Minimum of 300 words with at least two peer review reference in 6th edition apa style.

 Servant leaders must be internally consistent with their words and actions (credibility). A credible person will do what they say. Describe a time when you felt free in displaying your integrity at work. Conversely, describe a time when you felt fearful or wary of displaying your integrity at work. What was the determining factor(s) that allowed you to lead by example versus going against your heart? If you never felt free in displaying your integrity at work, describe what conditions would need to exist for you to do so? 

(please make it relevant to a Nurse situation working in the emergency room)

 CASE STUDY

Ms. Janet Steel is a 26-year-old female with a History of HTN, Anxiety, Asthma, Hypochondria and PCOS. She was admitted to Millwood Hospital due to a Panic Attack she experienced 1 month ago. She was initially admitted to JPS psych unit, was discharged home but she is still unstable at this time. The patient has been complaining of having a wound and pain (level 6) under her left foot, but there is no wound under her left foot. The patient’s mother is her support system and Responsible Party. When the charge nurse entered the room to ask the reason for admission, the patient stated “I have severe anxiety and I had a panic attack last month. I am having pain under my left foot because I have a wound”. The charge nurse did a head to toe assessment, but there is no wound under her left foot. The family indicated that the patient will often complain of having something wrong with her all the time. She has been going to the hospital every week for the last 6 months and the physicians diagnosed her with Hypochondria. The patient has been very restless and anxious. She has been very uncooperative with care because she thinks everyone is going to hurt the wound on her left foot, that does not exist. She has a flat affect and is very anxious. She has very soft speech and a medium tone. She denies having any homicidal, suicidal, visual or auditory hallucinations. She is having delusions about the wound on her left foot, that does not exist. Her perception is that she is in lots of pain due to a wound that does not exist per the charge nurse assessment. Her thought processes are illogical. She is alert and oriented x 2, has moderate insight and judgement, is independently ambulatory and is able to toilet herself. She is continent of bowel and bladder. She is non-denominational and does not attend church regularly. She is on a Regular diet with thin liquids. She has good dentition. She has good health and sleeps for 6 hours every night. She does not attend group activities; she has abused marijuana in the past 3 months. She finished Highschool. She plans to go home with her mother upon discharge. 

Medication List:

Seroquel 25mg 1 tab PO BID

Xanax 1 mg 1 tab PO q12 hours PRN

Lisinopril 10mg 1 tab PO QD

Acetaminophen 325mg 1 tab PO q4 hours PRN 

Metformin 500mg 1 tab PO QD

Vital signs:

VS: 98.6°, 110/74, 72, 18, 99% ra

Objective Data

Alert and Oriented X 2

Normal Dentition

Height 5ft 10in; Weight 135lb.

Cardiovascular:  S1, S2, S3 present; all peripheral pulses palpable

Respiratory: Normal lung sounds in all lobes

Gastrointestinal: BS present in all 4 quadrants.

Labs:

Test Results Ref.  Range Units

Sodium 139  137-145 mmol/L

Potassium 3.7   3.5-5.3 mmol/L

Chloride 101  98-107 mmol/L

Carbon dioxide 24  22-30 mmol/L

Anion gap 13.0  7.0-16.0 mmol/L

Creatinine 1.20  0.66-1.25 mg/dL

Estimated GFR Non AFR American 100  >60 ml/min/1.73m2

Anion gap 12  7.0- 16.0 mmol/L

Blood Urea Nitrogen (BUN) 28  9-20 mg/dL

WBC: 8.0  3.4 -10.8 x10E3/ul

Read Chapter 8

1. Describe a situation in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace. 

2. Compare and contrast strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method. 

3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students. 

4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?

PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not?

APA style (in text citations and references)

plagiarism FREE

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.