Review the sectioned headed, Two Ethical Exemplars

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It’s a 2 page task I need it in 3 hours.Use the attached filehttps://drive.google.com/file/d/1YEAW6OGygLgIw8GypPYurUkzbsnbu2On/view?usp=drivesdkProject Title/SubjectReview the sectioned headed, Two Ethical ExemplarsDescribe Your taskReview the sectioned headed, Two Ethical Exemplars in Chapter 22Type of ServiceEssayUrgency 2 hoursNo. of Pages/Wordcount 1 page(s)/275 WordsCitation StyleAPA StyleDetailed Description/ExplanationReview the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.Files app.captainform.com/upload_dld.php?fileid=4d9f87a87d6501007d41c72ba0fbe45a

 
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Information System Application for Decision Making

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Identify the process for decision-making regarding technology. Discuss nursing role in identifying appropriate technology for practice.Your assignment should include the following:1. One technology application used in health care to facilitate decision-making.2. The application’s impact on the quality of decision-making.3. The process for selecting and implementing the application.4. The costs associated with the application.5. Nurses’ role(s) in selecting and evaluating the application.4, excluding the title, abstract, and references.Incorporate a minimum of 5 current (published within the last five years) reference. NO WEBSITE REFERENCE

 
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LIRN

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LIRN is :VACCINES OVERVIEW COVID

 
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leadership principle

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Describe key leadership principles presented in the videoDemonstrate how the principles can be applied in real world scenariosIncorporate the principles of governance, leadership and management in order to create a vision that will empower fellow employees, foster collaboration amongst staff and create a successful healthcare environment geared towards patient care.Explain how these positive changes will alter the course of actions and guide decision making for the participants.

 
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Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

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The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.To Prepare:Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.Consider the best method of disseminating the results of your presentation to an audience.The Assignment: (Evidence-Based Project)Part 4: Recommending an Evidence-Based Practice ChangeCreate an 8- to 9-slide narrated PowerPoint presentation in which you do the following:Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.Add a lessons learned section that includes the following:A summary of the critical appraisal of the peer-reviewed articles you previously submittedAn explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)By Day 7 of Week 10Submit Part 4 of your Evidence-Based Project.Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/

 
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Ethical Dilemma

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What is an ethical dilemma?

 
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Walden Module 6 Pathophysiology Knowledge Check

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QUESTION 1 ? 4A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend?s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who ?had mental problems?. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.Question 1 of 4:Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.Question 2 of 4:Explain the genetics of schizophrenia.Question 3 of 4:The APRN reviews recent literature and reads that neurotransmitters are involved in the development of schizophrenia. What roles do neurotransmitters play in the development of schizophrenia?Question 4 of 4The APRN reviews recent literature and reads that structural problems in the brain may be involved in the development of schizophrenia. Explain what structural abnormalities are seen in people with schizophrenia.QUESTION 1 ? 6A 34-year-old female was brought to the Urgent Care Center by her husband who is very concerned about the changes he has seen in his wife for the past 3 months. He states that his wife has had been depressed and irritable, has complaints of extreme fatigue, has lost 10 pounds and has had insomnia. He has come home from work to find his wife sitting in front of the TV and not moving for hours. In the past few days, she suddenly has become very hyperactive, has been talking incessantly, has been easily distracted and seems to ?flit from one thing to another.?. She hasn?t slept in 3 days. The wife went on an excessive shopping spree for new clothes that resulted in their credit card being denied for exceeding the line of credit. The wife is unable to sit in the exam room and is currently pacing the hallway muttering to herself and is reluctant to talk with or be examined the ARNP. Physical observation shows agitated movements, rapid fire speech, and hyperactivity. Based on the history and observable symptoms, the APRN suspects that the patient has bipolar type 2 disorder. The APRN refers the patient and husband to the Psychiatric Mental Health Nurse Practitioner for evaluation and treatment.Question 1 of 6:Discuss the role genetics plays in the development of bipolar 2 disorders.Question 2 of 6:Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.Question 3 of 6:Discuss the role inflammatory cytokines play in the development and exacerbation of bipolar type 2 symptomsQuestion 4 of 6:Discuss the role of the amygdala in bipolar disorder.Question 5 of 6:How does neurochemical dysregulation contribute to bipolar disorders?Question 6 of 6:What is the current status of the use of nutraceuticals in management of depression?QUESTION 1 ? 2A 27-year-old female presents to the Emergency Room, with a chief complaint of palpitations, rapid heart rate, sweating, tremors, and inability to catch her breath. The symptoms started about 10 hour ago and have gotten worse. She states she has some chest pain that remains constant no matter what. She also has numbness and tingling around her mouth and lips. She says she knows something ?terrible is going to happen?. She denies having any similar episode in the past. Past medical history noncontributory. Social history significant for recent stressor of applying for medical school and taking the Medical College Admission Test (MCAT). She had not received the results prior to the episode but is sure that the failed the test. Says she doesn?t know if anyone else in her family has had similar episodes. Physical exam reveals a thin, anxious appearing female who is profusely sweating despite cool ambient air temperature. BP 176/88, Pulse 136, and respirations 26. Electrocardiogram negative for evidence of myocardial infarction and all lab data within normal limits except for mild respiratory alkalosis. The patient?s symptoms are subsiding and the patient states she is feeling better. The APRN suspects the patient has just experienced a panic attack.Question 1 of 2:What are panicogens and how do they contribute to the development of panic attack symptoms?Question 2 of 2:How does the GABA-benzodiazepine (BZ) receptor systems contribute to panic attacks/disorders?QUESTION 1 ? 2A 21-year-old female college junior makes an appointment to see the APRN in the Student Health Clinic. The student tells the APRN that it has gotten harder and harder for her to attend classes, especially her history class where the class is preparing for the semester?s end presentations. She says she is terrified to speak to the class and is considering dropping the class so she will not have to present. She has a significant impairment in social activities and has resigned from her sorority. She is unable to go to the library to study as she feels everyone is looking at her and mocking her. She admits to having some of these symptoms in high school, but the guidance counselor was able to work with her to decrease some of her symptoms. Past medical history noncontributory except for the milder symptoms exhibited in high school. Family history noncontributory. Social history positive for anxiety related to social situations that has had a negative impact on both her scholarly and social endeavors. The APRN diagnoses the student with social anxiety disorder (SAD).Question 1 of 2:Describe the areas of the brain that are associated with social anxiety disorder.Question 2 of 2:How is oxytocin associated with SAD?QUESTION 1 ? 2A 36-year-old female comes to see the APRN in clinic with a chief complaint of ?I?m so and I feel all keyed up all the time?. She states she feels restless, keyed up, and on edge most of the time. She fatigues easily and has difficulty concentrating and says her mind goes blank. She admits to being irritable and snapping at her coworkers which she worries will affect her job. She says the symptoms have been present for about 8 or 9 months. and Increased muscle tension. She has had difficulty falling asleep or stay sleeping. Further questioning revealed that prior to her symptoms, her parents got divorced which has been a great stressor for her. Past medical history noncontributory. Social history positive for a case of ?nerves? when she was in high school that seemed to resolve after she graduated from college. No drug or alcohol history. The APRN believes the patient has generalized anxiety disorder (GAD).Question 1 of 2:Discuss the role of neurotransmitters in the expression of GAD.Question 2 of 2:Explain the structural brain changes that occur in people with GAD.QUESTION 1 ? 2A 27-year-old man comes to the Veteran?s Administration Hospital at the insistence of his fianc‚e who accompanies him to the appointment. She tells the APRN that her fianc‚e has not ?been the same? since he returned from his second tour in Iraq. He was an infantryman with a local Marine Reserve unit and served 2 tours and was honorably discharged. Since his return, he has had difficulty sleeping, and says he ?sleeps with one eye open? and fears sleep. Deep sleep brings vivid nightmares. He grudgingly admits to having experienced several traumatic events during his second tour of duty. He is unwilling to discuss them and will not reveal specific details. He is short tempered and irritable and is afraid to be around people as he doesn?t want to snap at people and alienate them. He startles easily at loud noises, especially the sounds of cars backfiring. He admits to thinking there are threats everywhere and spends an excessive amount of time searching for them but never finding any. He has intrusive memories almost every day and says he really isn?t interested in doing much of anything. He is very worried that these symptoms are irreparably hurting his relationship with his fianc‚e who he loves very much. The APRN diagnoses him with post-traumatic stress disorder (PTSD).Question 1 of 2:Describe the changes seen in the brain structure in patients with PTSD.Question 2 of 2:Briefly discuss the role glucocorticoids may have on the development of PTSD.QUESTION 1 ? 2A 17-year-old male high school junior comes to the clinic to establish care. He recently moved from a relatively urban area to a very rural area and has just started his junior year in a new school. The mother states that she has noticed that her son has been frequently washing his hands and avoids contact with any dirty or soiled object. He uses paper towels or napkins over the knob on a door when opening it. According to the mother, this behavior has just appeared since moving. The patient, upon close questioning, admits that he is ?grossed out? by some of the boys in the boys? room since they use the toilet and do not wash their hand afterwards. He is worried about all the germs the boys are carrying around. Past medical history is noncontributory. Social history -lives with parents and 2 siblings in a house in a new town. Is an honors student. Based on these behaviors, The APRN thinks the patient has obsessive-compulsive disorder (OCD).Question 1 of 2:What is primary pathophysiology of OCD?Question 2 of 2:Describe the role the dorsal anterior cingulate cortex (dACC) has in reinforcement of obsessive behaviors.

 
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HSC 2003

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How would you describe the structure of HIV/AIDS to one of your patients? Consider your professional jargon and developmental approach.

 
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case study 13

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Case Study, Chapter 13, Fluid and Electrolytes: Balance and Disturbance1. Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L.What are possible causes of a low potassium level?What action should the nurse take in relation to the serum potassium level?What clinical manifestations might the nurse assess in Mrs. Dean?2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he ?ate something bad.? Upon admission his vital signs are a temperature of 102.7øF, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas.The following results are returned from the laboratory:Sodium (Na+)ÿÿÿÿÿÿÿÿÿÿÿÿ 150Potassium (K+)ÿÿÿÿÿÿÿÿÿÿ 5.5Chloride (Cl?)ÿÿÿÿÿÿÿÿÿÿÿÿ 110BUNÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ 42Creatinineÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ 0.8Glucoseÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ 86pHÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ 7.32PaCO2ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ 35HCO3?ÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿ 20PaO2ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ 90O2 Satÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ 98%What is your interpretation of this arterial blood gas sample?Explain the high potassium in this patient.Calculate the patient?s anion gap:What is the interpretation of this anion gap?

 
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Practicum ? Week 2 Journal Entry

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Assignment: Practicum ? Week 2 Journal Entryú Develop diagnoses for clients receiving psychotherapy*ú Analyze legal and ethical implications of counseling clients with psychiatric disorders*Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:ú Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.ú Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.ú Explain any legal and/or ethical implications related to counseling this client.ú Support your approach with evidence-based literature.NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT?..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION

 
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