Week 3 Discussion Advance Nursing 2025

Document of case is attached. please answer the following and use apa style for references Apply information from the Aquifer Case Study to answer the following discussion questions: Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know. Describe the physical exam and diagnostic tools to be used for Mr. Rodriguez. Are there any additional you would have liked to be included that were not? Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them. What was your final diagnosis and how did you make the determination? What plan of care will Mr. Rodriquez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

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Respond Discussion 2025

Respond to peer discussion: Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph. · All respond discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) · Minimum of two references, not older than 2015. Yirlem Discussion: QD1 …Name five continuous, five discrete, and five categorical variables. Which ones are you going to use in your practicum? Variables in Clinical Practicum Research is a cornerstone aspect of any clinical practice, especially in nursing. It leads to the evolution of treatment and intervention approaches and the discovery of new strains of infections. Research has also proved crucial in the prolonged monitoring of how human specimen reacts with treatment, leading to a broad body of literature in clinical practice. Variables are at the core of every research work, and they come in different forms. Variables are phenomena or characteristics that assume a different value, and the research tries to measure their significance (Shukla). Common variables in the nursing practicum include continuous, discrete and categorical variables, with these influential groups having smaller subgroups. The desired outcome of the research influences the choice of the variable, the research problem, and the study’s limitations.Continuous variables in clinical practicum are variables whose exact values can be accurately determined through measurements such as height, temperature, blood pressure, length of the arm, and glucose levels in the body. The values of discrete variables can be determined through counting, such as number of patients, hospital visits in a month, number of members in a family, number of hospital admissions and number of available beds in the award. Categorical variables are purely qualitative and can be put into convenient groups.). Categorical variables in the clinical practicum include the age of persons, ethnicity, sex, and marital status, level of education, age cohort, and religion and natural color of hair. Works Cited Ranganathan, Priya, and Rakesh Aggarwal. “Study Designs: Part 1 – An Overview and Classification.” PubMed Central (PMC) , Oct. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6176693/ . Shukla, Satishprakash. “(PDF) VARIABLES, HYPOTHESES AND STAGES OF RESEARCH 1.” Research Gate , 14 May 2018 www.researchgate.net/publication/325127119_VARIABLES_HYPOTHESES_AND_STAGES_OF_RESEARCH_1 . Yirlem Discussion: QD2 .. An adult patient with a chronic myelogenous leukemia sits down with you to discuss his questions and concerns about his upcoming bone marrow transplant. He has already received some educational materials and participated in a family conference during which health team members described the procedure and potential complications. He has been told that he has a risk of graft rejection or graft versus host disease (GVHD), but he does not understand the distinction. a. What are the similarities between graft versus host disease and graft rejection? b. What are the pathophysiologic differences between graft versus host disease and graft rejection? c. How would these differences be manifested clinically? Studies have shown a protective effect of mild to moderate GVHD in cancer patients who have had a bone marrow transplant. Based on your understanding, can you explain these findings? In patients with failing tissues or organs, medical practice depends on transplantation as a critical resource that has the potential to save lives. Transplanted tissues and organs are allogenic when sourced from organs from donors with non-identical recipients. Additionally, immune responses targeted at foreign tissues result in distinct complications after transplantations. However, graft-versus-host disease (GVHD) transplantation occurs after graft transplantation of expansive immune cells from donors, particularly after bone marrow transplant . Notably, graft rejection is associated with immune reactivity against relocated organs. Although GVHD is activated following the reactivity of immune cells among patients with allogeneic tissues. The recognition of the alloreactive T-cell antigen is divided based on whether the MHC presenting molecule is mismatched or matched. The T-cells precursor frequency, for reasons not yet clarified, can identify mismatched MHC molecules. Among humans, MHC is controlled by the HLA antigens, which are controlled by the MHC gene complex on chromosome 6’s short arm. However, its expressions can be through multiple body cells. The rate of GVHD is related directly to the level of the MHC mismatch. The HLA mismatch in cord blood transplant is more complex to assess than unrelated HSCT due to allele-level typing. References In McLean, S. (2017). Genetics and gene therapy . Routledge. Templeton, N. S. (2015). Gene and cell therapy : Therapeutic mechanisms and strategies. CRC Press.

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Discussion 1 2025

Neuropsychology, by definition, is the study of the relationship between the human brain and human behavior (Jackson & Milberg, 2018). There are many different theories about the relationship between biological, psychological, cognitive, emotional, social, cultural and interpersonal factors influential in psychopathology. Psychopathological development is a process that is formed over the human lifespan. There are many influential pieces of psychopathology—personal experiences across the lifespan influence this developmental process. For example, parents, friends, school relationships, sexual partners are significantly influential in development. (Butcher & Kendall, 2018). Parents play a significant role in the influence of development of their children. This is related to genetic factors, the ability to control children’s exposures and direct interactions with their environment, and choices about environment. These key influential factors will influence a child development across their lifespan. (Barker & Ramchandani, 2017). Biological factors that affect the development of psychopathology are factors with a physical cause. Physical causes include anything that physically plays a role in psychopathology development. A few examples of these include neuroanatomy, genetics, prenatal exposure, and exposure to toxins. Psychological, interpersonal, and emotional factors are related to behavioral, cognitive, and emotional development. Most psychological factors develop and change throughout a person’s life. Different life experiences within a person’s environment include a broad range between having all emotional needs met vs being a victim of abuse. Social and cultural advantages/disparities also are key players in the development of psychopathology. Having access to proper education, health care, safety, and secure surroundings helps solidify development of psychopathology. While not having adequate access to educational opportunities, health care, or a safe environment will affect the plasticity of the developing brain, resulting in changed behavior. Having protective factors in place reassures the human brain and result in the development of psychopathology. Being subjected to positive outside opportunities in many forms assists the development systems, resulting in brain development, positive social behavior, and cultural beliefs. The framework of psychopathology has many implications concerning different origins, assessment processes, levels of classifications, methods of prevention and treatment. (Butcher & Kendall, 2018). Assessing a patient in an evaluation is a crucial diagnostic tool to unlocking the influencing factors of a patient’s developmental process. References Barker, B., Iles, J. E., & Ramchandani, P. G. (2017). Fathers, fathering and child psychopathology. Current Opinion in Psychology , 15 , 87–92. https://doi-org.ezp.waldenulibrary.org/10.1016/j.copsyc.2017.02.015 Butcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 3–14). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000065-001 Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 65–90). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000064-004

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Healthcare Policy Advocate 2025

Opportunity to be politically involved in community- Opportunities to be involved in political matters are endless these days. I feel as a Nurse Practitioner I need to be cautious of how I represent my profession and ensure that I use EBP to be professional regarding change. In the past I have donated to AANP PAC in support of legislative change that impacts our profession specifically. In the past I have reached out to my areas congressman (without response) and advocated for improved scope of practice for Nurse Practitioners in the State of Florida. I come from areas of Full Practice Authority (FPA) and am shocked by the Florida reduced practice restrictions. Florida is considered Restricted Practice, which means the state practice and/or laws regarding licensure are restrictive and require physician oversight (AANP, 2021). This professional baffles me and I believe it reduces access for patients to seek care from all providers that could be readily available to them. This is especially unnecessary in the times of COVID-19 and creates a barrier to care. In addition, the cost of collaboration agreements can cost several thousand dollars per month, which arguably questions the ethical nature of this supervision (Sibilla, 2020). Area of political competency that needs further development- As a student and as a professional I know there are always areas that need further development. To improve my political competence it would be wise to improve my understanding of legislative processes, as it can take sometimes up to ten years to complete (Handzel, 2021). Being prepared with EBP and organized with the specifics of what I am advocating for, I can meet with my local leaders to discuss the general importance of ideas. Having focused, yet brief, conversation will help start a relationship to start the legislative process (Handzel, 2021). Twitter article- I selected the CDC article dated 8/15/2021 discussing pregnant and recently pregnant patients are more likely to have a severe illness if they get COVID-19, even though the risk is low. There is a link to the CDC page included in the article. Tweet- I would quote the tweet (retweet with a quote attached): If you are pregnant please get #covid19 vaccination ASAP. Per #ACOG and #CDC it is recommended to get your #vaxx to keep you and baby healthy! #vaccinessavelives #baby #pregnancy #vaccination #makegoodchoices #NPsLead #womenshealth #OBGYN Reference AANP. State policy fact sheet. Florida; Information and resources for Florida NPs. America Association of Nurse Practitioners. www.aanp.org/advocacy/florida (Links to an external site.) Handzel, S. (2021). Political competence and essential skill in nursing professional development. www.wolterskluwer.com/en/expert-insights/continued-leadership-development-for-npd-professionals Sibilla, N. (2020. How red tape keeps nurse practitioners from working. Forbes. www.forbes.com/sites/nicksibilla/2020/04/29/how-red-tape-keeps-nurse-practitioners-from-working/?sh=3d4aca4727a0 I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS.

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Wisdom Vs. Knowledge 2025

Required Resources Read/review the following resources for this activity: Textbook: Chapter 1, 2, 3 Lesson Minimum of 1 scholarly source (in addition to the textbook) Introduction In 2012, Psychologist Heather Butler studied the importance that critical thinking plays in our everyday lives. “Critical thinking is not just the new buzzword in education. Critical thinking involves real outcomes that can be measured, predicted, and—perhaps for the negative life events—avoided” (Butler, 2012, p. 725). In 2013, studies by Grossmann, Varnum, Kitayama, and Nisbett concluded that wise reasoning, rather than intelligence, was a predictor of well-being. In 2017, Dr. Butler and her colleagues, referencing the Grossmann study and based on their own research, determined that the ability to think critically was a better predictor of effective life decisions than was intelligence (Butler, Pentoney, & Bong, 2017). Initial Post Instructions For the initial post, address the following: Do you agree that wisdom/critical thinking is a better predictor of well-being than intelligence? To answer, you will have to define what the following terms mean for you: Critical thinking Wisdom Intelligence Well-being Reflect on what you read in the text this week. Think of the people you know. Are the good people smart? Are the smart people good? How do you define “good”? How do you define “smart”? Can we use our intelligence to become “good”? If yes, how? If no, why not?

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