Tag: MLA

Case Study
Mr. T is a 21-year-old man who is brought to the ER by his mother after he began talking about “aliens” who were trying to steal his soul. Mr. T reports that aliens left messages for him by arranging sticks outside his home and sometimes send thoughts into his mind.
On exam, he is guarded and often stops talking while in the middle of expressing a thought. Mr. T appears anxious and frequently scans the room for aliens, which he thinks may have followed him to the hospital. He denies any plan to harm himself but admits that the aliens sometimes want him to throw himself in front of a car, “as this will change the systems that belong under us.”
The patient’s mother reports that he began expressing these ideas a few months ago, but that they have become more severe in the last few weeks. She reports that during the past year, he has become isolated from his peers, frequently talks to himself, and has stopped going to community college. He has also spent most of his time reading science fiction books and creating devices that will prevent aliens from hurting him. She reports that she is concerned because the patient’s father, who left while the patient was a child, exhibited similar symptoms many years ago and has spent most of his life in a psychiatric hospital.
Questions:
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric
Please if you have any questions, do not hesitate in contact me

Please see Resume and based of my education and work expereince discuss the following question. Thank you.
Discuss reasons for applying to the BSN-to-DNP Nurse Anesthesia program at the University of Miami and how it fits into personal, educational, and professional goals.

Case Study
A 74-year-old African American woman, Ms. Richardson, was brought to the hospital emergency room by the police. She is unkempt, dirty, and foul-smelling. She does not look at the interviewer and is apparently confused and unresponsive to most of his questions. She knows her name and address, but not the day of the month. She is unable to describe the events that led to her admission.
The police reported that they were called by neighbors because Ms. Richardson had been wandering around the neighborhood and not taking care of herself. The medical center mobile crisis unit went to her house twice but could not get in and presumed she was not home. Finally, the police came and broke into the apartment, where they were met by a snarling German shepherd. They shot the dog with a tranquilizing gun and then found Ms. Richardson hiding in the corner, wearing nothing but a bra. The apartment was filthy, the floor littered with dog feces. The police found a gun, which they took into custody. The following day, while Ms. Richardson was awaiting transfer to a medical unit for treatment of her out-of-control diabetes, the psychiatric provider attempted to interview her. Her facial expression was still mostly unresponsive, and she still didn’t know the month and couldn’t say what hospital she was in. She reported that the neighbors had called the police because she was “sick,” and indeed she had felt sick and weak, with pains in her shoulder; in addition, she had not eaten for 3 days. She remembered that the police had shot her dog with a tranquilizer and said the dog was now in “the shop” and would be returned to her when she got home. She refused to give the name of a neighbor who was a friend, saying, “he’s got enough troubles of his own.” She denied ever being in a psychiatric hospital or hearing voices but acknowledged that she had at one point seen a psychiatrist “near downtown” because she couldn’t sleep. He had prescribed medication that was too strong, so she didn’t take it. She didn’t remember the name, so the interviewer asked if it was Thorazine. She said no, it was “allal.” ‘Haldol?”, ask the interviewer. She nodded.
The interviewer was convinced that was the drug, but other observers thought she might have said yes to anything that sounded remotely like it, such as “Elavil.” When asked about the gun, she denied, with some annoyance, that it was real and said it was a toy gun that had been brought to the house by her brother, who had died 8 years ago. She was still feeling weak and sick, complained of pain in her shoulder, and apparently had trouble swallowing. She did manage to smile as the team left her bedside.
Questions
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric
Please if you have any questions, do not hesitate in contact me

Case Study
Jill, a 24 y/o Hispanic female arrives in the emergency room where her parents brought her for evaluation. They are worried because she is giving away all of her possessions and says she is planning to move to the South Pole so she can “save the world.” Her parents say that she has hardly been sleeping at all for the last 7 days, but she seems very energetic. They say she has appeared to be “in a frenzy” lately. When you interview Jill you notice that she speaks very rapidly and is laughing uncontrollably. It is hard to get her to be quiet long enough for you to ask questions. She seems agitated and has difficulty sitting still.
Questions:
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric Please if you have any questions, do not hesitate in contact me.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem.
Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:
1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population.
2. Following the PICOT format, write a PICOT question in your selected area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. Note: This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology.
Articles must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.
The diagnosis of psychiatric emergencies can include a wide range of problems—from severe drug reactions to abuse and suicidal ideation/behaviors. Regardless of the care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care and also bridge the physical–mental health divide in healthcare.
In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies and identify evidence-based suicide and violence risk assessments.
In 2–3 pages, address the following:
Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
Explain the differences between emergency hospitalization for evaluation/psychiatric hold, inpatient, and outpatient commitment in your state.
Explain the difference between capacity and competency in mental health contexts.
Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
Identify one evidence-based suicide risk assessment that you could use to screen patients.
Identify one evidence-based violence risk assessment that you could use to screen patients.

• In your review of evidence, you provided… (discuss one detail that put this criterion at the competence level and then give three suggestions or ask three questions to move this criterion to proficiency/mastery).
• In your explanation of priority of need, you showed… (discuss three details that put this criterion at mastery then give one suggestion or ask one question to further improve).
• In your explanation of health determinants, you illustrated… (discuss two details that put this criterion at the proficiency level and then give two suggestions or ask two questions to move this criterion to mastery).
• In your summary of the proposed solution, you assessed… (discuss two details that put this criterion at the proficiency level and then give two suggestions or ask two questions to move this criterion to mastery).
Provide feed back for each of those areticles 1 & 2
apa formatting

NGM2 — NGM2 TASK 1: PRACTICE IMPROVEMENT PLAN PROPOSAL
ORGANIZATIONAL SYSTEMS AND HEALTHCARE TRANSFORMATION — D221
PRFA — NGM2
TASK OVERVIEWSUBMISSIONSEVALUATION REPORT
SELECT EVALUATION
Attempt 2
Attempt 2
EVALUATION REPORT — ATTEMPT 2 — REVISION NEEDED
Overall Evaluator Comments
EVALUATOR COMMENTS
You are encouraged to connect with your Course Instructor to strengthen your understanding of the content before working further on this assessment. You have logically discussed how communication can be improved through the use of the TeamSTEPPS program. Additionally, you have described how the patient can and should be involved in the communication process. Information on the aspects that require revision can be found in the score report below.
A1. Safety Concern
Competent
A2a. Data
Competent
A2b. National Safety Standard(s)
Competent
A3. Impact
Competent
A3a. Value
Competent
A4. Evidence-Based Practice Change
Competent
A4a. High-Reliability Organization
Competent
A4b. Potential Barriers
Competent
A4c. Potential Interventions
Competent
A4d. Shared Decision-Making
Competent
A4e. Outcome Measure
Competent
A4f. Care Delivery Model
Approaching Competence
Approaching CompetenceThe submission identifies a care delivery model currently being used in the healthcare setting but does not describe the care delivery model. Or the description does not include sufficient detail.
EVALUATOR COMMENTS: ATTEMPT 2
There is a payment model discussed, noting that providers are paid based on merit. Unfortunately, pay models are not related to care delivery models. Please describe the care delivery model currently used in the healthcare setting.
A4fi. Impact on Care Delivery Model
Approaching Competence
Approaching CompetenceThe submission explains how the care delivery model in the healthcare setting would be impacted, but it does not align with the care model identified in part A4f, or it does not align with the recommended change in part A4, or the explanation is not logical.
EVALUATOR COMMENTS: ATTEMPT 2
While there is a discussion regarding how the change in communication may impact reimbursement, a discussion regarding the current care delivery model and potential impacts to it, is not able to be discerned.
B. APA Sources
Competent
C. Professional Communication
Competent

Case Study
Ms. Z is a 28-year-old assistant store manager who arrives at your outpatient clinic complaining of sadness after her boyfriend of 6 months ended their relationship 1 month ago. She describes a history of failed romantic relationships, and says, “I don’t do well with breakups.” Ms. Z reports that, although she has no prior psychiatric treatment, she was urged by her employer to seek therapy. Ms. Z has arrived late to work on several occasions because of oversleeping. She also has difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my legs weigh a ton.” She feels fatigued during the day despite spending over 12 hours in bed and is concerned that she might be suffering from a serious medical condition. She denies any significant changes in appetite or weight since these symptoms began.
Ms. Z reports that, although she has not missed workdays, she has difficulty concentrating and has become tearful in front of clients while worrying about not finding a significant other. She feels tremendous guilt over “not being good enough to get married,” and says that her close friends are concerned because she has been spending her weekends in bed and not answering their calls. Although during your evaluation Ms. Z appeared tearful, she brightened up when talking about her newborn nephew and her plans of visiting a college friend next summer. Ms. Z denied suicidal ideation.
Questions:
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric
Please if you have any questions, do not hesitate in contact me.