psychopharma 2025

Stephanie is a 36-year-old female who presents to the clinic with a history of anxiety. Social history is unremarkable. For the last 4 years, she has been well controlled on paroxetine, however she feels “it just doesn’t work anymore.” You have decided to change her medication regimen to vortioxetine 5mg, titrating up to a max dose of 20mg per day based on tolerability. The patient asks, “When can I expect this to start kicking in?” The best response is: a.  3 or 4 days  b.  1 or 2 weeks  c.  3 or 4 weeks  d.  10 weeks 3.75 points Question 2 Which of the following medications, when given intramuscularly, is most likely to cause severe postural hypotension? a.  haloperidol  b.  lorazepam  c.  benztropine  d.  chlorpromazine 3.75 points Question 3 Sam is a 48-year-old male who presents to the clinic with signs and symptoms consistent with GAD & MDD. Which of the following medications would be the LEAST appropriate choice when initiating pharmacotherapy? a.  duloxetine  b.  sertraline  c.  mirtazapine  d.  buproprion 3.75 points Question 4 Jason is a 6-year-old child whose mother presents to the clinic with him. The mother says that “he’s not himself lately.” After a thorough workup, you diagnose the patient as having GAD. Which of the following medications would be the LEAST appropriate to prescribe to this child? a.  Sertraline  b.  Paroxetine  c.  Venlafaxine  d.  Buspirone 3.75 points Question 5 Mirza is a 75-year-old patient with a long history of schizophrenia. During the past 5 years, she has shown significant cognitive decline consistent with dementia. The patient has been well controlled on a regimen of risperidone 1mg BID. As the PMHNP, the most appropriate course of action for this patient is: a.  Increase the risperidone to 1mg QAM, 2mg QPM  b.  Discontinue risperidone and prescribe a long-acting injectable such as Invega Sustenna.  c.  Discontinue risperidone and initiate therapy with clozapine.  d.  Augment the patient’s risperidone with brexpiprazole. 3.75 points Question 6 Amber is a 26-year-old female who presents to the clinic 6 weeks postpartum. The patient states that she has been “feeling down” since the birth of her son. She is currently breastfeeding her infant. You diagnose the patient with Postpartum depression. Which of the following is the LEAST appropriate option in treating her PPD? a.  paroxetine  b.  escitalopram  c.  citalopram  d.  sertraline 3.75 points Question 7 Jordyn is a 27-year-old patient who presents to the clinic with GAD. She is 30 weeks pregnant and has been well controlled on a regimen of sertraline 50mg daily. Jordyn says that “about once or twice a week my husband really gets on my nerves and I can’t take it.” She is opposed to having the sertraline dose increased due to the risk of further weight gain. You have decided to prescribe the patient a short-term course of benzodiazepines for breakthrough anxiety. Which of the following is the LEAST appropriate benzodiazepines to prescribe to this patient? a.  diazepam  b.  alprazolam  c.  clonazepam  d.  lorazepam 3.75 points Question 8 Steve is a 35-year-old male who presents to the primary care office complaining of anxiety secondary to quitting smoking cold turkey 2 weeks ago. The patient has a 14-year history of smoking two packs per day. The patient has an unremarkable social history other than a recent divorce from his wife, Brittany. Which of the following would be the LEAST effective medication to treat Steve’s anxiety? a.  Buproprion  b.  Sertraline  c.  Varenicline  d.  Alprazolam 3.75 points Question 9 Rebecca is a 32-year-old female who was recently prescribed escitalopram for MDD. She presents to the clinic today complaining of diaphoresis, tachycardia, and confusion. The differential diagnosis for this patient, based on the symptoms presenting, is: a.  Panic disorder  b.  Gastroenteritis  c.  Abnormal gait  d.  Serotonin syndrome 3.75 points Question 10 The patient in the previous question states, “I can’t even last 1 more day without feeling like my insides are going to explode with anxiety.” The most appropriate course of action would be: a.  Inform the patient to try yoga or other natural remedies until the vortioxetine takes effect.  b.  Prescribe a short-term course of low dose benzodiazepine, such as alprazolam.  c.  Prescribe an SNRI, such as venlafaxine, in addition to the vortioxetine.  d.  Recommend in-patient mental health for the foreseeable future. 3.75 points Question 11 John is a 41-year old-patient who presents to the clinic with diarrhea, fatigue, and recently has been having tremors. He was diagnosed 19 years ago with bipolar disorder and is currently managed on Lithium 300mg BID. As the PMHNP, you decide to order a lithium level that comes back at 2.3mmol/l. What is the most appropriate course of action? a.  Investigate other differential diagnoses for his symptoms.  b.  Tell John to skip his next four Lithium doses and resume therapy.  c.  Tell John he needs to go to the hospital and call an ambulance to bring him.  d.  Prescribe loperamide to treat the diarrhea and ropinirole to treat the tremors 3.75 points Question 12 Mark is a 46-year-old male with treatment-resistant depression. He has tried various medications, including SSRIs, SNRI, and TCAs. You have decided to initiate therapy with phenelzine. Which of the following must the PMHNP take into consideration when initiating therapy with phenelzine? a.  There is a minimum 7-day washout period when switching from another antidepressant to phenelzine.  b.  Patient must be counseled on dietary restrictions.  c.  MAOIs may be given as an adjunctive therapy with SSRIs.  d.  A & B  e.  All of the above 3.75 points Question 13 Thomas is a 28-year-old male who presents to the clinic with signs and symptoms consistent with MDD. He is concerned about starting antidepressant therapy, however, because one of his friends recently experienced erectile dysfunction when he was put on an antidepressant. Which of the following would be the most appropriate antidepressant to start Thomas on? a.  Vilazodone  b.  Sertraline  c.  Paroxetine  d.  Citalopram 3.75 points Question 14 Melvin is an 89-year-old male who presents to the clinic with signs/symptoms consistent with MDD. Which of the following would be the LEAST appropriate medication to prescribe to this elderly patient? a.  nortriptyline  b.  amitriptyline  c.  desipramine  d.  trazodone 3.75 points Question 15 Jane is a 17-year-old patient who presents to the office with signs consistent with schizophrenia. She states multiple times that she is concerned about gaining weight, as she has the perfect prom dress picked out and she finally got a date. Which of the following is the least appropriate choice to prescribe Jane? a.  Aripiprazole  b.  Olanzapine  c.  Haloperidol  d.  Brexpiprazole 3.75 points Question 16 Richard is a 54-year-old male who suffers from schizophrenia. After exhausting various medication options, you have decided to start him on Clozapine. Which of the statements below is true regarding Clozapine? a.  Regular blood monitoring must be performed to monitor for neutropenia.  b.  Clozapine can only be filled by a pharmacy that participates in the REMS program.  c.  Bradycardia is a common side effect of Clozapine.  d.  A & B  e.  All of the above 3.75 points Question 17 Cindy is a 55-year-old patient who presents with symptoms consistent with Generalized anxiety disorder. The patient has an unremarkable social history other than she consumes two or three glasses of wine per night. Which of the following would be an appropriate therapy to start this patient on? a.  Xanax 0.25mg BID PRN Anxiety  b.  Escitalopram 10mg daily  c.  Buspirone 10mg BID  d.  Aripiprazole 10mg daily 3.75 points Question 18 Martin is a 92-year-old male who presents to the clinic with signs/symptoms consistent with MDD. The patient suffers from glaucoma and just recently underwent surgery for a cataract. Which of the following is the LEAST appropriate course of therapy when treating the MDD? a.  sertraline  b.  amitriptyline  c.  duloxetine  d.  vilazodone 3.75 points Question 19 Which of the following statements are true? a.  First-generation (typical) antipsychotics are associated with a higher incidence of EPS.  b.  Second-generation (atypical) antipsychotics are associated with a higher risk of metabolic side effects.  c.  There is evidence that atypical antipsychotics are significantly more effective than typical antipsychotics in the treatment of cognitive symptoms associated with schizophrenia.  d.  A & B  e.  A, B, and C 3.75 points Question 20 Earle is an 86-year-old patient who presents to the hospital with a Community Acquired Pneumonia. During stay, you notice that the patient often seems agitated. He suffers from cognitive decline and currently takes no mental health medications. Treatment for the CAP include ceftriaxone and azithromycin. The LEAST appropriate medication to treat Earle’s anxiety is: a.  sertraline  b.  duloxetine  c.  citalopram  d.  venlafaxine

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6565 7 DISCU 2025

To prepare: Review your state’s process for obtaining prescriptive authority and associated fees (Georgia) Review the DEA website and review the process for obtaining a DEA number and associated fees. Review and select one of the following case studies and analyze the provider information: Case Study One : Lori, FNP-BC, is a new graduate and has recently passed her certification exam. She has just been hired to work for a Primary Care Clinic as a nurse practitioner in a small town. She will be working with one physician at one site. Case study Two : James, FNP-BC, works with a physician who specializes in pain control. He works in several clinics in the large urban city where he practices as nurse practitioner. Write 1 to 2 pages Post a brief summary of the case study you selected and an explanation of the appropriate prescriptive authority and DEA registration process needed for the case study you selected. Then, explain the safe prescribing practices that these providers should use for these settings . Reference Buppert, C. (2015). Prescribing. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (199-204). Burlington, MA: Jones & Bartlett. U.S. Department of Justice (n.d.). Drug Enforcement Administration: Office of Diversion Control. Retrieved from http://https://www.dea.gov/ops/diversion.shtml Required Media Fisher, A. S. (2015, June 5). Medical Records: What Must Be Included from a Legal Standpoint? [Video file]. Retrieved from https://www.youtube.com/watch?v=euhoL62YsSk

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Global Healthcare Comparison Matrix and Narrative Statement 2025

Assignment: Global Healthcare Comparison Matrix and Narrative Statement If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided? You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures. Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve. In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country. To Prepare: Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment. Select at least one additional country to compare to the U.S. for this Assignment. Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected. Review and download the Global Health Comparison Matrix provided in the Resources. The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change) Part 1: Global Health Comparison Matrix Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following: Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study. Explain the strengths and weaknesses of each policy. Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples. Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected. Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples. Explain how the health policy you selected might impact the role of the nurse in each country. Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples. Part 2: A Plan for Social Change Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader. In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader. Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader. Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader. Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

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Data Analysis and Quality Improvement Initiative Proposal 2025

Prepare an 8–10-page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative. “A basic principle of quality measurement is: If you can’t measure it, you can’t improve it” (Agency for Healthcare Research and Quality, 2013). Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics. Show More Toggle Drawer Questions to Consider As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. Reflect on QI initiatives focused on measuring and improving patient outcomes with which you are familiar. How important is the role of nurses in QI initiatives? What quality improvement initiatives have made the biggest difference? Why? When a QI initiative does not succeed as planned, what steps are taken to improve or revise the effort? Toggle Drawer Resources Required Resources MSN Program Journey Please review this guide for your degree program. It can help you stay on track for your practicum experience, so you may wish to bookmark it for later reference. MSN Program Journey | Transcript . Show More Assessment Instructions Preparation In this assessment, you will propose a quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The QI initiative proposal will be based on an analysis of dashboard metrics from a health care facility. You have one of two options: Option 1 If you have access to dashboard metrics related to a QI initiative proposal of interest to you: Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. If you work in hospital setting, contact the quality management department to obtain the data you need. You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by HIPAA compliance standards. Option 2 If you do not have access to a dashboard or metrics related to a QI initiative proposal: You may use the hospital data set provided in the media piece titled Vila Health: Data Analysis. You will analyze the data to identify a health care issue or area of concern. You will follow the same instructions and provide the same deliverables as your peers who select Option 1. Instructions Analyze dashboard metrics related to the selected issue. Provide the selected data set in the proposal. Assess the stability of processes or outcomes. Delineate any problematic variations or performance failures. Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement. Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team. Outline a QI initiative proposal based on the selected health issue and data analysis. Identify target areas for improvement. Define what processes can be modified to improve outcomes. Propose strategies to improve quality. Define interprofessional roles and responsibilities as they relate to the QI initiative. Provide recommendations for effective communication strategies for the interprofessional team to ensure the success of the QI initiative. Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style. Note : Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service. The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion. Analyze data to identify a health care issue or area of concern. Identify the type of data you are analyzing (from your institution or from the media piece). Discuss why the data matters, what it is telling you, and what is missing. Analyze dashboard metrics and provide the data set in the proposal. Present dashboard metrics related to the selected issue. Delineate any problematic variations or performance failures. Assess the stability of processes or outcomes. Evaluate the quality of the data and what can be learned from it. Identify trends, outcome measures and information needed to calculate specific rates. Analyze what metrics indicate opportunities for quality improvement. Outline a QI initiative proposal based on a selected health issue and supporting data analysis. Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws. Identify existing QI initiatives related to the selected issue, and explain why they are insufficient. Identify target areas for improvement, and define what processes can be modified to improve outcomes. Propose evidence-based strategies to improve quality. Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement. Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team. Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality. Define interprofessional roles and responsibilities as they relate to the data and the QI initiative. Explain how you would you make sure that all relevant roles are fully engaged in this effort. Explain what non-nursing concepts would you incorporate into the initiative? Identify how outcomes to measure the effect of the intervention affect the interprofessional team. Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. Describe how work-life quality is improved or enriched by the initiative. Apply effective communication strategies to promote quality improvement of interprofessional care. Identify the kind of interprofessional communication strategies that will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative. In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style. Submission Requirements Length of submission: 8–10 double-spaced, typed pages, not including title and reference page. Number of references: Cite a minimum of five sources (no older than seven years, unless seminal work) of scholarly, peer-reviewed, or professional evidence that support your evaluation, recommendations, and plans.

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Case Study: Mr. C. 2025

Case Study: Mr. C. It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mr. C., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months. Objective Data: Height: 68 inches; weight 134.5 kg BP: 172/98, HR 88, RR 26 3+ pitting edema bilateral feet and ankles Fasting blood glucose: 146 mg/dL Total cholesterol: 250 mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Serum creatinine 1.8 mg/dL BUN 32 mg/dl Critical Thinking Essay In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following: Describe the clinical manifestations present in Mr. C. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.) Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues. You are required to cite to a minimum of two 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. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. RUBRIC Attempt Start Date: 30-Sep-2019 at 12:00:00 AM Due Date: 06-Oct-2019 at 11:59:59 PM Maximum Points: 120.0 Case Study: Mr. C. No of Criteria: 11 Achievement Levels: 5 CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0 Clinical Manifestations of Mr. C.10.0Clinical manifestations are omitted.Clinical manifestations are partially presented. There are major omissions and inaccuracies.Clinical manifestations are summarized. An overview of the general symptoms is presented. Some findings are incomplete.Subjective and objective clinical manifestations are described. Overall, the clinical manifestations are accurate and reflect observed and perceived signs and symptoms.Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms.Potential Health Risks for Obesity and Bariatric Surgery10.0Potential health risks for obesity and whether bariatric surgery is an appropriate intervention are not discussed.A partial summary on the potential health risks for obesity and whether bariatric surgery is an appropriate intervention is presented. There are major inaccuracies. More information is needed. No evidence or rationale is provided to support discussion.A summary on the potential health risks for obesity and whether bariatric surgery is an appropriate intervention is presented. There are some inaccuracies. More evidence or rationale is needed to support discussion.A discussion on the potential health risks for obesity is presented. A discussion on whether bariatric surgery is an appropriate intervention is presented but needs some evidence or rationale for support.A detailed discussion of the potential health risks for obesity is presented. A through and compelling discussion on whether bariatric surgery is an appropriate intervention is presented. The discussion is well-developed and supported by evidence and additional rationale.Functional Health Patterns15.0Actual or potential problems based on the assessment of functional health patterns of the patient are omitted or are irrelevant for the patient and his condition. The overall criteria for this assignment are not met.At least four actual or potential problems identified from the functional health patterns are presented. The identified problems are not entirely relevant for the patient and his condition. Rationale or evidence is required for support.At least five actual or potential problems identified from the functional health patterns are summarized. The identified problems are generally relevant for the patient and his condition. Some rationale and evidence is required for support.Five or more actual or potential problems identified from the functional health patterns are discussed. The identified problems are relevant for the patient and his condition. Overall, the discussion is supported by rationale and evidence. Some detail is needed for clarity or accuracy.Five or more actual or potential problems identified from the functional health patterns are discussed. The discussion is insightful, and the identified problems are highly relevant for the patient and his condition. The discussion is well-supported by rationale and evidence.Staging and Contributing Factors of End-Stage Renal Disease (ESRD)10.0Staging and contributing factors for ESRD are omitted or inaccurate.Staging of ESRD is partially summarized. The contributing factors for ESRD are vague. There are inaccuracies.The staging of ESRD and the contributing factors for ESRD are generally explained. Some information is required; there are minor inaccuracies.The staging of ESRD and the contributing factors for ESRD are explained. Some information or detail is needed for clarity or detail.The staging of ESRD and the contributing factors for ESRD are explained. The information is accurate and reflects contemporary practice and research.Health Promotion and Prevention for ESRD20.0Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is omitted.Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is partially summarized. There are inaccuracies. Some aspects are not relevant for the patient and his health status.Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is generally described. There are minor inaccuracies. Overall, the proposed items are relevant for the patient and his health status. Some evidence and rationale are needed to support the discussion.Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is described. The proposed items are relevant and appropriate for the patient and his health status. Evidence and rationale generally support the discussion.Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is thoroughly described. The proposed items are clearly presented and highly relevant and supportive of patient and his health status. Strong evidence and rationale generally support the discussion.Resources for ESRD Patients for Nonacute Care and Multidisciplinary Approach15.0Types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, are not discussed.An incomplete explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. There are major inaccuracies.A general explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. There are minor inaccuracies. Some additional information is required.An explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. Some detail is required for clarity.A clear and detailed explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. The explanation demonstrates insight into both resources and multidisciplinary approaches for nonacute care for ESRD patients. Organization, Effectiveness, and Format20.0 Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Total Percentage 100

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