Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Include Speaker Notes on Each Slide (except on the title page and reference page)

For this week, please answer all the below. Please state which antihypertensive (if any) you would prescribe each patient. Please state a specific medication, dosage and frequency for each, along with a sentence or two rationale.

A. 200 lb 65 yo male who is already on max dose Zestoretic (lisinopril/HCTZ). Brings in home BP log, which shows average of 160/92. Last GFR of 60. Hepatic enzymes fine. Comorbidities: chronic headaches – stress induced. (1 point)

B. A newly-diagnosed type 2 diabetic. 43 yo female. Smoker. Asthmatic. BP’s consistently 140s/90s. GFR of 80 and hepatic enzymes mildly elevated. (1 point)

C. 37 yo male. BP’s are well-controlled on 20 mg of lisinopril, however, he has developed a dry cough since starting this medication. Feels there is a correlation. (1 point)

D. 45 yo African American. BPs 150s/90s. Also suffers from gout. (1 point)

E. 78 yo male currently on ACE inhibitor and beta blocker for congestive heart failure, stage 3. Has chronic pitting ankle edema. Last potassium high-end normal. Last GFR of 40. Hepatic enzymes mildly elevated. (1 point)

F. 27 yo male. BPs 150s/90s. No significant comorbidities. (1 point)

G. You inherit a male, 55-year-old, diabetic patient with comorbid obesity, cigarette use and diabetes mellitus. His recent low density lipoprotein (LDL) is 150 mg/dL. Using the guidelines of the American Heart Association mentioned in your lecture, what is your prescribed treatment plan for this patient to lower his LDL (provide a specific medication and dose, please)? (1 point)

He calls in two weeks stating he has developed myalgias since starting the medication. What do you do for this patient? (1 point)

In an essay of 1500 to 2000 words, using at least 2 APA style cited references, write an essay in APA style on:

1. Table 16.3 lists various government, nongovernment and NASN specific resources for health promotion at school. Pick one of each of the types discussing the resource, the description, with a thorough discussion of what the resource offers to health professionals and students.
2. Discuss the CDC guidelines for animals in the classroom.
3. Describe three vaccines (other than influenza), the disease that it prevents, and a description of the disease.
4. Consider this: There are numerous cases of influenza in the school. Your principal asks what can be done. Extra cleaning? Close the school? Who would you consult with to make these decisions? After consulting, what would you suggest to your principal?

1. Define the apical impulse and describe its normal location, size, and duration.

2. Which abnormal conditions may affect the location of the apical impulse?

3. Explain the mechanism producing normal first and second heart sounds.

4. What is syncope?

5. Define the third heart sound.

6. Define pulmonic stenosis.

7.Define physiologic splitting.

Reply answering the questions above using APA format.

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.