Category: Nursing

Discuss the importance of nursing leadership as it applies to the advanced practice nurse role
Describe how nurses demonstrate leadership

I attached my grant proposal Gun violence prevention and second-victim education to use to help with this assignment. It’s not graded, so I don’t know how I did on it. The assignment I need completed is Module Two Grant Workshop. I also included the grading rubric.

Anna (age 35; she, her, hers; White woman) and Tom (age 36; he, him, his; Black man) Jones have an appointment with you for an evaluation of their older son, Joshua.
They bring all their children to the appointment, including Tommie (6 months; he, him, his; biracial boy), Joshua (5; he, him, his; biracial boy), Sally (7; she, her, hers; White girl), Mari (11; she, her, hers; Black girl), and Janey (15; she, her, hers; Black girl).
You quickly recognize that the entire family needs assistance, not just Joshua.
Joshua was recently diagnosed with acute myeloid leukemia, and he is not expected to live more than a few months. He has been withdrawn and irritable, is crying a lot, and has not been interested in playing or doing the things he used to enjoy before his diagnosis.
Since the diagnosis, his siblings have been fighting a lot at home with each other and their parents and refusing to do their chores. Mari and Janey, the two oldest, are refusing to go to school.
In your initial post, answer the following questions from your perspective as their psychiatric nurse practitioner.
Based on Joshua’s presentation, how would you relate his developmental milestones to his clinical presentation and perception of death and dying?
When providing grief therapy, what information would you provide Joshua and his parents regarding Joshua’s perception of his terminal illness?
Select one of the Jones’ children (except Joshua) and identify the normal developmental milestones you would expect based on that child’s current age.
Identify an age-appropriate national or community resource related to grief for a sibling with cancer and explain the benefit of the resource you provided.
What, if any, cultural considerations should you apply when working with the Jones family?
Excellent
Provides initial post by day 3 of the discussion forum. Includes substantial factually correct content which demonstrates evidence of comprehension, application, and/or appraisal. Includes evidence of self-reflective content which demonstrates views, beliefs, and/or feelings. Connects topic/content to professional role and/or practice. Includes all aspects of the discussion assignment.
Provides 2 or more references with in-text citations to current literature and assigned readings to support assertions made on initial post and at least one or more references on peer discussion posts. All postings are in correct APA format per the current edition of the Style Guide/Manual.
Provides clear, concise postings. Demonstrates the ability to synthesize literature and readings making postings in own words with credit to the author. All postings are grammatically correct with proper spelling and structure.

Goal: Develop a PowerPoint presentation on a cardiovascular/pulmonary disorder/disease discussed in the McCance text.
The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder. Patient education for management and cultural and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.
Format Requirements: The presentation is original work and logically organized.
Followed APA format, including citation of references.
The PowerPoint presentation with 10-15 slides was clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
Could you incorporate at least 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 APA style (the library has a copy of the APA Manual).
Content Requirements: Select a cardiovascular or pulmonary disorder.
Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level.
Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder.
Providing patient education for management, cultural and spiritual considerations for care must also be addressed.
Must address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

The weekly discussions start with a brief self-examination challenging you to explore your own thoughts and ideas in the practicum. The purpose is to help you develop a deeper understanding of yourself as you begin to develop the necessary clinical skills as a mental health provider. It should only take a few minutes to write, and no references are required.
Reflect on the below topics:
Share tips, resources, and techniques that you have found useful in the clinical setting.
Discuss collaboration with your preceptor and other clinic staff, including both positive and negative interactions.

Also, describe an interesting or educational experience from your practicum.
Scoring:
Includes substantial factually correct content which demonstrates evidence of comprehension, application, and/or appraisal.
Includes evidence of self-reflective content which demonstrates views, beliefs, and/or feelings.
Connects topic/content to professional role and/or practice.
Includes all aspects of the discussion assignment.
Provides evidence from practicum experience to support reflection.
Provides clear, concise postings. All postings are grammatically correct with proper spelling and structure.

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your clinical strengths and successes.
This week, you will write a Journal Entry, reflecting on your clinical strengths and opportunities for improvement. To prepare:
Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in Week 1’s Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
Refer to your “Clinical Skills and Procedures Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
Journal Entry (450–500 words): 
Learning from Experiences
Reflect on the three most challenging patients. What was most challenging for each? What did you learn from this experience? What resources did you have available?
What evidence-based practice did you use for this patient?
What new skills are you learning?
What would you do differently? How are you managing patient flow and volume? Communicating and Feedback
Reflect on how to improve on your skills and knowledge and how to communicate that back to your Preceptor.
How are you doing? What is missing? What type of feedback are you receiving from your Preceptor?
Clinical hours done: 160 patients encountered: 120
Family health clinic in rural area with majority of patients 13 years and older. Clinical hours for FNP family nurse practitioner program resources:
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/adult-geropccomps2010.pdf?hhSearchTerms=Adult-GeroPCComps2010+and+pdf

Your post should address the following:
Summary of your chosen case study
What is your differential diagnosis?
Why did you make this diagnosis decision?
What is your treatment plan?
What evidence-based research can you provide to support your decision (choice for differential diagnosis and plan/intervention)?
What resources did you use to meet your best practice guidelines?
Address the ethical dilemmas and/or other issues for your case study:
Ethical issues
Psychological issues
Physical issues
Financial issues

This is a peer reviewed article that needed for professional nursing class. I will attach the grading rubric and expectations needed for this paper

Question: Conduct a search in several job listing websites for your location. Count the advertisements for RNs. How many employers are represented? Think of all the different healthcare agencies in the community. Do the ads represent most of them, some of them, or only a few of the potential employers of nurses? Of those listed, how many specify backgrounds or experiences beyond that which a new graduate would have? How many specify the shift or work schedule? If wages are noted, what is the range of wages quoted? Reflect on your own expectations for employment after graduation. How do your expectations compare with what you find in these advertisements?
Instructions : · Follow the discussion questions participation and submission guidelines.
· Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.
· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) ISBN: 978-1-4338-3216-1
· Minimum of two references, not older than 2015.

Hi all! There are five key dopamine pathways, including the thalamic, tuberoinfundibular, nigrostriatal, mesolimbic, and mesocortical dopamine pathways (Stahl, 2021, p. 84). To begin, the thalamic dopamine pathway extends to the thalamus and emerges from various locations, including the ventral mesencephalon, periaqueductal gray, lateral parabrachial nucleus, and hypothalamic nuclei (Stahl, 2021, p. 85). The overall function of the thalamic dopamine pathway is not fully understood. That said, it is thought it be involved in arousal and sleep processes by controlling information that passes through the thalamus to other brain areas, such as the cortex (Stahl, 2021, p. 85). There is not much of an implication for antipsychotic use in this pathway given that no evidence currently exists showing atypical processing of this pathway in schizophrenia (Stahl, 2021, p. 85). Second, the tuberoinfundibular pathway includes dopamine neurons that extend from the hypothalamus to the anterior pituitary gland (Stahl, 2021, p. 85). The main purpose of this pathway is to regulate prolactin secretion into circulation, with dopamine acting as a prolactin secretion inhibitor (Stahl, 2021, p. 85). Dopamine antagonists result in increased prolactin levels and could cause symptoms such as amenorrhea and galactorrhea (Stahl, 2021, p. 165). Thirdly, the nigrostriatal dopamine pathway extends from dopamine cell bodies located in the brainstem substantia nigra by ways of axons which end in the striatum (Stahl, 2021, p. 85). This pathway is part of the extrapyramidal nervous system and plays a role in the regulation of motor movements (Stahl, 2021, p. 85). A decrease in dopamine can cause parkinsonism, with symptoms including rigidity, tremor, bradykinesia, and akinesia (Stahl, 2021, p. 87). An excess of dopamine can result in hyperkinetic motor movements, including dyskinesias and tics (Stahl, 2021, p. 87). This said, medication administration can be tricky when it comes to the nigrostriatal dopamine pathway. Acutely, dopamine antagonists can result is motor symptoms associated with drug-induced parkinsonism (Stahl, 2021, p. 165). On the other hand, blocking dopamine receptors chronically can result in tardive dyskinesia (Stahl, 2021, p. 166). Next, the mesolimbic dopamine pathway extends from the ventral tegmental area located within the brainstem to the nucleus accumbens (Stahl, 2021, p. 90). This system is involved in a variety of behaviors including euphoria associated with drug abuse, sensations of pleasure, and hallucinations and delusions of psychosis (Stahl, 2021, pp. 84-85). A hyperactive state of this pathway is connected with positive symptoms of psychosis and drug-induced highs (Stahl, 2021, p. 90). On the other hand, a hypoactive state of this pathway is connected with manifestations including apathy, anhedonia, negative symptoms of schizophrenia, and lack of energy (Stahl, 2021, p. 90). Decreasing dopamine within the mesolimbic system through the use of antipsychotic medications results in a reduction of positive symptoms of schizophrenia (Stahl, 2021, p. 90-92). It is interesting to note that typical and atypical antipsychotics have the ability to decrease dopamine, however, atypical antipsychotics may have a higher ability to do so (Grinchii & Dremencov, 2020). Lastly, the mesocortical dopamine pathway extends from the midbrain ventral tegmental area to the prefrontal cortex (Stahl, 2021, p. 85). This pathway plays a role in mediating affective and cognitive symptoms of schizophrenia (Stahl, 2021, p. 85). In addition, many professionals believe that negative symptoms of schizophrenia are related to deficiency of dopamine in the mesocortical pathway (Stahl, 2021, p. 93). That said, antipsychotics that can increase dopamine levels, such as various atypical antipsychotics, would result in a reduction of negative symptoms of schizophrenia (Grinchii & Dremencov, 2020). I had a bit of a difficult time fully grasping this topic so I look forward to reading other responses to get a better understanding!