2025 Create a 500 750 word essay depicting the evolution of democracy from the time of President Jefferson to President Jackson

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HIS-144 Week 3 The Evolution of Democracy in the Early Republic 2025

Create a 500-750-word essay depicting the evolution of democracy from the time of President Jefferson to President Jackson. Be sure to include the following: 1. How was the form of the American Republic different under Jackson than it was under Jefferson? 2. What caused these changes? 3. Why were these changes significant to the future development of the American Republic? Use a minimum of three of the sources provided to support your assignment and be sure to cite the sources.HIS-144 Week 3 The Evolution of Democracy in the Early Republic

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2025 Apply information from the Aquifer Case Study to answer the following discussion

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Week 3 Discussion Advance Practice 2025

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? Do 2 pages Provide references.

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2025 Apply information from the Aquifer Case Study to answer the following discussion

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Week 2 discussion Advance 2025

Apply information from the Aquifer Case Study to answer the following discussion questions: Discuss the Mr. Barley’s history that would be pertinent to his respiratory 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. Barley. Are there any additional you would have liked to be included that were not? What plan of care will Mr. Barley be given at this visit, include drug therapy and treatments; what is the patient education and follow-up? Do 2 pages. Provide references.

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2025 Patient Introduction A 52 year old patient has just arrived in the Emergency Department with complaints of severe abdominal

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Clinical Worksheet Plan of Care Concept Map Pharm4Fun Worksheet: 1 per medication ISBAR Worksheet 2025

Patient Introduction A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain, nausea, and vomiting over the last few days. His abdomen is distended. He has poor skin turgor and dry mucous membranes. He has not urinated since yesterday. He has felt “dizzy” and “weak” all evening. He thought it might be the flu, but decided to come in because the stomach pains were getting worse. He has signed informed consent for treatment and labs have been drawn. his name is Stan Checketts This are his issues Fluid Volume Disturbances, Chapter 13, pp. 259-262 Acid-Base Disturbances, Chapter 13, pp. 283-288 Hypovolemic Shock, Chapter 14, pp. 308-310 Bowel Obstruction, Chapter 47, pp. 1327-1329

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2025 Topic 4 DQ 1 question How often do you engage with or witness death in

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Death Dying and Grief 2025

Topic 4 DQ 1 question: How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty.

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2025 Throughout the course students will engage in weekly reflection and scholarly activities These

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Professional Capstone and Practicum Reflective Journal and Scholarly Activities 2025

Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose. The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10. Professional Capstone and Practicum Reflective Journal Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10. In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week: New practice approaches Intraprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries. This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives. Scholarly Activities Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally. You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis. In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment. NRS-490-RS-ScholarlyActivitySummary.docx

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2025 Review the following lecture Coding for Medical Necessity Introduction In order to properly code a bill for medical necessity it

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Medical Billing and Coding 2025

Review the following lecture: Coding for Medical Necessity Introduction: In order to properly code a bill for medical necessity, it is important to understand the electronic medical record. This record contains information about the patient’s health both before and after the treatment and has the data needed to assure a payer that the treatment was necessary. Tasks: Explain the contents of the medical record. Describe SOAP notes—subjective, objective, assessment, and plan. Explain operative reports function in medical necessity coding. Explain National and Local coverage determinations. Submission Details: Submit the report as a 5- to 10-page Microsoft Word document. Use APA standards for citations and references. Cite a minimum of three outside peer-reviewed sources to support your assertions and save it as SU_HCM1201_W3_Project_LastName_FirstInitial.doc. Submit the report to the Submissions Area by the due date assigned. Cite any sources using correct APA format on a separate page.

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2025 APA with in text citations references MUST CONTAIN PICTURES AND AUDIO AND ADDRESS EACH ITEM WITHOUT

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The Assignment (6-minute PowerPoint presentation):Change Implementation and Management Plan 2025

APA with in-text citations & references. MUST CONTAIN PICTURES AND AUDIO AND ADDRESS EACH ITEM WITHOUT TOO MUCH WORDINESS. 1 .Review the Resources and identify one change that you believe is called for in your organization/workplace. 2 .This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas. 3. Reflect on how you might implement this change and how you might communicate this change to organizational leadership. 4. The Assignment (6-minute PowerPoint presentation): Change Implementation and Management Plan 5. Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose. Your presentation should be 5–6 minutes in length and should include a video with you as presenter. Your Change Implementation and Management Plan should include the following: 6. An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.) 7. Description of the change being proposed 8. Justifications for the change, including why addressing it will have a positive impact on your organization/workplace. 9. Details about the type and scope of the proposed change 10.I dentification of the stakeholders impacted by the change 11. Identification of a change management team (by title/role) 12. A plan for communicating the change you propose 13. A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

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2025 3 posts Re Topic 2 DQ 2 Assessment is the systematic basis for making inferences about the learning and

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Compare the physical assessment of a child to that of an adult. 2025

3 posts Re: Topic 2 DQ 2 Assessment is the systematic basis for making inferences about the learning and development of individuals. Physical assessment of both child and adult includes detailed examination using the four formats: inspection, palpation, percussion, and auscultation. Privacy must be maintained to optimize the assessment. Also, questions are asked to obtain the medical and surgical history for both child and adult, but the difference is that information is obtained directly from the adult while the parents help in that of a child who cannot completely give detailed information’s. Objective and specific data of the child include the perinatal period, birth of the child, and developmental milestones that have been achieved. Immunization history is very important for both child and adult. (Angelina 2018) During the assessment, the nurse will ask questions, give education on any abnormality found and empathize. Where the nurse found okay, she will give praises as this is a moral booster to both child, adult, and care givers. The nurse will also offer instructions according to the age of her patient and level of comprehension. She may need to use simple words instead of medical jargons. (Faustina 2017) In communicating with the older adult, the nurse will have to tune up her voice for clarity but for children, the nurse will speak slowly, clearly and utilize simple vocabulary. Facial expressions, gestures and eye contact will help the nurse communicate with people with hearing impairments and even people who are deaf as they can lip read and understand. There may be the need to use interpreter. (Bena 2017) The strategies the nurse will use to encourage engagement is by active listening, repeating words for clarification, making sure that the language spoken is understood by parties concerned. The patient may be hungry and thirsty, check the diet order. Offer nourishment if patient is on diet if not, offer explanations. This will make the patient relax, pay attention, and answer your questions. Choice toys are offered to babies to keep them calm. (Melissa 2017) Response to the above posting using 200-300 APA format with references to support the discussion Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

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2025 The Assignment Examine Case Study A Young Caucasian Girl with ADHD You will be

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Examine Case Study: A Young Caucasian Girl with ADHD 2025

The Assignment Examine Case Study: A Young Caucasian Girl with ADHD You will be asked to make three decisions concerning the medication to prescribe… Unlock Solution The Assignment Examine Case Study: A Young Caucasian Girl with ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point there will be three decisions. I will choose one out of the three and give the outcome. At each decision point these are the thoughts to ponder: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? *** Also include how ethical considerations might impact your treatment plan and communication with clients.*** Finally: 1. Complete the decision tree (keep track of what you selected. come up with a rational reason why you chose it. Come up with patient specific rational reason behind not choosing the other two options not chosen). 2. Write paper addressing all section listed based on the decision tree. Case Study: A Caucasian Man with Hip Pain BACKGROUND Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition. The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work. Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father. SUBJECTIVE Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.” Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time. MENTAL STATUS EXAM The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation. Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation Decisions Made and Outcomes (Needed to formulate the paper) (Must use and formulate paper based off of the chosen decision. Then tell why the other two decision were not a good choice with in-text citations noted for each.) Choices for Decision 1: Select what the PMHNP should do: 1. Begin Wellbutrin (bupropion) XL 150 mg orally daily 2. Begin Intuniv extended release 1 mg orally at BEDTIME 3. Begin Ritalin (methylphenidate) chewable tablets 10 mg orally in the MORNING 4. Decision Choice Chosen: Begin Ritalin (methylphenidate) chewable tablets 10 mg orally in the MORNING ***Explain why other two choice were rejected (not adequate choices)*** Outcome: RESULTS OF DECISION POINT ONE : · Client returns to clinic in four weeks · Katie’s parents report that they spoke with Katie’s teacher who notices that her symptoms are much better in the morning, which has resulted in improvement in her overall academic performance. However, by the afternoon, Katie is “staring off into space” and “daydreaming” again · Katie’s parents are very concerned, however, because Katie reported that her “heart felt funny.” You obtain a pulse rate and find that Katie’s heart is beating about 130 beats per minute Choices for Decision 2: Select what the PMHNP should do: 1. Continue same dose of Ritalin and re-evaluate in 4 weeks 2. Change to Ritalin LA 20 mg orally daily in the MORNING 3. Discontinue Ritalin and begin Adderall XR 15 mg orally daily 4. Decision Choice Chosen: Change to Ritalin LA 20 mg orally daily in the MORNING ***Explain why other two choice were rejected (not adequate choices)*** Outcome: RESULTS OF DECISION POINT TWO: · Client returns to clinic in four weeks · Katie’s academic performance is still improved, and the switch to the LA preparation is lasting Katie throughout the school day · Katie’s reports of her heart feeling “funny” have gone away. Pulse was 92 during today’s office visit · Choices for Decision 3: Decision Point Three Select what the PMHNP should do next: 1. Maintain current dose of Ritalin LA and reevaluate in 4 weeks 2. Increase Ritalin LA to 30 mg orally daily 3. Obtain EKG based on current heart rate 4. Decision Choice Chosen: Maintain current dose of Ritalin LA and reevaluate in 4 weeks ***Explain why other two choice were rejected (not adequate choices)*** Outcome: Guidance to Student RESULT FROM CHOOSING TO MAINTAIN CURRENT DOES OF RITALIN LA AND REEVALUATE IN 4 WEEKS Guidance to Student At this point, Katie’s symptoms are well controlled (her attention is sustained throughout the school day) and her side effects have gone away following change to a long-acting preparation. There is no indication at this point that the dose should be increased as it is always advisable to use the lowest effective dose of stimulant medication. Katie’s heart rate is appropriate for an 8 year old girl and an EKG would not be indicated based on her heart rate. ***Write on each decision. Make sure that in each decision choice that you explain why the other two decisions were not good choices. Use cited sources to validate points. Make sure that this paper has at least 7 References . Please use in-text citations for each section of each decision. Don’t forget the ethical considerations for this assignment. Make it a section by itself.*** ***Also please make sure when looking at the ethical consideration for this assignment that you look at how the Caucasian (male) ethnicity and pain medications interact.*** Please use the following format when formulating the paragraphs for each section. Don’t forget the intext citations. Remember to use at least 7 references. Introduction Decision #1 Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices) Anticipated Results (of Chosen Decision) Difference in Results (Anticipated VS Actual) Decision #2 Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices) Anticipated Results (of Chosen Decision) Difference in Results (Anticipated VS Actual) Decision #3 Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices) Anticipated Results (of Chosen Decision) Difference in Results (Anticipated VS Actual) Ethical Considerations Conclusion References PLEASE REMEMBER TO INCLUDE INTRODUCTION AND CONCLUSION

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