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2025 Select two clients you observed or counseled this week during a group therapy session Note The two clients
by adminAssignment 1: Practicum – Week 8 Journal Entry 2025
Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session. Then, in your Practicum Journal, address the following: Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for each client. Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach. Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature .
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2025 Discussion Building a Health History Effective communication is vital to constructing an accurate and detailed patient history A
by adminDiscussion: Building a Health History 2025
Discussion: Building a Health History Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients: Chosen topic in red · 76-year-old Black/African-American male with disabilities living in an urban setting To prepare: With the information presented in Chapter 1 in mind, consider the following: · How would your communication and interview techniques for building a health history differ with each patient? · How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment? · What risk assessment instruments would be appropriate to use with each patient? · What questions would you ask each patient to assess his or her health risks? · Select one patient from the list above on which to focus for this Discussion. · Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. · Select one of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient. · Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. · Include sub headings please Write: a description of the interview and communication techniques you would use with your selected patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient
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2025 In this assignment you will consider case studies that describe abnormal findings in patients seen in
by adminSoap Note 2025
In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. GENITALIA ASSESSMENT Subjective: CC: “I have bumps on my bottom that I want to have checked out.” HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. PMH: Asthma Medications: Symbicort 160/4.5mcg Allergies: NKDA FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney Diagnostics: HSV specimen obtained Assessment: Chancre PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. To prepare: With regard to the SOAP note case study provided: Review this week’s Learning Resources, and consider the insights they provide about the case study. Consider what history would be necessary to collect from the patient in the case study. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. To complete: Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature. Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or Why not? Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.
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2025 As a professional nurse you are expected to apply your expertise to patient care On occasion
by adminAssignment: Policy/Regulation Fact Sheet 2025
As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise. With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders. In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. To Prepare: Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics. Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA). Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study. The Assignment: (1 page) Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific. References: McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166) https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program https://www.cms.gov/medicare/quality-initiatives-patient-assessment- instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and- macra https://www.hhs.gov/regulations/index.html Rubric: Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: · Briefly and generally explain the policy or regulation you selected. · Address the impact of the policy or regulation you selected on system implementation. · Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. · Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.–Levels of Achievement:Excellent 77 (77%) – 85 (85%) A fully developed and detailed Fact Sheet is provided for the Assignment. The responses accurately and thoroughly explain in detail the policy and regulation selected. The responses accurately and thoroughly explain in detail the impact of the policy or regulation selected on system implementation. The responses accurately and thoroughly explain in detail the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow. Specific and accurate responses thoroughly highlight in detail the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected. Includes: 3 or more peer-reviewed sources and 2 or more course resources. Good 68 (68%) – 76 (76%) A developed Fact Sheet is provided for the Assignment. The responses explain the policy or regulation selected. The responses explain the impact of the policy or regulation selected on system implementation. The responses explain the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow. Accurate responses highlight the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected. Includes: 2 peer-reviewed sources and 2 course resources. Fair 60 (60%) – 67 (67%) A vague or inaccurate Fact Sheet is provided for the Assignment. The responses explaining the policy or regulation selected are vague or inaccurate. The responses explaining the impact of the policy or regulation selected on system implementation are vague or inaccurate. The responses explaining the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow are vague or inaccurate. The responses highlighting the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected are vague or inaccurate. Includes: 1 peer-reviewed source and 1 course resource. Poor 0 (0%) – 59 (59%) A vague and inaccurate Fact Sheet is provided for the Assignment, or is missing. The responses explaining the policy or regulation selected are vague and inaccurate, or are missing. The responses explaining the impact of the policy or regulation selected on system implementation are vague and inaccurate, or are missing. The responses explaining the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow are vague and inaccurate, or are missing. The responses highlighting the organizational policies and procedures that are/will be in place at a healthcare organization to address the policy or regulation selected are vague and inaccurate, or are missing. Includes: 1 or fewer resources.Feedback: Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Feedback: Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation--Levels of Achievement:Excellent 5 (5%) - 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. Good 4 (4%) - 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. Fair 3.5 (3.5%) - 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. Poor 0 (0%) - 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback: Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.--Levels of Achievement:Excellent 5 (5%) - 5 (5%) Uses correct APA format with no errors. Good 4 (4%) - 4 (4%) Contains a few (1-2) APA format errors. Fair 3.5 (3.5%) - 3.5 (3.5%) Contains several (3-4) APA format errors. Poor 0 (0%) - 3 (3%) Nursing Assignment Help 2025