A 17 year old male client in an inpatient psychiatric unit is being uncooperative. The client is standing in front of the nursing station, where the nurse answers incoming phone calls and discusses patient care with the treatment team. The nurse kindly asks the client to return to the dayroom and join the rest of patients for group. However the client says, “No, I am perfectly fine where I am.” A staff member observes the situation and steps in and states, “you need to go to group now, or we will have to escort you to the quietroom.” The client looks at the staff member and says in a calm tone, “you can’t make me move, I am not doing anything wrong.” The nurse realizes this situation is escalating and is stuck between a rock and a hard place. Please consider all the details provided above and answer the following questions:

1. What does the principle of the least restrictive environment have to do with this situation?
2. What role does HIPAA play in this scenario and why does it make the situation more complicated?
3. Which nurse would be more likely to initiate a restrictive intervention for this client, a nurse with a utilitarianism view of ethics or a deontological view of ethics? And why?
4. Finally, how would you resolve this situation?

REQUIRES;

SCHOLAR ARTICLES>>>APA FORMAT>>>NO PLAGIARISM 

WEEK 5

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

1. Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county. 
2. How can the creation of a community health center program help to address this public health problem?
3. What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

– Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith.This is important in identifying that students are submitting original posts as well as response posts as required. APA FORMAT, ONLY 3 REFERENCES PLEASE. 250 WORDS. 

I’M in Miami. FLORIDA. 

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

1. Title page
2. Introduction section
3. A comparison of research questions
4. A comparison of sample populations
5. A comparison of the limitations of the study
6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

RUBRIC

Introduction

An introduction is present, and it relates to the body of the paper. Information presented in the introduction is intriguing and encourages the reader to continue reading.

Comparison of Research Questions

A reflective and insightful comparison of research questions is presented.

Comparison of Sample Populations

A reflective and insightful comparison of sample populations is presented.

Comparison of the Limitations of the Study

A reflective and insightful comparison of the limitations of the study is presented.

Conclusion and Recommendations for Further Research

A conclusion and recommendations for further research are reflective and insightful.

Thesis Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

ALL FORMAT AT CORRECT

 Discuss the importance of advocacy as it pertains to patient care. What is the nurse’s role in patient advocacy? Describe a situation in which you were involved with patient advocacy. Explain what the advocacy accomplished for the patient, and what the repercussions would have been if the patient would not have had an advocate.