Category: Nursing

I have attached the screenshot of the assignment to be done with the criteria to be met.
I have attached the annotated bibiliography, the research paper outline as well.

Research the range of contemporary issues teenagers face today. Select one issue (besides teen pregnancy) a teenager might come to discuss with a nurse in a health clinic at a local high school. In a 500-750-word paper include the following:
Describe the contemporary issue and explain what external stressors are associated with this issue.
Identify specific questions or assessment tool would you use to screen for this issue.
Outline strategies you, the nurse, would use to establish a therapeutic relationship with the teenager.
Define the legal and ethical parameters regarding what you can and cannot share with the parent or guardian.
Identify specific support options you will provide for your patient and/or their family to access? Include the contact information for the support option.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. PLEASE USE TO THE RUBRIC FOR BEST GRADE!

Select a pediatric/adolescent client or case that you have worked within either in your current nursing practice or your PMHNP student clinical setting. Ensure that you correctly remove the appropriate information (name, etc.) to remain HIPAA compliant.
Prepare a full mental health evaluation on your pediatric/adolescent client. Use the resources presented in the course to help guide your evaluation. Kaplan & Saddock’s Synopsis of Psychiatry has a robust list of the categories of information you should collect and present in your evaluation report (5.1. Parts of the Initial Psychiatric Interview). This should include the following:
A full psychiatric, physical, social, family, and birth and developmental history including verbal reports of the client, your observations of the client, and a summary of any diagnostic aids that you have used.
The use of at least one psychiatric screening or assessment tool from the literature to assist in your assessment of the client
A full physical assessment in addition to the mental status exam and psychiatric history
Develop a DSM-5 diagnostic assessment:
Support your diagnosis through a thoughtful, evidence-based rationale of the data collected in your evaluation.
Propose a practical, evidence-based plan of care:
Keep in mind the role of the psychiatric-mental health nurse practitioner is to assess all aspects of the patient’s health status, including health promotion, and disease prevention. Psychiatric care is interdisciplinary. Your plan of care may include the use of other mental health professionals for the delivery of appropriate care. For example, someone who has been chronically back pain, and has been out of work may have these factors contributing to his or her depression and may require a pain specialist and social services to address those aspects of the client’s poor psychological functioning.
Requirements
Support your assessment, diagnosis, and treatment and management plan with appropriate literature citations.
The paper should be no more than ten pages in length, not including a title page and references.
Use current APA formatting and citations.
Acronyms should not be used.
The assessment must be well written and be of professional quality. It must be clear, and well developed, free of spelling, grammatical, and syntactical errors and in full sentences format.

Please look over the attachment document and make necessary changes and any information that you thing will be helpful. Do not forget to use the attachment Concept Map Template
Back to Week at a Glance
CARDIOVASCULAR DISORDERS
In this exercise, you will complete a MindMap Template to gauge your understanding of this week’s content. Select one of the possible topics provided to complete your MindMap Template.
myocardial infarction
endocarditis
myocarditis
valvular disorders
lipid panels
coagulation
clotting cascade
deep vein thrombosis
hypertension
heart failure
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. WEEKLY RESOURCES
BY DAY 7 OF WEEK 3
Submit your MindMap Template by Day 7 of Week 3.
Rubric
NURS_6501_Week 3, 5, 7, 9_Mind Map Assignment_Rubric
NURS_6501_Week 3, 5, 7, 9_Mind Map Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeSelect one of the possible topics provided and complete the MindMap Template.
1) Describe the pathophysiology of the primary diagnosis in your own words. What are the patient’s risk factors for this diagnosis?
20 to >17.0 pts
Excellent
A thoroughly completed MindMap Template with a selected topic was submitted. The response accurately and thoroughly describes in detail the pathophysiology of the primary diagnosis in the student’s own words. The response accurately and thoroughly explains in detail the patient’s risk factors for this diagnosis.
17 to >14.0 pts
Good
A completed MindMap Template with a selected topic was submitted. The response describes the pathophysiology of the primary diagnosis in the student’s own words. The response explains the patient’s risk factors for this diagnosis.
14 to >12.0 pts
Fair
An inaccurately complete or vague MindMap Template with a selected topic was submitted. The response inaccurately or vaguely describes the pathophysiology of the primary diagnosis in the student’s own words. The response inaccurately or vaguely explains the patient’s risk factors for this diagnosis.
12 to >0 pts
Poor
An incomplete MindMap Template with a selected topic was submitted, or is missing. The response inaccurately and vaguely describes the pathophysiology of the primary diagnosis in the student’s own words, or is missing. The response inaccurately and vaguely describes the patient’s risk factors for this diagnosis, or is missing.
20 pts
This criterion is linked to a Learning Outcome2) What are the patient’s signs and symptoms for this diagnosis? How does the diagnosis impact other body systems and what are the possible complications?
20 to >17.0 pts
Excellent
The response accurately and thoroughly describes in detail the patient’s signs and symptoms for this diagnosis. The response accurately and thoroughly describes in detail how this diagnosis might impact other body systems and their possible complications.
17 to >14.0 pts
Good
The response accurately describes the patient’s signs and symptoms for this diagnosis. The response accurately describes how this diagnosis might impact other body systems and their possible complications.
14 to >12.0 pts
Fair
The response inaccurately or vaguely describes the patient’s signs and symptoms for this diagnosis. The response inaccurately or vaguely describes how this diagnosis might impact other body systems and their possible complications.
12 to >0 pts
Poor
The response inaccurately and vaguely describes the patient’s signs and symptoms for this diagnosis, or is missing. The response inaccurately and vaguely describes how the diagnosis might impact other body systems and their possible complications, or is missing.
20 pts
This criterion is linked to a Learning Outcome3) What are other potential diagnosis that present in a similar way to this diagnosis (differentials)?
20 to >17.0 pts
Excellent
The response accurately and completely describes in detail the potential diagnoses that present in a similar way to the diagnosis provided.
17 to >14.0 pts
Good
The response accurately describes the potential diagnoses that present in a similar way to the diagnosis provided.
14 to >12.0 pts
Fair
The response inaccurately or vaguely describes the potential diagnoses that present in a similar way to the diagnosis provided.
12 to >0 pts
Poor
The response inaccurately and vaguely describes the potential diagnoses that present in a similar way to the diagnosis provided, or is missing.
20 pts
This criterion is linked to a Learning Outcome4) What diagnostic tests or labs would you order to rule out the differentials for this patient or confirm the primary diagnosis?
20 to >17.0 pts
Excellent
The response accurately and thoroughly describes in detail the diagnostic tests and labs they would order to rule out the differentials for this patient, and in confirming the primary diagnosis.
17 to >14.0 pts
Good
The response accurately describes the diagnostic tests and labs they would order to rule out the differentials for this patient, and in confirming the primary diagnosis.
14 to >12.0 pts
Fair
The response inaccurately or vaguely describes the diagnostic tests and labs they would order to rule out the differentials for this patient, and in confirming the primary diagnosis.
12 to >0 pts
Poor
The response inaccurately and vaguely describes the diagnostic tests and labs they would order to rule out the differentials for this patient, and in confirming the primary diagnosis, or is missing.
20 pts
This criterion is linked to a Learning Outcome5) What treatment options would you consider? Include possible referrals and medications.
20 to >17.0 pts
Excellent
The response accurately and thoroughly describes in detail the treatment options they would consider. The response accurately and thoroughly describes potential referrals and medications.
17 to >14.0 pts
Good
The response accurately describes the treatment options they would consider. They response accurately describes potential referrals and medications.
14 to >12.0 pts
Fair
The response inaccurately or vaguely describes the treatment options they would consider. The response inaccurately or vaguely describes potential referrals and medications.
12 to >0 pts
Poor
The response inaccurately and vaguely describes the treatment options they would consider, or is missing. The response inaccurately and vaguely describes possible referrals and medications, or is missing.
20 pts
Total Points: 100

For part 1, please use the template that is provided, which will ensure that you address all of the essential elements of the assignment.   For part 2, you will write an advocacy statement.  This should be written in first person, in a persuasive manner, aimed at addressing the concerns of the opponents or proponents to your proposed legislation, depending on which stand you take
To Prepare:
Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)
Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.
Part 1: Legislation Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Explain how the social determinants of income, age, education, or gender affect this legislation.
Describe how you would address the opponent to your position. Be specific and provide examples.
At least 2 outside resources and 2-3 course specific resources are used.
Learning Resources: 
Short, N. M. (2022). Milstead’s health policy and politics: A nurse’s guide (7th ed.). Jones & Bartlett Learning.
Chapter 5, “Policy Enactment: Legislation and Politics” (pp. 97–117)
Chapter 10, “Financing Health Care” (pp. 239–249)
Congress.govLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350Links to an external site..
United States House of RepresentativesLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/
United States SenateLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/
United States Senate. (n.d.). Senate organization chart for the 117th CongressLinks to an external site..  https://www.senate.gov/reference/org_chart.htm

Topic is Fall Prevention
Hospitals are Northern Nevada in Sparks, Renown Medical Center in Reno, Carson Tahoe  in Carson City and Saint Mary’s in Reno
Presentation Elements: Your presentation should include the following key elements, divided into clear, well-organized sections:
Introduction:
Provide background information on the selected problem or opportunity   for improvement within Hospital Services.
State the purpose of the QI project.
Outline the objectives of the presentation.
Problem or Opportunity for Improvement:
Describe the problem or opportunity for improvement clearly and               concisely.
Include supporting data and statistics that highlight the need for the         project.
Provide any relevant background information that contextualizes the          issue.
Compare and contrast local hospital data using Leapfrog data related to the selected problem. Highlight differences and similarities in                       performance metrics.
Data Analysis:
Present the data collected to understand the current state of the problem.
Use charts, graphs, or tables to visualize the data.
Analyze the data to identify any patterns, trends, or significant findings.
Include a comparison of local hospital data with Leapfrog data to contextualize the findings.
Root Cause Analysis:
Detail the root cause analysis conducted to identify underlying causes of  the problem.
Describe the tools or methods used (e.g., Fishbone diagram, 5 Whys, etc.).
Explain the results of the analysis clearly.
Discuss any insights gained from comparing local data with Leapfrog       data.
Intervention:
Using healthcare research from the last 5 years, describe interventions       implemented to address the problem.
Provide a detailed explanation of the intervention strategy.
Include information about the implementation process, including steps     taken and timelines.
Consider how the comparison with Leapfrog data influenced the                  intervention design.
Results:
Based on your literature review present the outcomes of the intervention.
Include data or statistics that demonstrate the effectiveness of the              intervention.
Use relevant charts, graphs, or tables to illustrate the results.
Compare the intervention outcomes with Leapfrog benchmarks.
Conclusion and Recommendations:
Summarize the key findings of the QI project.
Discuss any successes or challenges encountered during the project.
Provide recommendations for further improvement and future                     considerations.
Highlight how the comparison with Leapfrog data can inform ongoing        improvements.
References:
Finds five or more reliable sources, (less than 5 years old)that support the validity of the QI project.
List any sources cited in the presentation.
Follow the appropriate citation format (e.g., APA, MLA).
Presentation Requirements:
Ensure the presentation is visually appealing and easy to understand.
Use clear, concise language and avoid cluttering slides with excessive        text.
Tailor the presentation to the intended audience (e.g., hospital administration, surgical team).
Aim for a professional and polished appearance with consistent                   formatting and design.
Submission and Presentation:
Submit the completed PowerPoint presentation by the specified deadline.
Prepare to present your QI project to the class, with each group member  contributing to the presentation.
Be ready to answer questions and engage in a discussion about your        project.
By incorporating the comparison of local hospital data with Leapfrog data, your group will provide a broader context for the selected problem and demonstrate how benchmarking against established standards can drive quality improvement in Hospital Services. This project will help develop your skills in problem-solving, data analysis, benchmarking, teamwork, and effective communication.

Please respond to each classmate with at least 125 words with a reference each
Discussion 1:
I have perceived a “client” in the past as a patient who can or needs to be treated in a clinical atmosphere, but now I have broadened my perception of what a “client” is as an individual, a family, a community, or a population across different settings. At first, I thought of a client as a person who directly receives medical care, but now I understand that a client can be almost anyone requiring any aspect of health services or any intervention, including community residents, participating in some public health initiatives, people coming for prevention measures and services, and targets of any health promotion campaigns.
Major Differences Between the Assessment of a Public Health Nurse and a Clinical Nurse
Scope of Assessment
A clinical nurse’s assessment is frequently focused on the level of the single patient. It is comprised of gaining factual information regarding a patient’s current condition, past health, presenting complaints, physical examination, etc. It is used as the main point of diagnosing ailments and prescribing medication for their treatment (Goodwin University, 2020). The assessment process that a public health nurse carries out over some time is broader, involving families, groups, and communities. This net assessment goes beyond assessing risks, strengths, vulnerabilities, and assets of populations, as well as the available health risks and resources and or epidemiology data social contextual factors. Strengthening community health is another goal and power of public health nurses to diagnose more fundamental health issues of a community with the overall notion of health promotion and disease prevention.
Purpose of Assessment
A clinical nurse works to assess and cure diseases or injuries to reach health or ensure that patients’ chronic conditions are well handled through care plans, medicines, and teaching. Clinical nurses are directly responsible for patient care at an individual level, which involves dressing their needs immediately. On the other hand, the role of a public health nurse is about the wellbeing of individuals and a community and the absence or prevention of disease on a wider scale. This involves teaching about health trends and the resulting health practices, formulating community-wide health interventions, and promoting policies that would further health within the community (Goodwin University, 2020). They also specialize in disease prevention education, community support, and equal distribution of health resources. It encompasses goals that are more focused on enhancing the well-being of populations by including social determinants of health and even the physical surroundings, envisaging the higher possibilities of a healthier community. Thus, public health nurses have an important function: to contribute to improving population health and support change in factors that may exist at a societal level.
Clinical nurse interventions are generally approaches taken in direct relation to specific patients, which may include the dispensing of medication, performing procedures on the patient, and giving the patient enlightenment that may directly concern the said patient. These nurses may also consult with other healthcare givers in charge of the patient with the aim of ensuring that each process is implemented in a proper procedure and is made to suit the patient’s needs.
While public health nurses may make direct contact with the person in need, the intervention is usually less personal and targeted at populations. They deliver health education, immunization, health promotion, and health screening and support the dissemination of public health interventions (Goodwin University, 2020). As a branch of professional nursing practice, public health nurses work together with other stakeholders, such as public officials, policymakers, and institutions, to design and implement health initiatives that are aimed at improving the health of the community. In this manner, they strive to enhance the overall health within the community and not just treat diseases and illnesses.
In conclusion, while clinical nurses work at the personal level, providing care and dealing with the immediate health problems of patients, the PH nurse operates at the community level to promote healthy living and long-term changes to eliminate diseases. This broader understanding of the client acknowledges the crucial social and environmental contexts of health and the imperative to deal with them cohesively.
Discussion 2:
My view of what a “client” is has evolved ever since I started nursing school. Before, my view of a “client” was more narrow and specific, now, that view has expanded to include a wider range of people, as well as groups of people. My initial view of a “client” was and individual who received specific services they sought out, and paid for. For example, someone who sought out an attorney, or hair stylist, or wedding planner. When I began nursing school, the term “client” was used interchangeably with “patient” in fact, we were told to use the term “client” more. In all honesty, this was weird to me. Although patients are clients too, “client” had a different connotation in my mind, and it was based on the idea that clients are paying customers, and patients are vulnerable individuals who need care. I recognize, however, that clients can be more than just an individual, it can also be a group of people, a community, or an entire population. While clinical nurses have individual clients, public health nurses have these large groups, or communities as their “client,” and this is one of the main differences between a clinical nurse and a public health nurse. Besides this, public health nurses also focus on prevention and health promotion to help stop or prevent the spread of illness or incidence of disease, and their assessment considers social determinants of health, while clinical nurses focus mainly on treatment and base their assessment on symptoms, head to toe assessments, and personal history (Goodwin University, 2020). It is important to note, however, that at the end of the day, clinical nurses and public health nurses, are doing the same thing. They are both trying working towards health promotion, healing, and advocating for their clients. I have noticed that public health aspects are being integrated in clinical nursing as well. At my hospital system, we are required to ask patients questions to evaluate the social determinants of health that affect them, this is something my hospital system just started implementing in the last 8 months. While there is some overlap between the two roles, they are still very different. For example, during the Covid-19 pandemic, both clinical and public health nurses had very important roles. Clinical nurses were in the hospitals treating sick Covid patients, and public health nurses were out in the community, administering vaccines, testing patients, and figuring out the severity of the disease and its affects on the community. Both titles still remain very different, but they both work together to help improve the overall health of the population they serve

What do you write in a reflective journal? A reflective journal (aka a reflective diary) is the perfect place to jot down some of life’s biggest thoughts. In a reflective journal, you can write about a positive or negative event that you experienced, what it means or meant to you, and what you may have learned from that experience.
Relate what you saw to what you have learned. Cite sources in a reference paper This is a writing assignment that you will submit in a college level paper format Please use appropriate grammar and spelling. APA format
This are my week highlights
C-Section Observations
Newborn assessment
Witnessed Vaginal delivery which the patient was a VBAC

If you were to witness a patient deteriorating because another nurse did not feel comfortable asking peers for help due to a previous unpleasant encounter when seeking advice, which of the elements of a safe working environment would you utilize to address the situation? Have you ever done this before? What might stand in your way?
What can you say to a peer who resists implementing a new procedure that is targeted to improve patient safety, because they “just want to do nursing”?
What argument might convince them to participate?
Have you ever experienced this before in yourself or a peer?
If so, did you acknowledge it and say something? Did anyone else?
And if so, were your/their arguments successful?
Describe which of the AACN’s essential standards for a healthy work environment would apply to this situation.

Endometrial Cancer
Researcher A
conducts a case-control study to explore the consumption of fruits and vegetables and the risk of endometrial cancer. The results of the study indicate a lower risk of cancer with vegetable consumption.
Researcher B
conducts a cross-sectional study to explore the consumption of fruits and vegetables and the risk of endometrial cancer. The results of the study indicate a higher risk of cancer with vegetable consumption.
Conduct
research by reading the articles and journals on endometrial cancer. Based on your research and understanding, answer the following questions:
From the research information you have at hand, what do the above mentioned two case studies tell you about the risk of endometrial cancer?
Is there any common ground covered between the two studies? If so, list and explain them. If not, provide reasons why.
What is your opinion on each study in terms of design and demographics? Which method do you think has more merit? Why?
What additional information would be needed to arrive at a conclusion?