Category: Nursing

  • “Effectiveness of Wound Vac Therapy for Pressure Injuries: An Evidence-Based Practice Approach” “Improving Patient Outcomes: A Study on Implementing Evidence-Based Practice in Nursing”

    It doesnt require min or max pages or words just need to answer all the questions 
    My EPB is             
    P: Patients with pressure injuries
    I: Wound vac therapy for patients
    with pressure injuries
    C: Moist-to-dry dressing changes for
    pressure injuries
    O: Fast wound healing
    EBP:
    Does wound vac therapy promote faster wound healing in patients with pressure
    injuries than moist-to-dry dressings?
    My research article is
    B.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.
    1.  Identify each of the following PICO components of the clinical practice problem:
    •   P: patient, population, or problem
    •   I: intervention
    •   C: comparison
    •   O: outcome
    2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.
    Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.
    C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.
    Note: The article you select should not be more than five years old.
    1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.
    2.  Describe the research methodology used in the research-based article.
    3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.
    Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.
    4.  Summarize how the researcher analyzed the data in the research-based article.
    5.  Summarize the ethical considerations of the research-based article. If none are present, explain why.
    6.  Identify the quality rating of the research-based article according to the JHNEBP model.
    Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.
    7.  Analyze the results or conclusions of the research-based article.
    a.  Explain how the article helps answer your EBP question.
    D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.
    Note: The article you select should not be more than five years old.
    1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.
    2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.
    3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.
    Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article.
    4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.
    5.  Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.
    E.  Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.
    1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.
    2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation. 
    3.  Identify one strategy that could be used to overcome the barrier discussed in part E2.
    4.  Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.
    F.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
    G.  Demonstrate professional communication in the content and presentation of your submission.
    the template is 
    Title of Work
    Author Name
    (First, Middle Initial, Last) 
    College of Health Professions, Western
    Governors University
    D219: Scholarship in Nursing
    Practice
    Instructor’s Name
    Date
    Title of
    Work
    Impact of the Problem on the Patient
    Impact of the Problem on the Organization
    Identify the
    PICO components
    P –
    I –
    C –
    O –
    Evidence
    Based Practice Question
    Research Article Title
    Background Introduction
    Methodology
    Level of Evidence
    Data
    Analysis
    Ethical Considerations
    Quality Rating
    Analysis of the Results / Conclusions
    Alignment to the EBP question
    Non-Research Article Title
    Background Introduction
    Type of Evidence
    Level of Evidence
    Quality Rating
    Author’s Recommendations
    Recommended Practice Change
    Key Stakeholders
    Barrier to Implementation
    Strategy to Overcome the Implementation Barrier
    Indicator to Measure the Outcome
    References

  • Title: Exploring a Nursing Specialty: Requirements, Associations, and Demands

    Choose a topic
    Ask your instructor to approve the topic. 
    Research the following information regarding the chosen nursing specialty:
    Is a degree necessary for the position (ie: RN, BSN, MSN)
    Is profession experience necessary for the position ( ? # yrs experience, critical care experience needed?, etc)
    Is there a professional association specific to the chosen specialty? 
    Provide the address and contact information for association.
    Are there any professional journals specific to the specialty?
    Is there a necessary specialized certification exam for the specialty?
    Are there any national/international conferences?
    Are there any renowned speakers/experts in this nursing specialty field? If so, name them. 
    4. Research and present the position as it relates to the following:
    work environment
    daily activities/functions
    population served
    salary
    degree of autonomy
    demands/rewards specific to the specialty
    What personal/professional attributes would be necessary to be successful in this specialty?
    What other members of the health care team collaborate closely with this specialty of nursing?
    Find three articles in recent nursing/health care journals that are associated with this nursing specialty

  • Title: “Transforming Healthcare: A Holistic Approach to Quality and Safety”

    Topic: Create a Scholarly Final Project about “Transforming Healthcare: A Holistic Approach to Quality and Safety”.
    Objectives:
    1-  Conduct a comprehensive literature review to identify key concepts, theories, and best practices related to quality and safety in healthcare.
    2-  Analyze clinical processes, communication dynamics, and technology integration in healthcare settings to identify areas for improvement.
    3-  Investigate the influence of organizational culture and leadership on healthcare quality and safety and develop evidence-based recommendations for fostering a culture of continuous improvement.
    4-  Explore the impact of quality and safety initiatives on patient outcomes, satisfaction, and healthcare provider performance.
    5-  Explore the role of effective communication in preventing medical errors and enhancing patient safety.
    “A Holistic Approach to Quality and Safety” can encompass various topics that focus on improving healthcare systems, ensuring patient safety, and providing quality care from a comprehensive and integrated perspective.
    Topics:
    1-  Patient-Centered Care: Examining how healthcare systems can be redesigned to prioritize patient needs and preferences, including strategies for effective communication, shared decision-making, and personalized care plans.
    2-  Interprofessional Collaboration: Exploring the benefits of interdisciplinary teamwork in healthcare, including how various professionals can work together to improve patient outcomes and safety.
    3-  Preventive Health and Wellness: Investigating the role of preventive care, lifestyle modifications, and early intervention in improving long-term health outcomes and reducing healthcare costs.
    4-  Health Equity and Access: Addressing disparities in healthcare access and outcomes among different populations, and strategies to ensure equitable and inclusive care for all.
    5-  Health Informatics and Technology: Assessing the impact of health information technology (HIT), electronic health records (EHRs), telemedicine, and data analytics on healthcare quality and safety.
    6-  Patient Safety and Risk Management: Identifying best practices and strategies to minimize medical errors, adverse events, and other risks to patient safety.
    7-  Quality Improvement and Performance Measurement: Discussing methods and tools for monitoring and improving healthcare quality, such as clinical quality indicators, audits, and continuous improvement cycles.
    8-  Healthcare Policy and Regulation: Reviewing current and emerging policies and regulations that impact healthcare quality and safety, and how healthcare organizations can navigate and adapt to these changes.
    9-  Mental Health and Holistic Wellness: Considering the importance of integrating mental health services and support within primary care and other healthcare settings.
    10- Patient and Family Engagement: Exploring ways to actively involve patients and their families in the care process to enhance safety and satisfaction.
    11- Workforce Well-being and Safety: Addressing the well-being and safety of healthcare professionals, including burnout prevention, safe work environments, and ongoing professional development.
    12- Community Health and Partnerships: Examining the role of healthcare organizations in building partnerships with community resources and services to promote holistic health and well-being.
    Instructions:
    2-  Must be APA 7th Edition Format.
    3-  Your paper MUST have an Introduction and Conclusion.
    4-  Maximum of three (3) pages (not to include Title and Reference page).
    5-  Work limit 700 words.
    6-  At least four (4) references within 5 years.

  • “Cultural Competency in Healthcare: A Comparison of Nubian and Mexican Cultures”

    Cultural Competency Paper
    Instructions: Submit a paper in which the instructor will assign you a cultural group to research -CULTURAL GROUP: NUBIANS, EGYPT
    Write a 3 to 5-page paper (NOT including the title page and references), utilizing ALL 5 of the below
    criteria: 
    • What are the prevalent healthcare beliefs and needs of this culture? 
    • How does this cultures lifestyle affect their health? 
    • Describe cultural and communication considerations that should be taken when caring for individuals
    from this culture. 
    • What health disparities should be considered for this culture related to communication? 
    • Compare your personal culture: (HISPANIC, MEXICO) and communication style, with your assigned culture.
    The paper must be written in current APA format. In your paper, address the following components:
    Introduction and Background: (Not the same!)
    • Introduction 
    – State the topics and subtopics 
    – Obtain the reader’s interest 
    • Background 
    – Give a synopsis of your assigned culture, i.e., origins of culture, essentials about their way of life,
    and education, etc.
    Body of the Paper (Discuss ALL 5 points):
    • What are the prevalent healthcare beliefs and needs of this culture? 
    • How does this cultures lifestyle affect their health? 
    • Describe cultural and communication considerations that should be taken when caring for individuals from this culture. 
    • What health disparities should be considered for this culture related to communication? 
    • Compare your personal culture: (HISPANIC, MEXICO) and communication style, with your assigned culture.
    Conclusion: 
    • Summary of the topic without including new information included 
    • Concluding ideas are provided and leave an impact on the reader 
    Sources:
    • Include a minimum of three scholarly/professional peer-reviewed references when writing this paper. 
    • References used in this paper should be no more than five years old. Exceptions include seminal
    works, such as original publications by nurse theorists (classic source). 
    • Use only scholarly/professional, peer-reviewed references. Do not use Wikipedia or internet
    sources that are not officially recognized as authority websites, as such websites are not scholarly
    sources. Also, keep in mind that not every .org domain is an authoritative website. 
    • All papers should be written in current APA format. This paper should include: 
    ▪ Formal components, such as a title page, and APA formatting with an introductory and conclusion
    paragraph that summarizes the key concepts 
    ▪ APA headers (include page numbers) 
    ▪ APA formatted headings in the body of the paper
    ▪ Appropriate in-text reference citations 
    ▪ A reference page, in correct APA format.

  • Title: Ethical Dilemma: A Nurse’s Obligation vs Personal Values

    Scenario – John is a 32 year old male nurse working in a prison. He is married and has two children at home- one boy at 14 years of age and a girl that just turned ten years of age. A new prisoner to the institution has requested that John be a healthcare surrogate for him because he is 72 years of age and not in good health. John discovers that this prisoner is a pedophile and although no one at work is aware of this, John’s son was molested by the father of a friend of his sons while visiting their home. The son has gone through therapy and they continue to have problems with the son, John is hopeful that his son will improve his mental health.
    John feels divided because on one hand he feels obligated to serve as an RN professional and on the other hand he feels very hateful of the pedophile lifestyle that seems to encompass the newly admitted prisoner.
    Instructions:
    Read the scenario above, and then answer the following questions:
    What kinds of issues ethically is John dealing with?
    How would you counsel John in his dilemma?
    Finally, what would be a reasonable approach to this problem that John has professionally and personally?
    Your paper should be:
    One (1) page
    Typed according to APA Writing StyleLinks to an external site. for margins, formatting and spacing standards.
    Typed your paper in a Microsoft Word document, save the file, and then upload the file.

  • “Developing a Plan for Success: Applying the Tripartite Model to a Nurse Educator Role” “Meeting Expectations and Facilitating Change: A Comprehensive Plan for a Nurse Educator Role”

    Create a two-page plan addressing the scholarship, service, and teaching elements of a specific nurse educator role in a specific context.
    For nursing faculty in colleges and universities, promotion and tenure will be partially determined by meeting expectations in all three areas:
    ·       Teaching.
    ·       Service.
    ·       Scholarship.
    As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
    Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    ·       How do the scholarship, teaching, and service interrelate in a nurse educator’s career? How do they contribute to the nurse educator’s skills?
    ·       Why are orientation and mentoring important for new nurse educators?
    ·       What is your understanding of tenure in the academic nurse educator role?
    Format: 12-point Times New Roman or Arial font, double spaced in Microsoft Word.

    Length: Approximately two pages plus a title page and a references page.
    Use correct APA format, including page numbers and a title page. Citations and references (if used) are to be in correct APA format. 

    Writing should be free of grammar and spelling errors that distract from content.
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
    ·       Competency 2: Analyze the tripartite role of teaching, service, and scholarship.
    o   Describe a specific nurse educator role.
    o   Analyze the teaching, service, and scholarship expectations for a chosen nurse educator role.
    ·       Competency 5: Articulate how nurse educators serve as change agents and leaders to help advance nursing education and nursing practice.
    o   Analyze qualifications in a chosen nurse educator role that facilitate being a change agent.
    ·       Competency 6: Develop a plan for engaging in scholarship in an established area of expertise.
    o   Explain opportunities for scholarship related to a specific area of expertise.
    ·       Competency 7: Establish a plan for pursing continuous improvement in the nurse educator role.
    o   Generate a plan for meeting each aspect of the tripartite model (teaching, service, and scholarship).
    ·       Competency 8: Communicate in a manner that is scholarly, professional, and consistent with the expectations of a nursing education professional.
    o   Write coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional.
    -Describe a specific nurse educator role.
    – Analyze the teaching, service, and scholarship expectations for a chosen nurse educator role
    – Generate a plan for meeting each aspect of the tripartite model.
    -Explain opportunities for scholarship related to a specific area of expertise
    – Analyze qualifications in a chosen nurse educator role that facilitate being a change agent.
    – Write coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional
    Applying the Tripartite Model Scoring Guide
    CRITERIA 
    NON-PERFORMANCE 
    BASIC 
    PROFICIENT 
    DISTINGUISHED 
    Describe a specific nurse educator role.
    Does not describe a specific nurse educator role. 
    Partially describes a specific nurse educator role. 
    Describes a specific nurse educator role. 
    Describes a specific nurse educator role, providing specific examples of how that role functions.
    Analyze the teaching, service, and scholarship expectations for a chosen nurse educator role.
    Does not analyze the teaching, service, and scholarship expectations for a chosen nurse educator role.
    Describes but does not analyze the teaching, service, and scholarship expectations for a chosen nurse educator role.
    Analyzes the teaching, service, and scholarship expectations for a chosen nurse educator role.
    Evaluates the teaching, service, and scholarship expectations for a chosen nurse educator role, providing examples of exemplary teaching, service, and scholarship.
    Generate a plan for meeting each aspect of the tripartite model.
    Does not generate a plan for meeting each aspect of the tripartite model.
    Generates a limited plan for meeting each aspect of the tripartite model.
    Generates a plan for meeting each aspect of the tripartite model.
    Generates a plan for meeting each aspect of the tripartite model; describes professional implications when one of these elements is unaddressed.
    Explain opportunities for scholarship related to a specific area of expertise.
    Does not explain opportunities for scholarship related to a specific area of expertise.
    Identifies opportunities for scholarship related to a nurse educator role but does not explain how they fit with a specific area of expertise.
    Explains opportunities for scholarship related to a specific area of expertise.
    Explains multiple opportunities for scholarship related to a specific area of expertise; explanation includes specific kinds of work that would be a fit for specific publications, conferences, and journals. 
    Analyze qualifications in a chosen nurse educator role that facilitate being a change agent.
    Does not identify qualifications in a chosen nurse educator role that facilitate being a change agent.
    Incorrectly or incompletely analyzes qualifications in a chosen nurse educator role that facilitate being a change agent.
    Analyzes qualifications in a chosen nurse educator role that facilitate being a change agent.
    Evaluates qualifications in a chosen nurse educator role that facilitate being a change agent. 
    Write coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional.
    Does not write coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional.
    Writes to support an idea but commits major errors of grammar, usage, and mechanics.
    Writes coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional.
    Writes coherently, using evidence to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional. 
    Examples:
    ·  Gentry, J., & Johnson, K. V. (2019). Importance of and satisfaction with characteristics of mentoring among nursing faculty. Journal of Nursing Education, 58(10), 585–598.
    ·  Pritchard, T. (2019). Advancing nursing education scholarship: A roadmap for faculty success. Journal of Nursing Education, 58(7), 379–380.
    ·  Register, S. J., & King, K. M. (2018). Promotion and tenure: Application of scholarship of teaching and learning, and scholarship of engagement criteria to health professions education. Health Professions Education, 4(1), 39–47.
    ·  Schoening, A. M. (2013). From bedside to classroom: The nurse educator transition model. Nursing Education Perspectives, 34(3), 167–172.
    ·  Udod, S., & Wagner, J. (2018). Common change theories and applications to different nursing situations. In Wagner, J. (Ed.), Leadership and influencing change in nursing. University of Regina Press. https://opentextbooks.uregina.ca/leadershipandinfluencingchangeinnursing/chapter/chapter-9-common-change-theories-and-application-to-different-nursing-situations/

  • “Availability Check for 14-Week Course”

    Good day professor, i just need want to know your availability, because this course is for 14weeks. 
    Please feel free to contact me if you need more informations regarding the assignment below. Thank you 

  • Developing a PICOT Question Title: Improving Patient Outcomes through Early Mobility in Critically Ill Patients: A PICOT Question PICOT Question: In critically ill patients (P), how does early mobility interventions (I) compared to standard care

    The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
    For this discussion question, you will create a clinical guiding question known as a PICOT question. The PICOT question must be relevant to a nursing practice problem (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.).
    After reviewing the relevant topic materials:
    Select a nursing practice problem of interest.
    Develop a PICOT question using the template and example provided below.
    Identify two articles, one qualitative and one quantitative, related to the problem of interest. Provide an APA-formatted reference for each article, and explain how each relates to your PICOT question. Be sure to identify which article is qualitative and which article is quantitative. These articles may be used in this week’s assignment.
    PICOT question intervention format:
    In_______________(Population), how does _______________ (Intervention) compared to _______________ (Comparison) affect _______________ (Outcome) within______________(Time, optional)?
    Example: In critically ill patients in an Intensive Care Unit (ICU) (P), how do daily 2% chlorhexidine cloth baths (I) compared to daily disposable non-antimicrobial cloth baths (C) affect the incidence of health care-associated infections (HAIs) (O)?
    In responses to peers, provide feedback related to peers’ PICOT questions and their associated articles.
    Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

  • Cultural Diversity Awareness and Nursing: A Journey of Introspection and Growth

    Complete this Cultural Diversity Awareness Questionnaire, then answer the following questions. You do not have to share your score from the questionnaire; only share your introspective thoughts. Record your answers on a Word document.
    One purpose of this questionnaire is to identify your attitudes and perspectives regarding cultural diversity. Did your results surprise you? Why or why not? Give examples.
    How might your values, beliefs, and assumptions affect your ability to support others? Give examples.
    Describe how your cultural awareness has evolved in nursing school since caring for clients. Give examples.
    What leadership-specific goals could you make related to cultural awareness or diversity and inclusion? List and discuss at least 2 goals.
    What would we gain (in healthcare) if we were more diverse and inclusive? Discuss.
    SCORE 
    If your score is 100–129, you are in the high range.
    This self-assessment is designed to measure your beliefs and behavior regarding cultural diversity and
    inclusion. A higher score on the assessment indicates that you are acutely aware of prejudice and bias,
    and that you are very aware of the impact of your behavior on others. Individuals who score high relate
    to others in ways that value diversity. A lower score on the assessment suggests that you are unaware
    of prejudice and bias, and that you are not fully aware of the impact of your biased behavior on others.
    Individuals who score low communicate with others in ways that do not value diversity  
    “Nurses must develop cultural competence to deliver care that meets standards of culturally congruent care…Cultural competence involves knowing yourself and examining your own values, attitudes, beliefs, and prejudices. It entails keeping an open mind and trying to see the world from a different cultural perspective.
    “[Nurses must] respect differences among people, recognizing that every group has its strengths and weaknesses…[They must] learn to communicate effectively while being mindful of nonverbal communication such as body movements, use of personal space, and gestures, [and] be resourceful and creative in modifying nursing interventions in culturally competent ways. Consider your nursing actions carefully when interacting with a patient from another culture” (Williams, 2022, p. 193).
    Take this opportunity to practice introspection and examine your own beliefs about cultural diversity. 
    Cultural diversity questionnaire. (n.d.). Retrieved from https://edge.sagepub.com/sites/default/files/9.3_cultural_diversity_awareness_questionnaire.pdfLinks to an external site. 

  • “Managing Aggressive Impulses: A Comprehensive Care Plan for a Manipulative and Violent Patient” Title: Understanding Manipulative and Antisocial Behaviors in Mr. Mann: A Case Study on Personality Disorders

    Donald Mann, a 32-year-old divorced man, is hospitalized for uncontrollable aggressive impulses. On admission, there is no indication of thought disorders, hallucinations, or depressed affect. Mr. Mann is angry because he feels “forced” to admit himself voluntarily to the hospital. His boss stated that if he did not admit himself, Mr. Mann would be fired from his job. Mr. Mann had threatened a fellow history teacher and later assaulted him. The patient states, “I was only arguing a historical point and got carried away.” He smiles and winks his eye as he is relating the course of events to the nurse, Ms. Burke.
    Mr. Mann states that he is unable to finish writing a book because his third wife divorced him. When asked about his childhood, he comments, “Fighting is synonymous with being a street kid.” He has a history of wife abuse and frequent barroom fights. For the past year, he has been employed as a teacher of history in a private college. Previously, he held numerous teaching positions in several states. Mr. Mann states that he enjoys teaching and especially likes the students.
    On the unit, Mr. Mann is generally cooperative. However, on two occasions, he violates the rules of the unit. Once, he is found with a bottle of alcohol (“I was celebrating one of our famous residents”). In the second incident, he threatens to harm another patient on the unit. On both occasions, his response is a glib “I’m sorry.” The female staff usually have no difficulty dealing with him, but the male staff generally complain about him.
    On the third day after admission, Mr. Mann threatens another patient. His infractions of the rules and his aggressiveness are disrupting the unit. The unit coordinator asks Ms. Burke to write a comprehensive care plan for him. Ms. Burke, who admitted him to the unit, has spent time with him over the past few days. She often feels flattered by his attention. He has told her that he finds her to be “the best nurse on the unit.” That afternoon, his case is to be presented at a staff conference.
    During the meeting, each female member reports that Mr. Mann has stated that she is his favorite. He would also “tell tales” to each staff member about the other staff members. The female staff would often do special favors for Mr. Mann (e.g., getting him cigarettes, the newspaper, or candy). The male staff members find him argumentative, infuriating, and contemptuous of them. They try to avoid him as much as possible. It is clear that almost everyone has strong positive or negative reactions to Mr. Mann. During the meeting, many of the female staff feel annoyed and angry at being manipulated. The staff decide together on goals and a plan of approach.
    Assessment
    Objective Data
    Had two incidents of infractions of the rules
    Has history of spousal abuse
    Assaulted co-worker before admission
    Has had three marriages
    Is argumentative with male staff
    Rationalizes improper and aggressive behaviors: sees nothing wrong
    Has difficulty with interpersonal relationships at work
    Has physically threatened another patient
    Is verbally aggressive with male staff
    Has made sexual advances toward female staff
    Manipulates special favors from female staff
    Subjective Data
    Sets one staff member against another: “Nurse Y said this about you…”
    States that he was “forced into coming to the hospital”
    Tells each female nurse that she is his favorite
    Diagnosis
    Staff think two nursing diagnoses are the most important initially.
    Ineffective coping related to inadequate psychological resources, as evidenced by verbal manipulation
    Tells each female nurse that she is his favorite
    Sets one staff member against another
    Manipulates special favors from female nurses
    Makes sexual advances toward female staff
    Is insincere and superficial
    Risk for other-directed violence related to antisocial character, as evidenced by history of overtly aggressive acts.
    Is verbally aggressive with male staff
    Has threatened physical assault on another patient
    Has history of spousal abuse
    Rationalizes violent behavior; does not see behavior as undesirable
    Has had two episodes of infraction of rules
    Assaulted a co-worker before admission
    Questions
    One of the staff’s key observations of Mr. Mann is his use of manipulation. Which array of disorders is Mr. Mann’s behavior most frequently associated with?
    Manipulation can differ from one disorder to the next. Compare and contrast different types of manipulative behaviors seen in patients with personality disorders. How do these help pinpoint Mr. Mann’s psychological needs?
    The term “antisocial” is included in Mr. Mann’s description. What behaviors help indicate this diagnosis?