You are a school nurse in a middle school when Jamal comes to the nurse’s office requesting medication for a headache. You notice that his eyes are red, and it appears as if he has been crying. You ask if he is hurt, but he denies it. The phone rings in the office, and a teacher tells you that a female student has approached her concerned about Jamal. The teacher tells you that Jamal sent her a text message saying that he flunked his biology examination and wished he was dead.

1. If Jamal shared with you a suicide plan that includes harming himself with a weapon, what would be your first nursing intervention?

2. What educational program would you develop for the middle school to educate students about ways to cope with stress and how to respond if a friend needs support?

instructions: 

at least 350 words

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) ISBN: 978-1-4338-3216-1

·      Minimum of two references, not older than 2015.

 

Exercise Content

1. Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

   Chronic Stable Angina

   E.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the woman’s 2 children. His past medical history is remarkable for asthma and six “heart attacks” that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.

   Diagnosis: Angina

   1. List specific goals of treatment for E.H.
   2. What dietary and lifestyle changes should be recommended for this patient?
   3. What drug therapy would you prescribe for E.H. and why?
   4. How would you monitor for success in E.H.?
   5. Describe one or two drug–drug or drug–food interactions for the selected agent.
   6. List one or two adverse reactions for the selected agent that would cause you to change therapy.
   7. What would be the choice for the second-line therapy?
   8. Discuss specific patient education based on the prescribed first-line therapy.
   9. What over-the-counter and/or alternative medications would be appropriate for E.H.?

  

NURSING PICO QUESTION

1. Formulate a PICO question for your “Design A Research Study” assignment. Use the following formulated question as PICO question to create the Concept Map:

Which form of oxytocin administration during the third stage of labor is most effective in reducing the risk of postpartum hemorrhage?

1. Create a concept map for your PICO question, using the module resources on concept mapping. Using guidelines from the concept mapping topic of this module, create a new concept map based on your PICO question. See resources and guidelines attached below 
2. The first step is in concept mapping to create boxes with the four pieces of your PICO.
3. Then begin making connections between the population, intervention, comparison, and outcomes for your question. 
4. Expand your map by including additional levels of concepts, ideas, and search terms (synonyms) for each subtopic. 
5. You should have at least three levels of sub-concepts in addition to your main PICO concepts. This process will help you tremendously when you begin to search the databases for literature on your paper topic. 

PICO and Concept Map Assignment Grading Rubric: 

  

Possible Points

Points Given

Comments

 

PICO and Search   Query Worksheet attached and complete

5

 

Well-written   PICO of nursing relevance

5

  

PICO represented as main concept boxes on concept   map an Contains at   least 3 additional levels of concepts beyond the main boxes

5

 

Map Appears   thorough and neat

5

Professor’s instructions:

Write an annotated bibliography in APA format for one reputable public health resources. Choose an international, national, or local public health-related journal or website that would be useful for the advanced practice nurse in determining the current healthcare needs of vulnerable populations. For each annotation, emphasize key terms commonly used within the context of public health. 

– I just need an annotated bibliography in APA format for the article I attached. 300 words minimum. NEED it by tomorrow morning.