Clinical performance evaluation is subjective and involves the judgments of the evaluator. It is filtered by the evaluator’s perspective, values, and biases. With this in mind, select three clinical evaluation strategies that you believe are fair and accurate in order to measure student learning, and determine their competency and safety in the clinical setting. Explain your rationale for why you selected each of the strategies, and how they align with your personal philosophy of teaching.  Make sure the strategies that you selected include ways to evaluate students cognitive, psychomotor, and affective domains of learning.  

2 references

 Project management allows for a clear and focused workflow to approach an issue or task. These approaches streamline a process, allow for checks and balances, and ensure all stakeholders are active participants in the process. Project management approaches often utilize SMART objectives to define and set the objectives for the project. 

 

Each letter of the acronym SMART defines a different criterion for the objective. A SMART objective is specific, measurable, assignable, realistic, and timely. These objectives help to steer the work and direct the stakeholders to the completion of the project.

For this Assignment, you will reflect on project management approaches that could be used to address a quality improvement practice gap. You will develop SMART objectives for the planning and execution of a quality improvement project, and will consider potential project management approaches or activities that could be used in executing this project.

To Prepare:

• Review the Learning Resources for this week, and consider the approaches of project management.
• Refer to the Week 3 Discussion, and reflect on the quality improvement practice gap you identified.
• Consider how you might apply the project management approaches examined this week to address the quality improvement practice gap you identified.
• Think about how you might develop SMART objectives for the planning and execution of a project to address the quality improvement practice gap you identified.
• Consider any other project management approaches or activities you might recommend using for your project that will address the quality improvement practice gap you identified.

The Assignment: (2–3 pages)

• Briefly describe the quality improvement practice gap you identified in your nursing practice or organization. Be specific.
• Develop at least two SMART objectives you might apply in the project planning phase or execution phase to address the quality improvement practice gap you identified.
• Recommend at least two project management activities you would use for your project, addressing the quality improvement practice gap you identified. Explain your justification for why these activities would provide the best support. Be specific and provide examples.

  

Question 1          

A PMHNP is treating a 45-year-old female patient who is upset that her brother has not been calling since his divorce. When asked to describe her brother and what prompts him not to call as frequently, she says, “Everything is about him, not me. I think he’s jealous that I have a good marriage and he wants me to be unhappy, too. So he doesn’t call to upset me and ruin my relationships.” Based on this information, the PMHNP can conclude that the patient _________.                                         

A. may lack ability to see independent motivations

B. has an insistent emphasis on the feelings of others

C. has an intrusive interpersonal relationship

D. all of the above      

Question 2

When a PMHNP is seeing a patient for the first time, what is an important step to assure that the patient and provider understand the limits of their discussion?

A. Assure the patient that she is safe to discuss her secrets

B. Talk about the importance of being truthful andopen

C. Have a discussion about the confidentiality andits limits

D. Mention the possible need for selective self-disclosure

Question 3          

You are seeing a 29-year-old widow whose husband recently died overseas while serving his country in the military. She has been mourning the loss of her husband for several months, and continues to grieve. She refuses to go to group grieving sessions, but reports that she is still able to go to work and her fitness classes sometimes, and even makes attempts to stay social. She says, “Sometimes it’s like he’s not even gone. Other times it feels like it’s been an eternity since I’ve seen him. It’s hard to talk about this type of stuff with my girlfriends, especially since all of their husbands are still alive.” The PMHNP understands that it is appropriate to employ which therapeutic principle?

A. Encouraging catharsis

B. Encouraging abreaction to repressed feelings

C. Identifying conflict-resolution techniques

D. All of the above

Question 4          

The PMHNP is treating a 35-year-old male officer in the military. He discloses that both of his parents are deceased and that he loved them. However, he says that he had feelings of inadequacy because his parents held him to a standard that he could never achieve. He went on to say that nothing he did ever felt good enough. The PMHNP assesses that this patient has perfect creases in his uniform with no strings or tags out of place; she also notices that he has perfect posture and questions him about ritualistic behaviors. She suspects that this patient has maladaptive responses to the expectations placed on him as a teenager and young adult. Which statements made by the patient would verify the PMHNP’s suspicion?

A.”I typically don’t listen to anyone. I take care of my own wants and needs so I feel like no one can judge me or criticize me, period.”

B.”I don’t mean to hurt other people’s feelings. When people cry or say that I have made them upset in some way, that’s not my fault; some people are just sensitive.”

C.”I like to listen to the beat of my own drum; I don’t mind spending most of my days alone. I don’t need recognition or praise; I would just like to be left alone.”

D.”I believe in systems; I have to have order and rules in my everyday life. If a task must be completed, I will often complete it myself versus depending on someone else.”

Question 5          

The PMHNP is working with a patient who experiences anxiety around her parents that later leads to poor impulse control. What will the PMHNP do to employ psychodynamic psychotherapy properly for this patient?              

A. Emphasize the past

B. Focus on expressions of emotion

C. Identify patterns in relationships

D. All of the above

  

Question

Question 1

Endemic means that a disease:

a. Occurs clearly in excess of normal expectancy

b. Is habitually present in human populations

c. Affects a large number of countries simultaneously

d. Exhibits a seasonal pattern

e. Is prevalent among animals

Question 2

The first table shows the total number of persons who eat each of two specified food items that were possibly ifeffective with group A streptococci. The second table shows the number of sick persons (with acute sore throat) who eat each of the various specified combinations of the food items. 

  

Total number of persons who ate each   specified combination of food items

 

Ate   Tuna

Did   not Ate Tuna

 

Ate   egg salad

75

100

 

Did   not egg salad

200

50

  

Total   number of persons who ate each specified combination of food items & who   later became sick (with acute sore throats)

 

Ate   Tuna

Did   not Ate Tuna

 

Ate   egg salad

60

75

 

Did   not egg salad

70

15

What is the sore throat attack rate in persons who ate both egg salad & tuna

a. 60/75

b. 70/200

c. 60/133

d. 60/275

e. None of the above

Question 3

According to the results shown in the preceding tables, which of the following food items (or combination of food items) is most likely to be infective?

a. Tuna only

b. Egg salad only

c. Neither tuna nor egg salad

d. Both tuna & egg salad

e. Cannot be calculated from the data

Question 4

In the study of an outbreak of an infectious disease, plotting an epidemic curve is useful because:

a. It helps to determine what type of an outbreak (e.g. single-source, person-to-person) has occurred

b. It shows whether herd immunity has occurred

c. It helps to determine the median incubation period

d. A & c

e. A,b, & c

Question 5

Which of the following is characteristic of a single-exposure, common-vehicle outbreak?

a. Frequent secondary cases

b. Increasing severity with increasing age

c. Explosive

d. Cases include both people who have been exposed & those who were not exposed

e. All of the above

  

Summary of Red Letter Alerts (Pyramid Alerts) from each chapter of your Textbook “NCLEX RN Examination Comprehensive Review“ (Sounders, 7th Edition) Author: Linda Ann Silvestri *No other editions will be accepted, only the 7th Edition will be accepted.

Tip: See page xii (7) from your Textbook Preface. (Edition 7)

* Assignment Due 4 days 

* Only Accepted Format: Word.

– Start with Unit 2 (Unit II) and until Unit 20 (XX).

– Type each RED letter Pyramid.

 Type each Critical Thinking question, answers, and Rationales chapter by chapter 

– The FIRST page of your assignment should contain the School name, Student full name, cohort, and date.

– The SECOND page should contain the Titles and numbers of Each Chapter and, the page number.

– From the THIRD page and on:

Type the chapter Title at the top of the page and continue with each Red Letters Pyramid Alert.

– Your Word document must page page-numbered.