1. Describe the proper positioning and preparation of the patient for the abdominal examination.

2. Discuss inspection of the abdomen, including findings that you should note.

3. State the rationale for preforming auscultation of the abdomen before palpation or percussion.

4. Describe the procedure for auscultation of the bowel sounds.

5. Differentiate the following abdominal sounds: normal, hyperactive, and hypoactive bowel sounds: succession splash, bruit.

6. List 4 conditions that may alter normal percussion notes heard over the abdomen.

7. Name the organs that are normally palpable in the abdomen.

Reply answering the questions above using APA format.

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Attached is my discussion and assignment, please follow the attached rubric and 7th edition APA format, must have 3 references and more to get my grades

Assignment: Practicum Journal: Voluntary and Involuntary Commitment

PMHNPs may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation? What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.

In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

Learning Objectives

Students will:

• Evaluate clients      for voluntary commitment
• Evaluate clients      for involuntary commitment based on state laws
• Recommend      actions for supporting parents of clients not eligible for involuntary      commitment
• Recommend      actions for treating clients not eligible for involuntary commitment

To Prepare for this Practicum:

• Review the      Learning Resources concerning voluntary and involuntary commitment.
• Read the Week 7      Scenario in your Learning Resources.
• Research your      state’s laws concerning voluntary and involuntary commitment.

The Assignment (2–3 pages):

• Based on the      scenario, would you recommend that the client be voluntarily committed?      Why or why not?
• Based on the      laws in your state, would the client be eligible for involuntary      commitment? Explain why or why not.
• Did      understanding the state laws confirm or challenge your initial      recommendation regarding involuntarily committing the client? Explain.
• If the client      were not eligible for involuntary commitment, explain what actions you may      be able to take to support the parents for or against voluntary      commitment.
• If the client      were not eligible for involuntary commitment, explain what initial actions      you may be able to take to begin treating the client.

 Required Readings ( need 3 references).

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45(8), 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300-309. doi:10.1016/j.genhosppsych.2010.01.007

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

The purpose of this homework is to introduce you to APA style, as you will be required to use this format for all of your papers in the College of Nursing and Health Innovation. Please be sure to complete all of the steps as outlined below in order to receive full credit.

Rubric 

Make sure to use the assignment rubric to guide your work. 

Instructions

1. Locate the name of a recent (<5 years), professional, nursing journal related to the area of nursing you are interested in pursuing. Please refer to the library resources in Canvas to help guide you. You will need to include a copy of your article with your assignment submission; this can be a .pdf file.

2. Find one scholarly, peer-reviewed article that interests you and read it.

3. In the workspace below, type a one page (double spaced) summary of the article you read. In your summary, make sure and use in-text citations, including page numbers if you use a direct quote. Remember, even information that is summarized must be cited to avoid plagiarism. 

4. At the end of the summary, type the reference to your article in correct APA (7th edition) style. 

5. Simply attach both this template (in Word format) and the article (as a .pdf file) to Canvas when you submit.