2025 Read over each of the following directions the required Reading Research Literature worksheet and grading rubric Review the

Week 6 Assignment: Reading Research Literature (RRL) Worksheet (graded) 2025

Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric. Review the following video which contains a tutorial for your Week 6 Assignment. Tutorial may look slightly different session to session. Grading criteria and rubric will be the same. Access the transcript via this link: Week 6 Assignment Transcript (Links to an external site.) .Week 6 Assignment Tutorial: https://lms.courselearn.net/lms/video/player.html?video=0_jhxsfia6 Download and complete the required Reading Research Literature (RRL) worksheet (Links to an external site.) . This must be used. Your required article is available to you in an announcement: IMPORTANT: Assigned Article for Week 6 Assignment. Please go to your announcement to locate the required article assigned for this session. This assignment contains: Purpose of the Study: Using information from the required article and your own words, summarize the purpose of the study. Describe what the study is about. Research & Design: Using information from the required article and your own words, summarize the description of the type of research and the design of the study. Include how it supports the purpose (aim or intent) of the study. Sample: Using information from the required article and your own words, summarize the population (sample) for the study; include key characteristics, sample size, sampling technique. Data Collection: Using information from the required article and your own words, summarize one data that was collected and how the data was collected from the study. Data Analysis: Using information from the required article and your own words, summarize one of the data analysis/ tests performed or one method of data analysis from the study; include what you know/learned about the descriptive or statistical test or data analysis method. Limitations: Using information from the required article and your own words, summarize one limitation reported in the study. Findings/Discussion: Using information from the required article and your own words, summarize one of the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the study. Reading Research Literature : Summarize why it is important for you to read and understand research literature. Summarize what you learned from completing the reading research literature activity worksheet. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.) . Click on the envelope at the top of the page. Submit the completed Reading Research Literature Worksheet to the Week 6 Assignment.

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2025 Question 1 A patient has been prescribed a Scheduled 5 drug an example of this drug is Question

NURS6521 Week 2 Quiz latest 2017 2025

Question 1 A patient has been prescribed a Scheduled 5 drug, an example of this drug is Question 2 A nurse has just completed a medication history on a newly admitted patient . In order to complete medication reconciliation for this patient the nurse will Question 3 A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim . The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a Question 4 A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients . Which of the following should the nurse consider when administering narcotics to patients in a hospital setting? Question 5 Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic . In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time . However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription . These prescriptions cannot be refilled . A new prescription must be written each time . Examples include certain amphetamines and barbiturates . This is scheduled drug Question 6 A nurse receives an order to administer a critically ill patient two drugs immediately (stat) . The nurse begins the process by Question 7 A nurse working for a drug company is involved in phase III drug evaluation studies . Which of the following might the nurse be responsible for during this stage of drug development? Question 8 Federal legislation dictates a lengthy and rigorous process of testing for new drugs . What is the primary purpose of this testing process? Question 9 These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2 . These drugs contain a combination of controlled and noncontrolled substances . Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence . A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months . Examples include certain narcotics (codeine) and nonbarbiturate sedatives . This is scheduled drug Question 10 Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine? Question 11 Drugs have a high potential for abuse . There is no routine therapeutic use for these drugs and they are not available for regular use . They may be obtained for “investigational use only” by applying to the U . S . Drug Enforcement Agency . Examples include heroin and LSD . Which scheduled drug is this? Question 12 A patient has taken an overdose of a vitamin/mineral supplement containing magnesium . The nurse will be sure to assess Question 13 A nurse practitioner understands when prescribing a medication that there are certain questions to address . Check all that apply . Question 14 A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder . The physician has prescribed lithium carbonate (Eskalith) to treat the disorder . The nurse is aware that the lithium dose will likely be given in a Question 15 The nurse practitioner orders Amoxicillin 250 mg/5 ml tid for 10 days? The nurse practitioner would expect the pharmacist to fill the prescription bottle with how many ml? Question 16 A patient will begin three new medications as part of her treatment plan . The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states Question 17 A nurse is providing a patient with a list of drugs as a part of the patient’s plan of care . Which of the following drug nomenclatures should the nurse use to list the drugs? Question 18 A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago . Earlier this week, the woman slipped while getting off a bus and fractured her hip . How should the woman’s nurse best exemplify cultural competence in the care of this patient? Question 19 Which of the following serves to protect the public by ensuring the purity of a drug and its contents? Question 20 A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English . The patient is alone, and there is no interpreter available . When trying to communicate with the patient the nurse will Question 21 A patient comes to primary clinic for strep throat . A throat swab culture is sent to lab . What information is required for the nurse practitioner to disclose on lab transmittal? Question 22 A Native American man who lives a traditional lifestyle is scheduled to have heart surgery . The tribal chief has requested that the tribe’s medicine man perform a ritual before the patient goes to surgery . The nurse’s response to this request should be Question 23 A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine . The nurse should inform the patient that Question 24 A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins . The nurse understands that white Americans usually receive Question 25 A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up . This area of study is called

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2025 Also for the skin disorder you will chose a skin disorder You will give CC one sentence

Differential Diagnosis for Skin Conditions 2025

Also, for the skin disorder, you will chose a skin disorder, You will give CC one sentence. HPI example:  A 75 yo woman presents today with itchy red rash. Give location, description, onset, assorciating or alleviating factors. You can also use the soap note template that is attached as guide, PMH, allergies, meds. ROS ect. Please let me know if you have any questions or concerns. Your soap note template can also be found in the resource under week 4 which is to the right of the page. One can chose which ever picture. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. Also, please access your grading rubric.. By Day 7 of Week 4 soap note template.docx Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition. To Prepare Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why. Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

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2025 Head to Toe Assessment For this assignment perform a complete head to toe assessment on one of your chosen participants Your

Head-to-Toe Assessment For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following: Topical headings to delineate systems. For any system for which you do not have equip 2025

Head-to-Toe Assessment For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following: Topical headings to delineate systems. For any system for which you do not have equipment, explain how you would do the assessment. Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age. An analysis of age-specific risk reduction, health screen, and immunizations. Your expectation of normal findings and what might indicate abnormal findings in your review of systems. The differential diagnosis (disease) associated with possible abnormal findings. A plan of care (including nursing diagnosis, interventions, evaluation). Client and age-appropriate evidenced based practice strategies for health promotion. Pharmacological treatments that can be used to address health issues for this client. Provide your answers in a 6- to 7-page Microsoft Word document. Support your responses with examples. On a separate references page, cite all sources using APA format. Use this APA Citation Helper as a convenient reference for properly citing resources. This handout will provide you the details of formatting your essay using APA style. You may create your essay in this APA-formatted template. Submission Details

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2025 The nursing process is a tool that puts knowledge into practice By

Benchmark – Nursing Process: Approach to Care 2025

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care. Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper: Describe the diagnosis and staging of cancer. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why? Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area. You are required to cite to a minimum of five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Benchmark Information This benchmark assignment assesses the following programmatic competencies: RN-BSN 2.1: Incorporate liberal arts and science studies into nursing knowledge. 3.1 Utilize the nursing process to provide safe and effective care for patients across the life span. https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1567134817304392 “Epstein-Barr Virus Incidental Expression in Bone Marrow Cells: A Study of 230 Consecutive Bone Marrow Biopsy Samples,” by Farrell et al., from Human Pathology (2019). URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0046817719300541 Explore the American Cancer Society (ACS) website. URL: https://www.cancer.org/

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2025 Review your strategic plan to implement the change proposal the objectives the outcomes and listed resources Develop a process

Capstone Change Project Evaluation Plan 2025

Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources. Develop a process to evaluate the intervention if it were implemented. Write a 250-300 word summary of the evaluation plan that will be used to evaluate your intervention. The assignment will be used to develop a written implementation plan. APA style is not required, but solid academic writing is expected. ASSIGNMENT 2 Benchmark – Capstone  Project Change Proposal In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: 1. Background 2. Clinical problem statement. 3. Purpose of the change proposal in relation to providing patient care in the changing health care system. 4. PICOT question. 5. Literature search strategy employed. 6. Evaluation of the literature. 7. Applicable change or nursing theory utilized. 8. Proposed implementation plan with outcome measures. 9. Discussion of how evidence-based practice was used in creating the intervention plan. 10. Plan for evaluating the proposed nursing intervention. 11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome. 12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created. Prepare this assignment according to the guidelines found in the APA Style Guide. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite

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2025 Week 1 Discussion Scenario A 27 year old patient with a history of substance abuse is found unresponsive by

Alteration in cellular processes 2025

Week 1 Discussion Scenario: A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L. Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response.

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2025 Create a concept map of a chosen condition disease or disorder with glucose regulation or metabolic balance

Concept Map 2025

Create a concept map of a chosen condition, disease, or disorder with glucose regulation or metabolic balance considerations. Write a brief narrative (2–3 pages) that explains why the evidence cited in the concept map and narrative are valuable and relevant, as well as how specific interprofessional strategies will help to improve the outcomes presented in the concept map. Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented. SHOW LESS The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient’s life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders. The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes. Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects. Justify the value and relevance of the evidence used as the basis for a concept map. Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes. Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes. Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards. Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links. Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the biopsychosocial model of health, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between emotional, personality, cultural, and socioeconomic considerations that impact health. Questions to Consider As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. The assessment will be based on the case of a specific patient with a specific condition, disease, or disorder. Think about an experience you have had treating a patient with a condition, disease, or disorder that interests you, or one of the cases presented in the Vila Health: Concept Maps as Diagnostic Tools media simulation. What is the primary condition, disease, or disorder affecting the patient? What types of experience have you had working with patients with this condition, disease, or disorder? How does this condition, disease, or disorder typically present? What are the recommended treatment options? What, if any, characteristics of an individual patient should be kept in mind when determining a course of treatment. How have you used concept maps to help plan and organize care? What are the advantages of concept maps, from your point of view? How could concept maps be more useful? How can interprofessional communication and collaboration strategies assist in driving patient safety, efficiency, and quality outcomes with regard to specific clinical and biopsychosocial considerations? What interprofessional strategies do you recommend health care providers take in order to meet patient-centered safety and outcome goals? Assessment Instructions Scenario You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will develop a concept map and provide supporting evidence and explanations. You may use the case studies presented in the Vila Health: Concept Maps as Diagnostic Tools media, a case study from the literature or your practice that is relevant to the list of conditions below, or another relevant case study you have developed. This case study will provide you with the context for creating your concept map. You may also use the practice context from the case study or extrapolate the case study information and data into your own practice setting. Think carefully when you are selecting the case study for this assessment, as you may choose to build upon it for the second assessment as well. Some example conditions, diseases and disorders that are relevant to metabolic balance and glucose regulation considerations are: Cancer. Diabetes (type 2). HIV/AIDS. Hyperthyroidism. Hypothyroidism. Metabolic syndrome. Obesity. Polycycstic ovary syndrome. Prediabetes. Pregnancy. Instructions Develop a concept map and a short narrative that supports and further explains how the concept map is constructed. You may choose to use the Concept Map Template (in the Resources) as a starting point for your concept map, but are not required to do so. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of them. You may also want to read the Concept Map scoring guide and the Guiding Questions: Concept Map document to better understand how each grading criterion will be assessed. Part 1: Concept Map Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects. Part 2: Additional Evidence (Narrative) Justify the value and relevance of the evidence you used as the basis for your concept map. Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes. Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links. Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: Assessment 1 Example [PDF] . Additional Requirements Length of submission : Your concept map should be on a single page, if at all possible. You can submit the concept map as a separate file, if you need to. Your additional evidence narrative should be 2–3 double-spaced, typed pages. Your narrative should be succinct yet substantive. Number of references : Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your concept map, decisions made regarding care, and interprofessional strategies. Resources should be no more than five years old. APA formatting : For the concept map portion of this assessment: Resources and citations are formatted according to current APA style. Please include references both in-text and in the reference page that follows your narrative. For the narrative portion of this assessment: use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. You do not need to include an abstract for this assessment. Grading Rubric: 1- Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects. Passing Grade: Develops an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects. Identifies assumptions on which the plan is based. 2- Justify the value and relevance of the evidence used as the basis for a concept map. Passing Grade: Justifies the value and relevance of the evidence used as the basis for a concept map. Impartially considers conflicting data and other perspectives. 3- Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes. Passing Grade: Analyzes how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis). 4- Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links. Passing Grade:  Constructs concept map and linkage to additional evidence in a way that facilitates understanding of key information and links. Identifies specific strategies or approaches used to ensure clear communication. 5- Constructs concept map and linkage to additional evidence in a way that facilitates understanding of key information and links. Identifies specific strategies or approaches used to ensure clear communication. Passing Grade:  Integrates relevant sources to support assertions, correctly formatting citations and references using current APA style. Citations are free from all errors.

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2025 76 year old female patient complains of weight gain shortness of breath peripheral edema and abdominal

CHF 2025

76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air. (1- to 2-page case study analysis) In your Case Study Analysis related to the scenario provided, explain the following · The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms. · Any racial/ethnic variables that may impact physiological functioning. · How these processes interact to affect the patient. all papers submitted include a title page, introduction, summary, and references.

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2025 Do you agree with the following post Why or why not Find an online resource related

June week 3 2025

Do you agree with the following post? Why or why not? Find an online resource related to health promotion and disease prevention of mental health issues for families that you think would be helpful to those who are struggling. This resource should focus on families and their needs, not the person with mental illness. POST 1 Suicide is the 10th leading cause of death in the United States (Chesnay and Anderson, 2020). Suicide does not discriminate between age, sex, race/ethnicity, and geographical location however, it is 4 times more likely in males than females. The National Action Alliance for Suicide Prevention has put in place an act called, “Zero Suicide”. It is a program used to provide information about suicide risk screening tools and steps to take when a patient screens positive for suicide risk. Healthcare settings have a significant role in preventing suicide when screening during routine appointments. This is due to the large number of patients they see from a variety of backgrounds (King, Horwitz, Czyz, and Lindsey, 2017). There are many tools used to assess for mental health concerns and suicide that is encouraged to be utilized by healthcare providers during routine appointments. These screenings include PHQ-9, PHQ-2, SBQ-R, C-SSRS, and ED-SAFE Patient Safety Screener. The PHQ-9 is the most common and incorporates DSM-IV depression diagnostic criteria into a tool for screening, diagnosing, monitoring, and measuring the severity (King, Horwitz, Czyz, and Lindsey, 2017). Theses screenings would pertain to John because if the provider would have assessed him with a PHQ-9 exam, they would have been able to further determine severity of his mental health and suicidal risk. This would have helped them formulate a better discharge plan other than returning “home”. What events in John’s life created a “downward spiral” into homelessness and hopelessness? Which events were related to social needs, mental health needs, and medical needs, and which could health care have addressed? Events that lead to John’s “downward spiral” in my opinion started when he was young growing up with two alcoholics and having an abusive dad. This situation created a high risk for John to abuse alcohol, engage in abusive behavior, and to have mental health issues. His “downward spiral” into homelessness and hopelessness began when he lost his job. The stress this caused him to begin drinking more frequently. With a history of growing up in an alcoholic home, increased stress later in life puts John at a higher risk for developing alcoholism. His alcohol usage then created tension between him and his wife, which lead to arguments and eventually abusive behavior. “Alcohol abuse and alcoholism within a family is a problem that can destroy a marriage or drive a wedge between members. That means people who drink can blow through the family budget, cause fights, ignore children, and otherwise impair the health and happiness of the people they love. Of married couples who get into physical altercations, some 60-70 percent abuse alcohol. In time, family members may even develop symptoms of codependency, inadvertently keeping the addiction alive, even though it harms them” (Watkins, 2020). Events that were related to his social needs stem from when he was younger growing up with two alcoholic parents and an abusive father. He was neglected of socialization and stability of healthy parents and family life from a young age. His mental health needs were neglected when he was younger as well as through out his adult life. Events that are related to his mental health needs are his childhood, stressor of losing job, engaging in more frequent alcohol use, and becoming angrier and arguing with his wife. At any point, these events could have been evaluated and he could have received help in dealing with these situations rather than letting them progress. Events related to his medical needs did not really develop until after he began engaging in risky behavior and increase in stressors. He was otherwise healthy, other than smoking a ½ pack of cigarettes a day as well as occasional drinking. Health care could have addressed all of these needs in any appointment whether scheduled or an emergency visit through routine examination questionnaires. utilizing at least two scholarly references per peer post. APA format POST 2 Do you agree with the following post? Why or why not? Find an online resource related to health promotion and disease prevention of mental health issues for families that you think would be helpful to those who are struggling. This resource should focus on families and their needs, not the person with mental illness. What events in John’s life created a “downward spiral” into homelessness and hopelessness? Which events were related to social needs, mental health needs, and medical needs, and which could health care have addressed? What were some of the barriers John faced in accessing medical care and mental health care? The purpose of this discussion is to analyze the case study of an individual referred to as John who lost his job, which led to other cascading events and to answer the above questions. Some of the cascading effects including his health situation will be described. John was the sole breadwinner in his home. After losing his job the dynamics of his relationship with his wife who was a stay at home mother was affected. In addition to losing his job, certain events that took place forming a downward spiral for John were his negative coping strategy and losing his family. Individuals engage in either positive or negative coping behaviors to deal with stressful events in life such as divorce, death, or some other crisis. Whichever coping behavior is chosen, the individual performs these actions as a way of dealing with emotions or how they are feeling (Good Therapy, 2018). Unfortunately for John he chose to manage is stress by drinking alcohol. His situation would only worsen after fighting with his wife, which resulted in her leaving him. John was left alone in a home without a job and therefore could not afford a place to live anymore. This led to his homelessness and hopelessness particularly when he could no longer stay with family and friends due to his increased drinking and anger outbursts. At the time where John needed a place to stay, he had some support from family and friends, which served his social needs. However, a major part of the problem was the absence of his social needs from his immediate family, which contributed to his downward spiral. John was faced with depression, a mental health need, which worsened as he began to live on the street. Since depression is a common risk factor for suicide (Ng et al., 2017), John expressed hopelessness with thoughts of ending his life. Moreover, increased rates of suicidal thoughts and attempts are common in homeless individuals Substance Abuse and Mental Health Services Administration [SAMHSA], 2015). John had medical needs due to recurrent skin infections, colds, and injuries which required care. However, now that he was homeless and without a job he did not have health insurance or money, which were barriers that did not allow him to have the medical or mental health care he needed. Had the providers screened John for homelessness and mental illness, his social, mental health, and medical needs could have been addressed. According to SAMHSA (2015), homeless individuals with disorders such as mental or substance use find themselves isolated from social support. Additionally, these individuals need services that provide stable housing, financial help, food, employment, and medical and mental health care. Therefore, John could have benefitted from screening, which is generally performed at health care settings. Other services that will address John’s needs are suicide screening and preventive services, and early intervention and recovery support (SAMHSA, 2015). US Preventive Services Task Force (USPSTF) has recommended a tool that can be currently used in health care settings to screen for depression. The Patient Health Questionnaire (PHQ) is one of the tools that can allow Advanced Practice Registered nurses (APRNs) to screen for mental health disorders and provide treatment accordingly (U.S. Preventive Services Task Force, n.d.). Another widely used tool to screen for suicide is the SAD PERSONs suicide assessment tool. This tool is a scale with ten items matching the mnemonic that has been noted to enhance identification of individuals with suicidal tendencies. One point is assigned to each letter in the mnemonic which measures in order, sex, age, depression, previous suicide attempt, ethanol abuse, rational thinking loss, social support lacking, organized suicide plan, no spouse, and sickness (Ng et al., 2017). To conclude, there are many mishaps in life which can cause an individual to become homeless. A strong determining factor is the type of coping mechanism they choose to use. Some individuals engage in maladaptive coping which only worsens the situation. Receiving support from a therapist or mental health professional can help individuals cope with difficult situations and offer better coping strategies (Good Therapy, 2018). Getting this type of service early can prevent downward spiraling of any situation. However, if an individual finds themselves in a predicament of homelessness and poor health, providers can use the opportunity with repetitive acute visit encounters to screen for homelessness, mental health disorders and suicide in order to recognize patients at risk who’s situation may need interception (Ng et al., 2017), early intervention, and recovery support (SAMHSA, 2015). utilizing at least two scholarly references per peer post. APA format

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