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Analyzing an Ethical Decision – 2025 Assignment Practicum Journal Entry Analyzing an Ethical Decision In your role as a
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Analyzing an Ethical Decision – 2025
Assignment: Practicum Journal Entry: Analyzing an Ethical Decision
In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.
Learning Objectives
Students will:
· Analyze salient ethical issues in psychiatric mental health practice
· Compare ethical dilemmas with state health laws and regulations
· Analyze ethical decision-making processes
To prepare:
· Review literature for moral/ethical issues encountered by a PMHNP.
· Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.
Write a 2-page paper in which you do the following:
· Summarize the moral/ethical issue in the article (no more than 1 paragraph).
· Describe the moral and ethical dilemmas surrounding the issue.
· Analyze the ethical issue and compare them to the state health laws and regulations in your state.(Texas)
· Outline the process of ethical decision making you would use to address this ethical dilemma.
Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.
see class rules
Use subheadings when writing
cite scholarly resources including peer-review journals and current practice guidelines
A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings
Please all bullets points, bold, red and highlighted area must be attended to.
Module 09 Written Assignment – Stroke Concept Map – 2025 Please use the concept map to plan care for Mr Jackson Mr Jackson is a 38 year old
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Module 09 Written Assignment – Stroke Concept Map – 2025
Please use the concept map to plan care for Mr. Jackson. Mr. Jackson is a 38-year-old African American that presents with an altered level of consciousness (ALOC). He has been having headaches for the last three months but due to a hectic work schedule he has not been able to go to see his medical practitioner. During his last visit two years ago, his blood pressure was slightly elevated, but he never followed up. Upon arrival to the ED a CT scan is completed and it shows a large bleed near the frontal lobe. What should Mr. Jackson’s plan of care include?
Rubric: – Organization: well organized and logical format that provides examplies that are clearly linked or connected.
-content and mechanics: contains appropriate numbers of concepts. Information is current, applicable and demostrates superior conceptual understanding. information is presented clearly and flows through the assignment, currect spelling, grammar and citations when appropriate
-Pathophysiology: each concept map must detail pathophysiology for pertinent disease process/processess. This may detail more than one disease if they are related. example:renal failure secondary to HTN.
-Clinical manifestations: subjective data and objective data
-Nursing diagnosis:two NADA nursing diagnosis include related to and evidenced by (if indicated)
-Nursing interventions: atleast 4 nursing interventions for each nursing diagnosis.
-Goals: one per nursing diagnosis. remember SMART goal: simple, measurable, agreeable, reallistic and timed.
Cultural factors and their influence on medications – 2025 In this written assignment select one cultural factor such as health beliefs language perception of
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Cultural factors and their influence on medications – 2025
In this written assignment, select one cultural factor such as health beliefs, language, perception of time, environment control, etc. (see textbook reading) and apply it to a selected ethnic group. The paper will include the following:
The paper should be no more than 3 pages. Use APA Editorial Format for all citations and references used.
Cultural and Diversity awareness in Health assessments – 2025 Pick one scenario Case Study 1 Last names A H CASE STUDY 1 JC an at risk
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Cultural and Diversity awareness in Health assessments – 2025
Pick one scenario
Case Study #1: Last names A-H:
CASE STUDY 1 JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.
Case Study #2: Last names starting with I-Q:
CASE STUDY 2 TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0
Case Study 3: Last names starting R-Z:
CASE STUDY 3 MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help himself too. He tells you he is afraid that he will not get into heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.
To prepare:
· Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
· Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
· Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
· Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Resources for reference:
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
This chapter highlights history and interviewing processes. The authors explore a variety of communication techniques, professionalism, and functional assessment concepts when developing relationships with patients.
This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. doi:10.3109/02770903.2014.906605
Credit Line: Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis by Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J., in Journal of Asthma, Vol. 51/Issue 7. Copyright 2014 by Taylor & Francis, Inc. Reprinted by permission of Taylor & Francis, Inc. via the Copyright Clearance Center.
The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma.
Centers for Disease Control and Prevention. (2015). Cultural competence. Retrieved from https://npin.cdc.gov/pages/cultural-competence
This website discusses cultural competence as defined by the Centers for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website.
United States Department of Human & Health Services. Office of Minority Health. (n.d.). A physician’s practical guide to culturally competent care. Retrieved June 10, 2019, from https://cccm.thinkculturalhealth.hhs.gov/
From the Office of Minority Health, this website offers CME and CEU credit and equips healthcare professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.
Espey , D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104(Suppl 3), S303–S311.
Three to four reference must be provided