Nursing

Assignment: Leadership Journal
Assignment: Leadership Journal
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Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.
Unlike a personal journal of thoughts and feelings, this Leadership Journal is a record of your activities, assessments, and learning related to this academic experience.
Journal entries should include a record of the number of hours spent with your nurse leader each week.
Part – 1– Write a journal entry of 750-1,500 words on the subject of power, including the following:
Provide observations and thoughts on the activities in Weeks 1-2.
Identify your given “power” at your workplace or in your professional life. What is your greatest contribution in the lives of others?
Find three people with whom you interact professionally and ask them to affirm the influence you bring to their lives. How and why did you choose the individuals? What pearls of wisdom did they share that you had not considered?
Reflect on at least two things you learned from the “Issue of Power” video.
Part- 2– Write a journal entry of 750-1,500 words on the subject of authority, including the following:
Provide observations and thoughts on the activities in Weeks 3-4.
Explain your place of influence in your professional life.
Describe any opportunities you have had to help people be successful.
Identify actions you have taken to serve people and your relationship to those individuals.
Reflect on at least two things you learned from the “Issue of Authority” video.
APA format is not required, but solid academic writing is expected.
Part – 3– Write a journal entry of 750-1,500 words on the subject of purpose, including the following:
Provide observations and thoughts on the activities in Weeks 5-6.
Describe how your nurse leader’s leadership style affects the people the nurse leads. Do staff members express feelings of support and helpfulness? Are there examples of leading rather than dictating? Did the leader say or do things designed to “build up” staff or were there missed opportunities?
Reflect on at least two things you learned from the “Issue of Rule” video
APA format is not required, but solid academic writing is expected.
Part – 4- Write a journal entry of 750-1,500 words on the subject of provision, including the following:
Provide observations and thoughts on the activities in Weeks 7-8.
Describe how your nurse leader influences the work environment. Consider how influence protects and values others in the work environment.
Identify two or more ways your own leadership could promote a feeling of protection and honor in your work environment.
Reflect on at least two things you learned from the “Issue of Headship” video.
Part -5- Write a journal entry of 750-1,500 words on the subject of serving, including the following:
Provide observations and thoughts on the activities in Weeks 9-10.
Would your co-workers or those you “serve” consider you responsible for some aspect of their success? Describe a situation where you were able to assist another nurse with achieving a professional goal.
Reflect on at least two things you learned from the “Issue of Servant” video.
Part – 6 – Write a journal entry of 750-1,500 words on the subject of example, including the following:
Provide observations and thoughts on the activities in Weeks 11-12.
Identify three to five personal values or characteristics that you believe are critical components of a good leader, such as honesty, compassion, or fairness. How do you express those values in your professional life?
Reflect on at least two things you learned from the “Issue of Example” video.
Part – 7– Write a journal entry of 750-1,500 words on the subject of humility, including the following:
Provide observations and thoughts on the activities in Weeks 13-14.
Describe an interaction or decision point this semester in which your nurse leader demonstrated humility or a missed opportunity to promote the success of others.
Summarize your practicum experience with your nurse leader. What insight into your own leadership style were you able to see? What do you believe was the most important thing you learned in this experience?
Utilizing servant leadership principles outline a plan to improve your own success as a leader. Identify specific steps you plan to take to create this improvement.
Reflect on at least two things you learned from the “Issue of Humility” video

Discussion: Health Information and Technology
Discussion: Health Information and Technology
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Review Figure 10.1 on p. 239 and the Billing Workflow section on pp. 238-239 of Health Information and Technology Management.
Write a 150- to 350-word response to the following:
Discuss at least two components described in the Billing Workflow section in Ch. 10 of Health Information and Technology Management.
How do these components affect health care reimbursement?
Billing Workflow
1. Providers of all types verify patient insurance eligibility with the health plan, either prior to or during the admission or visit. Medical offices collect and post copays at the visit.
2. The patient is treated and discharged or checked out.
3. As you learned in , the provider usually needs to bill a third party, the insurance plan, in order to receive payment. The insurance bill is called a claim. The first step in preparing the claim is to assign procedure codes for the services rendered and the supplies used and diagnosis codes representing the disease or medical condition.
4. Using these codes and the patient registration information, a computer program generates a paper or electronic claim to be sent to the insurance plan.Before the claim is sent to the insurance plan, an insurance or claim specialist reviews the claim to make sure there are no errors. Because of the volume of claims, a computer program is used to examine the claim data and identify problems. Once the claim is correct, it is sent to the insurance plan (usually electronically).
5. When the claim is received by the insurance plan, it is adjudicated. If the claim is correct, a payment is sent to the provider; this is called the . A paper or electronic document is generated that explains the amounts that were paid. This is called the or explanation of benefits(EOB).
6. When the remittance is received by the provider, the payment amount is recorded in the patient accounts system. Frequently, the amount billed does not equal the amount paid. This may be the result of a contractual agreement that stipulates that the provider will accept a discounted payment and/or that a portion of the charges is the patient’s obligation. An accounting entry called a write-down adjustment is posted to adjust the charge.
7. If the patient has a secondary insurance plan, a claim is next sent to the second plan. In certain cases the first plan will automatically forward the claim to the second plan. This is called a “piggyback” claim or coordination of benefit (COB) claim. For example, when a Medicare patient has a supplemental insurance policy with the fiscal intermediary who processes the Medicare claims, the company will sometimes process the secondary claim automatically. This eliminates the need for the provider to file a second claim. These are also known as crossover claims.
8. Most health plans require the patient to pay a portion of the medical bill. These payments are referred to as the copay, coinsurance, and deductible amounts. The copay amount is usually stated on the patient’s insurance card and collected during the patient visit. The coinsurance amount is usually a percentage of the allowed amount and is not known until the claim has been adjudicated. The EOB tells the provider what amount is the patient’s responsibility.When all the patient’s insurance plans have responded with remittance advice, a bill or statement is sent to the patient for any amounts due that are the patient’s responsibility. The patient statement should clearly show the amounts paid or denied by the insurance plans, any adjustments to the charges required by the plan contract, and the amount due from the patient.
9. When patient payments are received by the medical office or hospital, they are posted to the patient’s account. When the account balance is zero, no further statements will be sent.

Discussion: Pharmacological approach
Discussion: Pharmacological approach
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Discussion: Pharmacological approach for treating patients with impulsive aggression
Question 36
Which statement best describes a pharmacological approach to treating patients for impulsive aggression?
a) Anticonvulsant mood stabilizers can eradicate limbic irritability
b) Atypical antipsychotics can increase subcortical dopaminergic stimulation
c) Stimulants can be used to decrease frontal inhibition
d) Opioid antagonists can be used to reduce drive
Question 37
A patient with hypersexual disorder is being assessed for possible pharmacologic treatment. Why does the PMHNP prescribe an antiandrogen for this patient?
a) It will prevent feelings of euphoria
b) It will amplify impulse control
c) It will block testosterone
d) It will redirect the patient to think about other things
Question 38
Mrs. Kenner is concerned that her teenage daughter spends too much time on the Internet. She inquires about possible treatments for her daughter’s addiction. Which response by the PMHNP demonstrates understanding of pharmacologic approaches for compulsive disorders?
a) “Compulsive internet use can be treated similarly to how we treat people with substance use disorders”
b) “internet addiction is treated with drugs that help block the tension/arousal state your daughter experiences”
c) “When it comes to internet addiction, we prefer to treat patients with pharmaceuticals rather than psychosocial methods”
d) “there are no evidence-based treatments for internet addiction, but there are behavioral therapies your daughter can try”
Question 39
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way some people are addicted to drugs”, he says. Which statement best describes the neurobiological parallels between food and drug addiction?
a) There is decreased activation of the prefrontal cortex
b) There is increased sensation of the reactive reward system
c) There is reduced activation of regions that process palatability
d) There are amplified reward circuits that activate upon consumption

Discussion : Welfare Programs
Discussion : Welfare Programs
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Discussion : Welfare Programs
In the United States, there are many policies and programs in place to provide financial assistance to individuals in various ways. Some of these policies and programs include tax deductions for children, child care, mortgage interest, marital status, and/or student loans. These examples represent financial considerations the U.S. government provides to specific groups of people in society.
While many individuals appreciate the benefits of the policies and programs indicated earlier, there are many stereotypes associated with people who utilize certain public assistance programs like food stamps, subsidized housing, etc. It is important for social workers to understand the impact these stereotypes have on recipients of and service providers for such programs. Also, it is essential that you have the facts about social welfare policies in order to dispel the myths about recipients of assistance programs.
For this Discussion, review this week’s resources. Consider whether you think means-tested programs, such as the Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Supplemental Security Income (SSI), create dependency among its recipients. Then, think about how the potential perception of dependency might contribute to the stigma surrounding welfare programs. Finally, reflect on the perceptions you might have regarding individuals who receive means-tested welfare and how that perception might affect your work with clients.
By Day 4
Post an explanation of whether means-tested programs (TANF, SNAP, and SSI) create dependency. Then, explain how the potential perception of dependency might contribute to the stigma surrounding welfare programs. Finally, explain the perceptions you have regarding people who receive means-tested welfare and how that perception might affect your work with clients.
Required Readings
Popple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers. (6th ed.). Upper Saddle River, NJ: Pearson Education.
Chapter 6, “Fighting poverty: Temporary Assistance to Needy Families” (pp. 101-138)
Bentele, K. G., & Nicoli, L. T. (2012). Ending access as we know it: State welfare benefit coverage in the TANF era. Social Service Review, 86(2), 223–268.
Note: Retrieved from Walden Library databases.
Posiniewski, L. (2011). A unique approach to meeting the employment and training needs of food stamp recipients. Policy & Practice, 69(2), 14–15.
Note: Retrieved from Walden Library databases.
Plummer, S. -B., Makris, S., & Brocksen, S. (Eds.). (2014). Sessions: Case histories. Baltimore: MD: Laureate International Universities Publishing. [Vital Source e-reader].
Part 1, “The Logan Family” (pp. 9–10)
Required Media
Laureate Education (Producer). (2013). Sessions: Logan family (Episode 4 of 42) [Video file]. Retrieved from https://class.waldenu.edu
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
Support your post with specific references to the res

Discussion: excessive arousal at nighttime
Discussion: excessive arousal at nighttime
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Discussion: PMHNP caring for an excessive arousal at nighttime
Question 40
The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state?
a) Histamine 2 receptor antagonist
b) Benzodiazepines
c) Stimulants
d) Caffeine
Question 41
The PMHNP is caring for a patient who experiences too much overstimulation and anxiety during daytime hours. The patient agrees to a pharmacological treatment but states, “I don’t want to feel sedated or drowsy from the medicine.” Which decision made by the PMHNP demonstrates proper knowledge of this patient’s symptoms and appropriate treatment options?
a) Avoiding prescribing the patient a drug that blocks H1 receptors
b) Prescribing the patient a drug that acts on H2 receptors
c) Stopping the patient from taking medicine that unblocks H1 receptors
d) None of the above
Astronaut Images/Getty Images. Arousal is an abrupt change in the pattern of brain wave activity, as measured by an EEG. Arousal typically represents a shift from deepsleep, which is commonly known as REM sleep, to light sleep, known as NREMsleep, or from sleep to wakefulness.Nov 9, 2018
PGAD Treatment. Although there is no official cure for this disorder, there are several treatment options that can help you to cope with and calm your symptoms. These range from medication or pelvic floor physical therapy to seeing a therapist or even having surgery (when Tarlov cysts are suspected as the cause).

Assignment : Preparing Informational Interview
Assignment : Preparing Informational Interview
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Assignment : Preparing for the Informational Interview
An informational interview is a recommended tool for exploring career options. In M3 Assignment 2, you will submit a written account of the informational interview you conducted with the psychology professional.
You will ask the interviewee to describe the educational and training steps (the career paths) he or she took to reach the current position. You will also ask the interviewee to describe, in some detail, the job responsibilities associated with the position. The interview must be at least thirty minutes long. Ideally, it should be conducted in person. If that is not feasible, a phone interview is adequate.
Begin to prepare for this informational interview by identifying the professional you plan to interview. Ideally, the professional should be engaged in a career that you hope to pursue. (You may want to identify a second candidate in case your initial choice is unable to complete the interview with you.) This professional may work in your local area, but that is not necessary. If you cannot identify a professional easily, ask your friends and family if they know anyone who works in the field of psychology. You may also want to phone your local community mental health center or social services agency to ask for names and contact information of potential professionals you could interview. Contact your facilitator for guidance if you have difficulty in identifying someone.
Tasks
In a 1- to 2-page Microsoft Word document, address the following:
Provide the following identifying information about the individual you have selected:
The name
The job title (licensed psychologist, social worker, or case manager)
The level of education (a bachelor’s, master’s, or doctoral degree)
A description of job responsibilities or day-to-day tasks
The type of license, if applicable
The state of residence and practice
The e-mail address or phone number
Develop a list of at least fifteen questions to ask in your informational interview. Research possible questions to include using the Argosy University online library resources and the Internet. Refer to the document to conduct an Internet search using the search terms “informational interview questions” in order to find suggested questions. Be sure to put them into your own words for the purpose of this assignment and to give credit to your source by using in-text citations and a reference list in APA format.
Ask the interviewee about his or her work, academic preparation, and advice. In addition, include the interviewee’s answers to questions on the following topics:
The experience, skills, and knowledge necessary for success in a career in psychology or in graduate school
Relevant professional organizations
His or her views on professional ethics and academic integrity
The role of psychological research in his or her work
His or her greatest challenges and rewards
His or her reasons for choosing the field
Develop a script (word-for-word written statement) that you will use during the warm-up (meet-and-greet) portion of the interview. What will you say to the interviewee when you meet him or her? What will you do? For example, will you shake the person’s hand and introduce yourself? Include small talk of a professional nature that will serve as an introduction and explanation of the purpose of the interview. Demonstrate in your script your ability to interact professionally and effectively in a professional environment.
This assignment is preparatory work for the interview to be conducted later in this course. Do not conduct the interview for this assignment.
Submission Details:
Write a 1–2-page paper in Microsoft Word format. Apply APA standards to cite sources. Use the following file-naming convention: M1_A3_Lastname_Firstname.doc.
By the due date assigned, deliver your assignment to the Submissions Area.
All written assignments and responses should follow APA rules for attributing sources. Use this as a convenient reference for properly citing resources.

Assignment: Intellectual abilities
Assignment: Intellectual abilities
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Assignment: Intellectual abilities
Use the results of the attached test or take the test yourself that is attached, you can address the following questions with your own personal results in mind.
1. Do you think “multiple intelligences” is a valid construct? In other words, do multiple intelligences exist? (Be sure to include connections to the textbook/research when building your argument.)
2. Do you think that the test you took gave a valid picture of your intellectual abilities? In other words, do you think that test accurately measured what it is supposed to measure?
3. Provide at least one recommendation about how the developers of this multiple intelligences test could demonstrate evidence for the validity of the test. Your recommendation should focus on one of the types of validity described in the textbook the chapter that covers these items is attached [i.e., content-related validity, predictive validity, concurrent validity, or construct validity (using convergent or discriminant evidence)].
4. Finally, make a Biblical argument either for or against the existence of multiple intelligences. Whichever stance you take, be sure to back it up with meaningful and relevant scripture references.
In your replies, evaluate (e.g., identify strengths and limitations) your classmates’ arguments using unique scholarly and scriptural citations. Make sure that your replies extend discussion by building on what your classmates wrote. Please go beyond simply agreeing/disagreeing with your classmates or reiterating the main points that you made in your own thread.
Please adhere to the following standards:
· post should be a minimum of 350 words.
· In all of your posts, you should support your assertions with at least one scholarly citation AND one scriptural citation MUST BE A VERSE FROM THE BIBLE NOT JUST A RELIGIOUS REFERENCE IN GENERAL (made in current APA format). Acceptable sources include: the Bible, the textbook, and other peer-reviewed articles and/or books.
· Appropriate citations of and references for all source materials should be made in current APA format.
· First person (“I” and “we”) is allowed in all posts.
Textbook Reference you must use:
Cohen, R. J. & Swerdlik, M. E. (2017). Psychological testing and assessment: An introduction to tests and measurement (9th ed.). Boston, MA: McGraw-Hill. ISBN: 9781259870507.

Assignment: Legalization of Marijuana
Assignment: Legalization of Marijuana
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Assignment: Legalization of Marijuana Debate
Details:
Your instructor will assign you one of the following positions related to the legalization of recreational marijuana use:
For Recreational Marijuana Legalization
Against Recreational Marijuana Legalization
Part 1:
Research your assigned position as well as the alternatives so you can critically engage with your opponents’ position.
In 750-1,000 words, write a summary about your assigned position that describes its major tenets and arguments for them. Make sure to include the physiological, psychological, and sociological effects of marijuana use in your summary.
Use three to five academic resources.
Part 2:
By Day 4, post your 750-1,000-word paper as your initial response to the thread in the Main Forum titled “Recreational Marijuana Legalization Debate” for the topic you have been assigned.
By Day 5, respond to the two alternative positions with a 200-350-word rebuttal.
Days 6-7, continue the dialog with at least one of the alternative positions.
Be sure to ask your opponents follow-up questions that challenge their views and answer your opponent’s questions.
Prepare this assignment according to the guidelines found in the APA Style Guide
This assignment meets the following CACREP Standard: 5.C.2.h. Classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation.
This assignment meets the following NASAC Standards:
3) Describe the behavioral, psychological, physical health, and social effects of psychoactive drugs, including alcohol and tobacco,on the consumer and significant others.
4) Recognize the potential for substance use disorders to mimic a variety of medical and psychological disorders, and the potential for medical and psychological disorders to co-exist with addiction and substance abuse.
14) Be familiar with medical and pharmaceutical resources in the treatment of addictive disease and other substance-related disorders.
26) Screen for alcohol and other drug toxicity, withdrawal symptoms, aggression or danger to others, and potential for self-inflicted harm or suicide.
28) Determine the client’s readiness for treatment/change and the needs of others involved in the current situation.
103) Describe warning signs, symptoms, and the course of addictions.
117) Interpret and apply information from current counseling and addictions research literature in order to improve client care and enhance professional growth.

Assignment: Legal accident problems
Assignment: Legal accident problems
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Assignment: Legal problems due to the accident
Question #1 Review the Trauma Case Study. Does Maryam demonstrate diagnostic criteria for Posttraumatic Stress Disorder or Acute Stress Disorder? Justify your answer.
Trauma Case Study
Reason for Referral
Maryam is a 17-year-old Caucasian female university student who was referred to your agency by her physician Dr. Jaffee. Maryam presented in her doctor’s office complaining of lack of sleep. Dr. Jaffee did not give her medication as Maryam has reported drinking three to four glasses of vodka and orange juice per night to sleep. Dr. Jaffee’s report indicates the patient is sleeping 2-4 hours per night and often awakens with nightmares. Blood tests were normal with the exception of slightly elevated liver enzymes. Blood pressure was 130/94. Patient was scheduled for a follow-up appointment in two weeks.
Behavioral Observations
Maryam arrived on time for her appointment. She was driven to the appointment by her university roommate. The client appeared anxious, had circles under her eyes, and was tearful during the intake. Maryam was oriented to time, place, and person. Client vocabulary was above average. Client appeared tired and despondent evidenced by low voice, soft speech, and flat affect.
Presenting Problem
Maryam states “I can’t drive a car. I am too afraid that someone will hit me or I will hit someone else. I can’t sleep so I don’t get up to go to class in the morning.” Client states, “I am afraid to drive.” She goes on to state, “I made such a horrible mistake; I don’t deserve to live. I am so stupid.”
Client states that she was involved in a three car accident two months ago. Client reports one person was critically injured and the other was treated and released at the hospital. Client reports she received a citation, as she turned in front of two oncoming cars at a red light.
Support System
Client reports that she lives in student housing on the campus of a local university. She has one roommate who brought her to today’s appointment.
Legal: Client is facing legal problems due to the accident.
Family Support: Maryam’s family lives out of state. She has no relatives that live locally.

Administration of serotonin-norepinephrine
Administration of serotonin-norepinephrine
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Administration of serotonin-norepinephrine reuptake inhibitor (SNRI) Assignment
Question 23
The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and hypertension. His physical assessment is unremarkable with the exception of peripheral edema bilaterally to his lower extremities and a chief complaint of pain with numbness and tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin (Sinequan). What is the next action that must be taken by the PMHNP?
a) Orders liver function tests
b) Educate the patient on avoiding grapefruits when taking this medication
c) Encourage this patient to keep fluids to 1500ml/day until the swelling subside
d) Order BUN/Creatinine test
Question 24
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic change in mood before the start of her menstrual cycle. The patient states that she has tried diet and lifestyle changes but nothing has worked. What will the PMHNP most likely do?
a) Prescribe estrin FE 24 birth control
b) Prescribe Ibuprofen 800mg every 8 hours as needed for pain
c) Prescribe desvenlafaxine (Pristiq) 50mg daily
d) Prescribe Risperdal 2mg TID
Question 25
A patient with chronic back pain has been prescribed a serotonin-norepinephrine reuptake inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain to the patient?
a) “the SNRI can increase noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn”
b) “the SNRI can decrease noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn”
c) “the SNRI can reduce brain atrophy by slowing the gray matter loss in the dorsolateral prefrontal cortex”
d) “the SNRI can increase neurotransmission to descending neurons”
Question 26
A patient with fibromyalgia and major depression needs to be treated for symptoms of pain. Which is the PMHNP most likely to prescribe for this patient?
a) Venlafaxine (Effexor)
b) Duloxetine (Cymbalta)
c) Clozapine (Clozaril)
d) Phenytoin (Dilantin)