Instructions:

Part 1

Use the article below, chapters 6-8 in your textbook, and the movie (“Miss Evers’ Boys”) to help guide your answers. Most of these questions do not have a right or wrong answer. 

• Was this study unethical in 1932?
  • Why or why not?
  • If you feel the study was ethical, was there a point when it became unethical?
  • Did the study provide valuable information?
• How could the study have been done differently?
• How do you think the subjects felt about their participation?
  • Did they think they were being treated unfairly?
  • Does the answer change over time (1930s, 1940s, 1950s, etc.)?
  • Should they have thought to question the MDs or Nurse Rivers?
• What was the impact of recruiting at churches and schools on test subjects?
• What was Nurse Rivers’ role in the project?
  • What is your opinion of her role?
• Was Nurse Rivers negligent or did she commit malpractice?
  • Why or why not?
• Think of a research question or study pertinent to a specific race, ethnicity, or culture.
  • How would you ensure the ethical recruitment of subjects?
• Imagine you are the nurse in a modern-day, ethical, TSS-like study.
  • How would you use each of the five elements of cultural competence for the selected population?
• Which modern-day, government agencies could be involved in a health-related research study?
  • How might they be involved?

Part 2

Lack of diversity in clinical trials and research has increasingly been highlighted as a problem.

• Hypothesize one reason (whether methodological, social, ethical, or other) why a lack of diversity has been a persistent issue in clinical trials and research.
• What is one potential solution for your hypothesized reason?

Your initial post should be at least 400 words and supported with at least one additional scholarly source.

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 75 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Hermann, D. H. J. (2001). Lessons taught by Miss Evers’ boys: The inadequacy of benevolence and the need for legal protection of human subjects in medical research. Journal of Law and Health, 15, 147-163. [PDF]

Advocacy Through Legislation

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 

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. 

Reflections Presentation 

i. What does your inspiration mean?

 ii. Name one concept that challenged you during this course. 

iii. What has been the greatest lesson you have learned? 

iv. How will what you have learned to help you be successful at (University name)?

Required criteria:

Powerpoint

APA format

Keep Short

This assignment will help prepare you for conversations with clients with a mental health condition.

Course Competency

Describe the foundations of mental health nursing.

Transferable Skill

Communication: Displaying capability in writing, reading, and oral communication; understanding of non-verbal language.

Instructions

It will be carried out with two students working together. This is a “role play exercise,” in which one student is the student nurse, and the other will role play as a client. In this assignment, the nursing student will be demonstrating the therapeutic nurse-client relationship and analyzing the therapeutic and nontherapeutic techniques used. You will take turns in the roles.

This is not about always having therapeutic responses. It is about learning from practice and review. It is expected that you will think of other ways to respond or interact with the client that may be more therapeutic after the interaction is terminated. After the conversation is over, you will complete in IPR form.

The client roles are:

1. Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-patient psychiatric unit the previous day. His daughter had called the police when he locked himself in his bathroom and refused to come out. She thought he was suicidal. He was brought to the hospital by the police and was admitted on involuntary status. He has been reticent since admission but told his daughter he had no reason to live since his wife died.
   Diagnosis: MajorDepressive Disorder
   Nursing Diagnosis: Risk for suicide.
2. Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay at home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
   Diagnosis: Generalized Anxiety Disorder
   Nursing Diagnosis: Ineffective coping

You will select the role you wish as a client and take turns switching roles. After the conversation, you will document the interactions using the form provided and following the guidelines instructions for each column.

IPR Form Explanation

The IPR is completed with the form to guide you, and the rubric to explain the grading process for content.

The IPR Form is linked here.

• The first column is for you, the nursing student’s, comments/ questions, and responses. You may want to include the introduction process. It is understandable if the initial conversation is more superficial to establish rapport. You may not want to include all of this but move on to the more focused interaction. Your nonverbal communication is included here.
• Then, the conversation will move to a focus on the client’s feelings, concerns, issues as he/she has identified them. After the introduction, it may be beneficial to establish with the client a short- term goal for the interaction.
• The second column is for the client’s comments, questions, responses. Also, the nonverbal reactions of the client are included in this column.
• The middle column is for you to write what you are thinking or feeling.
• The last two columns are for you to document the technique that you used in that portion of the conversation. If it is a nontherapeutic response, you are to write the response and think of how you could revise to more therapeutic response. You can change any response if you think of how you could have responded differently but, identify and change all nontherapeutic responses.

Remember, this is an assignment that will assist you in all communication with others.

Explanation of the Rubric Criteria for Interpersonal Process Recording (IPR)

• Communication (20 verbal entries, ten nonverbal, ten techniques)
• Criteria 1 Nursing Interaction (verbal and nonverbal)
  Nursing statements and questions demonstrate a positive, caring approach and show insight into the client needs. These interchanges will include the introduction process, but not the more superficial interchanges. Nonverbal communication techniques are also recognized. Thoughts and feelings are identified and documented.
• Criteria 2
  The client verbal statements and questions are documented. Nonverbal communication is also observed and interpreted. You may also identify defense mechanism(s) used by the client.
• Criteria 3
  All communication techniques used are identified (using titles previously reviewed).
• Criteria 4
  All non-therapeutic techniques to be identified and changed to a therapeutic method. If in the review of the interaction, a more appropriate or therapeutic approach (verbal or nonverbal) is identified, document how this response/ statement would be changed