2025 To prepare Select a client whom you have observed or counseled at your practicum

Assessing Clients 2025

To prepare: · Select a client whom you have observed or counseled at your practicum site. ( EX 23 years old white male with depression and suicide ideations). · Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected. The Assignment Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (without violating HIPAA regulations): · Demographic information · Presenting problem · History or present illness · Past psychiatric history · Medical history · Substance use history · Developmental history · Family psychiatric history · Psychosocial history · History of abuse/trauma · Review of systems · Physical assessment · Mental status exam · Differential diagnosis · Case formulation · Treatment plan Part 2: Family Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents). Resources for reference: Required Readings American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.) . Washington, DC: Author. Standard 2 “Diagnosis” (pages 46-47) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 225–238 and pp. 245–258) American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Young, J. M., & Solomon, M. J. (2009). How to critically appraise an article. Nature Clinical Practice. Gastroenterology & Hepatology, 6 (2), 82–91. How to Critically Appraise an Article by Young, J.; Solomon, M., in Nature Reviews Gastroenterology & Hepatology, Vol. 6/Issue 2. Copyright 2009 by Nature Publishing Group. Reprinted by permission of Nature Publishing Group via the Copyright Clearance Center.

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2025 Please answer the following Discussion Question Please be certain to answer the three questions on this week DQ and to provide

Whistle-Blowing In Nursing 2025

Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Also, please ensure to have read the assigned chapters for the current week. Case Study, Chapter 16, Whistle-Blowing in Nursing A student nurse asks a faculty member to explain whistle-blowing. The student nurse wants to know the work conditions that would have to be met before whistle-blowing occurs, as well as situations in which whistle-blowing is clearly indicated. The faculty member reviews key concepts with all members of the class. 1. Being a whistle-blower takes great courage and self-conviction because it requires the whistle-blower to avoid groupthink. Analyze how groupthink affects the process of whistle-blowing. 2. Discuss the pros and cons of whistle-blowing. 3. What are the key guidelines for blowing the whistle?

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2025 Jordan is a 35 year old woman who presents with intermittent diarrhea with cramping that is relieved by defecation The diarrhea is

Irritable Bowel Syndrome 2025

Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood “stomach issues”, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette. Diagnosis: Irritable Bowel Syndrome (IBS) I. Discuss the epidemiology of IBS? II.  What is your treatment goals for this patient? III. Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information. Using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years.

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2025 Research current healthcare financing concerns prevalent in the United States observed and or that your healthcare organization currently experiences

The Nurse Leader As Economist 2025

**Research current healthcare financing concerns prevalent in the United States. **observed and/or that your healthcare organization currently experiences. **Consider how these concerns relate to fundamental issues of economics, such as “price,” “supply vs. demand,” “scarcity of resources,” or “needs and wants.” **Consider how these concerns relate to the healthcare product or service solution you have proposed for your organization

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2025 Welcome to Team Yellow Your topic is AHRQuality Indicators Please begin working with

AHRQuality Indicators 2025

Welcome to Team Yellow! Your topic is: AHRQuality Indicators™ Please begin working with your group to find articles for your project. RUA 1 & 2 are individual papers, but you can’t repeat articles within your group. The final RUA 3 is the group PowerPoint presentation, which is done by the group and submitted by your team leader. Please be sure that everyone in the group submits their peer evaluation, which can be found under Module 7 individually. Have a great course, and let me know if you need anything!

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2025 Need help to reply three post DO NOT JUST REPEAT SAME INFORMATION DO NOT JUST SAY I AGREE OR

DQ Reply 11 2025

Need help to reply three post. DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION. 1- Each reply should be at least 200 words. 2- One scholarly reference ( NO MAYO CLINIC/ AHA) 3- APA style needs to be followed. 4- Each response should have reference at the end 5- Reference should be within last 5 years

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2025 1 minimum 2 full pages 13 pages each document not words

Ethical And Legal Nursing X 2 ( Due: 24 Hours) 2025

1) **********minimum 2 full pages 13 pages each document) ( not words)**************************** ( cover or reference page not included) 2)¨**********APA norms (All paragraphs must be narrative and cited in the text- each paragraphs) 3)********** It will be verified by Turnitin and SafeAssign 4) References not older than 5 years 5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question Question: 1)………… 2)………… 3)………… Answer: 1)………… 2)………… 3)………… _______________________________________________________ You must answer (3) question 2 times. You must submit 2 documents (each one page). Copy and paste will not be admitted. You should address the questions with different wording , different references , but always, objectively answering the questions. ____________________________________________________________ Case: A student nurse asks a faculty member to explain whistle-blowing. The student nurse wants to know the work conditions that would have to be met before whistle-blowing occurs, as well as situations in which whistle-blowing is clearly indicated. The faculty member reviews key concepts with all members of the class. Questions: 1. Being a whistle-blower takes great courage and self-conviction because it requires the whistle-blower to avoid groupthink. Analyze how groupthink affects the process of whistle-blowing. 2. Discuss the pros and cons of whistle-blowing. 3. What are the key guidelines for blowing the whistle?

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2025 Discussion Irritable bowel syndrome IBS is a functional gastrointestinal disorder GI indicated by abdominal discomfort

Answer To Peer, Similarities Less 5%, References 2, APA 6 2025

Discussion Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder (GI) indicated by abdominal discomfort and impaired bowel habits in the lack of a certain as well as unique natural pathology, though inflammation microscopically is recognized in certain individuals. Very subjective details incorporate repeated abdominal discomfort as well as changes in stool, which might be diarrhea, constipation, or perhaps both. With SCI, individuals grumble of these symptoms with no noticeable signs of disease or damage in the intestinal tract (Emerson, 2015). The occurrance of irritable bowel syndrome at 10 20 % and also the likelihood of irritable bowel syndrome during 1% 2 % every season is estimated by population-based studies. IBS occurs usually in individuals under the age of fifty. In the United States, IBS is much more typical in females. Estrogen therapy before or maybe after menopause is additionally a risk factor for IBS. Genes, a combination or the environment of environment and genes might be involved in the improvement of irritable bowel syndrome. Any stressed situation, anxiety, depression along with other psychological health concerns are connected with IBS. A history of sexual, emotional or physical abuse might additionally be considered a risk factor. Scientists think that ibs symptoms could be caused by specific foods or maybe drinks including wheat, dairy products, citrus fruits, beans, cabbage, soft drinks and milk (Emerson, 2015). As a family nurse, health promotion, the use and disease prevention of non pharmacological therapy are crucial. It’s essential to market a change in lifestyle, medications, diet, mental health therapies and probiotics. Modifications in the patient’s diet plan can help cure the symptoms of irritable bowel syndrome. Modifications can include consuming more fiber, staying away from gluten or adhering to an unique diet plan known as very low FODMAP diet plan. Distinct changes are able to be useful people that are different with IBS. Finding ways to deal with emotional stress is able to help stop or even alleviate IBS symptoms. Psychotherapy also can supply a lasting and significant decrease in symptoms. Leisure allows you to concentrate on getting in the second and also putting aside distractions and worries. A number of muscle groups making use of progressive relaxation exercises could alleviate symptoms. Mindfulness training could additionally help. This particular stress reduction method enables you to concentrate on getting in the second and also making out distractions and worries (Saha, June 2014). IBS therapy focuses on relieving symptoms so as to stay as normally as you can. The number of pharmacological therapy remains with specific symptoms. Agents used to control symptoms of symptom based irritable bowel syndrome (IBS) include: Fibre supplements. Going for a product as psilium (Metamucil) with fluids are able to assist manage constipation (Saha, June 2014). Laxatives to alleviate constipation. dental magnesium hydroxide (Phillips Magnesia Milk) or maybe polyethylene glycol (Miralax) (Saha, June 2014). Anti-diarrhea medications. Otc drugs , like loperamide (Imodium), will help control diarrhea. The dealer might recommend a bile acid binder, like colesiramine () that is prevalent, colestipol (Colestid) or maybe colesevelam (Welchol). Bile acid pasta is able to lead to swelling (Saha, June 2014). Anticholinergic prescriptions. Medicines like dicyclomine (Bentyl) is able to help alleviate very painful intestinal spasms. They’re often recommended for individuals who have bouts of diarrhea. These medicines are safe, but could cause constipation, mouth that is dry and blurry vision (Saha, June 2014). Tricyclic antidepressants. This particular medication type is able to help alleviate depression and also prevent the activity of neurons which limit the intestines to help you lower pain. In case the individual has abdominal pain and diarrhea with no depression, the provider might recommend a lower compared to regular serving of imipramine (Tofranil), desipramine (Norpramine) or maybe nortriptyline (Pamelor). Unwanted side effects – which may be decreased if the in-patient is taking drugs at bedtime – can include drowsiness, blurry eyesight, dry mouth and dizziness (Saha, June 2014). SSRI antidepressants. Selective serotonin reuptake inhibitor (SSRI) antidepressants, for example fluoxetine (Prozac, Sarafem) or perhaps paroxetine (Paxil), will help when the in-patient is depressed and also is suffering from constipation and pain (Saha, June 2014). Pain treatment. Pregabalin (Lyrica) or maybe gabapentin (Neurontine) is able to alleviate pain that is severe and swelling. Medicines particularly for IBS (Saha, June 2014). Approved medicines for several individuals with IBS include: Alosetron (Lotronex). Alosetron is created to unwind the colon and impede the motion of waste with the lower intestine. Alosetron can just be given by medical doctors enrolled in a unique program, is designed for serious cases of main diarrhea of females that haven’t answered various other treatments and also isn’t authorized for usage by males. It’s been connected to rare but substantial side effects, therefore it must simply be viewed when various other remedies are not effective (Saha, June 2014). Eluxadoline (Viberzi). Eluxadolin is able to alleviate diarrhea by decreasing muscle mass contractions as well as substance secretion in the gut and boosting muscle tone in the rectum. Unwanted side effects can include nausea, mild constipation and abdominal pain. Eluxadoline has likewise been connected with pancredity, that may be serious plus more typical in some individuals (Saha, June 2014). Rifaximin (Xifaxan). This particular antibiotic can reduce the substantial growth of diarrhea and bacteria. Lubiprostone (Amitiza). Lubiprostone is able to improve substance secretion in the small intestine to assist pass feces. It’s authorized for females with IBS with constipation and it is frequently recommended just for females with serious symptoms that haven’t answered various other treatments (Saha, June 2014). Linaclota (Linzess). Linaclottide also can improve the secretion of substance in the small intestine to assist the passage of feces. Linaclotide is able to result in diarrhea, but choosing the medication thirty to sixty minutes prior to eating is able to help (Saha, June 2014). Reference Saha, L. (2014, June 14). Irritable bowel syndrome: Pathogenesis, evidence-based medicine, treatment and diagnosis. Recovered from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051916/ Fifteen ways to relieve your IBS symptoms. (n.d.). Recovered from https://www.health.com/ibs/irritable-bowel-syndrome-treatment Emerson, R. (2015). Irritable bowel syndrome. London: Wellhouse Publishing. Le Sândrome do intestino irritàvel. (2016). Bethesda, MD: National Digestive Diseases Information Clearinghouse, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, U.S. Dept. of Human and Health Services, Public Health Service, National Institutes of Health.

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2025 1 minimum 2 full pages 13 pages each document not words cover or

Ethical And Legal Nursing X 2 ( Due: 24 Hours) 2025

1) **********minimum 2 full pages 13 pages each document) ( not words)**************************** ( cover or reference page not included) 2)¨**********APA norms (All paragraphs must be narrative and cited in the text- each paragraphs) 3)********** It will be verified by Turnitin and SafeAssign 4) References not older than 5 years 5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question Question: 1)………… 2)………… 3)………… Answer: 1)………… 2)………… 3)………… _______________________________________________________ You must answer (3) question 2 times. You must submit 2 documents (each one page). Copy and paste will not be admitted. You should address the questions with different wording , different references , but always, objectively answering the questions. ____________________________________________________________ Case: A student nurse asks a faculty member to explain whistle-blowing. The student nurse wants to know the work conditions that would have to be met before whistle-blowing occurs, as well as situations in which whistle-blowing is clearly indicated. The faculty member reviews key concepts with all members of the class. Questions: 1. Being a whistle-blower takes great courage and self-conviction because it requires the whistle-blower to avoid groupthink. Analyze how groupthink affects the process of whistle-blowing. 2. Discuss the pros and cons of whistle-blowing. 3. What are the key guidelines for blowing the whistle?

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2025 Is there a difference between common practice and best practice When you first went to work for your current

Evidence-Based Project 2025

Is there a difference between “common practice” and “best practice”? When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Part 1: An Introduction to Clinical Inquiry Create a 4- to 5-slide PowerPoint presentation in which you do the following: Identify and briefly describe your chosen clinical issue of interest. Describe how you used keywords to search on your chosen clinical issue of interest. Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. Provide APA citations of the four peer-reviewed articles you selected. Part 2: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: The full citation of each peer-reviewed article in APA format. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. By Day 7 of Week 3 Submit Part 1 and Part 2 of your Evidence-Based Project. Note: Part 1 is a 4-5 slide PowerPoint and Part 2 is the Matrix. Be sure to attach both of your documents (Part 1 and Part 2) before you click Submit.

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