Please do the following in its entirety: 

Answer all question please. 

Please  sure to use a cover sheet and please submit a reference page with  your assignment. Late assignments will not be accepted. NO EXCEPTIONS PLEASE!!!!

1.Apatient is having cardiac enzymes drawn to rule out a Myocardial Infarction.

  a) What are the clinical indication and nursing implications for the following enzymes and their importance as a marker for Myocardial Infarction?

    CK 

    CK-MB 

     Myoglobin and Troponin 1.

2.A patient has chest pains and is worried of having a second Myocardial Infarction.

     a) What are the discriminating differences between chest pains from angina pectoris  versus the pain associated with Myocardial Infarction.

Learning Theories and Their Usefulness to Advanced Practice Nurse (APN)

Learning is an integral part of an Advanced Practice Nurse (APN). It is the foundation for understanding patients and improving patient-care skills and competencies (Çeliköz et al., 2016). An advanced practice nurse should comprehend patients’ mental, behavioral, and emotional patterns. To cater to these healthcare demands, APN should be apprised of the relevant learning theories that allow them to understand patient care dynamics (Bastable, 2017). Understanding learning theories is significant to influencing behavior, and creating and emotional connection with patients.  Cognitive, behaviorist and social learning theories are the principal psychological and motor learning theories useful to APNs’ delivery of patient care.

The cognitive theory looks at what happens in the learner’s mental functions and does not ignore the external environment’s influence. APN benefits from this theory since it helps them understand the internal operations of their thought process. The theory asserts that internal thought processes and external factors are essential for cognitive functions (McSparron et al., 2019). Therefore, this learning theory’s applicability is a bidirectional mechanism where an APN develops self-thoughts and patients’ skills. The understanding of one’s thought process is significant in the reconstruction of learning paradigms. The theory is broken into sub-theories that addresses specific learning and understanding elements. APN uses this theory to understand patients’ patterns and construct appropriate care procedure that matches high-quality care-delivery.

Behaviorist theory focuses on observable events and connects them to learning principles. According to behaviorists, leaning is an association between stimulus conditions and the environment. Hence the view depends on a stimulus-response model of understanding. It connects individuals’ behaviors to the environment’s influences and detaches the internal factors that stimulate learning (Çeliköz et al., 2016; Illeris, 2018). APN use this theory to learn how to change their attitudes and responses to different patient situations, thus improving care. To achieve the desired patient outcomes, APN uses behaviorist learning theory to observe a patient’s response to the environment and manipulate the external stimuli to achieve the desired learning outcomes.

The social theory maintains that learning is an observable event, and people acquire new behaviors by imitating observable actions from others. It is a continuous learning paradigm that capitalizes on cognitive, behavioral, and environmental influences from others. Before imitating observed behaviors, people evaluate and perform a reinforcement analysis to assess the new behaviors’ consequences. If other people are positively rewarded, they mimic the learning process and learn from others’ successes (Akers & Jennings, 2016). APN learn from experienced practitioners on the best approaches to improving patient care. If particular care yields the best results, then APN realizes the rewards of the process and integrates them into patient care.

In conclusion, learning is a fundamental aspect of patient care, and Advanced Practice Nurse (APN) should prepare to implement it in delivering high-quality patient care. There are many learning theories implemented by APNs in improving quality, and each has a significant function in the construction of learning behaviors. However, the most used theories applied by APNs include Cognitive, behaviorist, and social learning theories. These theories generally look at internal thought processes, the external environment’s influences, and personal changes.

References

Akers, R. L., & Jennings, W. G. (2016). Social learning theory. Wiley Handbooks in Criminology and Criminal Justice, 230-240.

Bastable, S. B. (2017). Nurse as educator: Principles of teaching and learning for nursing practice. Jones & Bartlett Learning.

Çeliköz, N., Erişen, Y., & Şahin, M. (2016). Cognitive learning theories. Learning and teaching: Theories, approaches, and models, 31-45.

Illeris, K. (2018). Contemporary theories of learning: learning theorists… in their own words. Routledge.

McSparron, J. I., Vanka, A., & Smith, C. C. (2019). Cognitive learning theory for clinical teaching. The Clinical Teacher, 16(2), 96-100.

In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This week’s Discussion asks you to consider and share strategies for building your portfolio.

To Prepare:

• Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
• Review one or more samples from your own research of resources focused on portfolio development.

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.