Tag: Model Answer

  • [Solved] DNP-IVA PP

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    Create a PowerPoint presentation demonstrating ethical frameworks used for problem-solving in your workplace ( Primary Care Clinic) ( I'm a Nurse Practitioner in my workplace). Which approach would you use based on the descriptions in this model? COURSE: Nursing Science for clinical Practice Module …

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    Assignment Prompt & Instructions

    Create a PowerPoint presentation demonstrating ethical frameworks used for problem-solving in your workplace ( Primary Care Clinic) ( I'm a Nurse Practitioner in my workplace). Which approach would you use based on the descriptions in this model? COURSE: Nursing Science for clinical Practice Module 8 Contribute a minimum of 10 slides. It should include at least four academic sources, formatted and cited in APA.
    – Speaker notes expanded upon and clarified content on the slides.
    – Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to the APA style (the library has a copy of the APA Manual).
    – SLIDES NEED HAVE CONDENSED INFORMATION
    – Your assignment will be run through TurnItIn to check for plagiarism. NEED TO BE LESS THAN 10% PLAGIO OR AI-TEXT
    – Your presentation must be original work, logically organized, and follow the current APA format, including citation of references.
    DUE DATE NOVEMBER 26, 2025
    \
    RUBRICPP.pdf](https://www.sweetstudy.com/files/rubricpp-pdf-10458735 "RUBRICPP.pdf")

  • [Solved] Nd

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    In-depth study guidance and analytical solution covering Nd.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Unit 7 Project

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    See attachment – ## Unit7project.txt **## Unit7project.txt** Unit 7 Project Final Projects/Papers: Submit by Saturday 11:59 p.m. – Project 2: Culturally Proficient Leadership Plan (200 points) – In response to the content of this course, develop a Culturally Proficient Leadership Plan. The plan shou…

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    See attachment

    – ## Unit7project.txt

    **## Unit7project.txt**

    Unit 7 Project

    Final Projects/Papers: Submit by Saturday 11:59 p.m.

    – Project 2: Culturally Proficient Leadership Plan (200 points)
    – In response to the content of this course, develop a Culturally Proficient Leadership Plan. The plan should include a reflection of your cultural identity and the experience of learning about cultures different from your own as discovered through cultural interview. The plan should include components of instructional, adaptive, and transformational leadership relevant to being a culturally equitable leader. Components of the plan should include personal leadership development (including how you will continue to grow personally as a culturally proficient leader), staff development (relevant to a culturally equitable learning environment), student success (closing gaps), parent communication, and community outreach. Include information relevant to those in poverty. This paper should be at a minimum 500 words. There should be five (5) or more outside sources. (Chapter 11 of the Hooper and Bernhardt text provides some excellent resources.)

    **## Unit7project.txt**

    Unit 7 Project

    Final Projects/Papers: Submit by Saturday 11:59 p.m.

    – Project 2: Culturally Proficient Leadership Plan (200 points)
    – In response to the content of this course, develop a Culturally Proficient Leadership Plan. The plan should include a reflection of your cultural identity and the experience of learning about cultures different from your own as discovered through cultural interview. The plan should include components of instructional, adaptive, and transformational leadership relevant to being a culturally equitable leader. Components of the plan should include personal leadership development (including how you will continue to grow personally as a culturally proficient leader), staff development (relevant to a culturally equitable learning environment), student success (closing gaps), parent communication, and community outreach. Include information relevant to those in poverty. This paper should be at a minimum 500 words. There should be five (5) or more outside sources. (Chapter 11 of the Hooper and Bernhardt text provides some excellent resources.)

  • [Solved] human services

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    – ## brainandu.docx **## brainandu.docx** **The topic chosen for this assignment that was submitted in previous assignments. (Please use this to do this assignment.)** **The Impact of Chronic Workplace Stress on the Prefrontal Cortex and Decision-Making** Stress in the workplace has become a long-te…

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    Assignment Prompt & Instructions

    – ## brainandu.docx

    **## brainandu.docx**

    **The topic chosen for this assignment that was submitted in previous assignments. (Please use this to do this assignment.)**

    **The Impact of Chronic Workplace Stress on the Prefrontal Cortex and Decision-Making**

    Stress in the workplace has become a long-term issue in the contemporary society; where a mixture of high expectations on work coupled up with continuous multi-tasking and lack of time to go on a break is placing undue mental and physical pressure on employees. Such chronic stress of this nature does not only influence the mood, but it can also cause tangible alterations in the brain structure and functionality (Wei et al., 2025). Specifically, a long-term exposure to stress hormones like cortisol interferes with neural circuits of the setting that immediately surround the executive control that leads to cognitive disorders during decision-making and self-regulation. The recurrent stress at the place of work interferes with the functioning of the prefrontal cortex due to the neural connections and hormone imbalance that ultimately leads to low decision-making capabilities in a person.

    One of the crucial areas of the brain that is used in complex thinking processes, such as planning, judgment, and impulsiveness control is the pre-frontal cortex (PFC). Chronic stress results in overstimulated cortisol, leading to impaired synaptic plasticity and gray matter of the PFC and increased activity of the amygdala to regulate emotion (Woo et al., 2021). This results in the basis of responses more on reactionary or emotional responses than on rational thinking due to the imbalance. The implications of these neurobiological changes also include difficulties in attention, assessment of risk, and moral thinking within the workplace settings where stress is elevated.

    Information about how chronic stress at work affects the prefrontal cortex can be of benefit when it comes to understanding the performance of an organization and the mental wellbeing of the workforce. This paper will describe the consequences of the ongoing occupational stress on decision-making skills through the lens of neurobiological evidence and underline the importance of occupational interventions to reduce the stress level and decrease cognitive vulnerability.

    **Feedback from tutor**

    You’ve chosen a really strong and relevant topic — stress in the workplace is such a major issue, and I like how you’re tying it directly to changes in the prefrontal cortex and decision-making. You’ve already got a clear sense of the neurobiological mechanisms involved, and your writing shows thoughtful connections between stress hormones, brain structure, and behavior. As you refine your paper, you might consider narrowing the focus a little — maybe centering on one main function of the prefrontal cortex (like impulse control or risk assessment) or one key pathway that links cortisol to changes in decision-making. That will help keep your argument tight and impactful while still highlighting how chronic stress affects everyday functioning. This is shaping up to be a really insightful paper!

    **Assignment:**

    **Perspectives Paper: Overview**

    Submit a paper that clearly communicates a focused direction of research on the impact
    **stressors** have on the brain and behavior. When building your current perspective, be sure to carefully consider if the stressor you describe is in the realm of
    **chronic** stress or a
    **single episode** of stress. In other words, are you thinking about a form of stress that, when experienced over a long time, significantly impacts on a person’s emotions, cognitive functions, and behavioral responses? Or are you going to discuss the impact of a single experience that may carry forward consequences on emotional processing, cognitions, and behaviors?

    To begin, try to clearly imagine your focus as being on something specific, like
    _Today’s Current Understanding of Chronic Stress on Human Health_, or you could be even more specific in your approach by addressing something along the lines of
    _Today’s Current Understanding of the Impacts of Daily Stress_
    _**in a Difficult Work Environment**_. These are just examples that you might consider, but feel free to explore anything! There are lots of stress-related disorders, stressor impacts on heath, and there are positive effects of stress you might wish to consider too!

    **Content**

    In your paper, you will explore a brain function that contributes to vulnerability to stress and its connection to a specific emotional, cognitive, or behavioral outcome. Feel free to discuss how your interpretation of stress is relevant to our daily social life and mental health. Be sure to include a clear discussion of how this brain function relates to any of the brain areas we have studied in this course.

    When discussing the latest research related to your topic of stress, you should try to include:

    · prominent cellular or structural endpoints in the brain (like the expression of genes, proteins, or release of hormones and neurotransmitters),

    · the contributions of specific brain areas,

    · physiological systems that are affected by the actions produced in brain,

    · any behaviors associated with the syndrome,

    · and any research techniques that enable us to draw direct connections between stress-induced changes in brain and behavior.

    **Structure**

    **Basics**

    The paper should be 7 pages long (
    **not** including references/bibliography). Plan to incorporate findings from at least
    **eight** peer-reviewed research articles related to your chosen topic. At the end of your paper, include your final opinion and support your opinion with the literature you discussed throughout.

    **Suggested Format**

    The following is a suggested format you can follow when crafting your paper:

    1.
    **Introduction:** Introduce the general topic. Why is understanding the difference between adaptive and excessive stress experiences important to the future of human health. (1 page)

    2.
    **Historical Significance:** Summarize and explain the historical behavioral and biological significance of studying the effects of stress. (2 pages)

    · Introduce the concepts that you wish to highlight and define all constructs (e.g., mood, affective processing, emotional reactivity, anhedonia, etc.).

    · Briefly mention the early (most original, historical) basic science related to your perspective topic – try to locate any seminal papers that first described the topic and its significance.

    3.
    **Current State of Understanding:** Describe the current state of understanding for your topic. (2 pages)

    · Summarize and explain the objectives of current science that focuses on your specific type of stressor.

    · What are the latest (most recent) and interesting specific research results reported—in good, clear, concise detail?

    · How do these recent results refute, bolster, confirm, or extend earlier theories?

    · Explain how results may have utilized recent technological or methodological advancements?

    4.
    **Your Perspective:** Finally,
    **discuss the impact** of your topic on our current way of life and basic human needs (2 pages).

    · Importantly, be sure to
    **include how the research you read about now relates to your own perspective** regarding the neurobiological understanding of stress on human behavior.

    · You may also wish to describe:

    · therapeutic treatment strategies for stress-related diseases,

    · broader social implications of certain types of stress across the human population,

    · recognizing current trends that are sensitive to the pressures of today’s world, what

    · should be highlighted in future research directions, or

    · anything else you might think is important to say about the type of stress you learned more about!

    5.
    **References** (Bibliography). Include
    **at least eight**!

    **Additional Details**

    1. Do not exceed the page limit of 10 pages (excluding your Bibliography). One goal of this exercise is to communicate complex ideas in a clear and concise manner. At least 8 references to published literature should be included in your paper.

    2. Use a clear (and close to perfect) APA format. No abstract required. Specifically, make sure to include:

    · a Title Page,

    · your 7 page Perspective Paper (with Introduction, Historical Significance, Current State of Understanding, and Your Perspective), and

    · Bibliography.

    3. This paper is Double Spaced.

    **Assignment 2 – 1 pages**

    **Part 1**

    What are areas of the brain thought to be involved in working memory? Please find a published peer-reviewed Research Paper that investigated one of these brain area’s involvement in working memory. It might be useful to keep in mind all the various types of assessments used in animals that are great for capturing ‘working memory’ presented in the textbook.

    Give a background to the paper you read (i.e., why was that research important), provide the objective and hypothesis of the study, note one of the prominent methods that was used to explore the hypothesis, and discuss one major result of the study. Please be sure to include the bibliographical information (i.e., in APA format) for the paper you discussed!

    **Part 2**

    What was the neurological condition of Jimmie G. in
    _The Lost Mariner_? What were some of the most peculiar effects of his condition? How did Oliver Sacks help with his recovery, if he did? How would you describe the experience and outcome of his recovery?

    **## brainandu.docx**

    **The topic chosen for this assignment that was submitted in previous assignments. (Please use this to do this assignment.)**

    **The Impact of Chronic Workplace Stress on the Prefrontal Cortex and Decision-Making**

    Stress in the workplace has become a long-term issue in the contemporary society; where a mixture of high expectations on work coupled up with continuous multi-tasking and lack of time to go on a break is placing undue mental and physical pressure on employees. Such chronic stress of this nature does not only influence the mood, but it can also cause tangible alterations in the brain structure and functionality (Wei et al., 2025). Specifically, a long-term exposure to stress hormones like cortisol interferes with neural circuits of the setting that immediately surround the executive control that leads to cognitive disorders during decision-making and self-regulation. The recurrent stress at the place of work interferes with the functioning of the prefrontal cortex due to the neural connections and hormone imbalance that ultimately leads to low decision-making capabilities in a person.

    One of the crucial areas of the brain that is used in complex thinking processes, such as planning, judgment, and impulsiveness control is the pre-frontal cortex (PFC). Chronic stress results in overstimulated cortisol, leading to impaired synaptic plasticity and gray matter of the PFC and increased activity of the amygdala to regulate emotion (Woo et al., 2021). This results in the basis of responses more on reactionary or emotional responses than on rational thinking due to the imbalance. The implications of these neurobiological changes also include difficulties in attention, assessment of risk, and moral thinking within the workplace settings where stress is elevated.

    Information about how chronic stress at work affects the prefrontal cortex can be of benefit when it comes to understanding the performance of an organization and the mental wellbeing of the workforce. This paper will describe the consequences of the ongoing occupational stress on decision-making skills through the lens of neurobiological evidence and underline the importance of occupational interventions to reduce the stress level and decrease cognitive vulnerability.

    **Feedback from tutor**

    You’ve chosen a really strong and relevant topic — stress in the workplace is such a major issue, and I like how you’re tying it directly to changes in the prefrontal cortex and decision-making. You’ve already got a clear sense of the neurobiological mechanisms involved, and your writing shows thoughtful connections between stress hormones, brain structure, and behavior. As you refine your paper, you might consider narrowing the focus a little — maybe centering on one main function of the prefrontal cortex (like impulse control or risk assessment) or one key pathway that links cortisol to changes in decision-making. That will help keep your argument tight and impactful while still highlighting how chronic stress affects everyday functioning. This is shaping up to be a really insightful paper!

    **Assignment:**

    **Perspectives Paper: Overview**

    Submit a paper that clearly communicates a focused direction of research on the impact
    **stressors** have on the brain and behavior. When building your current perspective, be sure to carefully consider if the stressor you describe is in the realm of
    **chronic** stress or a
    **single episode** of stress. In other words, are you thinking about a form of stress that, when experienced over a long time, significantly impacts on a person’s emotions, cognitive functions, and behavioral responses? Or are you going to discuss the impact of a single experience that may carry forward consequences on emotional processing, cognitions, and behaviors?

    To begin, try to clearly imagine your focus as being on something specific, like
    _Today’s Current Understanding of Chronic Stress on Human Health_, or you could be even more specific in your approach by addressing something along the lines of
    _Today’s Current Understanding of the Impacts of Daily Stress_
    _**in a Difficult Work Environment**_. These are just examples that you might consider, but feel free to explore anything! There are lots of stress-related disorders, stressor impacts on heath, and there are positive effects of stress you might wish to consider too!

    **Content**

    In your paper, you will explore a brain function that contributes to vulnerability to stress and its connection to a specific emotional, cognitive, or behavioral outcome. Feel free to discuss how your interpretation of stress is relevant to our daily social life and mental health. Be sure to include a clear discussion of how this brain function relates to any of the brain areas we have studied in this course.

    When discussing the latest research related to your topic of stress, you should try to include:

    · prominent cellular or structural endpoints in the brain (like the expression of genes, proteins, or release of hormones and neurotransmitters),

    · the contributions of specific brain areas,

    · physiological systems that are affected by the actions produced in brain,

    · any behaviors associated with the syndrome,

    · and any research techniques that enable us to draw direct connections between stress-induced changes in brain and behavior.

    **Structure**

    **Basics**

    The paper should be 7 pages long (
    **not** including references/bibliography). Plan to incorporate findings from at least
    **eight** peer-reviewed research articles related to your chosen topic. At the end of your paper, include your final opinion and support your opinion with the literature you discussed throughout.

    **Suggested Format**

    The following is a suggested format you can follow when crafting your paper:

    1.
    **Introduction:** Introduce the general topic. Why is understanding the difference between adaptive and excessive stress experiences important to the future of human health. (1 page)

    2.
    **Historical Significance:** Summarize and explain the historical behavioral and biological significance of studying the effects of stress. (2 pages)

    · Introduce the concepts that you wish to highlight and define all constructs (e.g., mood, affective processing, emotional reactivity, anhedonia, etc.).

    · Briefly mention the early (most original, historical) basic science related to your perspective topic – try to locate any seminal papers that first described the topic and its significance.

    3.
    **Current State of Understanding:** Describe the current state of understanding for your topic. (2 pages)

    · Summarize and explain the objectives of current science that focuses on your specific type of stressor.

    · What are the latest (most recent) and interesting specific research results reported—in good, clear, concise detail?

    · How do these recent results refute, bolster, confirm, or extend earlier theories?

    · Explain how results may have utilized recent technological or methodological advancements?

    4.
    **Your Perspective:** Finally,
    **discuss the impact** of your topic on our current way of life and basic human needs (2 pages).

    · Importantly, be sure to
    **include how the research you read about now relates to your own perspective** regarding the neurobiological understanding of stress on human behavior.

    · You may also wish to describe:

    · therapeutic treatment strategies for stress-related diseases,

    · broader social implications of certain types of stress across the human population,

    · recognizing current trends that are sensitive to the pressures of today’s world, what

    · should be highlighted in future research directions, or

    · anything else you might think is important to say about the type of stress you learned more about!

    5.
    **References** (Bibliography). Include
    **at least eight**!

    **Additional Details**

    1. Do not exceed the page limit of 10 pages (excluding your Bibliography). One goal of this exercise is to communicate complex ideas in a clear and concise manner. At least 8 references to published literature should be included in your paper.

    2. Use a clear (and close to perfect) APA format. No abstract required. Specifically, make sure to include:

    · a Title Page,

    · your 7 page Perspective Paper (with Introduction, Historical Significance, Current State of Understanding, and Your Perspective), and

    · Bibliography.

    3. This paper is Double Spaced.

    **Assignment 2 – 1 pages**

    **Part 1**

    What are areas of the brain thought to be involved in working memory? Please find a published peer-reviewed Research Paper that investigated one of these brain area’s involvement in working memory. It might be useful to keep in mind all the various types of assessments used in animals that are great for capturing ‘working memory’ presented in the textbook.

    Give a background to the paper you read (i.e., why was that research important), provide the objective and hypothesis of the study, note one of the prominent methods that was used to explore the hypothesis, and discuss one major result of the study. Please be sure to include the bibliographical information (i.e., in APA format) for the paper you discussed!

    **Part 2**

    What was the neurological condition of Jimmie G. in
    _The Lost Mariner_? What were some of the most peculiar effects of his condition? How did Oliver Sacks help with his recovery, if he did? How would you describe the experience and outcome of his recovery?

  • [Solved] Comprehensive Integrated Psychiatric Assessment

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    – ## ComprehensiveIntegratedCComprehensiveIntegratedPsychiatricAssessment1.docx **## ComprehensiveIntegratedCComprehensiveIntegratedPsychiatricAssessment1.docx** ### Comprehensive Integrated CComprehensive Integrated Psychiatric Assessment Comprehensive Integrated Psychiatric AssessmenPsychiatric As…

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    Assignment Prompt & Instructions

    – ## ComprehensiveIntegratedCComprehensiveIntegratedPsychiatricAssessment1.docx

    **## ComprehensiveIntegratedCComprehensiveIntegratedPsychiatricAssessment1.docx**

    ### Comprehensive Integrated CComprehensive Integrated Psychiatric Assessment

    Comprehensive Integrated Psychiatric AssessmenPsychiatric Assessment

    ![A child looking at a person AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/comprehensive-integrated-psychiatric-assessment-20951465)

    Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

    Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.

    In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/199680/modules/items/8310466)

    To Prepare

    · Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the
    _Mental Status Examination B-6_ and
    _Simulation Scenario-Adolescent Risk Assessment_ videos.

    · Watch the YMH Boston
    _Vignette 5_ video and take notes; you will use this video as the basis for your Discussion post.

    By Day 3 of Week 1

    Based on the YMH Boston
    _Vignette 5_ video, post answers to the following questions:

    · What did the practitioner do well? In what areas can the practitioner improve?

    · At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

    · What would be your
    _next_  question, and why?

    Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

    · Explain why a thorough psychiatric assessment of a child/adolescent is important.

    · Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.

    · Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.

    · Explain the role parents/guardians play in assessment.

    Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

    Upload a copy of your discussion writing to the draft Turnitin for plagiarism check.  Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

    **Read** a selection of your colleagues’ responses.

    By Day 6 of Week 1

    **Respond** to at least
    **two** of your colleagues on
    **2 different days** by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

    **Note:** For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues' postings. Begin by clicking on the
    **Reply** button to complete your initial post. Remember, once you click on
    **Post Reply**, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on
    **Post Reply**!

    · Symptom Media. (2014).
    [_Mental status exam B-6_ Links to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mental-status-exam-b-6/cite?context=channel:volume-2-new-releases-assessment-tools-mental-status-exam-series). [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mental-status-exam-b-6/cite?context=channel:volume-2-new-releases-assessment-tools-mental-status-exam-series

    · Western Australian Clinical Training Network. (2016, August 4).
    [_Simulation scenario-adolescent risk assessment_ Links to an external site.](https://www.youtube.com/watch?v=wNF1FIKHKEU) [Video]. YouTube. https://www.youtube.com/watch?v=wNF1FIKHKEU
    [Links to an external site.](https://www.youtube.com/watch?v=wNF1FIKHKEU)

    · YMH Boston. (2013, May 22).
    [_Vignette 5 – Assessing for depression in a mental health appointment_ Links to an external site.](https://www.youtube.com/watch?v=Gm3FLGxb2ZU) [Video]
    _._  YouTube. https://www.youtube.com/watch?v=Gm3FLGxb2ZU

    ## image1.jpeg

    **## ComprehensiveIntegratedCComprehensiveIntegratedPsychiatricAssessment1.docx**

    ### Comprehensive Integrated CComprehensive Integrated Psychiatric Assessment

    Comprehensive Integrated Psychiatric AssessmenPsychiatric Assessment

    ![A child looking at a person AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/comprehensive-integrated-psychiatric-assessment-20951465)

    Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

    Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.

    In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/199680/modules/items/8310466)

    To Prepare

    · Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the
    _Mental Status Examination B-6_ and
    _Simulation Scenario-Adolescent Risk Assessment_ videos.

    · Watch the YMH Boston
    _Vignette 5_ video and take notes; you will use this video as the basis for your Discussion post.

    By Day 3 of Week 1

    Based on the YMH Boston
    _Vignette 5_ video, post answers to the following questions:

    · What did the practitioner do well? In what areas can the practitioner improve?

    · At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

    · What would be your
    _next_  question, and why?

    Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

    · Explain why a thorough psychiatric assessment of a child/adolescent is important.

    · Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.

    · Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.

    · Explain the role parents/guardians play in assessment.

    Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

    Upload a copy of your discussion writing to the draft Turnitin for plagiarism check.  Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

    **Read** a selection of your colleagues’ responses.

    By Day 6 of Week 1

    **Respond** to at least
    **two** of your colleagues on
    **2 different days** by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

    **Note:** For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues' postings. Begin by clicking on the
    **Reply** button to complete your initial post. Remember, once you click on
    **Post Reply**, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on
    **Post Reply**!

    · Symptom Media. (2014).
    [_Mental status exam B-6_ Links to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mental-status-exam-b-6/cite?context=channel:volume-2-new-releases-assessment-tools-mental-status-exam-series). [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mental-status-exam-b-6/cite?context=channel:volume-2-new-releases-assessment-tools-mental-status-exam-series

    · Western Australian Clinical Training Network. (2016, August 4).
    [_Simulation scenario-adolescent risk assessment_ Links to an external site.](https://www.youtube.com/watch?v=wNF1FIKHKEU) [Video]. YouTube. https://www.youtube.com/watch?v=wNF1FIKHKEU
    [Links to an external site.](https://www.youtube.com/watch?v=wNF1FIKHKEU)

    · YMH Boston. (2013, May 22).
    [_Vignette 5 – Assessing for depression in a mental health appointment_ Links to an external site.](https://www.youtube.com/watch?v=Gm3FLGxb2ZU) [Video]
    _._  YouTube. https://www.youtube.com/watch?v=Gm3FLGxb2ZU

    ## image1.jpeg

  • [Solved] Advance Psychiatric

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    – ## Clinicalpaper.docx **## Clinicalpaper.docx** **Please follow APA format, add citations and references within 5 years old. Document will be verified for plagiarism and AI use. Thank you!** Instructions: 1. Identify a clinical healthcare problem in mental health care. These problems can be eithe…

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    – ## Clinicalpaper.docx

    **## Clinicalpaper.docx**

    **Please follow APA format, add citations and references within 5 years old. Document will be verified for plagiarism and AI use. Thank you!**

    Instructions:

    1. Identify a clinical healthcare problem in mental health care. These problems can be either from your clinical site location, personal clinical experiences, or a review of the literature.

    2. Critically examine the problem within the context of the most current evidence-based research. All references must be within the last 5 years and at least 5 references are required to support your findings. Your clinical practice paper should include the following headers: 1. Description of the Problem; 2. Background Information; and 3. Significance to Advanced Practice Psychiatric Nursing.

    3. Write a scholarly paper in APA format (7th ed.) that is well organized, succinct, and proficient in grammar and composition. References must be within the last 5 years and at least 5 references are required to support your findings or arguments.

    4. The paper has a 3-page limit (1 page per header). This does not include the Title Page or References. Any paper that exceeds 3 pages in length will get a 1-point deducted per extra page.

    **## Clinicalpaper.docx**

    **Please follow APA format, add citations and references within 5 years old. Document will be verified for plagiarism and AI use. Thank you!**

    Instructions:

    1. Identify a clinical healthcare problem in mental health care. These problems can be either from your clinical site location, personal clinical experiences, or a review of the literature.

    2. Critically examine the problem within the context of the most current evidence-based research. All references must be within the last 5 years and at least 5 references are required to support your findings. Your clinical practice paper should include the following headers: 1. Description of the Problem; 2. Background Information; and 3. Significance to Advanced Practice Psychiatric Nursing.

    3. Write a scholarly paper in APA format (7th ed.) that is well organized, succinct, and proficient in grammar and composition. References must be within the last 5 years and at least 5 references are required to support your findings or arguments.

    4. The paper has a 3-page limit (1 page per header). This does not include the Title Page or References. Any paper that exceeds 3 pages in length will get a 1-point deducted per extra page.

  • [Solved] Nursing POLICY ASSIGNMENT

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    **TOPIC: Reducing Hospital Readmissions Through Improved Transitional Care Policies.** **Assignment Objectives:** 1. Explore and analyze health indicators in the community. 2. Identify a problematic area of interest to advanced nursing practice. 3. Evaluate and analyze three health policy options/al…

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    **TOPIC: Reducing Hospital Readmissions Through Improved Transitional Care Policies.**
    **Assignment Objectives:**
    1. Explore and analyze health indicators in the community.
    2. Identify a problematic area of interest to advanced nursing practice.
    3. Evaluate and analyze three health policy options/alternatives for improvement supported by evidence (using a selected policy analysis tool)
    4. Prioritize and recommend one health policy to address the healthcare issue.
    **Purpose:** To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy.
    **Assignment Instructions:**
    5 PAGES excluding title page and reference pages.
    ASSIGNMENT must be organized according to the guidelines provided below (remember to follow the grading rubric) and need to include all the identified sections and information as it is outlined in the grading rubric and assignment instructions.
    Completed in APA format and contain current scholarly sources dated from 2019 until current.
    **Introduction** This part of the assignment should introduce the topics the student will be discussing and provide a bit of context about the approach. This is specific to the student content to be presented and not general to the assignment itself.
    **Step 1:** Identify the Policy Problem/Issue & Provide ContextThe first thing the student needs identify is a healthcare issue that, in your opinion, is a problem that calls for a policy solution, so the first step is to determine the policy issue of interest.
    **Step 2:** Provide the LandscapeIdentify the key stakeholders/ and or key factors of previous efforts to address the policy issue These are the individuals and groups likely to affect or be affected by new policies taken in response to the policy issue under discussion. Identify key factors such as political, social, economic, practical, legal or quality-of-care factors.
    **Conclusion** The conclusion summarizes the findings and recommendations of the entire analysis. This focuses on the student’s paper outlining key points that have been learned and assessed throughout the Assignment in a comprehensive and succinct manner.
    5 PAGES
    APA FORMAT INCLUDING REFERENCES AND IN-TEXT CITATIONS
    NO MORE THAN 10% PLAGIARISM IS ALLOWED, THIS ASSIGNMENT WILL BE SUBMITTED VIA TURNIN.
    DUE DATE NOVEMBER 26, 2025
    CHECK YOUR GRAMMAR AND SPELLING PLEASE
    \
    RUBRIC-POLICY.pdf](https://www.sweetstudy.com/files/rubric-policy-pdf-10458749 "RUBRIC-POLICY.pdf")

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    Discuss the process of Advanced Practice Nurse (APN) business planning from a system approach.

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    Discuss the process of Advanced Practice Nurse (APN) business planning from a system approach.

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    – ## ClinicalIISIM4CaseStudies.docx **## ClinicalIISIM4CaseStudies.docx** **_Nursing Program_** ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/assistant-20951443) **Clinical II – SIM 4 – Case Studies** *to be done early in the semester **Case Stud…

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    – ## ClinicalIISIM4CaseStudies.docx

    **## ClinicalIISIM4CaseStudies.docx**

    **_Nursing Program_**

    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/assistant-20951443)

    **Clinical II – SIM 4 – Case Studies**

    *to be done early in the semester

    **Case Study 1**

    **Scenario**

    P.M., 24-year-old house painter, too ill to work the past 3 days. Arrived at your outpatient clinic with his girlfriend, he seems alert but acutely ill, with an average build & a deep tan over the exposed areas of skin. He reports headaches, joint pain, a low-grade fever, cough, anorexia, & nausea and vomiting (N/V), especially after eating any fatty food.

    P.M. describes vague abdominal pain that started about the same time as the other problems. He states that he has been using “a lot of Tylenol” for his pain. His past medical history reveals he has no health problems, is a nonsmoker, & drinks “a few” beers each evening to relax.

    Vital signs are 128/84, 88, 26, 100.6 ° F (38.1 ° C); awake, alert, & oriented × 3; moves all extremities well with complaints of aching pain in his muscles; very slight scleral jaundice present; heart & lung sound clear & without adventitious sounds; bowel sounds clear throughout abdomen & pelvis; & abdomen soft & palpable without distinct masses. You note moderate hepatomegaly measured at the midclavicular line; liver edge is easily palpated & tender to palpation. P.M. mentions that his urine has been getting darker over the past 2 days.

    **1.** **Your institution uses electronic charting. Based on the health history and assessment described in the scenario, which of the following systems would you mark as “abnormal” as you document your findings? Mark abnormal findings with an X and provide a brief narrative.**

    X Abnormal

    ☐ Neurologic:

    ☐ Respiratory:

    ☐ Cardiovascular:

    ☐ Gastrointestinal:

    ☐ Genitourinary:

    ☐ Musculoskeletal:

    ☐ Skin:

    ☐ Pain:

    **Case Study Progress**

    P.M. is manifesting key signs of hepatitis. Laboratory work is requested for identification of his precise problem.

    **2. Which key diagnostic tests will determine exactly what type of hepatitis is present?**

    **Laboratory Test Results**

    | | |
    | — | — |
    | Sodium  <br>Potassium  <br>Chloride  <br>CO2  <br>BUN  <br>Creatinine  <br>Platelets  <br>Indirect bilirubin  <br>Total bilirubin  <br>Albumin  <br>Total protein  <br>ALT  <br>AST <br>LDH  <br>ALP  <br>PT/INR  <br>aPTT  <br>Urine urobilinogen  <br>Anti-HAV  <br>IgM  <br>HBsAg | 140 mEq/L  <br>3.9 mEq/L  <br>102 mEq/L  <br>26 mEq/L  <br>10 mg/dL  <br>1.3mg/dL  <br>210,000/mm3  <br>1.6 mg/dL  <br>2.3 mg/dL  <br>3.8 g/dL  <br>6.5 g/dL  <br>66 units/L  <br>52 units/L <br>245 units/L  <br>176 units/L  <br>12 sec/1.06  <br>32 sec  <br>1.6 IU/L  <br>Negative  <br>Negative <br>Positive |

    **3. Which of P.M.’s laboratory results specifically indicate liver disease?**

    **4. What is the difference between the hepatitis B surface antigen (HbsAg) and the hepatitis B surface antibody (HbsAb)?**

    **5. What factors in his history could have compounded the increased ALT levels?**

    **6. Considering the basic pathology of hepatitis, what type of diet will you strongly encourage P.M. to follow?**

    **7. For each characteristic below, identify whether it describes hepatitis A (A) or hepatitis B (B).**

    ______a. Fecal-oral transmission.

    ______ b. Transmitted by sharing needles.

    ______ c. Transmitted by blood transfusions.

    ______ d. Vaccination is a three-shot series.

    ______ e. Illness is usually mild, similar to a flulike infection.

    ______ f. Symptoms include anorexia, nausea, vomiting, fever, fatigue, and jaundice.

    **8. In P.M.’s case, the HbsAg is positive. This result indicates that P.M. is infected with hepatitis B and is in the acute period of the disease. Is this disease contagious? What precautions would you take while he is in the hospital?**

    **9. Pruritus is usually associated with jaundice. What will you do to ease this problem for P.M.? Name five interventions.**

    **10. How will you explain to P.M. the likely progression of his disease?**

    **11. P.M. is living at home with his parents and four younger siblings. The youngest is 4 years old. His parents ask how to prevent the rest of the family from getting hepatitis. What specific instructions will you give?**

    **12. How will you know that these instructions are understood?**

    **13. Given P.M.’s lifestyle, what specific patient teaching points must you emphasize?**

    **Case Study Progress**

    P.M. is ready for discharge in a few days, & he confides to you that he feels so “guilty” about having hepatitis and endangering his girlfriend and family. He tells you he was at a party and did not think the one-time needle use could hurt him. He has lost his job because he is not able to go back to work & he hopes his family is not too afraid to have him return home.

    **14. What action will you take?**

    **Case Study 2**

    As a senior student you are assigned to work with a preceptor in the emergency department. It is a remarkably busy day, & it seems as if every patient, regardless of chief complaint, has an issue with fluid, electrolyte, and or acid-base balance.

    The first patient you see is a thirty-seven-year-old landscaper who is brought to the ED after collapsing on a job at the local country club. He is slightly confused but can tell you he feels dizzy & weak. His skin is flushed, dry, and with poor turgor. He has dry, sticky mucous membranes. The nurse identifies a nursing diagnosis of deficient fluid volume.

    **1. Describe how each of the following would change and the rationale for the change in the presence of deficient fluid volume**

    | | | |
    | — | — | — |
    | **Parameter** | **Expected Change** | **Rationale** |
    | Heart rate | | |
    | Blood pressure | | |
    | Serum hematocrit | | |
    | Urinary output | | |
    | Urine specific gravity | | |
    | Weight | | |

    2.
    **What is usually the first indicator that an individual needs more fluids?**

    3.
    **The ED physician orders IV fluids for this patient. What types of fluids are indicated for a fluid volume deficit due to dehydration?**

    The preceptor tells you to go ahead & initiate an IV site and start the fluids. The fluid order is to start 1000 mL of fluid as ordered at 150 mL/hr. The infusion tubing has a drop factor of 15 gtt/mL.

    4.
    **This infusion will run by gravity rather than an infusion pump. How many drops per minute should you time the infusion at to ensure the correct hourly rate? (See Chapter 22 in “Calculate with Confidence)**

    5.
    **The patient has a “full sleeve” tattoo on both arms. Discuss the implications of this finding and how you will initiate the intravenous site.**

    6.
    **You have difficulty finding a vein in the presence of the deficient fluid volume. What strategies can you employ to help make a vein more visible/palpable?**

    7.
    **After 30 minutes of the infusion, the patient states, “My arm where the needle is feels funny.” What should you do first? What further data do you need from the patient?**

    Several hours later the patient is feeling better & is now oriented x 3. The ED physician wants the patient to be drinking oral fluids without difficulty prior to being discharged from the ED.

    8.
    **Discuss the strategies to increase fluid intake that are most appropriate to this setting.**

    9
    **The patient is discharged after adequate hydration. Discharge teaching includes ways to prevent this from happening again on the job. What key points should the nurse include in the teaching applicable to the job site?**

    **_*Turn in to SIM4 Case Study Folder in D2L Dropbox_**

    LAST UPDATED 12/22/23
    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/assistant-20951443) Page 1 | 1

    ## image1.png

    ## image2.png

    ## image3.png

    ## image20.png

    ## image3.jpeg

    **## ClinicalIISIM4CaseStudies.docx**

    **_Nursing Program_**

    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/assistant-20951443)

    **Clinical II – SIM 4 – Case Studies**

    *to be done early in the semester

    **Case Study 1**

    **Scenario**

    P.M., 24-year-old house painter, too ill to work the past 3 days. Arrived at your outpatient clinic with his girlfriend, he seems alert but acutely ill, with an average build & a deep tan over the exposed areas of skin. He reports headaches, joint pain, a low-grade fever, cough, anorexia, & nausea and vomiting (N/V), especially after eating any fatty food.

    P.M. describes vague abdominal pain that started about the same time as the other problems. He states that he has been using “a lot of Tylenol” for his pain. His past medical history reveals he has no health problems, is a nonsmoker, & drinks “a few” beers each evening to relax.

    Vital signs are 128/84, 88, 26, 100.6 ° F (38.1 ° C); awake, alert, & oriented × 3; moves all extremities well with complaints of aching pain in his muscles; very slight scleral jaundice present; heart & lung sound clear & without adventitious sounds; bowel sounds clear throughout abdomen & pelvis; & abdomen soft & palpable without distinct masses. You note moderate hepatomegaly measured at the midclavicular line; liver edge is easily palpated & tender to palpation. P.M. mentions that his urine has been getting darker over the past 2 days.

    **1.** **Your institution uses electronic charting. Based on the health history and assessment described in the scenario, which of the following systems would you mark as “abnormal” as you document your findings? Mark abnormal findings with an X and provide a brief narrative.**

    X Abnormal

    ☐ Neurologic:

    ☐ Respiratory:

    ☐ Cardiovascular:

    ☐ Gastrointestinal:

    ☐ Genitourinary:

    ☐ Musculoskeletal:

    ☐ Skin:

    ☐ Pain:

    **Case Study Progress**

    P.M. is manifesting key signs of hepatitis. Laboratory work is requested for identification of his precise problem.

    **2. Which key diagnostic tests will determine exactly what type of hepatitis is present?**

    **Laboratory Test Results**

    | | |
    | — | — |
    | Sodium  <br>Potassium  <br>Chloride  <br>CO2  <br>BUN  <br>Creatinine  <br>Platelets  <br>Indirect bilirubin  <br>Total bilirubin  <br>Albumin  <br>Total protein  <br>ALT  <br>AST <br>LDH  <br>ALP  <br>PT/INR  <br>aPTT  <br>Urine urobilinogen  <br>Anti-HAV  <br>IgM  <br>HBsAg | 140 mEq/L  <br>3.9 mEq/L  <br>102 mEq/L  <br>26 mEq/L  <br>10 mg/dL  <br>1.3mg/dL  <br>210,000/mm3  <br>1.6 mg/dL  <br>2.3 mg/dL  <br>3.8 g/dL  <br>6.5 g/dL  <br>66 units/L  <br>52 units/L <br>245 units/L  <br>176 units/L  <br>12 sec/1.06  <br>32 sec  <br>1.6 IU/L  <br>Negative  <br>Negative <br>Positive |

    **3. Which of P.M.’s laboratory results specifically indicate liver disease?**

    **4. What is the difference between the hepatitis B surface antigen (HbsAg) and the hepatitis B surface antibody (HbsAb)?**

    **5. What factors in his history could have compounded the increased ALT levels?**

    **6. Considering the basic pathology of hepatitis, what type of diet will you strongly encourage P.M. to follow?**

    **7. For each characteristic below, identify whether it describes hepatitis A (A) or hepatitis B (B).**

    ______a. Fecal-oral transmission.

    ______ b. Transmitted by sharing needles.

    ______ c. Transmitted by blood transfusions.

    ______ d. Vaccination is a three-shot series.

    ______ e. Illness is usually mild, similar to a flulike infection.

    ______ f. Symptoms include anorexia, nausea, vomiting, fever, fatigue, and jaundice.

    **8. In P.M.’s case, the HbsAg is positive. This result indicates that P.M. is infected with hepatitis B and is in the acute period of the disease. Is this disease contagious? What precautions would you take while he is in the hospital?**

    **9. Pruritus is usually associated with jaundice. What will you do to ease this problem for P.M.? Name five interventions.**

    **10. How will you explain to P.M. the likely progression of his disease?**

    **11. P.M. is living at home with his parents and four younger siblings. The youngest is 4 years old. His parents ask how to prevent the rest of the family from getting hepatitis. What specific instructions will you give?**

    **12. How will you know that these instructions are understood?**

    **13. Given P.M.’s lifestyle, what specific patient teaching points must you emphasize?**

    **Case Study Progress**

    P.M. is ready for discharge in a few days, & he confides to you that he feels so “guilty” about having hepatitis and endangering his girlfriend and family. He tells you he was at a party and did not think the one-time needle use could hurt him. He has lost his job because he is not able to go back to work & he hopes his family is not too afraid to have him return home.

    **14. What action will you take?**

    **Case Study 2**

    As a senior student you are assigned to work with a preceptor in the emergency department. It is a remarkably busy day, & it seems as if every patient, regardless of chief complaint, has an issue with fluid, electrolyte, and or acid-base balance.

    The first patient you see is a thirty-seven-year-old landscaper who is brought to the ED after collapsing on a job at the local country club. He is slightly confused but can tell you he feels dizzy & weak. His skin is flushed, dry, and with poor turgor. He has dry, sticky mucous membranes. The nurse identifies a nursing diagnosis of deficient fluid volume.

    **1. Describe how each of the following would change and the rationale for the change in the presence of deficient fluid volume**

    | | | |
    | — | — | — |
    | **Parameter** | **Expected Change** | **Rationale** |
    | Heart rate | | |
    | Blood pressure | | |
    | Serum hematocrit | | |
    | Urinary output | | |
    | Urine specific gravity | | |
    | Weight | | |

    2.
    **What is usually the first indicator that an individual needs more fluids?**

    3.
    **The ED physician orders IV fluids for this patient. What types of fluids are indicated for a fluid volume deficit due to dehydration?**

    The preceptor tells you to go ahead & initiate an IV site and start the fluids. The fluid order is to start 1000 mL of fluid as ordered at 150 mL/hr. The infusion tubing has a drop factor of 15 gtt/mL.

    4.
    **This infusion will run by gravity rather than an infusion pump. How many drops per minute should you time the infusion at to ensure the correct hourly rate? (See Chapter 22 in “Calculate with Confidence)**

    5.
    **The patient has a “full sleeve” tattoo on both arms. Discuss the implications of this finding and how you will initiate the intravenous site.**

    6.
    **You have difficulty finding a vein in the presence of the deficient fluid volume. What strategies can you employ to help make a vein more visible/palpable?**

    7.
    **After 30 minutes of the infusion, the patient states, “My arm where the needle is feels funny.” What should you do first? What further data do you need from the patient?**

    Several hours later the patient is feeling better & is now oriented x 3. The ED physician wants the patient to be drinking oral fluids without difficulty prior to being discharged from the ED.

    8.
    **Discuss the strategies to increase fluid intake that are most appropriate to this setting.**

    9
    **The patient is discharged after adequate hydration. Discharge teaching includes ways to prevent this from happening again on the job. What key points should the nurse include in the teaching applicable to the job site?**

    **_*Turn in to SIM4 Case Study Folder in D2L Dropbox_**

    LAST UPDATED 12/22/23
    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/assistant-20951443) Page 1 | 1

    ## image1.png

    ## image2.png

    ## image3.png

    ## image20.png

    ## image3.jpeg