Review the Case Study: Petunia Park. You will use this case as the basis of this Assignment. 

Consider what history would be necessary to collect from this patient. Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
• Objective: What observations did you make during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
• Reflection notes: What would you do differently with this client if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Let’s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to consider it further. Upon learning that a medication error occurred resulting in a child’s death, the Chief Nursing Officer (CNO) of a regional acute care facility held a press conference to announce the mistake. The conference centered on reporter questions about why the nurse was not fired. The CNO explained that the nurse was highly regarded and that the problem was a “system” problem, not simply a problem of an incompetent nurse. The CNO also explained that an examination of the medication administration procedures was ordered and that an electronic medication error avoidance system would be implemented to ensure that such an error would not happen again. Consider this scenario to address the following.

• As the CNO in the scenario, defend your decision to disclose the incident to the media. How does this decision influence value-based healthcare? What risks might you encounter? What impact might this decision have on you personally and professionally?
• At a regional health consortium, fellow CNOs remark that they would not disclose such an incident to the media. Provide two justifications for withholding disclosure of the error to the public. How does this decision influence value-based healthcare?
• Imagine you are the patient’s family. How would you want the issue to be handled by the CNO? Explain your rationale.

Please review the Graduate Discussion Grading Guidelines and Rubric (Links to an external site.) for complete discussion requirements.

 

1) Minimum 7 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

             Part 1: Minimum 1 page

             Part 2: minimum 3 pages

             Part 3: Minimum 1 page 

             Part 4: minimum 1 page

             Part 5: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1: Nursing Leasership

Topic: Medication errors

1. What are the main causes of medication errors

2. Consequences of medication errors in patients

3. Economic consequences in the system of medication errors

4. Advantages of educating nurses to avoid medication errors.

Part 2: Nursing Leasership

Topic-issue: Nurse turnover

Purpose: describing the differing approaches of nursing leaders and managers to issues in practice. 

1. Describe the selected issue. 

a. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.

2. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.

3. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. 

4. discuss the topic using the theories, principles, skills, and roles of the leader versus manager described in your readings.

5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.

6. Describe a leadership style that would best address the chosen issue. 

a. Explain why this style could be successful in this setting.

Part 3: Culminating Experience

Topic: Nurses Coping Capacity in The Face of Death in Pediatric and Neonatal Intensive Care Units

When you delve into research, you may find an exhaustive amount of information on your topic. 

1. How will you organize your research? 

2. What strategies or tools will you use to keep track of everything you are reading, referencing, and synthesizing?

3. Provides suggestions to focusing the search or for searching subtopics. 

Part 4: Education Teaching Practicum

Topic: Nurses Coping Capacity in The Face of Death in Pediatric and Neonatal Intensive Care Units

You Role: Nurse educator

Audience: Novice nurses, recent graduates in their 30s and 40s

1. Discuss any potential classroom management issues that could arise and how you will address them. 

a. Student disruptions

b. Learning abilities or disabilities

c. Students who do not participate or do not take ownership of their learning

d. Students who participate too much and take over the classroom

Part 5: Across the life

A 41-year-old male patient presents at the community walk-in clinic with complaints of severe elbow pain radiating into the forearm. His 13-year-old daughter is serving as a translator because her father is unable to speak English and understands only a few words in English. The daughter explains that he has been taking Tylenol to manage pain, but the pain is getting worse and is keeping him from working. You ask the daughter to describe the type of work her father does, and you notice she is hesitant to respond, first checking with her father. He responds, and she translates that he works in construction. Based on the response and the apparent concern, you suspect that the patient may be an undocumented worker. Further conversation reveals that several members of the family are working with the same local construction company.

Case Questions

You suspect the pain reported as coming from the elbow and radiating down the forearm is caused by repetitive motions, perhaps indicating lateral epicondylitis. 

1. What can you do to confirm this diagnosis?

While performing the physical examination, you ask the patient, through his daughter, if he has reported this injury to his employer, because the injury is most likely work-related. The daughter responded without consulting her father that this is an old injury that happened before he started working at his current place of employment. You could tell that she was becoming more distressed. 

2. What is the most likely explanation for her concern?

Visual inspection reveals erythema around the affected area with no evidence of overlying skin lesions, scars, or deformities. 

3. What other assessments should you perform?

4. How is lateral epicondylitis treated?

When discussing possible treatment approaches, you notice that the patient is very worried and seems to suggest to his daughter that they should leave. The daughter begins trying to explain why they have to leave right away. 

5. What would you tell the patient and his daughter to help them feel comfortable staying for treatment?

 Instructions: Read the following case study and answer the reflective questions. Please provide  rationales for your answers. Make sure to provide citations/references for your answers in APA  format.  

 CASE STUDY: Drug-Facilitated Sexual Assault: Jessica Sexual assault includes any type of sexual activity to which an individual does not agree. Because of  the effects of some drugs, commonly called date rape drugs, victims may be physically helpless,  unable to refuse, or even unable to remember what happened. Jessica, a 16-year-old high school  sophomore, expresses concern to the school nurse practitioner that she knows someone who might  have had sex “without knowing it.” How can the nurse practitioner answer these common questions?  Reflective Questions  1. What are date rape drugs and how can a person be unaware that such a drug has been  ingested?  2. What can you do to protect yourself?  3. What do you do if you think you have been sexually assaulted? 4. What can you do when someone you care about has been sexually assaulted? 5. What role does a nurse practitioner play in the care of sexually assaulted patients,  particularly in the adolescent age group?