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Measurable Goals

July 11, 2025/in Nursing Questions /by Besttutor

Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.  see below

 

******The bolded section to be completed

Based on your ratings, summarize your strengths and opportunities for improvement.  

Based on your self-assessment and theory of nursing practice, develop 3–4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form .  

 

Self-Assessment Form

Desired Clinical Skills for Students to Achieve Confident (Can complete independently) Mostly confident (Can complete with supervision) Beginning (Have performed with supervision or needs supervision to feel confident) New (Have never performed or does not apply)
Comprehensive psychiatric evaluation skills in: 
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan  

 

 

X    
Differentiating between pathophysiological and psychopathological conditions   X    
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)   X    
Performing and interpreting a mental status examination   X    
Performing and interpreting a psychosocial assessment and family psychiatric history   X    
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).   X    
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list   X    
Formulating diagnoses according to DSM 5 based on assessment data   X    
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes   X    
Pharmacotherapeutic skills in:
Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)   X    
Evaluating patient response and modify plan as necessary   X    
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) X      
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan   X    
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation)   X    
Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers   X    
Develop an age appropriate individualized plan of care   X    
Provide psychoeducation to individuals and/or any caregivers   X    
Promote health and disease prevention techniques   X    
Self-assessment skill:
Develop SMART goals for practicum experiences   X    
Evaluating outcomes of practicum goals and modify plan as necessary   X    
Documenting and reflecting on learning experiences   X    
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staff   X    
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings   X    
Identifies ethical and legal dilemmas with possible resolutions   X    
Demonstrates non-judgmental practice approach and empathy   X    
Practices within scope of practice   X    
Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:
Demonstrates selecting the correct screening instrument appropriate for the clinical situation   X    
Implements the screening instrument efficiently and effectively with the clients   X    
Interprets results for screening instruments accurately   X    
Develops an appropriate plan of care based upon screening instruments response   X    
Identifies the need to refer to another specialty provider when applicable   X    
Accurately documents recommendations for psychiatric consultations when applicable   X    

 

Summary of strengths:

 

 

 

 

 

 

Opportunities for growth:

 

 

 

 

 

 

 

 

Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

1. Goal: improve my skills in performing comprehensive history and physical, psychosocial assessment and functional assessment on patients.

a. Objective:

b. Objective:

c. Objective:

 

2. Goal: improve Pharmacotherapeutic skills

a. Objective:

b. Objective:

c. Objective:

 

3. Goal: develop good diagnostic reasoning skills including selecting appropriate differential diagnosis

 

a. Objective:

b. Objective:

c. Objective:

 

4. Goal: will perform a comprehensive psychiatric assessment, including history and physical, mental status exam, psychosocial assessment, and functional assessment on a patient by the end of week four of clinical.

 

a. Objective:

b. Objective:

c. Objective:

 

5. Goal: by the end of this practicum, I should be able to develop excellent diagnostic reasoning skills

a. Objective:

b. Objective:

c. Objective:

 

 

 

 

 

 

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Professional Goals DNP

July 11, 2025/in Nursing Questions /by Besttutor

Part 1: Goals and Objectives

Create a table with 3 short-term goals (1-2 years), 3 intermediate-term goals (3-5 years), and 3 long-term goals (6-10 years) related to your career path as a nurse practitioner. Include at least two strategies for how you will meet each goal and at least one objective measure that will evaluate success.

Sample:

Goal #1

Goal Type

Timeline

Strategies

Evaluation

Obtain certification as a Psych-Mental Health Nurse Practitioner

Long-Term

2020-2025

List strategies here

List evaluation method here

Part 2: Reflection on the Doctor of Nursing Practice (DNP)

In approximately 500 words, reflect on the Doctor of Nursing Practice (DNP) degree. Using at least 5 evidenced-based articles found through an academic library search that are no older than 5 years, analyze (1) the history and purpose of the DNP, (2) the current state of the DNP, (3) the future state of the DNP, (4) how DNP-prepared APNs will assist with transformative healthcare and help solve complex health problems, and (5) the advantages of having the DNP. Reflect on your own thoughts on why (or why not) the degree would be appropriate for your career path.

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Disc/4 P

July 11, 2025/in Nursing Questions /by Besttutor

Instructions: Response should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Must be grammatically correct.

Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.

Case Study Questions

  1. In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
  2. Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
  3. Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?

Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

Case Study Questions

  1. In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
  2. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
  3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

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Health Care Law and Legislation, Statistics Policies

July 11, 2025/in Nursing Questions /by Besttutor

HAS-6752 Statistics in Health Care Management: Assignment Week 5

Correlation Analysis: Chapters 8 &9

 

Objective: In this assignment, you will create, describe and analyze a correlation Analysis Method, this technique is use to quantify the association between two continuous variables; you will be able to choose any variable and compare them as the example proportionate it in your textbook pages 198, 199.

ASSIGNMENT GUIDELINES (10%):

Students will judgmentally evaluate the readings from Chapter 8 and 9 on your textbook assigned for week 5. The Purpose of Correlation and regression analysis are related in the sense that both deal with relationships among variables. The correlation coefficient is a measure of linear association between two variables. Values of the correlation coefficient are always between -1 and +1. A correlation coefficient of +1 indicates that two variables are perfectly related in a positive linear sense, a correlation coefficient of -1 indicates that two variables are perfectly related in a negative linear sense, and a correlation coefficient of 0 indicates that there is no linear relationship between the two variables. For simple linear regression, the sample correlation coefficient is the square root of the coefficient of determination, with the sign of the correlation coefficient being the same as the sign of b1, the coefficient of x1 in the estimated regression equation.

 

Neither regression nor correlation analyses can be interpreted as establishing cause-and-effect relationships. They can indicate only how or to what extent variables are associated with each other. The correlation coefficient measures only the degree of linear association between two variables. Any conclusions about a cause-and-effect relationship must be based on the judgment of the analyst.

You need to develop a 3-4-page paper long including title page and references page reproducing your understanding and capability to relate the readings to Correlation Analysis. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA style 7th edition format when referring to the selected articles and include a reference page.

EACH PAPER SHOULD INCLUDE THE FOLLOWING:

 

1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words.

2. Your Strategies (50%)

a. Briefly define and provide examples of dependent and independent variables.

b. Discussion and explain the principle of statistical adjustment to lay audience.

c. Analyze and define correlation analysis and regression.

 

3. Conclusion (15%)

Briefly summarize your thoughts & conclusion to this assignment and your appraisal of the Chapter you read. How did these Chapters impact your thoughts about Multivariable Methods? How this Correlation Analysis help you in relation to Multivariable Methods.

Evaluation will be based on how clearly you respond to the above, in particular:

a) The clarity with which you present and analyzed the strategies;

b) The depth, scope, and organization of your Correlation Analysis paper; and,

c) Your conclusions, including a description of the impact of these Chapters on any Healthcare Organization.

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Wk 3 – Signature Assignment

July 11, 2025/in Nursing Questions /by Besttutor

Assignment Content

  1. Imagine you’ve been selected to present at a local event about health care services provided to your community.

    Create a 10- to 15-slide presentation that discusses health care providers, services, and usage.

    Part 1: Health Care Services
    Select 3 health care services from the list below:

    • Preventive care or public health
    • Ambulatory or primary care
    • Subacute or long-term care
    • Acute care
    • Auxiliary services
    • Rehabilitative services
    • End-of-life care
    • Mental health services
    • Emergency management or disaster preparedness
    • Dental services
    • Military and veteran services
    • Indian health services
    • Complete the following in your presentation:
    • Identify the selected health care service providers.
    • Describe the health care needs of the populations served by these providers.
    • Identify 3 services or products they provide to help with the quality of care.
    • Part 2: Consumer Access
      Many factors can influence the access to and usage of health care services, such as:
    • Location
    • Services offered
    • Income
    • Knowledge
    • Motivation
    • Describe how these factors can affect the usage of the health care services you covered in Part 1.

      Include detailed speaker notes of at least 50 words per slide.

      Cite any references to support your assignment.

      Format your presentation according to APA guidelines.

      Submit your assignment.

      Power Point Slides – Suggested approach (however – all Power Point presentations require – Title slide, introduction slide, conclusion slide, and References slide).
      1) Title slide per APA guidelines
      Health Care Providers, Products, and Usage (always ONLY include the official assignment title)
      your full name
      University of Phoenix
      HCS/235
      July 26, 2021 (date spelled out, not abbreviated)
      Peggy C. Frank, MBA (Instructor’s full name)
      2) Introduction slide -Part #1
      3) name your provider (1 of 3)
      4) discuss services offered by the provider
      5) name provider (2 of 3)
      6) discuss services offered by the provider
      7) name your provider (3 of 3)
      8) discuss services offered by the provider
      9) Introduction slide – Part #2
      10) Name provider – discuss factors that impact use of the provider
      11) Name provider – discuss factors that impact use of provider
      12) Name provider– discuss factors that impact use of provider
      (Important — don’t just list the factors by name – but explain/demonstrate that you understand these factors as related to your provider. The 5 factors: motivation, income, services offered, knowledge, and location.)
      13) Conclusion slide – summarize key points you already made in your presentation – not new information.
      14) References slide – all references cited per APA requirements

      Speakers notes are required. When you are ready to submit your work – do be sure to review your presentation to be sure YOU can see your Notes. If you can’t likely I can’t either. Save your presentation as a Power Point – do not save as a PDF – I will be unable to see your speakers notes if you save as a PDF. See more details below, please.

      Resources

    • Center for Writing Excellence
    • Reference and Citation Generator
    • Grammar Assistance
    • How to do speakers notes

      Your speaker notes – are for you – pretend you are giving this presentation to an 1,100 person audience. They need to be able to See to Read what is on your slides – so only include a few bullet points of info on each slide and the information that supports the slides — your “cheat notes” to help you delivery your presentation – all of the content in full sentences, written in your own words – belongs in the speakers notes section.
      In our class for Wk3 and Wk5 speakers notes for each Power Point Presentation is a requirement!
      Speaker notes help you remember what to say when you present.
      Add speaker notes
      Slides work best when you don’t cram too much information (especially too much text) onto them.
      Keep the text to a minimum and put the extra stuff in the speaker notes section, out of your audience’s sight. Then, refer to your notes while you give the presentation.

    1. Open the notes pane by clicking NOTES at the bottom of the window.
    2. Click in the notes pane below the slide, and enter your notes.

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Screenings and Vaccinations

July 11, 2025/in Nursing Questions /by Besttutor

Create an infographic on the importance of one of the concepts for the module (either screenings or vaccines for older adults). Include at least (2) two scholarly sources, cited per APA on the infographic where used and add the references at the bottom of the infographic.

Choose one older adult community population (Examples: men, women, certain ethnic groups, etc.) and create an infographic on a topic of preventative screenings or vaccines for this population. Choose to focus on one specific preventative screening (like colonoscopy) or one specific vaccine (like pneumovax).

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Discussion 04.1: LP04 NAUXChange

July 11, 2025/in Nursing Questions /by Besttutor

HA4200D – Healthcare Financial Management

Discussion 04.1: LP04 NAUXChange

LP04-Owning a car is a big responsibility. Pretend that you are helping your child, nephew, or niece understand the various financial expenses that come with owning a car. Help them by making a list of direct and indirect cost that will allow them to understand how to manage their finances related to owning a vehicle. Share your list to the discussion board.

Health Care Finance: Basic Tools for Nonfinancial Managers -Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

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Scenario Question

July 11, 2025/in Nursing Questions /by Besttutor

Please find assigned below your patient case study for this week discussion.

A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

 Post an explanation of the disease highlighted in the scenario above. Include the following in your explanation:

The role genetics plays in the disease.

  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

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Healthy People.gov

July 11, 2025/in Nursing Questions /by Besttutor

Directions

· You will use the same approved population and health problem for all the Project Check-Ins and Course Project Parts 1, 2, and 3. Approval is in Week 3: Course Project Part 1 Check-In. 

·

My Topic is: Hispanic/Latinos- population………. New cases of diagnosed diabetes in the population.

PLEASE USE THE BELOW LINK

HealthyPeople.gov Leading Health Indicators website (Links to an external site.)

 

· Conduct a culturally focused nursing assessment of the identified population in your area, clinical practice, or community by answering the following questions in detail.

·

· Assignment contents include:

· Community Cultural Needs

1. Describe specific culture/ethnic population selected in detail. Utilize scholarly resources to validate your answers.

a. Preferred name of the culture/population by members

b. Health practices (may include illness beliefs, symptom management, birth practices, death practices

c. Spiritual practices and preferences

2. Describe rationale for selecting this population.

3. Describe a cultural/ethnic need within your area, clinical practice, or community.

4. Describe a health issue from your chosen cultural population that is based on the Leading Health Indicator (LHI) priorities from Healthy People in detail.

· Details of the Health Issue

1. Describe how the health issue is based on the Leading Health Indicator (LHI) priorities from Healthy People.

2. Describe the reason why the health issue was selected.

3. Why it is important to focus on this health issue?

· Clinical Impact

1. How can this content be related to clinical practice in general?

2. How do the cultural community needs and details of the health issue impact  your  area, clinical practice, or community?

· After you have developed your responses, type your responses directly in your saved Course Project Part 1 Template.

· Use instructor feedback from the check-in.

· Please reach out to your instructor with any questions or concerns.

Best Practices

· Please use your browser’s File setting to save or print this page

· Spell check for spelling and grammar errors prior to final submission.

· Use the rubric as a final check prior to submission to ensure all content is clearly addressed.

Scholarly Source and Citations

· Scholarly sources should be used to collect data and used in Part 2.

· Cite all sources in APA format for feedback in preparation for Part 2.

· APA will not be graded in Part 1.

 

 

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Soap Note 1 Acute Conditions

July 11, 2025/in Nursing Questions /by Besttutor

 Pick any  Acute Disease  from Weeks 1-5 (See Syllabus)

Must use the sample template for your soap note, keep this template for when you start clinicals.

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.

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