2025 Week 3 Main Post Three Questions I might ask the client I would ask the

The Impact Of Ethnicity On Antidepressant Therapy 2025

Week #3 – Main Post Three Questions I might ask the client I would ask the client if he is currently depressed. This question will allow me to determine if there was a certain trigger for this depressive episode. The question will allow the client to share his thoughts about how he is viewing is current mental state. Are you often irritable with others, including coworkers due to the stress and demands of your career? How would you describe your mood at work? This question will help establish how he interacts with his coworkers. Have you in the past 3-4 weeks had any thoughts of suicide or causing harm to others around you? Clients that have major depressive disorder may have suicidal thoughts. The age of the client and having depressive episodes after each divorce also place the client at a higher risk (Taylor, 2015). The need for a suicide risk assessment is present. Identify people in the client’s life I need to speak to The client has provided a family history that includes multiple relatives being diagnosed with depression. I would of course first ask permission of the client to interview the family members and coworkers without violating the client’s confidentiality. The family member with the history of depression would be good people to speak with about depression. The family members may be able to offer some insight to the symptoms the client is currently having. The nurse practitioner would then have the opportunity to ask the family how they deal with their depression. Do they take antidepressant medication? Have they tried psychotherapy? If so have they seen any positive effects from the chosen therapy? The coworkers would also be good people to ask about the client. The coworkers could be asked if they have noticed any changes in the client’s behavior or moods while at work. Diagnostic Tests and Physical Exams The client has not been taking any tricyclic antidepressants (TCAs) recently so blood level monitoring is not indicated (Blackburn, Ho, & Wiese, 2017). A physical assessment can be done on the client but the past medical history does not provide a reason for diagnostic testing. As a routine check, a urine drug test and urine analysis can be performed. However, the thyroid gland has been linked to some mood disorders. Thyroid hormones can have an influence on the brain impacting the mood and cognition (Pilhatsch, Marxen, Winter, Smolka, & Bauer, 2011). The thyroid stimulating hormone (TSH) levels can be checked to see if they are within normal range. If indicated, thyroid hormone treatment can enhance antidepressant therapy and provide maintenance therapy for some bipolar disorders (Pilhatsch, Marxen, Winter, Smolka, & Bauer, 2011). Differential Diagnosis Bipolar II Mixed – The client has depressive and manic symptoms currently. The depressive symptoms include depression episodes after each divorce, actively suicidal at one point, and overdosed on medications previously. According to Stahl (2013) manic episodes include irritable mood, decreased need for sleep, over talkativeness, euphoria, and hypomanic phases. I feel that the client mostly identifies with this diagnosis. Major Depressive Disorder – Depression is one of the most common mental health disorders. The client has different episodes of major depression reoccurring three times with each divorce. The client was diagnose at age 23 for the first time with depression and has had many episodes lasting a week or more. Borderline Personality Disorder – The client’s chief complaint was “unstable”. The client provided examples of emotional instability with the depressive episodes after each divorce. The client suffered “emotional trauma” as a child as a result of his mother and the emotional instability in his unsuccessful relationships. The client has difficulty returning to a stable baseline after emotionally triggered events (Stahl, 2013). Two Pharmacologic Agents Olanzapine – is an atypical that can improve the mood while treating resistant depression (Stahl, 2013). This medication can work better when combined with fluoxetine. The client also expressed concern about weight gain and this medication causes a chance of weight gain. This medication is usually a second line of treatment option but the client has tried other medications unsuccessfully. The dosing is approved for 10-15mg/day, but the higher the dosage the greater the improvement in the symptoms. Fluoxetine – The client has already tried this medication and it does provide relief from the depression symptoms, usually seen after the first dose. However the client has not taken this medication along with olanzapine. Fluoxetine in combination with olanzapine can treat bipolar depression more effectively. Both medications have the 5HT2C antagonist actions. The two mechanisms can boost the dopamine receptors and the norepinephrine release in the prefrontal cortex causing the improvement in the clinical symptoms (Stahl, 2013). Follow up Check Points Once the client returned for the first follow up and expressed the concerns about the sexual dysfunction and decreased libido, I would have wanted to prescribe him an alternate therapy. The client has already expressed having depressed episodes after each divorce. I would not want him to stay on a medication that can cause him to have a poor image of himself if he cannot perform sexually. This client would probably benefit from combination therapy which means psychotherapy would need to be added into his treatment plan. He did say he would be okay with it as long as he had a therapist he respected. The next follow up appointment at week 16, the client has stopped the lamotrigine due to the sexual side effects. I would have already prescribed the patient an antipsychotic medication and increased his follow up appointment frequency. The client’s history of the many depressive episodes indicate the need for close monitoring. Lesson Learned The main lesson here is that the physician should not be treating and prescribing himself medications. The client is having a hard time trusting that other physicians and providers can offer him the help and treatment he needs. As the advanced practice nurse, I would find ways to incorporate him into his treatment plan while educating him on the benefits of certain medication therapy. Hopefully the client will take medication long enough to see the benefits of the treatment. Mental health can be challenging and this client case study is no different than real life practice. As the provider, I would just have to continuously think of ways to treat the patient safely. References Blackburn, P., Wilkins-Ho, M., & Wiese, B. (2017). Depression in older adults: Diagnosis and management. BC Medical Journal , 59(3), 171-177. Retrieved from https://www.bcmj.org/articles/depression-older-adults-diagnosis-and-management Pilhatsch, M., Marxen, M., Winter, C., Smolka, M., & Bauer, M. (2011). Hypothyroidism and mood disorders: Integrating novel insights from brain imaging techiniques. Thyroid Research , 4(S3). Retrieved from https://thyroidresearchjournal.biomedcentral.com/articles/10.1186/1756-6614-4-S1-S3 Stahl, S. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applicatons (4th ed.). New York, NY: Cambridge University Press. Taylor, W. (2015). Should antidepressant medications be used in the elderly? Expert Review of Neurotherapeutics , 15(9), 91-93. doi: 10.1586/14737175.2015.107.0671 I need a response for this assignment, 1 page zero plagiarism 2 references

Nursing Assignment Help 2025

2025 Develop a 3 5 page outline of concepts you would like to apply to your own life and identify

1000-5 2025

Develop a 3-5 page outline of concepts you would like to apply to your own life and identify relevant scholarly sources that will help you with your application of concepts. As you may have noticed as you have worked through earlier assessments, Sociology is applicable to our everyday lives. We can oftentimes take a sociological concept and use it to explain something that occurs in our own lives. For example, you have learned about norms and how we tend to follow the norms of a society. You can use that to explain how people behave when they are in an elevator. Most people face forward, look up at the numbers, and don’t talk. Many of your experiences can be analyzed using sociological concepts. For your final assessment, Assessment 6, you will complete a Sociology of Me and apply many of the concepts you have learned about in this course to your own life. For Assessment 5, begin to think about which concepts you would like to apply to your own experience, develop an outline, and identify appropriate resources. In order to complete this assessment, you will need to show your understanding of some additional concepts related to social structure, education, and technology/media. We have learned how a society’s culture can influence people. There are other elements in society, however, that also affect our decisions and behavior. Sociological research has found that in addition to culture, social structure and groups also significantly impact many of our individual choices. Our position in the social structure affects our behaviors, attitudes, and ideas. For example, an important element of social structure are groups. We belong to a variety of different groups. Decades of research have documented the impact of group conformity on the individual. Although people tend to often believe that they act as individuals and aren’t impacted by others, research has found this is usually not the case. The Milgram experiment in your Resources is a great example. Milgram (1963) examined conformity and obedience and found that people are highly influenced by authority and the demands of conformity, even to the point that we will inflict pain on another person to obey authority. Sociologists also study education and how it is impacted by a society’s culture and structure. The purpose of education is to provide knowledge (facts, skills, cultural norms) to members of a society. In the United States, education teaches us not just skills, but also how to be effective citizens. Education transmits the dominant culture, ensuring that children understand cultural norms and values. Educational attainment impacts life outcomes—it affects our occupation, earnings, work conditions, and health. Thus, education is related to social inequality. We have a tendency to assume that education is an equalizer in the United States, but this is something that is debated by sociologists. Is education equally available to everyone? Studies suggest it is not. Social class can impact the quality of school children attend, what they study, and how many years they attend school. Many students graduate from college with significant student loan debt. How might someone’s experience after college graduation be different if they graduated from college debt-free because their parents could afford to pay for it? We regularly see new products and services as a result of increasing technology. We often take the influence of technology and media for granted, but it has a substantial impact on how we understand our culture and society as a whole. Many new products and services are a response to society’s changing needs. But technology can also serve to shape the values held by a society. Think about how our interaction has changed in the past ten years as a result of technology. Has that impacted our values? A small number of corporations deliver Internet platforms and a small number of corporations produce most of our media. What impact does that have on our access to technology and information? Reference Milgram, S. (1963). Behavioral study of obedience. The Journal of Abnormal and Social Psychology, 67 (4), 371–378. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Examine how theory and sociological concepts apply to everyday life. Identify sociological concepts that affects my field of study (NURSING) Competency 2: Explain the basic tools of sociological inquiry. Identify resources to support analysis from a sociological perspective. Competency 4: Analyze the influence of culture on both the individual and society. Explain the relevance of concepts to sociological topics. Competency 6: Compose text that articulates meaning relevant to its purpose and audience. Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. In this assessment, you will create an outline for Assessment 6, The Sociology of Me. The outline should identify concepts you will be using to analyze your own experiences and provide a brief summary of why each concept may be relevant. Your sociological analysis of yourself should be supported by credible, scholarly sources, such as those from academic journals. As such, you will also identify scholarly sources that you intend to use. Deliverable Write an essay in which you complete all of the following: Part 1: Section Outline Identify the sociological concepts you plan to discuss in each section. Briefly explain the relevance of each concept. Sections need to include: Culture and Socialization. Examine the impact culture and socialization has had on your life. Examples of concepts to include: Socialization, agents of socialization, culture, values, language, norms, subculture, counterculture, ethnocentrism, and cultural relativism. Social Structure and Groups. Analyze the impact of social structure and groups on your life. Examples of concepts to include: Social structure, hierarchy, power, bureaucracy, role, status, primary groups, secondary groups, and group think. Education. Explain your educational experience from a sociological perspective. Examples of concepts to include: Hidden curriculum, tracking, social stratification, and stereotypes. Professional field. NURSING Explain sociological issues that affect your field of study. All concepts from other sections are relevant. Technology and Media Analyze the role of technology and media in your everyday life. Examples of concepts: Media, digital divide, framing, and social change. Part 2: Identify Preliminary Supporting Resources Identify resources to support an analysis from a sociological perspective. At least one scholarly source should be identified for each section above. Provide a brief summary of each identified source. Additional Requirements Written communication: Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. Written communication is free of errors that detract from the overall message. Sources: Cite at least five scholarly sources. Length: 3–5 pages, not including title and reference pages. Format: Include a title page and reference page. Use in text citations to cite your sources. [Example: Writing becomes better as the child matures (Britton, Thomas, & Miller, 1996).] Font and size: Times New Roman, 12-point.

Nursing Assignment Help 2025

2025 KC7 Scenario 7 Include Two Matching citations and references APA style In 2 to 3 paragraphs Scenario A

K7 2025

KC7 Scenario 7. Include Two Matching citations and references. APA style In 2 to 3 paragraphs. Scenario: A 12-year-old girl is brought to the emergency room (ER) by her mother with a complaint of shortness of breath, wheezing, tachypnea, tachycardia, and a nonproductive cough. The mother states they had just come from a fall festival, where the entire family enjoyed a hale ride. They also participated in the corn maze challenge. The symptoms began shortly after they left the festival , but got better a couple of hours after they returned home. The symptoms began again about six hours later and seemed to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response. Question1 of 2. Explain early asthmatic responses and the cells responsible for the responses, then relate it to the scenario Question 2 of 2.

Nursing Assignment Help 2025

2025 Benchmark Professional Capstone and Practicum Reflective Journal Students are required to

Professional Capstone And Practicum 2025

Benchmark – Professional Capstone and Practicum Reflective Journal Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences: New practice approaches Intraprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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. Please refer to the directions in the Student Success Center.

Nursing Assignment Help 2025

2025 The following answer is another student post to wish a have to reply

Nursing Role And Scope DQ Reply # 10. Vanessa Camano. 2025

The following answer is another student post to wish a have to reply. All your postings should be three paragraphs with three sentences. Submit your first posting to plagiarism (acceptable similarity rate 20%). Evidence-based practice Evidence-based practice (EBP) is a critical instrument for performing high-quality attention in various nursing practices. EBP allows nurses to deliver data-backed answers that include clinical expertise and the current investigation within the decision-making method connects clinical expertise, experimental evidence, and the patient-professional viewpoint to develop well-balanced health care approaches that can optimize care delivery on a patient-by-patient support. Evidence-based practice is a clinical decision-making method in which nurses use theory-derived, research-based information to notify their conclusions concerning care distribution. EBP restores methods and procedures based on different cases of evidence such as authority. It takes into account three characteristics nurses should acknowledge on all occasions: best-practice evidence, patient inclinations, and clinical expertise STEP 1: Create the interrogation STEP 2: Recognize keywords for each component What person or organization are we concerned about investigating? What is the procedure (interference, treatment) we are contemplating using? To what different procedures (intervention, treatment) are we contrasting the contemplated action? What do we expect as a result? STEP 3: Prepare your search approach Prepare a search approach by: Deciding which database(s) to explore Recognizing the principal components of your interrogation Interpreting vocabulary terms STEP 4: Perform the research Before you start your research, you will need to guarantee the Search Method is established to Boolean/Phrase. The purpose this is necessary is because this choice permits for “precise expression” searching. STEP 5: Filter your results Utilizing limiters to your research will enable you to concentrate your results on the usual relevant and appropriate content guaranteeing that you aren’t misusing time through content that may not be helpful. STEP 6: Evaluate the research STEP 7: Define the level of proof Established actions for the EBP method (request, collect, evaluate, action, and assess) to conduct healthcare providers to define the clinical issue of concern (ask), select and evaluate evidence, include the most useful application advice in current practice (action) and assess results. Implementation is a principal action in the evidence-based practice (EBP) method that’s usually underappreciated and under-resourced, ending in delays in applying evidence in clinical practice environments. The achievement of EBP actions depends on various approaches that are regulated with the degree or condition of predisposition for a practice transformation. References Melnyk, B.M, Evidence-based application in nursing and healthcare: a design to the most useful method. Hagerstown, MD: Lippincott Williams & Wilkins; 2004 Blade, R.A. Evidence-based practice and investigation utilization actions within rural nurses. J Nurse Scholarship 2004;36(3):220–5. Weng, Y., Kuo, K.N., Yang, C. et al. Implementation of evidence-based application over therapeutic, nursing, pharmacological and associated healthcare experts: a survey in nationwide hospital environments. Implementation Sci 8, 112 (2013). https://doi.org/10.1186/1748-5908-8- 112

Nursing Assignment Help 2025

2025 Benchmark Professional Capstone and Practicum Reflective Journal Students are required to maintain weekly reflective narratives throughout

Professional Capstone And Practicum 2025

Benchmark – Professional Capstone and Practicum Reflective Journal Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences: New practice approaches Intraprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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. Please refer to the directions in the Student Success Center.

Nursing Assignment Help 2025

2025 This week you will write a mini systematic literature review It is mini because you will only be reviewing two

Patio Assignment 2025

This week, you will write a mini-systematic literature review. It is mini because you will only be reviewing two sources. For this literature review assignment, we are going to give you a choice of three topics to choose from. Choose one for this assignment. Myasthenia Gravis Hodgkin’s Lymphoma HIV/AIDS Remember, for a systematic review, focus your analysis on the treatments, causes, diagnosis, and prognosis presented in the literature. Next, conduct your research of scholarly articles. Use the WCU Online Library databases. You will need to choose two sources to include in this mini-literature review. For this review, be sure to: Select two relevant and appropriate scholarly articles that address the topic you chose. Present a thorough literature review of both articles by summarizing, synthesizing, and evaluating the materials. Demonstrate understanding of the content presented in the articles. Include a critical assessment of the sources. Do not simply include a summary of what you have read. Incorporate citations into your body paragraphs; incorporate the essential and most relevant supporting evidence eloquently and appropriately. Present your writing in a clear, organized manner. Provide a strong introduction and conclusion, including further questions for research. Use proper APA format with proper citations. Review APA Citations Here Your literature review should be 1–2 pages in length. Remember, you will need to use APA formatting in your literature review and include a title page and a reference page. Review the rubric for more details on how your assignment will be graded.

Nursing Assignment Help 2025

2025 Patient Profile Miss Winters age 25 comes to the emergency department with severe wheezing dyspnea

Nursing 2025

Patient Profile: Miss Winters, age 25, comes to the emergency department with severe wheezing, dyspnea, and anxiety. She was in the ED only 6 hours ago with an acute asthma attack, which resolved with nebulized albuteral treatments. Subjective Data: -Admits to use of albuterol inhaler several times weekly for the last few months -Asthma symptoms occasionally awaken her at night (about 3 times a week), and she has cancelled several outings with her family due to her symptoms -Can now only speak in one to three word sentences -Is allergic to cigarette smoke -Began to experience increased shortness of breath and chest tightness when she returned home -Used albuterol inhaler repeatedly at home without relief -History of pruritic skin lesions that have come and gone since childhood. Objective Data: Physical Examination: -Using accessory muscles to breath -Audible inspiratory and expiratory wheezing to auscultation with no air movement in lower lobes of l lungs -HR = 126/min; Resp = 40/min -Areas of dry, scaling skin in antecubital areas bilaterally with evidence of scratching Diagnostic Studies: ABGs: PO2 = 80 mm Hg PCO2 = 35mm Hg HCO3 = 24 mEq/L pH = 7.48 PEFR: 150 L/min (Personal best: 400 L/min) Continuous pulse oximetry: 82-85 CRITICAL THINKING QUESTIONS: Why did Ms. W. return to the ED? Explain the pathophysiology of this second exacerbation of asthma. Describe the progression of breath sounds auscultated from early in an asthma attack through very severe respiratory impairment. How do the sounds change as the patient improves? What is the significance of her dry, scaling, pruritic skin lesions? What is your diagnosis (no nursing dx please)? How do these types of lesions relate to asthma? What is their physiologic cause ? Analyze the ABG. What type of acid-base disorder is present? Why? Is there any compensation? Discuss the four categories of asthma diagnosis advocated in the Guidelines for the Diagnosis and Management of Asthma from the National Heart, Lung, and Blood Institute of the National Institutes of Health. Which classification best describes Ms. W.’s asthma? According to the asthma treatment guidelines from #5: the “Step up-Step down” approach, what is the recommended treatment strategy for a patient currently at Ms. W.’s classification level once this current exacerbation is controlled? When would it be appropriate to reevaluate the interventions and possibly adjust the medications? She lost her Peak Flow meter during a recent house move. Why would you want to order a new one for her? How is it used and how can it help increase her ability to control her asthma? Explain the red, yellow, and green zones. What is the significance of her PEFR level on her return to the Emergency Room?

Nursing Assignment Help 2025

2025 The RN to BSN program at Grand Canyon University meets the requirements

Describe Teaching Experience And Discuss Observation……. 2025

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include: Summary of teaching plan Epidemiological rationale for topic Evaluation of teaching experience Community response to teaching Areas of strengths and areas of improvement Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. Refer to the LopesWrite Technical Support articles for assistance.

Nursing Assignment Help 2025

2025 Write a critical appraisal that demonstrates comprehension of two quantitative research studies Use the Research Critique Guidelines

Rough Draft Quantitative Research Critique And Ethical Considerations 2025

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses. Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. Refer to the LopesWrite Technical Support articles for assistance.

Nursing Assignment Help 2025