Clinical Worksheet Plan of Care Concept Map|2025

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1}Patient Introduction

Jackson Weber is a 5-year-old Caucasian male. He was diagnosed with generalized tonic-clonic seizures 2 years ago. Upon diagnosis, Jackson’s neurologist started him on oral phenobarbital. Jackson has been seizure-free until last night, when his mother brought him to the emergency department following a 3-minute tonic-clonic seizure. She is a single mother and the sole source of financial support.

Jackson has not seen his neurologist in 15 months due to his mother’s work schedule. Jackson was seen by his health care provider this morning and currently has an intravenous infusion in his left arm running D5 NS + 20 mEq KCl/L at 58 mL/hr.

He has been eating well, has urine output, and vital signs are stable. His pupils are equal and reactive to light. He is able to move all extremities equally. He is awake and alert and is watching cartoons. His mother is at the bedside.

 

Medication: Phenobarbital

 

2) Patient Introduction

Sabina Vasquez is a 5-year-old Hispanic girl admitted today from the emergency room with a diagnosis of pneumonia. She has a history of asthma and has had several episodes requiring use of an albuterol inhaler at home.

Sabina has had an upper airway infection for the past few days. Earlier today she developed a fever of 39°C (102.2°F), so her mother brought her to the emergency room. She was placed on oxygen via nasal cannula at 2 L/min. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. This improved her oxygen saturation to 94%. The chest x-ray revealed right lower lobe pneumonia with effusion. An intravenous infusion of D5 ½NS is infusing at 61 mL/hr. Sabina just got settled in bed, and her mother is at the bedside.

Medication: Azithromycin

 

3) Patient Introduction

Eva Madison is a 5-year-old female who just arrived to the pediatric floor from the emergency department, where she arrived at 7:00 AM with a 3-day history of vomiting and diarrhea, inability to keep fluids down, and no urination since 8:00 PM yesterday.

At her last check-up a few months ago, her weight was 21.2 kg, and today her weight is 20.5 kg. She is pale and listless, and her mucous membranes are dry. An intravenous saline bolus of 400 mL was started in the emergency department and has just finished. Maintenance fluids are to follow.

 

Medication: Sodium chloride

4) Patient Introduction

Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement.

She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. Brittany rated her pain as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. She has not had an appetite in the last 24 hours but has taken small amounts of oral fluids.

She has had pain crises before, mostly managed at home with acetaminophen and ibuprofen. She has been hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 years for a fever.

Brittany was given oral pain medication in the emergency department at 6:00 AM. She is asleep but is responsive when awakened. She has been taking small amounts of oral fluids and continues to receive intravenous maintenance fluids at 52 mL/hr. When examined this morning, her blood pressure was 101/70 and her temperature was 37.4°C (99°F). She now rates her pain as a 3. New orders have been given.

Medication: Morphine

 

5) Patient Introduction

Charlie Snow is a 6-year-old Caucasian male staying with his aunt and uncle while his parents are serving overseas in the military. Charlie presents in the emergency department with tachycardia and dyspnea with mild stridor. His aunt and uncle report that he accidentally ate a cookie containing peanuts, and he has peanut allergies. When Charlie began having difficulty breathing, they rushed him to the emergency department.

He is currently able to talk through the dyspnea and is on a nasal cannula at 2 liters. A saline lock has been placed in his left arm. He has been connected to a cardiac/apnea monitor with a SpO2 probe in place. Charlie is in bed, and the health care provider has been notified of Charlie’s arrival.

Medication: Ranitidine hydrochloride

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Week 2 Assignment nursing roles graphic organizer|2025

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 Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse practitioner; graduate nurse with an emphasis/specialty in public health, health care administration, business, or informatics; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you are comparing.

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SOAP NOTE|2025

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Academic clinical SOAP notes provide a unique opportunity to practice and demonstrate advanced practice documentation skills, to develop and demonstrate critical thinking and clinical reasoning skills, and to practice identifying acute and chronic problems and formulating evidence-based plans of care.

Develop a hospital follow-up progress SOAP note based on a clinical patient from your practicum setting. In your assessment, provide the following:

· A one-sentence description of the primary working diagnosis, pending differential diagnoses, and the context or service in which the patient is being seen.( Acute Care Hospital)

· A one-to-two paragraph description of the current illness or hospital stay, including pertinent diagnostic findings or procedures. Include how many days the patient has been hospitalized, if applicable.

· List of at least five systems affected by the working diagnosis. Provide two positive or negative effects that the working diagnosis has on each system.

· List of at least five systems examined within the last 24 hours. Provide at least two pertinent positive or negative findings relevant to each system examined and include a full set of vital signs.

· List of all admission diagnostics conducted for this visit or conducted within the last 24 hours.( (CPT codes)

· List of all pertinent acute and chronic diagnoses in order of priority using ICD-10. Identify any differential diagnoses being eliminated.

· Treatment plan that corresponds with the diagnosis. Provide information on admission type, types of diagnostics, any prescribed medications and dosages, and any relevant consults or follow-up procedures needed.

· Discussion of any relevant ethical, legal, or geriatric-specific considerations.

Incorporate at least 3-5 peer-reviewed articles in the assessment or plan. (Minimum 1200 words).

Don’t Forget to include all coding including ICD-10, CPT and all others.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. Refer to the LopesWrite Technical Support articles for assistance.

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WORK LEGALLY AND ETHICALLY ASSESSMENT|2025

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ASSESSMENT INFORMATION for students

Throughout your training we are committed to your learning by providing a training and assessment framework that ensures the knowledge gained through training is translated into practical on the job improvements.

You are going to be assessed for:

Your skills and knowledge using written and observation activities that apply to your workplace.

Your ability to apply your learning.

Your ability to recognise common principles and actively use these on the job.

All of your assessment and training is provided as a positive learning tool. Your assessor will guide your learning and provide feedback on your responses to the assessment materials until you have been deemed competent in this unit.

How you will be assessed

The process we follow is known as competency-based assessment. This means that evidence of your current skills and knowledge will be measured against national standards of best practice, not against the learning you have undertaken either recently or in the past. Some of the assessment will be concerned with how you apply your skills and knowledge in your workplace, and some in the training room as required by each unit.

 

The assessment tasks have been designed to enable you to demonstrate the required skills and knowledge and produce the critical evidence to successfully demonstrate competency at the required standard.

 

Your assessor will ensure that you are ready for assessment and will explain the assessment process. Your assessment tasks will outline the evidence to be collected and how it will be collected, for example; a written activity, case study, or demonstration and observation.

 

The assessor will also have determined if you have any special needs to be considered during assessment. Changes can be made to the way assessment is undertaken to account for special needs and this is called making Reasonable Adjustment.

 

What happens if your result is ‘Not Yet Competent’ for one or more assessment tasks?

Our assessment process is designed to answer the question “has the desired learning outcome been achieved yet?” If the answer is “Not yet”, then we work with you to see how we can get there.

 

In the case that one or more of your assessments has been marked ‘NYC’, your trainer will provide you with the necessary feedback and guidance, in order for you to resubmit your responses.

 

What if you disagree on the assessment outcome?

You can appeal against a decision made in regards to your assessment. An appeal should only be made if you have been assessed as ‘Not Yet Competent’ against a specific unit and you feel you have sufficient grounds to believe that you are entitled to be assessed as competent. You must be able to adequately demonstrate that you have the skills and experience to be able to meet the requirements of units you are appealing the assessment of.

 

Your trainer will outline the appeals process, which is available to the student. You can request a form to make an appeal and submit it to your trainer, the course coordinator, or the administration officer. The RTO will examine the appeal and you will be advised of the outcome within 14 days. Any additional information you wish to provide may be attached to the appeal form.

 

What if I believe I am already competent before training?

If you believe you already have the knowledge and skills to be able to demonstrate competence in this unit, speak with your trainer, as you may be able to apply for Recognition of Prior Learning (RPL).

 

Assessor Responsibilities

Assessors need to be aware of their responsibilities and carry them out appropriately. To do this they need to:

Ensure that participants are assessed fairly based on the outcome of the language, literacy and numeracy review completed at enrolment.

Ensure that all documentation is signed by the student, trainer, workplace supervisor and assessor when units and certificates are complete, to ensure that there is no follow-up required from an administration perspective.

Ensure that their own qualifications are current.

When required, request the manager or supervisor to determine that the student is ‘satisfactorily’ demonstrating the requirements for each unit. ‘Satisfactorily’ means consistently meeting the standard expected from an experienced operator.

When required, ensure supervisors and students sign off on third party assessment forms or third party report.

Follow the recommendations from moderation and validation meetings.

 

How should I format my assessments?

Your assessments should be typed in a 11 or 12 size font for ease of reading. You must include a footer on each page with the student name, unit code and date. Your assessment needs to be submitted as a hardcopy or electronic copy as requested by your trainer.

How long should my answers be?

The length of your answers will be guided by the description in each assessment, for example:

Type of Answer Answer Guidelines

 
Short Answer 4 typed lines = 50 words, or

5 lines of handwritten text
Long Answer 8 typed lines = 100 words, or

10 lines of handwritten text = of a foolscap page
Brief Report 500 words = 1 page typed report, or

50 lines of handwritten text = 1foolscap handwritten pages
Mid Report 1,000 words = 2 page typed report

100 lines of handwritten text = 3 foolscap handwritten pages
Long Report 2,000 words = 4 page typed report

200 lines of handwritten text = 6 foolscap handwritten pages

 

How should I reference the sources of information I use in my assessments?

Include a reference list at the end of your work on a separate page. You should reference the sources you have used in your assessments in the Harvard Style. For example:

Website Name – Page or Document Name, Retrieved insert the date. Webpage link.

For a book:

Author surname, author initial Year of publication, Title of book, Publisher, City, State

assessment guide

The following table shows you how to achieve a satisfactory result against the criteria for each type of assessment task.

Assessment Method Satisfactory Result Non-Satisfactory Result
You will receive an overall result of Competent or Not Yet Competent for the unit. The assessment process is made up of a number of assessment methods. You are required to achieve a satisfactory result in each of these to be deemed competent overall. Your assessment may include the following assessment types.
Questions All questions answered correctly Incorrect answers for one or more questions
  Answers address the question in full; referring to appropriate sources from your workbook and/or workplace Answers do not address the question in full. Does not refer to appropriate or correct sources.
Third Party Report Supervisor or manager observes work performance and confirms that you consistently meet the standards expected from an experienced operator Could not demonstrate consistency. Could not demonstrate the ability to achieve the required standard
Written Activity The assessor will mark the activity against the detailed guidelines/instructions Does not follow guidelines/instructions
  Attachments if requested are attached Requested supplementary items are not attached
  All requirements of the written activity are addressed/covered. Response does not address the requirements in full; is missing a response for one or more areas.
  Responses must refer to appropriate sources from your workbook and/or workplace One or more of the requirements are answered incorrectly.

Does not refer to or utilise appropriate or correct sources of information
Observation All elements, criteria, knowledge and performance evidence and critical aspects of evidence, are demonstrated at the appropriate AQF level Could not demonstrate elements, criteria, knowledge and performance evidence and/or critical aspects of evidence, at the appropriate AQF level
Case Study All comprehension questions answered correctly; demonstrating an application of knowledge of the topic case study. Lack of demonstrated comprehension of the underpinning knowledge (remove) required to complete the case study questions correctly. One or more questions are answered incorrectly.
  Answers address the question in full; referring to appropriate sources from your workbook and/or workplace Answers do not address the question in full; do not refer to appropriate sources.

 

Assessment cover sheet

Assessment Cover Sheet
Student’s name:  
Assessors Name:   Date:
Is the Student ready for assessment? Yes No
Has the assessment process been explained? Yes No
Does the Student understand which evidence is to be collected and how? Yes No
Have the Student’s rights and the appeal system been fully explained? Yes No
Have you discussed any special needs to be considered during assessment? Yes No
The following documents must be completed and attached
Written Activity Checklist

The student will complete the written activity provided to them by the assessor.

The Written Activity Checklist will be completed by the assessor.

 S NYS
Observation / Demonstration

The student will demonstrate a range of skills and the assessor will observe where appropriate to the unit.

The Observation Checklist will be completed by the assessor.

 S NYS
Questioning Checklist

The student will answer a range of questions either verbally or written.

The Questioning Checklist will be completed by the assessor.

 S NYS
I agree to undertake assessment in the knowledge that information gathered will only be used for professional development purposes and can only be accessed by the RTO:
Overall Outcome Competent Not yet Competent
Student Signature: Date:
Assessor Signature: Date:

 

 

 

written activity

For this assessment you will need to read the following scenarios, answer the questions that follow and submit in a professional, word processed, format. For each question you are required to provide long answers of approximately 8 typed lines which equals 100 words

You will refer to workplace policies and procedures to complete part of this activity.

 

 

Scenario 1: You are supporting two elderly clients out for the day, with a colleague. One of the clients fell whilst getting out of the bus. Your colleague says to you “we didn’t see that, it’s too much paperwork”

a. What is your duty of care in this situation?

 

 

b. How has the staff member breached their duty of care?

 

 

 

Scenario 2: You overhear a colleague telling a neighbour that the client being supported in the house has the most difficult family to deal with.

a. What would you do in this situation?

 

 

b. What privacy law have been broken?

 

 

c. Who would you report this to?

 

 

d. Why is it important for all staff to follow privacy and confidentiality policy of the organisation?

 

 

 

Scenario 3: Milly has been having headaches and after seeing her doctor, has indicated on her medication treatment sheet two 500mg tablets of Panadol are to be given every six hours. Policy of the organisation is that two staff must sign the treatment sheet when Panadol is given. You give Milly two Panadol and when you go to sign the treatment sheet you see another staff member has just given Milly two Panadol.

a. How much Panadol has been given over the instructions by the doctor?

 

 

b. Who would you ask for advice as to Milly’s overdose of Panadol?

 

 

c. How will you manage not following your responsibility to Milly?

i. By not following medical treatment sheet directions?

ii. By not following policy and procedure of the organisation?

 

 

d. What would you say to the other staff member?

 

 

e. What are your legal responsibilities in this situation?

 

 

f. What documentation needs to be completed as to policy and procedure of the organisation?

 

 

g. In what ways could you improve the work practice in order to avoid mistakes such as these in the future?

 

 

 

Scenario 4: You have just arrived at work. The staff member you are working with is outside on her mobile phone leaving 4 clients inside unattended in the kitchen. One of the clients have picked up a knife and cut them self and now requires medical attention.

a. How is this negligent by the staff member?

 

 

b. Why is it your legal obligation to report the staff member’s actions, and who would your report it to?

 

 

c. Your manger has asked you to put the incident in writing as it is the policy of the organisation, write a brief report of this incident you witnessed?

 

 

 

Scenario 5: You work for a community service organisation that supports children in care. You have taken lots of photos of Jimmy who is seven years old at the local Farmers market. You want to put the photos on your Facebook page.

a. What are the legal and ethical issues you should consider before doing this?

 

 

b. Why do you need to check your organisations policy on social media?

 

 

c. What act does the social media policy come under?

 

 

d. How could informed consent come into play with regards to photos of clients?

 

 

 

Scenario 6: You are supporting Peter who has a mid-disability and comes from a Muslim background. Peter’s mother wants to give you a cake to say thank for all your help.

a. What is the ethical issue in this situation?

 

 

b. How would you respond to the Mother?

 

 

c. Who would you ask to find the organisation policy and procedures on receiving gifts?

 

 

d. In what ways could you keep up your knowledge of policies and procedures such as these?

 

 

 

Scenario 7: John has a physical disability. He uses a wheelchair and has restricted movement in his hands. John’s favourite social activity on Friday nights is to go to the local pub and have a few drinks with his mates. Because of John’s physical limitations, he has a carer who accompanies him to the club.

a. In what way could the worker’s personal values impact on this situation?

 

 

b. What are your values in this matter?

 

 

c. Why is it important to use no-judgemental practices in this situation?

 

 

 

Scenario 8: A colleague tells you she has lost her license for three months due to speeding. She tells you she is still driving the clients to day placement because she needs the money as she is a single parent.

a. How is this unethical conduct by the staff member?

 

 

b. Who would you report this to, and why?

 

 

 

Scenario 9: A colleague is selling Avon to clients.

a. Why is this a conflict of interest?

 

 

b. Who would you report this to and why?

 

 

 

Scenario 10: A client you are supporting tells you he was involved in a crime at a local shop.

a. Why is it your ethical responsibilities to report this?

 

 

b. Who

 

c. would you report this to?

 

 

 

 

Scenario 11: Jim, a client you are supporting, wants to help mow the lawns. He is very unsteady on his feet and falls over easily. Health and safety policy and procedures have identified that Jim can’t mow the lawns as it would be unsafe for him.

a. What would you say to Jim?

 

 

b. Why is it important to follow the health and safety policies of the organisation?

 

 

c. How would you explain dignity of risk to Jim, if he still wanted to mow the lawns?

 

 

 

Scenario 12: Lilly is eighteen years of age. She has a great interest in politics and has asked you to take her to vote at the upcoming election. Lilly’s mother has told you that she is not to vote, as Lilly doesn’t understand what she is talking about.

a. What are Lilly’s rights?

 

 

b. What conversation would you have with Lilly’s mother and how would you avoid conflict?

 

 

c. What are your work role boundaries in this situation and when would you seek further advice?

 

 

d. Define the relationship between Lilly’s needs and rights in this situation.

 

 

e. Where can you get more information regarding client rights?

 

 

 

Scenario 13: A lot of employees are bringing their children to work, as a part of flexible employment agreement.

a. Why is it important for all employees to have a working with children’s check?

 

 

 

Scenario 14: Health and safety guidelines of the organisation dictate that all staff and clients are to wash their hands before handing food. You notice there is no procedure on the washing of hands. You advise your manager, who asks you to write a procedure for washing hands.

a. Write a procedure on washing hands.

 

 

b. Why would you show your manager the procedure before showing it to the staff and clients?

 

 

c. Why would you ask for feedback from staff and clients about your procedure?

 

 

d. How would you make sure all the staff and clients are aware of the washing hands procedure and why it was put in place?

 

 

e. What WHS act do organisations need to follow?

 

 

f. How can you keep up to date with changes to regulations, policies and procedures?

 

 

 

Scenario 15: You work in an early childhood education centre and one of the children comes to the centre with regular bruising on their body. The child doesn’t want to go home.

a. What is your responsibility in this situation

 

 

 

 

Questions

The following questions may be answered verbally with your assessor or you may write down your answers. Please discuss this with your assessor before you commence. Short Answers are required which is approximately 4 typed lines = 50 words, or 5 lines of handwritten text.

Your assessor will take down dot points as a minimum if you choose to answer them verbally.

Answer the following questions either verbally with your assessor or in writing.

1. Describe in your own words what code of conduct means?

 

 

2. Describe in your own words what code of practice means?

 

 

3. What is your organisations grievance policy? How are clients informed of the rights and responsibilities in relation to receiving services from your organisation?

 

 

4. What is duty of care?

a. Give an example of a breach of duty of care.

b. What is standard of care?

 

 

5. What is the code of ethics?

a. What is an ethical dilemma?

b. What is the meaning of Ethical responsibilities?

 

 

6. What does non-judgmental approach to practice mean?

 

 

7. How can a support worker’s own values and attitudes affect a person they are supporting?

 

 

8. What does unethical conduct mean?

 

 

9. What is a conflict of interest?

 

 

10. Find a job description for a job you would like to do, list the key selection criteria for the job.

a. How would you keep up to date with industry trends?

b. What training would you like to attend to increase your skills?

 

 

11. When working with a children and young people, you need to make observation of children’s behaviors and physical presentation, noting any changers or reason for concern. Give a brief description of the following.

a. What are the visible signs of physical abuse of a child?

b. What are the behavioural signs of physical abuse of a child?

c. What are the signs of emotional abuse of a child?

d. What are to signs of sexual abuse of a child?

 

 

12. What is mandatory reporting?

 

 

13. When employed in the community service field why is it important to follow policies and procedures of the organisation?

 

 

14. Who would you ask in the organisation to find out about policies and procedures?

 

 

15. Why do you believe it’s important to include policies and procedures in the staff induction to the organisation?

 

 

16. Who would you consult with if a policy needed to be changed in the organisation?

 

 

17. Develop a checklist of your work role and responsibilities as you understand them in relation to your job description.

 

 

18. Describe an example of when you have undertaken task/activity outside your specified work role (in your organisation)? How did you clarify this with your supervisor?

 

 

19. Provide an example of when you have accepted responsibility for your own actions within your work role, e.g. when you have reported an incident or issue, clarified your duty of care requirements, provided/ sought feedback regarding your work role and legal obligations

 

 

20. Describe your duty of care in relation to your job role. How are you informed about your duty of care? E.g. supervisor feedback, organisational policy, job description?

 

 

21. Within your work role how do you seek agreement from clients before delivering services? What is your organisations policy on seeking agreement for services?

 

 

22. Describe the organisations confidentiality policy. What is the procedure you would follow if a breach of confidentiality occurred?

 

 

23. Give two examples of a breach of confidentiality that have occurred in your workplace and describe how these breaches were handled?

 

 

24. List the key statutory and regulatory requirements that cover the community services sector in which you work (disability/ youth-child/ education support/ aged care…)

 

 

25. What is the difference between an ethical dilemma and a legal obligation? –

 

 

26. What would you do if confronted with a legal or an ethical dilemma?

 

 

27. Personal values, beliefs, attitudes and culture influence how everyone responds to different situations. Discuss how you, can ensure that you respect all client’s values, beliefs, attitudes and culture regardless of whether they differ from your own.

 

 

28. Describe the process used in your workplace when a new policy or procedure needs to be created and implemented. For what reasons might they need to be written/changed?

 

 

29. What human resources documents do you need to be aware of in the context of legal and ethical responsibilities?

 

 

Developed by Enhance Your Future Pty Ltd 1 CHCLEG001 – Work legally and ethically Version 1.1 Course code and name

 

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PICOT Statement Paper|2025

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A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.

Formulate a PICOT statement.  (CHILDWOOD OBESITY). The PICOT statement will provide a framework for your capstone project.

In a paper of 750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Prepare this assignment according to the guidelines found in the APA Style.

NO PLAGIARISM PLEASE. CHECK FOR PLAGIARISM BEFORE GIVING THE ANSWER BACK.

SIX REFERENCES PLEASE. USE THE PREVIOUS WEEK TO ANSWER

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HCA340 FINAL EXAM|2025

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Question

1. One of the results of the 2005 Hurricanes Katrina and Rita in Louisiana has been an increase in the influx of Spanish-speaking workers. Incorporating cultural and linguistic competence to meet the health needs of this population would include

a. having health care professional staff from different Spanish-speaking countries at health care facilities.

b. ensuring health services are in varying locations.

c. ensuring that all signage is posted completely in Spanish.

d. having all health care workers speak Spanish.

2. A mechanism health care organizations need to incorporate into their strategic plan for culturally and linguistically appropriate services includes

a. goals, policies, accountability and oversight mechanisms addressing these  services.

b. partnerships with community agencies.

c. mechanisms for client service reimbursement.

d. staff con? ict resolution policies.

3. Kwanzaa was created in the 1960s to raise awareness and pride for the African- American community. While its tenets can be applied to all people, this particular celebration was developed to celebrate a specific

a. social class.

b. religion.

c. ethnicity.

d. cultural group.

4. Parish Nursing is an aspect of nursing that is becoming more utilized. One of the bases of parish nursing is the premise that

a. it is easier to provide health services to a de? ned religious community.

b. a faith community has an impact on the health of its members.

c. illness is prevented through parish nursing.

d. members of a religion follow de? ned health practices.

5. After the Vietnam War, many Vietnamese immigrated to the United States and settled in areas where they could maintain many of the cultural customs and traditions of Vietnam, including festivals, Saturday schools to educate the children in the Vietnamese language and planting communal gardens. This is an example of

a. heritage consistency.

b. acculturation.

c. socialization.

d. religious preference.

6. A seminal event in the boomer generation that can still elicit comment today is the question

a. ”How did the Challenger tragedy affect you?”

b. ”Where were you when John F. Kennedy was shot?”

c. ”Do you remember Pearl Harbor?”

d. ”What were you doing on September 11, 2001?”

7. A complaint of the boomer generation about the following generations regards work ethic. The “nester” generation born between 1979 and 1984 is more likely to embrace an ethic

a. of employer loyalty.

b. seeking to fit their lifestyle.

c. seeking maximum financial gain.

d. loyal to one’s skills in the marketplace.

8. The best outcome for health care facilities incorporating cultural care into their practices is

a. increased numbers of clients seeking care at these facilities.

b. improved health outcomes for the clients at these facilities.

c. better health care provided by the facility’s staff.

d. increased reimbursement by insurance companies for provided health services.

9. An important consideration when making a home health visit to a client is to:

a. give a general idea of when the visit will be made.

b. bring a gift to the client’s home on the initial visit.

c. just show up at the client’s home.

d. inform the client the approximate time the visit will be made.

10. Certain cultures place emphasis on eating speci? c foods during pregnancy and after childbirth to ensure a healthy mother and infant. This cultural phenomena is an example of

a. time orientation.

b. environmental control.

c. biological variation.

d. social organization.

11. Touch is an important component of nursing, but using it without understanding the client’s cultural background can be a violation of their

a. social organization.

b. environmental control.

c. space and territoriality.

d. time orientation.

12. Before doing any teaching it is important the client understands what is being taught. The most effective method to determine if the client understands any health teaching is by

a. ask the client if they understand what was said in the teaching.

b. speaking slowly and carefully to the client.

c. having the client repeat back what was said in his/her own words.

d. interpreting the client’s facial gestures.

13. Native Americans have a higher susceptibility to diabetes than other population groups within the United States. This is considered a(n)

a. biological variation.

b. component of heritage consistency.

c. social organization pattern.

d. environmental control.

14. While the Census Bureau has placed race as a sociopolitical construct, placing oneself into a racial category can still present a challenge. Those who consider themselves “Creole” would be more likely to place themselves into the category labeled

a. White.

b. Asian.

c. Black or African American.

d. Hispanic or Latino.

15. While shifts in the population profile are occurring, what is an important consideration to address in health care?

a. More physicians need to be trained to deliver health care.

b. Cultural health needs of varying groups must be considered.

c. Health care providers need to be younger to care for an aging population.

d. Health care needs to be streamlined for consistent care delivery.6

16. With the percentage of the 65+ population greatest among White non-Hispanics in the 2000 Census, health planning needs would indicate

a. there is no need to increase manufacture of childhood immunizations.

b. cultural accommodations for other minority groups can be decreased.

c. planning needs for other segments of the population can be revised downwards.

d. this population will have greater demands on the health care system as they age.

17. Twelve percent of the population in 2000 was age 65 or over. Long-term implications for health for this group include

a. developing systems to provide health care only to those older citizens who remain healthy.

b. providing health care that is focused on gerontological needs.

c. providing health insurance for all age groups.

d. developing medications to prolong life at any cost.

18. A hurdle immigrants face coming to a new country is

a. rejecting their old customs in favor of new customs.

b. having their children learn the customs of the new country.

c. finding their own cultural group in the new country.

d. learning a new way of life that differs from their former way of life.

19. In 1970, the highest percentage of foreign-born legal permanent residents becoming citizens came from Europe. What is true today? The majority of foreign-born legal permanent residents are from

a. Asia.

b. Mexico, China, and the Philippines.

c. Europe.

d. South America.

20. Many people who come to the United States to live seek to get a “green card.” The green card

a. confers automatic U.S. citizenship.

b. legally restricts the holder from becoming a citizen.

c. defines the person as being in the country unlawfully.

d. allows the person legal permanent residency.

21. When seeking permanent U.S. citizenship, legal permanent residents take a naturalization exam that questions them on

a. knowing the Pledge of Allegiance.

b. being able to recite or sing the national anthem.

c. elements of the U.S. government.

d. the Congressional district they live in.

22. Among the very real concerns for all residents of the United States, citizens and legal permanent residents, is the rise in undocumented people entering the country. What impact is this having on health care?

a. Increased numbers of undocumented people are straining health care resources.

b. The rise in undocumented people is contributing to the rise in exotic and rare diseases in the country.

c. There is a concern that undocumented people will lead to bioterrorist attacks.

d. Health insurance is being given to all people in the country ensuring universal coverage.

23. One recognized deterrent to poverty is

a. the presence of two parents in a family structure.

b. not needing to have housing assistance.

c. not needing to utilize food stamps.

d. living in a household of a male income earner.

24. While income is not a restrictor for engaging in health-promoting behaviors, higher income improves them through

a. living in better housing.

b. membership in health clubs in suburban areas.

c. increasing opportunities through nutrition and access to facilities.

d. access to better jobs.

25. Many people and groups have provided definitions of health, but the most widely used definition is that from

a. Nightingale.

b. Rogers.

c. Murray and Zenter.

d. WHO (World Health Organization

26. As people progress through a health profession education program, definitions of health become

a. easier to explain to others.

b. aligned with the client seeking care.

c. more abstract and technical.

d. well articulated and understandable.

27. In attempting to define health, what can occur?

a. Listing categories of health will enable understanding of health.

b. Ambiguity is resolved when health definitions are discussed.

c. Terms and meanings can be challenged by others.

d. A full acceptance can be achieved by all parties.

28. Health status and determinants are used to

a. account for health care expenditures.

b. enforce legislation pertaining to health.

c. determine federal dietary guidelines.

d. measure the health of a nation.

29. Healthy People 2010 represents

a. health policies providing monetary incentives to states who reach the benchmark goals by 2010.

b. a plan to improve the health of everyone in the United States in the ? rst decade of this century.

c. mandated legislation that will result in a healthier population by 2010.

d. a monitoring system evaluating the health of all citizens.

30. As with the many variant definitions of health, illness also has many meanings. Illness and the sick role assigned to it are legitimized by

a. the insurance company that pays for the illness treatment.

b. the person having the illness.

c. the health care profession that diagnoses the illness.

d. society’s view of the illness.

31. Among the sick role components is the

a. mandate of appearing ill and suffering from the illness.

b. necessity of taking medications and staying in bed.

c. exemption from performance of certain normal social obligations.

d. refusal to look to other sources of health care treatments beyond those prescribed.

32. During the stage of patient status, it is expected that

a. symptoms are being experienced, leading to a diagnosis.

b. the patient do all they can do to recover from their illness.

c. the illness is now socially recognized and identified.

d. the person shifts into the role as it is determined by society.

33. Assuming the sick role according to Suchman means the person

a. is aware that something is wrong and responds emotionally.

b. seeks scientific confirrmation that something is wrong.

c. seeks help and shares the problem with family and friends.

d. goes under the control of a physician who plans a treatment of care.

34. A person who has cancer may have followed this illness trajectory:

a. presenting symptoms, followed by treatment and recovery.

b. acute illness, unstable status, deterioration, and recovery.

c. diagnosis, treatment, unstable status, death.

d. presenting symptoms, followed by diagnosis and treatment.

35. When Suchman divides the illness experience into its various stages, the medical care contact stage implies the person is

a. cognitively and physically aware that something is wrong.

b. under medical control and following a prescribed treatment protocol.

c. seeking scientific c rather than lay diagnosis in order to interpret what it all means.

d. seeking help and information from family and friends. 10

36. While HEALTH is considered a balance of the person, ILLNESS would be considered

a. the imbalance of one’s being in and outside the world.

b. actual symptomatology physically manifested.

c. part of the human condition that all must experience.

d. the absence of elements that contribute to health.

37. While complementary alternative medical (CAM) treatments are used by people of all backgrounds, recent research indicates CAM use is greater by

a. men.

b. those who have never been hospitalized.

c. people with rudimentary education.

d. women.

38. Alternative medical traditions are considered

a. an essential component of a cultural heritage medical tradition.

b. for use in concert with other aspects of health care.

c. out of the realm of a person’s cultural heritage medical tradition.

d. traditional methods of health care.

39. The evil eye is defined differently by different populations. Evil is thought to be cast in the Philippines through the

a. mouth or eye.

b. eye or touch.

c. foot.

d. breath.

40. The saying, “An apple a day keeps the doctor away, an onion a day keeps everyone away,” is thought to protect HEALTH by

a. recognizing the special antibiotic properties contained within onions.

b. advertising that onions have special healing abilities.

c. protecting the person from coming in contact with those who might be ill.

d. affirming the belief in the power of onions to prevent disease.

41. Religion has an important role in HEALTH, and ILLNESS can be considered

a. violating dietary practices.

b. failure to wear special amulets to ward it off.

c. a necessary part of religious culture.

d. punishment for breaking a religious code.

42. Eucalyptus is a folk herbal remedy that has applications today. It is used for

a. nasal congestion and sore throat.

b. infant colic.

c. toothache pain.

d. fever.

43. Allopathic medicine terms alternative treatments as complementary or alternative. An alternative therapy for rehabilitation might include ________ as treatment.

a. macrobiotics

b. Santeria

c. Voodoo

d. biofeedback

44. The difference between complementary and alternative medicine is that complementary medicine

a. can be used together with allopathic medicine.

b. is never used with allopathic medicine.

c. lessens a patient’s discomfort with allopathic treatments.

d. replaces allopathic medicine as a primary form of treatment.

45. A reason why people seek alternative care treatments is

a. allopathic treatments may cause adverse effects that a person can’t tolerate.

b. training for alternative care practitioners is closely regulated and licensed.

c. insurance reimburses alternative care treatments at the same rate or better than allopathic treatments.

d. it has a better empirical basis than do allopathic treatments.

46. Many people of Catholic faith pray to ________ for the grace of a happy death.

a. St. Teresa of Avila

b. St. John of God

c. St. Roch

d. St. Joseph

47. While shrines that attract pilgrims can be religious or secular in nature, an essential component to all of them is the

a. feeling of peace and serenity that is conducive to healing.

b. location of the shrine.

c. presence of water so pilgrims can take samples home.

d. numbers of people who are attracted to that site.

48. Lourdes, France, is the site of a revered Roman Catholic shrine. Many people with illnesses visit the shrine with the hope of

a. becoming more prosperous.

b. gaining a better job.

c. receiving a cure through a miracle.

d. being able to live a long life.

49. Historically, early forms of HEALING for illness were equated with

a. performing set rituals to prevent illness.

b. finding the person causing the illness.

c. sacrificial offerings.

d. removing the evil causing the illness.

50. Among alternative treatment modalities utilized during an illness may be the

a. consultation of a healer outside the medical establishment.

b. strict adherence to the prescribed medical regimen.

c. willingness to seek a second medical opinion.

d. refusal to allow any medical treatment to be performed.

51. A potential explanation for healers being used in addition to or instead of traditional medical personnel is their

a. unique language that is characteristic of their calling.

b. exclusive dialogue with the person who is ill.

c. formal relationship with the client.

d. willingness to be available at any time.

52. An illness of the spirit is treated through repentance and is considered

a. physical healing.

b. spiritual healing.

c. inner healing.

d. deliverance.

53. The six-week postpartum check that women have after having a baby closely matches the crucial ________ day practice of ancient times.

a. seventh

b. fortieth

c. third

d. tenth

54. Baptism dates for children have significance within various religions. Water is the common element in baptism as water signifies

a. protecting the child from illness.

b. cleansing the child either from evil or other maladies.

c. the relation of the child to God.

d. dedication of the child to a family group.

55. Wearing white clothes in the Buddhist tradition indicates

a. mourning the death of a relative.

b. recognition of a religious holiday.

c. joy for the birth of an infant.

d. celebration for a marriage.

56. The decline in the use of patent medicine utilization in the United States began with

a. the passage of the Food and Drug Act.

b. increased popularity of over-the-counter medicines.

c. the rise in alternative health care practitioners.

d. Medicare reimbursement for prescription medications.

57. An important health protection practice among Black American Baptists is

a. drinking blackstrap molasses.

b. eating fresh lemons.

c. wearing camphor around the neck in the winter.

d. taking a daily shot of whiskey.

58. Chicken soup is considered a universal HEALTH restoration intervention in which tradition?

a. French

b. Pacific Islander

c. Eastern European Jewish

d. Italian

59. As a HEALTH maintenance practice, the use of cod liver oil is advocated by those of the

a. German Catholic tradition.

b. Italian Catholic tradition.

c. Iranian (U.S.) Islamic tradition.

d. English Episcopal tradition.

60. A HEALTH protection practice among Irish-American Catholics is drinking

a. senna tea.

b. yeast.

c. hot peppermint tea.

d. wine daily.

61. Fr. John’s medicine is suggested as a HEALTH protection practice from November to May for

a. English American Episcopalians.

b. Canadian Catholics.

c. Native American Baptists.

d. Italian American Catholics.

62. Among the HEALTH restoration practices for menstrual cramps for Irish American Catholics is

a. applying Vicks on the abdomen.

b. drinking cod liver oil in orange juice.

c. applying warm oil to the stomach.

d. drinking hot milk sprinkled with ginger.

63. Activities for HEALTH maintenance for Swedish-American Protestants include

a. walking distances on a regular basis.

b. dressing appropriately for the weather.

c. going to a physician twice a year whether needed or not.

d. starting each day with prayer.

64. While dressing properly for season and weather is an important HEALTH protection practice for Iranian-American Moslems, it is also important to

a. keep onions under the bed to keep nasal passages clear.

b. eat sorghum molasses.

c. keep feet from getting wet in the rain.

d. prevent evil spirits by not looking at a mirror at night.

65. A constant for any culture is the

a. ability for it to change quickly to adjust to new challenges.

b. requirement that all members of the culture act the same.

c. socialization into its traditions, language and practices.

d. necessity for its members to be homogenous in all their decisions.

66. Socialization into the health care culture includes an assumption that

a. effective treatment can only be done by educated and licensed professionals.

b. the more technological the intervention, the greater bene? t it yields.

c. interventions for health events must follow a prescribed protocol.

d. alternative complementary treatments have validity.

67. Contemporary per capita U.S. health care expenditures are expected to

a. increase as part of the overall gross domestic product.

b. decrease as health care becomes available for all citizens.

c. match those of other Western countries.

d. have the United States achieve the highest health status in the world.

68. Specified government efforts for health insurance have resulted in

a. decreasing the amount that Medicare covers for prescription medications.

b. decreasing the percentage of uninsured children under age 18.

c. increasing coverage for prenatal and well-baby care.

d. increasing the percentage of uninsured children under age 18.

69. Technology and scientific advances in health care have resulted in more conditions being treated than in previous decades. The most expensive costs for care are for which conditions?

a. Cardiac disease

b. Conditions resulting in transplantation

c. Diabetes care

d. Pulmonary disease

70. In the early part of the twentieth century, health care efforts focused on controlling infectious diseases and improving

a. maternal and child health.

b. the requirements of the medical profession.

c. chronic diseases.

d. health care costs.

71. The United State relies heavily on guest worker/migrant labor for its agriculture industry. Health care can be offered for this population but faces a potential barrier of

a. language.

b. access.

c. racism.

d. homelessness.

72. What differentiates CULTURALCARE from modern medical care in philosophy is that

a. sufficient money, technology and science are used to cure or remedy.

b. premature death must be avoided.

c. holistic care is predicated on cultural health traditions and needs.

d. disease and injury are avoided through health promotion and maintenance.

73. HEALTH for American Indians has a basis in the

a. curing of those conditions that affect the spirit.

b. respecting of others’ beliefs in healing traditions.

c. harmony between nature and the ability to survive.

d. optimism that life creates positive forces.

74. Evil spirits are associated with illness by the

a. Sioux.

b. Cherokee.

c. Passamaquoddy.

d. Hopi.

75. In determining the cause for illness, medicine men and women look for the

a. dietary practices of the person being seen.

b. past medical history as a determinant.

c. spiritual cause of the problem of the person seen.

d. physical symptoms displayed.

76. Use of sand paintings as diagnosis in the Navajo tradition helps to

a. provide an atmosphere of calming for the medicine man.

b. determine cause and treatment of the illness.

c. ensure that appropriate payment is made by the family.

d. create symbolic representations of the client and family.

77. A sequela related to alcohol abuse in American Indians is the rise in

a. malnourishment among children.

b. breast cancer rates.

c. domestic violence against women.

d. unintentional injuries.

78. The provision of health services through the Indian Health Service means

a. having one master health guideline blueprint for consistency of care.

b. partnering and assisting tribes in planning the best delivery of care.

c. allotting health resources based on population numbers.

d. following prescribed federal guidelines and procedures.

79. Comparing household income levels of $150,000 or more within the Asian subpopulations, the population that has the higher income level is

a. Chinese.

b. Filipino.

c. Indian.

d. Indonesian.

80. The initial impetus for Asian immigration to the United States, specifically with the Chinese population, resulted from the

a. favorable immigration status for the Chinese.

b. high unemployment rates in China.

c. need for cheap labor building railroads in the nineteenth century.

d. demand for menial service jobs.

81. A second-class physician in Chinese medicine:

a. pays the patient’s family if the patient dies.

b. has to wait for patients to become ill before treating them.

c. consults Taoist writings for diagnosis and prescription.

d. receives payment only if the patient is cured.

82. The health and disease beliefs in Ayurveda teach that

a. humans are distinct beings within the universe.

b. disease arises when a person is out of harmony with the universe.

c. at birth, people are not in balance and their lives are spent getting into balance with the universe.

d. living and nonliving things have minor connections with one another.

83. Feeling the pulse is important for a Chinese physician because it

a. can help refine a diagnosis.

b. is only felt on the wrist.

c. indicates a specific treatment.

d. is considered the storehouse of the blood.

84. In acupuncture, needles are inserted at predetermined points called meridians because

a. puncturing the meridians helps to restore yin and yang balance.

b. the best anesthetic response is done through meridian puncture.

c. meridians represent specific yin and yang points.

d. only specific needles can puncture the meridians.

85. While Blacks are represented in every socio-economic group, the percentage of those living in poverty in 2005 was approximately

a. thirty percent.

b. twenty percent.

c. fifty percent.

d. twenty-five percent.

86. Speaking a language other than English at home is highest among immigrants from

a. Nigeria.

b. Somalia.

c. Sudan.

d. Niger.

87. A diabetic Muslim may refuse insulin

a. because it implies the person has not led a holy life.

b. because any injectable medication is forbidden.

c. during Ramadan.

d. if it has a pork base.

88. The leading authority figure within the Black familial structure is the

a. oldest adult child.

b. female.

c. male.

d. minister.

89. When a Black person is being examined, skin pallor can be recognized by

a. palpation.

b. checking the sclera.

c. the absence of underlying red tones.

d. slow blood return.

90. Scars that form at a wound site growing beyond the normal boundaries of the wound are

a. melasma.

b. pseudofolliculitis.

c. keloids.

d. a pigmentary disorder.

91. Educational comparisons of high school graduation and college attendance between Hispanics and non-Hispanic whites indicate

a. Hispanics have a lower rate of graduation and attendance than their

non-Hispanic counterparts.

b. similar percentages of attendance between both groups.

c. more Hispanics attend college than their non-Hispanic counterparts.

d. a higher proportion of non-Hispanic whites fail to complete high school.

92. The largest Hispanic group in the United States comes from Mexico. Which is a true statement reflecting this population?

a. Employment levels are above the national average.

b. Employment in professional areas is stagnant.

c. Migrant farm work is the predominant employment.

d. Most live in urban areas.

93. Visiting a curandero(a) implies a person is seeking

a. holistic care encompassing social, physical, and psychological purposes.

b. care not offered by the medical establishment.

c. care for spiritual distress.

d. specialized herbal preparations not used by the medical establishment.

94. Teas used to treat mental illnesses in the Hispanic population are herbs common in the United States. Yerba buena is an herb used to treat nervousness. Its English name is

a. spearmint.

b. basil.

c. orange leaves.

d. chamomile.

95. The percentage of live births to women receiving third-trimester or no prenatal care is higher for Hispanics than the general population. This would imply that

a. more prenatal services are needed for the general population.

b. some prenatal care is better than no prenatal care.

c. Hispanics possibly have better self-care prenatal practices than the general population.

d. live birth rates would be comparable if all women received appropriate prenatal care.

96. In examining the median age of population groups, the oldest group is

a. African Americans.

b. Hispanics.

c. Whites.

d. Native Americans.

97. While German Americans believe in the germ theory of infection, another potential cause of ILLNESS can be

a. stress-related occurrences.

b. envy by others toward that person.

c. a voodoo curse.

d. unholy actions done in life.

98. Treating a cough in the German tradition may include

a. eating chicken soup.

b. putting wet warm compresses on the chest.

c. drinking lemon juice and whiskey.

d. rubbing goose grease on the chest.

99. To treat a cough, a traditional Polish remedy is

a. taking garlic oil.

b. a mustard plaster on the chest.

c. drinking hot lemonade with whiskey.

d. goose grease rubbed on the throat.

100. When compared to all races, the White population has a higher

a. percentage of low birth-weight infants.

b. percentage of women receiving prenatal care.

c. infant mortality rate.

d. crude birth rate.

 

 

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Examining Nursing Specialties|2025

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You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

  • Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

By Day 3 of Week 10

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member. ( Make sure to include at least 4 paragraphs and 3 references) APA 7 format.

By Day 6 of Week 10

Respond to at least two of your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose.

The two discussions below require at least 3 paragraphs and 2 references.APA 7 format.

Discussion one for ELIZABETH

I had never planned on advancing my education.  I love being a nurse and love the job I am in.  I have been afforded many opportunities as a nurse, and hadn’t considered the full value of continuing my education until recently.  I have seen a tremendous shift in the way care is delivered, from reactionary to preventative, leaving a void in areas of chronic disease management.  I realize that to achieve my full potential, and to best serve the needs of my patients, it is imperative that I pursue my advanced degree with a concentration in family medicine.

I have always worked in a hospital, but more recently I have spent more time in our outpatient clinic.  I have always enjoyed the fast-paced nature of an intensive care unit, but really love more to manage patients less critically ill.  My patient population ranges in age from 18 to 78, so there are really a multitude of differing needs that arise.  Also, because of the complexity of their disease process, many defer to our clinic for primary treatment of all chronic conditions.  Because of this, I determined it would best serve these needs to receive training in all areas across the lifespan to best treat my patients.  There is also a great need for primary care providers in family medicine as there is more emphasis placed on preventative care (Nursejournal, 2020).  In order to keep myself relevant and marketable, should I choose to change jobs, having family medicine training will certainly be helpful.

There isn’t a specific professional organization for family nurse practitioners, however, American Association of Nurse Practitioners (AANP) is a very comprehensive organization that covers all specialties.  There are sub-groups within the larger organization that allow the opportunity to network in a specific area.  There are different membership levels based on what point you are in your training (AANP, n.d.).  For instance, if I wanted to apply now, I would be eligible to join as a student member, but if I wait until I finish my degree I would be able to join as an NP.

In order to assure that I am providing excellent clinical care to my patients based on evidence based practice, I have joined as a member of a disease specific nursing organization, American Association of Heart Failure Nurses.  Although there isn’t a specific requirement for nurse practitioners, this organization will help tremendously to allow for brainstorming and networking within my field of practice.  There is also opportunity for mentorship within this organization to help with my transition from RN to NP (AAHFN, n.d.).

It can be intimidating to think about the road that lies ahead to APN, but it is equally important to realize the opportunities for guidance that exist.  We are lucky to have so many resources available to help us on our journey, as well as once we finish.  Knowing there is a plan and an end in sight will keep us strong on the road to success.

References

AAHFN. (n.d.). About AAHFN. Retrieved October 6, 2020, from https://www.aahfn.org/page/about

AANP. (n.d.). What’s my member type?  Retrieved October 6, 2020, from https://www.aanp.org/membership/whats-my-member-type

NurseJournal. (2020, June 3). 7 Future job trends for nurse practitioners. Retrieved October 6, 2020, from https://nursejournal.org/nurse-practitioner/7-future-job-trends-for-nurse-practitioners/

Discussion two GUERLINE

Since I have become a nurse, I knew that I wanted to continue my education as an Advance Practice Registered Nurse (APRN). I was not sure of the specialty that I prefer to focus on. I have worked with many APRNs who have shared the ups and downs of their experiences. It only occurs to me that I want to become a psychiatry mental health nurse practitioner when I have family member that have been diagnosed with metal heath disease. I have felt helpless and hopeless where I cannot help my close family member in anyway. The disease of mental health had become such a myth and so difficult to grasp to a point where I realize I need to know more about this field as a nurse. I need to explore it, understand that population and help those that are suffering.

Every nurse is a psychiatry nurse, because nurses take care of patient holistically. Center for disease control and prevention (CDC) report that “Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices.” (cdc.gov). About 50 %. Of American population has a diagnosis of mental health during their lifetime report CDC. Mental health is important in nursing. A personal definition of mental health is that it is a virtual world where not many can get in but where some get lost and cannot find their way out. Every time I start thinking of that situation it saddens me and makes me want to push forward to get the credential I need to reach out to those in need.

I have always been involved with organization at a local or national level, but I don’t think I have ever taken full advantage of them. American Society for Quality (ASQ) is one of a national professional organization that I have been involved with, its membership serves of quality professional education advancement which gives access to exclusive quality knowledge (asq.org). At a local level I have been involved with religious group and volunteer at committee board member. For my professional career as a Psychiatry mental health Nurse Practitioner (PMHNP), I have found the American Psychiatry Nurses Association (APNA) that offers very low membership cost for full time students as low as 25 dollars a year (apana.org). I am thrilled to find that information and will join them in the near future once I get all requirements (proof of full time student, name of my school, name of the director of my school, expected graduation date). APNA offers continuing education and professional growth, networking and information access and many discounts (apna.org). My goal is to work toward becoming a member of that professional organization.

References

Data and Publications – Mental Health – CDC. (2018, January 26). Retrieved November 03, 2020, from https://www.cdc.gov/mentalhealth/data_publications/index.htm

Mental Health – Home Page – CDC. (2018, January 26). Retrieved November 03, 2020, from https://www.cdc.gov/mentalhealth/

Why Join ASQ or ASQE? Value. (n.d.). Retrieved November 03, 2020, from https://asq.org/membership

Why Join? (n.d.). Retrieved November 03, 2020, from https://www.apna.org/i4a/pages/index.cfm?pageid=3680

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Muddiest Point|2025

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 MA3010 – Statistics for Health Professions

Discussion 05.1: Muddiest Point

At the beginning of this lesson write a short one or two paragraph posting entitled “The Muddiest Point.” In these few sentences write down the most unclear topic or idea covered in the last lesson or in your instructional materials. It is to be used by your instructor to assess areas where instruction was weak and where more time needs to be spent for your comprehension.

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COMMENT|2025

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account in developing the evidence-based practice project. Explain how your proposal will, directly and indirectly, impact each of the aspects.

Speaking with the mentor, the financial aspect of the project would be hours spent trying to get nurses educated on the proposed guidelines for late preterm infants. Hours will be needed as well to get the basic checklist implemented into the computer in this particular area, which requires going to different committees and getting approvals needed. This takes more than one nurse or person to get this done. This requires more hours of pay, and that would be the financial aspect of the proposed project.

Now, the clinical aspect that has to be taken into account with developing the project would be how the nurses will accept the project. As lifelong learners, staff nurses continually encounter new knowledge of relevance to their patients. The conscientious nurse remains alert to clinical problems and encourages investigation into ways to improve patient outcomes(Di Lenoardi, 2014). The nurses need to be given research and data that proves this could help readmission of late preterm infants. If given this data, they would be involved in the process of implementing as well,

In 2001, the Institute of Medicine (IOM) recommended evidenced based practice to improve healthcare outcomes(Stephens, 2013). This project is to improve the quality outcome of late preterm infants and prevent their readmission to hospital.

All the aspects brought together will make a good impact on the project the author believes with the research and data given to the nurses, implementation and then follow up of results will show this is a great solution to help alleviate many readmissions nationwide as well. If this hospital shows that the guidelines are helping there, then they can show other colleagues in the nation that this helps and also will cut costs by preventing readmissions.

 

References

Di Lenoardi, B. C. (2014). Bringing evidence-based practice to life. Retrieved from https://lms.rn.com/getpdf.php/2145.pdf

Stephens, K. R. (2013, May 13). The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing., 18. https://doi.org/10.3912/OJIN.Vol18No02Man04

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Practicum Experience Plan|2025

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Practicum Experience Plan 

Overview:

Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.

As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A

Quarter/Term/Year:

Student Contact Information

Name:

Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:

Fax:

E-mail:

Preceptor Contact Information

Name:

Organization:

Street Address:

City, State, Zip:

Work Phone:

Cell Phone:

Fax:

Professional/Work E-mail:

Part 2: Individualized Practicum Learning Objectives

 

Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.

Objective 1: <write your objective here> (Note: this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed: 

· (for example) Develop professional plans in advanced nursing practice for the practicum experience

· (for example) Assess advanced practice nursing skills for strengths and opportunities

Objective 2: <write your objective here> (Note: this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

·

Objective 3: <write your objective here> (Note: this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

·

Part 3: Projected Timeline/Schedule

Estimate how many hours you expect to work on your Practicum each week. *Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty. 

 

Number of Clinical Hours Projected for Week

Number of Weekly Hours for Professional Development    

Number of Weekly Hours for Practicum Coursework

 

Week 1

 

Week 2

 

Week 3

 

Week 4

 

Week 5

 

Week 6

 

Week 7

 

Week 8

 

Week 9

 

Week 10

 

Week 11

 

Total Hours (must   meet the following requirements)

144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic):    Date:

Practicum Faculty Signature (electronic)**:  Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.

The PRAC 6635 Clinical Skills List and PRAC 6635 Clinical Skills Self-Assessment Form, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum experience.

For this Assignment, you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind.

To prepare:

  • Review the clinical skills in the PRAC 6635 Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.
  • Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.
  • Download the PRAC 6635 Clinical Skills Self-Assessment Form to complete this Assignment.

Assignment

Use the PRAC 6635 Clinical Skills Self-Assessment Form to complete the following:

  • Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills Self-Assessment Form.
  • Based on your ratings, summarize your strengths and opportunities for improvement.
  • Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.

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