Ivy, age 23, is a white woman who graduated from college last year. She began working as an accountant one month after graduating. Approximately two months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she sees a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past nine months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent.

She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” Ivy reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past four years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder

1. List specific treatment goals for Ivy.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient monitoring based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What dietary and lifestyle changes should be recommended for this patient?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.

Theory Evaluation:

Include a discussion of whether/how the theory appears to be accurate/valid (based on empirical testing of the theory as discussed above).  Discuss the generalizability of the theory.  Summarize the strengths and weaknesses of the theory.  Discuss whether/how the theory is congruent with current nursing standards and current nursing interventions or therapeutics.  Explain whether/how the theory is relevant socially and cross-culturally.  Describe how the theory might contribute to the discipline of nursing.

APA format, at least 2-3 pages double spaced, at least 4 references.

NR452 Capstone Course Capstone Evidence-Based Practice Paper Guidelines NR452_RUA- Capstone Evidence-Based Guidelines Revised: 03/2021 3 In this paper the student will provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint, the priority concept (topic), and professional practice. 1) Write a 4-6 page paper (not including the title page or reference page) using APA format 2) Include the following sections a. Introduction- 20 points/8% • Offer a detailed description of the statement of purpose for thepaper. • Identify a priority concept (topic) from the Individual Student ATI Assessment Trends: Longitudinal Performance Table drawn from one (1) of the four (4) main categories of the NCLEX-RN examination blueprint:  Assurance of a safe and effective careenvironment  Health promotion and maintenance of health  Preservation of the patient population’s psychosocial integrity  Preservation of the patient population’s physiologicalintegrity • Provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the priority concept (topic). b. Importance – 20 points/8% • Describe the importance of the priority concept (topic) to professional practice • Describe the health of the patient population. • Include the potential negative effect to professional practice if the priority concept (topic) is unresolved. • Include the potential negative effect to the patient population if the priority concept (topic) is unresolved. c. Healthcare Disparities, Inequalities, and Interventions- 70 points/28% • Identify patient populations that may be negatively influenced by the priority concept (topic) if unresolved. • Identify healthcare resources to support evidence-based professional practice related to the priority concept (topic). • Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.

• Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities. • Identify three (3) evidence-based practice interventions. • Prioritize the identified evidence-based practice interventions and provide rationale. • Discuss two (2) patient education considerations related to the priority concept (topic). d. Legal & Ethical Considerations and Intervention Challenges- 40 points/16% • Identify at least one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice. • Discuss at least one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice. • Discuss at least one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice. • Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice. • Identify one (1) anticipated challenges to the success of resolving the priority concept (topic) in professional practice. e. Participants and Interdisciplinary Approach – 20 points/8% • Identify all the parties who will be involved in the implementation of the priority concept (topic) interventions. • Discuss the role of each member in the intervention implementation for the priority concept (topic). • Identify a minimum of two (2) members of a discipline outside of nursing. • Discuss the benefit of including the identified interdisciplinary member from disciplines outside nursing to promote evidence-based professional practice. NR452 Capstone Course Capstone Evidence-Based Practice Paper Guidelines NR452_RUA- Capstone Evidence-Based Guidelines Revised: 03/2021 4 f. Quality Improvement– 20 points/8% • Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment. • Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice. • Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment. • Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice. g. Conclusion – 20 points/8% • Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency. • Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic). • Include a complete statement describing why addressing the priority concept (topic) matters and to whom. h. APA Style and Organization– 20 points/8% • References are submitted with paper. • Uses current APA format and is free of errors. • Grammar and mechanics are free of errors. • At least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Each section should have a cited source to support information provided. For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online Chamberlain library.

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, 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 Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

Title page
Introduction section
A comparison of research questions
A comparison of sample populations
A comparison of the limitations of the study
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.

I will attach the PICOT question and Literature Review for reference for this paper.