INSTRUCTIONS

The Case of Marisol

Marisol is a 40-year old single female from a tight knit Puerto Rican family. She is employed full time as a data analyst for a technology company. She has steadily progressed in her career by working for relatively small companies where her role allowed her to work relatively independently. Unfortunately, working for small organizations was less stable financially so she has been working for a larger company for the past four years. Interacting with a larger work group has challenged her comfort zone. She prefers to spend time with a network of close friends she has known most of her life whom she visits with one on one. Her family lives in the area, and she sees them frequently. Her parents and older brother have always provided a support system and practical help. She enjoys quiet evenings alone or at the home of her brother and his family. Her friends and family privately wonder why she’s never dated or wanted to travel.

For each case study, you will complete a descriptive diagnosis using tools you select from the list of assessment tools provided later in the assignment. Each case requires the following information to be addressed:

• Identify presenting concerns from the client’s perspective as described in the video and accompanying narrative. Include relevant cultural and systemic considerations that frame the client’s presentation.
• Describe what information is still needed to make a differential diagnosis and evaluate how at least one assessment tool, which is listed in the List of Assessment Tools resource, will aid in obtaining that information. The Differential Diagnosis Decision Tree may be helpful to guide this process.
• Present DSM-5 and ICD-10 codes, including relevant V and Z codes.
• Provide a descriptive rationale for the DSM diagnosis that best fits the information provided including relevant ICD codes. This should be written in a narrative form using complete sentences. Support your rationale with scholarly sources. Optional readings found in the course syllabus may be particularly relevant.
• Determine if a medication consultation is appropriate and provide a rationale with support from scholarly sources.

LIST OF ASSESSMENT TOOLS AND SUPPORTING RESOURCES

• Beck, A. T., Epstein, N., Brown, G., & Steer, R. (1988). Beck Anxiety Inventory. Psyctests, doi:10.1037/t02025-000
  • Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta‐analysis of the English version of the Beck Anxiety Inventory. Journal of Counseling & Development, 94(3), 356–373.
    • Review this source to review how to interpret the Beck Anxiety Inventory.
• Derogatis, L. R. (1977). Symptom checklist-90–revised. Psyctests, doi:10.1037/t01210-000
  • Grande, T. L., Newmeyer, M. D., Underwood, L. A., & Williams, C. R. (2014). Path analysis of the SCL-90-R: Exploring use in outpatient assessment. Measurement and Evaluation in Counseling and Development, 47(4), 271–290.
    • Review this source to review how to interpret the SCL-90-R.
• Prevatt, F., Dehili, V., Taylor, N., & Marshall, D. (2015). Anxiety Symptom Checklist. Psyctests, doi:10.1037/t39906-000
• Beck Depression Inventory–II
  • Erford, B. T., Johnson, E., & Bardoshi, G. (2016). Meta-analysis of the English version of the Beck Depression Inventory–Second edition. Measurement and Evaluation in Counseling and Development, 49(1), 3–33.
    • This resource will help you use the Beck Depression Inventory-II if you access that assessment tool.

SUBMISSION REQUIREMENTS

• Written communication: Written communication must be grammatically correct and free of errors that detract from the overall message. Writing should be consistent with graduate level scholarship.
• APA formatting: Title page, main body, and references should be formatted according to the current APA style and formatting.
• Number of resources: Minimum of six scholarly resources. Distinguished submissions typically exceed this minimum.
• Length of paper: 5–7 typed double-spaced pages. Abstract and Table of Content pages are not necessary.
• Font: Times New Roman, 12 point.

An RN working in the Intensive Care Unit (ICU) is caring for a patient with an acute gastrointestinal hemorrhage related to Hepatitis C liver damage that resulted from cocaine abuse. At the end of the shift, the outgoing RN states to the incoming RN, “I have been in that patient’s room all day, transfusing blood products. It’s such a waste of resources. Why should we even bother to treat him, since he will just be using cocaine again after discharge?”

Initial Discussion Post:

Address the following:
What is the most appropriate way for the incoming RN to approach this situation after hearing the outgoing nurse’s comments? Include ethical and legal considerations.
What is the role of an RN in addressing the value system of other health care workers that may have a negative impact on patient care? Include ethical and legal considerations.
Should an RN be able to refuse an assignment if a patient’s value system is in direct conflict with his/her own? Why or why not? Include ethical and legal considerations.

350 words

 APA format  no more than 5 years

and in text citation

Read the article: “Coker-Bolt, P., Jarrard, C.,Woodard, F., & Merrill, P. (2013). The effects of oral motor stimulation on feeding behaviors of infants born with univentricle anatomy. Journal of Pediatric Nursing, 28(1), 64-71.” After reviewing the article, please answer the following questions (see below).

Coker-Bolt, P., Jarrard, C.,Woodard, F., & Merrill, P. (2013). The effects of oral motor stimulation on feeding behaviors of infants born with univentricle anatomy. Journal of Pediatric Nursing, 28(1), 64-71.

1. The Problem/Question:

• Was there a clear statement of the question, objectives and aims of the research?
• Is the problem practically important?
• What is the hypothesis?

2. Background

• Are the cited sources pertinent to the study?
• Is the review too broad or too narrow?
• Are the references recent?
• Was a theoretical perspective identified?

3. Design and procedures

• What research methodology was used?
• What are the variables? What is the dependent variable and independent variable?
• How was sampling performed?

4. Conclusions and Implications

• Were the implications discussed?
• What recommendations were made at the conclusion?
• Is it possible to implement these recommendations in practice?

 Topic 5 DQ 1

​The reengineering of healthcare has focused on reducing cost, improving quality, and increasing access to care.  Nurses are well-positioned to have a dramatic impact on all three areas with their unique perspectives on patient care and understanding of the communities that they serve (Cleveland et al., 2019).  Warren et al. (2019), as an example, contributed to cost containment and improved quality of care with the nurse-led development of a transitional care model to reduce the incidence of hospital readmission.  Focusing on the root cause of readmissions, the health care team was able to develop an intervention specifically developed to address obstacles patients experience in outpatient and community settings.

Governance is another area where nurse leaders have an opportunity to be impactful in healthcare change.  Nurses who are involved in advisory, non-profit, private, and public corporate boards bring the nursing perspective to these groups and have the opportunity to help shape policies with public health in mind (Harper & Benson, 2019).  Nurses are skilled at teamwork, problem-solving through critical thinking, and using evidence to support solutions, all of which are beneficial to helping their communities in board positions (Harper & Benson, 2019).

Discuss how nurse managers and nurse leaders contribute to the reengineering of health care. 

 Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years