Provide a progress report of your oral presentation by addressing the following:

• What steps do you plan to take to transition your paper to a presentation?
• Which key ideas will you focus on?
• What questions do you have about using Panopto recording software for your presentation?
• What recording device will you use? (I will use Panopto recording software)
• Share some tips and tricks you have learned for delivering a powerful presentation.
• How confident are you presenting your paper via video? Explain.
• What are your strengths and weaknesses when it comes to giving video presentations?
• How will you maximize your strengths?

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1. Build a three–slide PowerPoint (or Prezi) presentation that includes text and graphics. Outline your answers to the following questions:

• What are some specific questions you have concerning the final argument paper?
• What is your time–management plan for compiling and editing your final paper?
• What parts of your final paper do you anticipate will take the most time and attention? For example:

• Incorporating instructor feedback in your perspective papers
• Reworking the perspective papers into one cohesive paper
• Writing the introduction, conclusion, or abstract
• APA formatting
• Revising for grammar, spelling, and punctuation

Due in 12 hours

Answer the following question thoughtfully. 

Please limit your response to 1-2 pages (typed, double-spaced)

Why have you chosen nursing as your career path?

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES NOT MORE THAN 5 YEARS

ZERO PLAGIARISM

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

Students will:

• Analyze salient ethical issues in psychiatric mental health practice
• Compare ethical dilemmas with state health laws and regulations
• Analyze ethical decision-making processes

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.
• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 3-page paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).
• Describe the moral and ethical dilemmas surrounding the issue.
• Analyze the ethical issue and compare them to the state health laws and regulations in your state.
• Outline the process of ethical decision making you would use to address this ethical dilemma.

Case Study: Urinary Tract Infection

You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.

Chart View Laboratory Test Results:

Complete metabolic panel: Within normal limits except for the following results:

 BUN 25mg/dL Sodium 131mEq/L

 Potassium 3.2mEq/L

White blood cell count 11,000/mm3

Urinalysis Appearance Cloudy Odor Foul

 pH 6.9

 Protein Negative

 Nitrites Positive

 Crystals Negative

WBCs 6 per low-power field

 RBCs 3

1. What condition do the lab reports point toward?
2. Which assessment findings are typical of an older adult with the condition in Question 1?
3. Considering her history and laboratory results, what other condition is a possibility?

4.The medical director makes rounds and writes orders to start an IV of D5 ½NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.

 5. While the IVPB ciprofloxacin is being administered, which adverse effects might occur?

6. You enter the room to start the IV infusion and insert the Foley catheter and find that the nursing assistive personnel (NAP) has taken M.Z. to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe her wiping herself from back to front. What do you need to do at this time?

7. Because M.Z. has been having diarrhea, what special instructions should you give the NAP assigned to give basic care to M.Z.?

Case Study Progress:

 The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

8. What issues need to be considered in protecting M.Z.’s safety? Describe your actions in working with the nursing assistant.

9. As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct place for the catheter tubing?

10. What changes, if any, will be made to the antibiotic therapy?