As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. 

Review the scenario assigned 

• Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
• Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
• Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
• Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
• Explain the process of writing prescriptions, including strategies to minimize medication errors.

  

Question 1 

A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The nurse practitioner is trying to differentiate between epididymitis and testicular torsion. Which test should be the provider’s first choice?

Technetium scan.

X-ray.

Ultrasound.

Physical examination.

Question 2 

A male patient presents to the clinic for evaluation of infertility. Subjectively, the patient complains of pain and fullness of the testes and states, “My testicles feel like a bag of worms.” On physical examination, the nurse practitioner notes tortuous veins posterior to and above the testes that extend up into the external inguinal ring. Based on the preceding assessment, the nurse practitioner refers the patient to urology with a diagnosis of: 

Hydrocele.

Urethritis.

Varicocele.

Orchitis.

Question 3 

A patient’s chief complaint is pain and heaviness in the scrotum. The nurse practitioner notes swelling of the testes, along with warm scrotal skin. Which of the following diagnoses is most probable? 

Testicular torsion.

Orchitis.

Cryptorchidism.

This Assignment addresses this course outcome:

Explain how theoretical frameworks influence advance.

Purpose

The purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists.

Directions

You are going to explore how a theorist of your choice created his or her theory. Did it develop as an acorn becoming a mighty oak over the decades? Did it arrive as a burst of light like the big bang as some believe created our universe? Was it developed from a blueprint like a spaceship where thousands of scholars worked together to create a rocket to the moon? In point of fact, how is a theory developed? This is what we are exploring.

You will pick a theorist who interests you, it does not have to be a nurse theorist. You may also choose from other disciplines such as: behavioral, leadership, business, education, technology.

You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current.

As you read, look at how you (taking on the persona of the theorist) developed the theory.

In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed.

In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring.

The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory.

The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care.

Assignment Details

For this Assignment, you are going to write an article for a nursing journal explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please SEE ATTACHMENT

Assignment Requirements

Before finalizing your work, you should:

• Minimum requirement of at least 5 sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th Edition
• NO PLAGIARISM

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory 

While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients.

  

Learning Objectives Students will: • Compare cognitive behavioral therapy and rational emotive behavioral therapy   • Recommend cognitive behavioral therapies for clients 

To prepare: • Review the media in this week’s Learning Resources.   • Reflect on the various forms of cognitive behavioral therapy.     

                                               

The Assignment 

In a 1- to 2-page paper, address the following: 

• Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar. 

• Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor. 

• Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature. 

Note: This paper must include an introduction, summary, and references. 

 Learning Resources  

Required Readings:

(1) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. • Chapter 8, “Cognitive Behavioral Therapy” (pp. 313–346)  

(2)American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.                  

Required Media: 

(1) Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net. 

(2) Beck, A. (1994). Aaron Beck on cognitive therapy [Video file]. Mill Valley, CA: Psychotherapy.net.  Eysenck, H. (n.d.). Hans Eysenck on behavior therapy [Video file]. Mill Valley, CA: Psychotherapy.net.

                                                 Transcultural nurse 

Guideline :- due date octubre 17

                  – at least 2 paragraph for case 

                  -APA format 

                   -at least 1 reference per case 

1- While on break from school, Jose, a nursing student, discusses his coursework with his family. His parents are intrigued and ask a lot of questions, especially when he mentions transcultural nursing, something they’ve never heard of before.

       -How should Jose describe transcultural nursing? What should he include     about the history and theory behind transcultural nursing?

2- Use an example nursing practice setting that incorporates transcultural nursing theory. Choose one of the following: A health clinic with primarily low-income migrant farm workers in rural Texas; an ICU with mainly trauma patients; a telemetry unit with patients with heart disease; or a neonatal ICU with very premature infants. 

        -How does the specific setting impact the need for and delivery of transcultural care

3- Courtney, a nurse on the pediatric floor of a hospital, spent 2 years volunteering through the Peace Corps in Honduras.Describe how her experience may be similar to Leininger’s development of transcultural nursing theory.

         -How has Courtney’s experience in the Peace Corps potentially enhanced her ability to provide culturally competent care?

4- A nurse on a surgical unit mentions that she would like to know more about various cultures and how to take care of patients with diverse cultural backgrounds.

         -How could you use the Andrews/Boyle TIP Model to support her wish to provide culturally competent care?

         -Give an example of how the surgical nurse might use the Andrews/Boyle TIP Model in her everyday practice.

5- Lisa, an emergency room nurse, discusses with her colleagues how important it is to be aware of the immigration trends and the health issues in the United States and the world. She checks the Centers for Disease Control website at least once a week. She also received a care award last year for her compassionate care for all patients. 

          -Discuss the ways that her awareness may influence her nursing      care.Describe at least one additional way that a nurse may continue to learn about cultures.

6- A family who requests privacy five times during the day to pray wants to have a sign on the door during their prayer time. The wife of the patient appears very anxious about the accommodation. The patient is a 45-year-old Muslim man who had a heart attack and is in the step-down telemetry room.

         – How should the nurse respond in this situation? How should the organization respond. How can organizational and individual cultural assessments affect the plan of care?

7- Ana Maria is a 35-year-old computer intelligence and security expert who recently moved to the United States from Spain. She doesn’t speak or read English well. The nurse describes a need for a Spanish interpreter for interactions with the patient.

          – What additional information do you need to obtain from the patient and the chart prior to securing a Spanish interpreter?

(naver assume that because she is from spain she have to speak spanish)