HIS-144 Week 3 The Evolution of Democracy in the Early Republic 2025

Create a 500-750-word essay depicting the evolution of democracy from the time of President Jefferson to President Jackson. Be sure to include the following: 1. How was the form of the American Republic different under Jackson than it was under Jefferson? 2. What caused these changes? 3. Why were these changes significant to the future development of the American Republic? Use a minimum of three of the sources provided to support your assignment and be sure to cite the sources.HIS-144 Week 3 The Evolution of Democracy in the Early Republic

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Essentials of Maternity, Newborn, and Women’s Health Nursing 2025

Chapter 14: Nursing Management During Labor and Birth 1. Desiree, a 28-year-old G2P1, is admitted to the labor and birth unit. Her birth plan indicates that she is planning natural childbirth without pharmacological interventions. She has attended childbirth education classes. Desiree is considered low risk based on her personal and family health history and physical exam. Her pregnancy has progressed without complications. She is approximately 38 weeks pregnant. Vaginal assessment reveals cervical dilation at 10 cm, 100% effaced, and +1 station. Position of the fetus is LOA. The external fetal monitor indicates a reassuring fetal heart rate at 130 beats per minute. Maternal status is stable. (Learning Objectives 1, 2, 6, and 9) Based on the vaginal assessment, identify the stage of labor and appropriate nursing interventions for this stage of labor. Explain how the nurse determined that the external fetal monitor would be appropriate for Desiree. What factors would necessitate a change to internal fetal monitoring during labor? Desiree says, “I’m not sure I can cope with the pain much longer.” How would you respond, considering her birth plan, stage of labor, and assessment data? 2. Emily, a 26-year-old G3P2, has been in labor for 5 hours and is 7 cm, 90% effaced and +2 station. She has external fetal monitoring in place, which reveals a baseline fetal heart rate of 120 bpm, minimal variability, and occasional variable decelerations. Suddenly, as a contraction is beginning to subside, the fetal heart rate drops to a low of 80 bpm and has a slow return to the baseline 1 minute after the contraction has ended. (Learning Objectives 4 and 5) A. What is happening to Emily’s baby at this point in time? What does this mean? B. What role do you, as the nurse, play regarding fetal assessment and what interventions do you need to implement/recommend at this point in time? Chapter 15: Postpartum Adaptations 1.  You are caring for Linda, who has just delivered her first baby. You are responsible for assessing Linda’s condition during recovery and for doing patient teaching when the opportunity arises. (Learning Objectives 2 and 3) While she is recovering, you keep checking her fundal height. Linda asks you how her uterus will go back to the way it was before she had the baby. How would you explain this physiologic process? What could impede the process? Linda wants to know how long she should expect to bleed. What would you tell her? The next day Linda appears very passive and you have overheard her telling everyone who will listen about her labor experience. What phase of adjustment is Linda going through? What other stages should she go through while adjusting to her new role? 2.  Gretta and Sam just had their first child. Gretta is excited and talkative about her birth experience and wants to keep her baby with her constantly. She tells you his name is Joseph and they will call him “Joey” for short. Gretta is breast-feeding and is attentive to Joey’s needs. You observe that Sam does not initiate contact with the baby but when Gretta insists that he hold Joey, he picks him up slowly and awkwardly and stares at his face for a long period of time. When Joey cries, he immediately returns him to Gretta’s arms. (Learning Objective 4) A.  Based on your observations of Sam’s interactions with Joey, relate where Sam is developmentally in the process of paternal attachment and bonding. B. What nursing interventions could you implement that would assist Sam in the transition to fatherhood?

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Interaction Between Nurse Informaticists and Other Specialists 2025

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive. Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients. In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved. To Prepare: Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty. Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization. Question Post 1page of a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

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Community Teaching Plan: Teaching Experience Paper 2025

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

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Examine Case Study: A Young Caucasian Girl with ADHD 2025

The Assignment Examine Case Study: A Young Caucasian Girl with ADHD You will be asked to make three decisions concerning the medication to prescribe… Unlock Solution The Assignment Examine Case Study: A Young Caucasian Girl with ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point there will be three decisions. I will choose one out of the three and give the outcome. At each decision point these are the thoughts to ponder: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? *** Also include how ethical considerations might impact your treatment plan and communication with clients.*** Finally: 1. Complete the decision tree (keep track of what you selected. come up with a rational reason why you chose it. Come up with patient specific rational reason behind not choosing the other two options not chosen). 2. Write paper addressing all section listed based on the decision tree. Case Study: A Caucasian Man with Hip Pain BACKGROUND Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition. The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work. Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father. SUBJECTIVE Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.” Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time. MENTAL STATUS EXAM The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation. Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation Decisions Made and Outcomes (Needed to formulate the paper) (Must use and formulate paper based off of the chosen decision. Then tell why the other two decision were not a good choice with in-text citations noted for each.) Choices for Decision 1: Select what the PMHNP should do: 1. Begin Wellbutrin (bupropion) XL 150 mg orally daily 2. Begin Intuniv extended release 1 mg orally at BEDTIME 3. Begin Ritalin (methylphenidate) chewable tablets 10 mg orally in the MORNING 4. Decision Choice Chosen: Begin Ritalin (methylphenidate) chewable tablets 10 mg orally in the MORNING ***Explain why other two choice were rejected (not adequate choices)*** Outcome: RESULTS OF DECISION POINT ONE : · Client returns to clinic in four weeks · Katie’s parents report that they spoke with Katie’s teacher who notices that her symptoms are much better in the morning, which has resulted in improvement in her overall academic performance. However, by the afternoon, Katie is “staring off into space” and “daydreaming” again · Katie’s parents are very concerned, however, because Katie reported that her “heart felt funny.” You obtain a pulse rate and find that Katie’s heart is beating about 130 beats per minute Choices for Decision 2: Select what the PMHNP should do: 1. Continue same dose of Ritalin and re-evaluate in 4 weeks 2. Change to Ritalin LA 20 mg orally daily in the MORNING 3. Discontinue Ritalin and begin Adderall XR 15 mg orally daily 4. Decision Choice Chosen: Change to Ritalin LA 20 mg orally daily in the MORNING ***Explain why other two choice were rejected (not adequate choices)*** Outcome: RESULTS OF DECISION POINT TWO: · Client returns to clinic in four weeks · Katie’s academic performance is still improved, and the switch to the LA preparation is lasting Katie throughout the school day · Katie’s reports of her heart feeling “funny” have gone away. Pulse was 92 during today’s office visit · Choices for Decision 3: Decision Point Three Select what the PMHNP should do next: 1. Maintain current dose of Ritalin LA and reevaluate in 4 weeks 2. Increase Ritalin LA to 30 mg orally daily 3. Obtain EKG based on current heart rate 4. Decision Choice Chosen: Maintain current dose of Ritalin LA and reevaluate in 4 weeks ***Explain why other two choice were rejected (not adequate choices)*** Outcome: Guidance to Student RESULT FROM CHOOSING TO MAINTAIN CURRENT DOES OF RITALIN LA AND REEVALUATE IN 4 WEEKS Guidance to Student At this point, Katie’s symptoms are well controlled (her attention is sustained throughout the school day) and her side effects have gone away following change to a long-acting preparation. There is no indication at this point that the dose should be increased as it is always advisable to use the lowest effective dose of stimulant medication. Katie’s heart rate is appropriate for an 8 year old girl and an EKG would not be indicated based on her heart rate. ***Write on each decision. Make sure that in each decision choice that you explain why the other two decisions were not good choices. Use cited sources to validate points. Make sure that this paper has at least 7 References . Please use in-text citations for each section of each decision. Don’t forget the ethical considerations for this assignment. Make it a section by itself.*** ***Also please make sure when looking at the ethical consideration for this assignment that you look at how the Caucasian (male) ethnicity and pain medications interact.*** Please use the following format when formulating the paragraphs for each section. Don’t forget the intext citations. Remember to use at least 7 references. Introduction Decision #1 Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices) Anticipated Results (of Chosen Decision) Difference in Results (Anticipated VS Actual) Decision #2 Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices) Anticipated Results (of Chosen Decision) Difference in Results (Anticipated VS Actual) Decision #3 Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices) Anticipated Results (of Chosen Decision) Difference in Results (Anticipated VS Actual) Ethical Considerations Conclusion References PLEASE REMEMBER TO INCLUDE INTRODUCTION AND CONCLUSION

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