors. APA formatting was not used. Spell check and grammar check are not obvious. More than 15 errors are noted.
0.0 pts

20.0 pts
NR447 Nursing Care Models Essay Assignment Paper

Briefly describe how supportive and interpersonal psychotherapies are similar.

Briefly describe how supportive and interpersonal psychotherapies are similar. 150 150 Nyagu

Compare supportive psychotherapy and interpersonal psychotherapy
Compare supportive psychotherapy and interpersonal psychotherapy

Compare supportive psychotherapy and interpersonal psychotherapy
Recommend therapeutic approaches for clients presenting for psychotherapy
To prepare:

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Review the media in this week’s Learning Resources.
Reflect on supportive and interpersonal psychotherapeutic approaches.
The Assignment
In a 2-page paper, address the following:

The Assignment

Briefly describe how supportive and interpersonal psychotherapies are similar.
Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor.
Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature.
Please use Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. As a reference

Compare supportive psychotherapy and interpersonal psychotherapy