Short answer 2025

In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms? List 4 predictors of late onset generalized anxiety disorder. List 4 potential neurobiology causes of psychotic major depression. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.

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IOM Future of Nursing Report and Nursing 2025

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession. Include the following: Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

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Prioritization Discussion 2025

Week 3: Prioritization Discussion Case Study Review the following Prioritization Principles videos: Prioritization https://www.youtube.com/watch?v=WRElSFt674M (Links to an external site.) Nursing Leadership – ABCDE Principle and Patient Prioritization https://www.youtube.com/watch?v=hWTKT4Z1ae0 (Links to an external site.) Nursing Leadership – Efficient Nursing Practice & Delegation https://www.youtube.com/watch?v=iI4HIZpScPQ (Links to an external site.) Maslow’s Hierarchy of Needs as it relates to Prioritization Introduction: Setting priorities is an essential and critical thinking skill. Priority setting is perhaps the most critical skill in good time management, because all actions we take have some type of relative importance. Management of a patient load depends heavily on setting priorities. Generally, the new nurse tends to focus on one problem at a time rather than seeing the whole picture and may have difficulty in priority setting. Through the assessment process, patients help the nurse define their needs, establish interventions, and implement the plan of care. This is where individualized priority-setting between patients and nurses occurs. By necessity some care needs will be delayed in preference to more pressing needs of other patients. Priorities will be influenced by the acuity of the patient’s condition and the acuity of all patient’s assigned to a nurse Time Management: Three Basic Steps in Time Management Allow time for planning and establish priorities. Complete the highest priority task whenever possible, and finish one task before beginning another. Reprioritize based on the remaining tasks and on new information that may have been received. Priority ranking of patients: First level patient problem These are threats to a patient’s immediate survival or safety and demand immediate nursing intervention. ABC’s (airway, breathing, circulation). Second level patient problem Concerns such things as mental status change, acute pain, acute urinary elimination, untreated medical problems requiring immediate attention (diabetic needing insulin) abnormal pathology lab results, risks of infection, safety, or security. Third level patient problem Those that do not fit into the above two categories such as monitoring for medication side effects, lack of patient knowledge, longer patient longer-term problems with living activities, etc. No life-threatening problems exist The nurse used both professional judgment and the patient to set priorities and determine planning. This is a continually changing aspect of assessment of patients. Priority Setting Traps: “Whatever hits first” This trap occurs when an individual simply responds to things as they happen rather than thinking first and then acting. This is common to new nurses. “Path of least resistance” In this trap the individual makes the assumption that it is easier to do a task by himself or herself and fails to delegate appropriately. “Squeaky wheel” In this trap, the individual falls prey to those who are most vocal about their requests and then feels a need to respond to the time frame imposed by the ““squeaky wheel” rather than his or her own. “Default” The individual feels obligated to take on tasks that no one else has come forward to do. “Inspiration” In this trap, individuals wait until they become “inspired” to accomplish a task. Some tasks will never be inspiring, and the wise time manager recognizes that the only thing that will complete these tasks is hard work and appropriate attention to the matter. Managing time at work: Being overwhelmed by work and time constraints lead to increased errors, omission of important tasks, and general feelings of stress and ineffectiveness. Time management skills are learned although some people are better at it than others. Disorganization results from poor planning and prioritization. Simple suggestions for time management: Gather all the supplies and equipment that will be needed before starting an activity. Breaking down a job mentally into parts before beginning the activity may help the nurse identify what supplies are needed. Group or “cluster” activities that are in the same location. If you have walked a long distance down a hallway, attempt to do several things there before going back to the nurses station. Another example is a home health nurse, group client visits geographically when possible to minimize travel time. Document your nursing interventions as soon as possible after an activity is completed. Waiting until the end of the workday to complete necessary documentation increases the risk of inaccuracies and incomplete documentation. Strive to end the workday on time. Although this is not always possible, delegating appropriately to others and making sure that the workload goal for any given day is reasonable are two strategies that will help accomplish this goal. Schedule difficult tasks during the period of the day you are most productive and simpler, more routine tasks during less productive times. Time wasters: Procrastination The three most common reasons for procrastination are: Not wanting to begin Not knowing where to begin Not knowing where to begin, even if you wanted to do, which you don’t. Poor planning Failure to establish goals and objectives Inability to delegate Inability to say no Management by crisis Haste Indecisiveness Coping with short short-staffing: Prioritize you assignments Organize your workload Be a team player Make a rule that no one can sit until everyone can sit. Pitch in and help others. Use unlicensed personnel wisely Encourage family participation Inform and involve nursing administration Communicate effectively and nicely Take care of yourself Maintain a positive attitude Attitude is everything. If you go into a is challenging situation with a positive attitude you can achieve great results. A negative attitude can bring down the morale and performance of the entire team. Scenario: Assume that you are the Charge Nurse of a team with one LPN and one nursing assistant on the 7A-3P shift at an acute care hospital. The three of you are responsible for providing total care to 10 patients. Prioritize the following list of 10 things you need to accomplish this morning. Use a 1 for the first thing you will do and a 10 for the last. ________ Check MAR against the orders ________ Listen to night shift report from 0700-0720 ________ Perform walking rounds to assess the night shift report and to introduce yourself to patients. ________ Hang four (4) 0900 IV medications ________ Set up the schedule for breaks and lunch among your team members ________ Give the 0845 pre-op on patient going to surgery at 0900 ________ Pass the 0830 breakfast trays ________ Read the charts on new admissions that you are responsible for on the unit ________ Check 0600 blood glucose results for 0730 insulin administration ________ Consult with the interdisciplinary healthcare team to develop and/or revise patient plans of care Now, create an initial discussion posting that provides the rationale for how your prioritized your day in relation to Maslow’s Hierarchy of Needs. Your initial posting must be completed by Wednesday, 3/17/2021 by 11:59 pm. On another day, you must respond to two of your classmates by Sunday, March 21/2021 by 11:59 pm. References: Hägg-Martinell, A., Hult, H., Henriksson, P., & Kiessling, A. (2020). Nursing Students Learn to Handle Stress and to Prioritize in a Complex Context During Workplace Learning in Acute Internal Medicine Care – An Ethnographic Study. Advances in medical education and practice , 11 , 21–30. https://doi.org/10.2147/AMEP.S230476 Toney-Butler TJ, Thayer JM. Nursing Process. [Updated 2020 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. [Figure, Maslow’s Hierarchy of Needs for…] Available from: https://www.ncbi.nlm.nih.gov/books/NBK499937/figure/article-26037.image.f1/

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Assignment: Practicum –SOAP Note and Time Log 2025

Patient has to be less than 18 years old In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes. Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note: Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies. Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues. Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why? Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

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