Considering Hypotheses and Research Questions

Nursing Week 4 Assignment 4.1: Considering Hypotheses and Research Questions

Read the following scenario.

You are a nurse on 5 West who has concerns about visiting hours in the Critical Care Unit. The unit currently has a visiting-hours policy that allows patients to rest and the staff to provide care in an environment that protects patient privacy and modesty. However, many nurses now feel that family presence improves patient outcomes. You and other nurses on your unit have noted that vital signs are improved and patients are more responsive when family is present. You are considering whether to use a quantitative or qualitative study to research this topic.

Step 2: Consider the following questions:

  • What is the purpose of hypotheses and research      questions?
  • Why is it important to develop workable hypotheses and      research questions in conducting research?
  • What type of research—qualitative or quantitative—would      be most conducive to the scenario in Step 1? Why?
  • Which would be more appropriate given the scenario in      Step 1: the development of a hypothesis or a research question or both?      Why?

AHA BLS Exam Review

AHA BLS Exam Review (Latest 2022/2023)

1. When should the rescuer initially ensure that the scene is safe? a. When the rescuer first sees a potential victim

b. After the rescuer activates the emergency response system c. As emergency medical services arrive on the scene

d. After an AED that is attached to the victim delivers a shock –

2. As soon as an AED becomes available, which of the following is the first step the rescuer should perform to operate the AED?

a. Place the AED pads on the chest

b. Deliver 2 rescue breaths before using the AED c. Turn on the AED

d. Complete 5 cycles of chest compressions –

3. After the AED delivers a shock, the rescuer should a. Wait for the AED to reanalyze the rhythm

b. Immediately restart CPR, beginning with chest compressions c. Provide 2 ventilations to the victim

d. Immediately check the carotid pulse for no more than 10 seconds –

4. The 2010 AHA Guidelines for CPR and ECC recommend that to identify cardiac arrest in an unresponsive victim with no breathing (or no normal breathing), a healthcare provider should check a pulse for no more than

a. 25 seconds

b. 10 seconds

c. 15 seconds

d. 20 seconds –

5. After you identify an unresponsive victim with no breathing (or no normal breathing) and no pulse, chest compressions should be initiated within

a. 25 seconds

b. 10 seconds

c. 30 seconds

d. 60 seconds –

6. Which of the following victims need CPR?

a. A victim with a pulse and who is having trouble breathing b. A victim with chest pain and indigestion

c. A victim who is unresponsive, no normal breathing and absent/ inadequate pulse d. A victim who is unresponsive but is breathing adequately –

7. Where should the hands be placed to perform chest compressions on an adult? a. On the lower half of the breastbone

b. In the center of the breastbone

c. On the upper portion of the abdomen

Cultural Interview Assignments

Cultural Interview Assignment

Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes.

To prepare:

  • Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.
  • Reflect on humanistic-existential psychotherapeutic approaches.
  • Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.

THE ASSIGNMENT

In a 2- to 3-page paper, address the following:

  • Briefly describe humanistic-existential psychotherapy and the second approach you selected.
  • Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.
  • Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.
  • Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://academicguides.waldenu.edu/writingcenter/te… ). All papers submitted must use this formatting.

Required Readings (click to expand/reduce)

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?u… “Culture and Psychiatric Diagnosis”

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson. Chapter 7, “Experiential Family Therapy”

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing. Chapter 6, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy”

Required Media (click to expand/reduce)

Grande, T.  (2019, January 9). Theories of counseling – Existential therapy [Video]. YouTube. https://www.youtube.com/watch?v=YvAvc2aWup0

PsychotherapyNet. (2009, June 29). James Bugental live case consultation psychotherapy video [Video]. YouTube. 

ThinkingallowedTV. (2010, September 20). James Bugental: Humanistic psychotherapy (excerpt) – A thinking allowed DVD w/ Jeffrey Mishlove [Video]. YouTube. 

OPTIONAL MEDIA

Biophily2. (2016, October 4). Abraham Maslow, Rollo May, Carl Rogers – Existential psychology II (1962) [Video]. YouTube. 

Bugental, J. (2008). Existential-humanistic psychotherapy [Video].  https://waldenu.kanopy.com/video/existential-human…

OPTIONAL RESOURCE

The Psychology Podcast. (2021, Aug 30). Irvin Yalom- Existential psychotherapy. [Video]. YouTube.

Cultural Interview Assignment

Cultural Interview Assignment

 

Interview someone from a different culture.  You will create a PowerPoint presentation of your findings.

1. For this assignment, you will Interview a client whose culture is different from yours. The client can be a patient, neighbor, grandparent, in-law, or friend. Do not use your parent, brother, sister, spouse, or significant other. This interview is the basis of your paper. Use the Organizing Framework (12 boxes in Chapter 2) to guide your interview.

2. Interview your selected person on three or four domains of the model. Complete a literature review of the cultural group from which your interviewee comes. Compare and contrast data obtained from your interview with what you find in the literature. Provide at least two recommendations for clinical practice, two recommendations for research, and two recommendations for the health-care organization on this cultural group; be specific in your recommendations. Value of this exercise to your current or future practice.

 

Submission Instructions:

· Presentation is original work and logically organized in current  APA style.  Incorporate a minimum of 4   current (published within last five years)  scholarly journal articles or  primary legal sources (statutes, court opinions) within your work.

· Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.

· The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.

· Speaker notes expanded upon and clarified content on the slides.

Pharm M4

Pharm M4

  1. What should the “culture and environment of safety” look like when preparing and administering medications?
  2. Discuss a common breach of medication administration.
  3. Identify three (3) factors that lead to errors in documentation related to medication administration.
  4. What can I do to prevent medication errors?

Strategic Plan Presentation

Strategic Plan Presentation

Assignment Content

  1. Imagine the following: Now that you have completed your review of the Stevens District Hospital Strategic-Planning Scenario in previous weeks’ assignments, you have been asked to give a presentation to the hospital’s governing board. This board is comprised of the hospital’s president, 4 business leaders from the community, and 3 medical staff leaders.

    Assignment Preparation
    Use components from your previous weeks’ assignments for this assignment and update them with faculty feedback you received.

    Assignment Directions
    Create a 12- to 16-slide presentation, including detailed speaker notes, for the hospital’s governing board in which you summarize your analysis and goals created. In your presentation:

    • Provide an overview of the market.
    • State the mission statement and vision statement for Stevens District Hospital.
    • Provide the SWOT analysis.
    • Summarize the strategic goals created for Stevens District Hospital, including the rationale for the goals.
    • Describe itemized resources that may be needed.
    • Explain how the strategic plan provides focus and direction for Stevens District Hospital.
    • Cite references to support your presentation.

Discussion Topic

Discussion Topic

As you finish this capstone in your degree program, think about where you want to be as a health care professional in 1 year, 5 years, and 10 years. Lifelong learning will be essential to your professional growth and meeting your career goals.

Research the professional organizations, certifications, and continuing education that you think will help you in your career path. Consider organizations outside the health care industry, too, if they match your career goals. For instance, if one of your career goals is becoming a project manager in a health care organization, an organization whose focus is project management is a good match for your professional interests.

Respond to the following in a minimum of 175 words:

  • Which professional organizations, certifications, and continuing education do you think are a match for your career goals in health care?
  • What opportunities for continuing education and professional development did you find?
  • How does membership in the professional organizations you researched benefit your career path?

Patient Information:

Patient Information:

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: HeadEENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A .

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

P. 

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

PSYCHOLOGICAL COMPLICATIONS

PSYCHOLOGICAL COMPLICATIONS

  • Explain your patient encounter, highlighting the challenges the situation presented, and briefly summarize the contents of your journal article.
  • What strategies did you employ to help handle the situation? What other strategies could you have used?
  • How did you advocate for the patient in the situation?
  • What are some of the legal and ethical implications that need to be considered when providing care for patients with depression resulting from illnesses or injuries or suspicious illnesses or injuries?

Case Studies

Case Studies

Case 1 – Chapter 12

Ahmed has worked as a phlebotomist in the local hospital for the last 7 years. Last year, he began to complain of watery, nasal congestion and wheezing whenever he went to work. He suspected he was allergic to something at the hospital because his symptoms abated when he was at home over the weekends. One day, he arrived at work for the morning shift and put on his gloves. Within minutes, he went into severe respiratory distress requiring treatment in the emergency ward. It was determined at that time that his allergic response was due to latex exposure (Learning Objectives 5 to 7).

  1. Ahmed experienced a type I, IgE-mediated hypersensitivity response. How can this be determined by his signs and symptoms? How might another type of latex hypersensitivity reaction present?
  2. How do T2H cells, mast cells, and eosinophils function to produce the signs and symptoms typical of a type I hypersensitivity disorder?
  3. How is it that someone who does not come into direct contact with latex can still have a hypersensitivity response to the material? What do food allergies have to do with latex allergies?

Case 2 – Chapter 4

Marsha and Clement are both carriers of sickle cell anemia, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease. Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement’s father died from complications of sickle cell disease shortly before Amelia was born (Learning Objective 8).

  1. Draw a Punnett square to determine the likelihood of Marsha and Clement having a baby with sickle cell anemia. What is the chance the baby will be a carrier of the disease, just like the parents?
  2. Marsha suggested to the nurse at the local family planning clinic that if the baby were a boy, he might have a higher risk of developing the disease, just like his grandfather. If you were this nurse, how would you respond?
  3. When Amelia, who does not have sickle cell anemia, grows up and marries someone who does have the disease, how likely will her children have the disease?