Discussion – 2025 Discussion Legal and Ethical Considerations for Group and Family Therapy Considering the Health Insurance Portability and Accountability

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Discussion – 2025

 

Discussion: Legal and Ethical Considerations for Group and Family Therapy

Considering the Health Insurance Portability and  Accountability Act (HIPPA), the idea of discussing confidential  information with a patient in front of an audience is probably quite  foreign to you. However, in group and family therapy, this is precisely  what the psychiatric mental health nurse practitioner does. In your  role, learning how to provide this type of therapy within the limits of  confidentiality is essential. For this Discussion, consider how limited  confidentiality and other legal and ethical considerations might impact  therapeutic approaches for clients in group and family therapy. 

 

To prepare:

Review this week’s Learning Resources and consider the insights they provide on group and family therapy.

View the media, Legal and Ethical Issues for Mental Health  Professions, Volume I, and reflect on legal and ethical considerations  for group and family therapy and individual therapy.

 Post an explanation of how legal and ethical  considerations for group and family therapy differ from those for  individual therapy. 

Then, explain how these differences might impact  your therapeutic approaches for clients in group and family therapy.  

Support your rationale with evidence-based literature. 

Link to download the media Legal and Ethical Issues for Mental Health  Professions:

https://waldenu.kanopy.com/product/legal-and-ethical-issues-mental-health-pro

COPD Case Study – 2025 COPD Case Study Patient and History D Z a 65 year old man is

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COPD Case Study – 2025

  

COPD Case Study

Patient and History: 

D.Z. a 65 year old man is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD). He has a past medical history of HTN, which has been well controlled by enalapril for the past six years and a diagnosis of pneumonia for the three years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports a cough productive of thick yellow green sputum. DZ seems irritable and anxious when he tells you that he has been a 2 pack a day smoker for 38 years. He complains of sleeping poorly and lately feels tired most of the time. 

His vital signs: 

BP 162/84 P 124 R 36 T 102. F SaO2 88% room air. 

Admitting diagnosis: Exacerbation of COPD etiology to be determined. 

His admission orders: 

Diet as tol, OOB with assistance, O2 to maintain sats >90% , IV D5W @ 50 ml/hr , Strict I/O, ABGs in am, CBC with diff. BMP, Theophylline level on admission, CXR q 24 hrs, 

Medication List: 

• Prednisone 60 mg PO q Day 

• Doxycycline 100 mg PO q 12 hr x 10 days 

• Azithromycin 500 mg IVPB q 24 hr x 2 days then 500 mg PO x 7days 

• Theophylline 300 mg PO BID 

• Heparin SQ 5000 units BID 

• Albuterol 2.5 mg/3 ml NS and Atrovent 500 mg by nebs Q 4-6 hrs 

•  Enalapril 10mg PO q am 

8. Identify three expected outcomes of D.Z’s treatment. 

You notice a box of dark chocolate on D.Zs over the bed table. He tells you that he wakes at night and eats 4-5 pieces of dark chocolate. Several of your COPD patients have identified their craving for dark chocolate in the past. 

10. What would you do to address dietary and nutritional needs with DZ and his wife? 

11. List six educational topics that you need to explore with DZ. 

Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief – 2025 It may seem to you that healthcare has been a national topic of debate among political leaders for as long

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Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief – 2025

 

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

  • Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
  • Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
  • Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
  • Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

  • Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
  • Describe the administrative agenda focus related to the issue you selected.
  • Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
  • Explain how each of the presidential administrations approached the issue.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

  • Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
  • How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
  • Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Fact Sheet or Talking Points Brief

Using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:

  • Summarize why this healthcare issue is important and should be included in the agenda for legislation.
  • Justify the role of the nurse in agenda setting for healthcare issues.

Assignment: Assessing and Treating Clients With Psychosis and Schizophrenia – 2025 The Assignment Examine Case Study Pakistani Woman with Delusional Thought Processes You

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Assignment: Assessing and Treating Clients With Psychosis and Schizophrenia – 2025

The Assignment

Examine Case Study: Pakistani Woman with Delusional Thought Processes. 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 stop to complete the following:

  • 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.

CASE STUDY – 2025 Subjective Mark a 48 year old male presents to the office with mild to moderate chest pressure with radiation to his

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CASE STUDY – 2025

Subjective
Mark, a 48 year-old male, presents to the office with mild-to-moderate chest pressure with radiation to his back. Mark reports that he was awakened from sleep at 0700 with chest pressure. Initially described as soreness across his anterior chest and through to his back. He rates his pain +6/10. He felt as though if he could just belch, he would feel better. His wife drove him to the office to be here when it opened at 0900. She tried to convince Mark to go to the emergency room, but he emphatically refused, insisting on going to the office first. Upon arrival to the office, you take Mark back to an examination room and instruct the receptionist to call 911.

Past medical/surgical history: Diabetes mellitus type 2

Family history: He has a family history of premature coronary artery disease. His father died of acute myocardial infarction (AMI) at age 45. One brother died of AMI at age 49.

Social history: He has smoked for 25 years but has reduced his smoking to 1 pack per day since his brother’s death 2 years ago. He has put on 25 pounds in the past 2 years and is generally sedentary

Medications: Metformin XR 500mg daily, Last A1C was 7.4

Allergies: Latex

Objective

General: Anxious and shows Levine’s sign as you enter the office room. He is slightly diaphoretic.
Vital signs: BP 192/96, P: 102, RR-22, T-98.8, SpO2 is 90%
ECG: ST segment depression and T wave inversion in leads II and III
CV: Heart tones are muffled with an S3 gallop. Hands and feet are cool to touch. Radial pulses are 2+. Pedal and posterior tibial pulses are 1+. Neck vein distention of 5cm with HOB at 90 degrees.
Respiratory: Rhonchi in upper lobes bilaterally and a non-productive cough
Abdomen: Positive bowel sounds in all 4 quadrants, soft, non-tender, no masses felt.

The provider sent the patient immediately to the Emergency Department. Upon arrival and within 2 hours of arrival for care, troponin was 6 ng/dl, Chemistry panel: Na, K, CL were WNL, BUN 20, Creatinine 0.8, serum glucose 189.

Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source can be a textbook. Resources should generally be within 5 years unless you are explaining the pathophysiology of a disease or providing pertinent background information.

Discussion Questions:

  1. Describe the similarities and differences of necrosis and apoptosis in regards to the above clinical scenario and diagnosis.
  2. What is the role of hydrostatic and oncotic pressure in regulation of blood pressure for this patient?
  3. Explain the role of free radicals and myocardial death

Discussion & Assignment – 2025 Discussion Choose two countries and compare their healthcare systems How are the healthcare systems

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Discussion & Assignment – 2025

Discussion: 

Choose two countries and compare their healthcare systems. How are the healthcare systems organized? Who has access to healthcare, and why?
After describing the systems and explaining who has access, rate the systems as good, bad, or neutral. Explain the rationale for your ratings and provide supporting evidence.

Assignment: 

Begin this assignment by selecting a state, national, or international healthcare policy and briefly describing it.

After identifying a legal or governmental healthcare policy for analysis, develop a narrative that explains why you chose the selected policy, lists three key stakeholders you would like to interview about the policy, and explains how each individual is related to or affected by the policy. Your instructor will approve your policy and interview suggestions for use in your final project.

The rubric for the assignment is attached. 

Discussion 5-2 – 2025 There are three troublesome issues that have emerged in the advancement of APRN practice These issues in APRN

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Discussion 5-2 – 2025

 

There are three troublesome issues that have emerged in the advancement of APRN practice. These issues in APRN include: 1) the clear role development and morphed to fill gaps in services; 2) the lack of clarity regarding role uniqueness; and 3) the dearth in nursing specific outcomes. From your readings this week, discuss 1 of the 3 questions. Begin your discussion with the question you will be addressing.

  1. Why might the development and morphing of roles based on gaps in medicine be problematic for advancement of APRNs? What actions might a nurse take to reduce this?
  2. In what ways can an APRN distinguish his or her role from other nursing roles and medical counterparts? Why might this be important?
  3. How can APRNs encourage nursing-based outcome studies?

Expectations

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

leadership in organizations – 2025 Answer these essay questions Essay 1 Case Study Echo Electronics Paul Sanchez is the production manager for

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leadership in organizations – 2025

 

Answer these essay questions:

Essay #1: Case Study: Echo Electronics

Paul Sanchez is the production manager for Echo Electronics, a small company that makes and distributes communications equipment. Paul’s direct subordinates are the supervisors of the four production departments in the company’s manufacturing plant. Six months ago, the engineering manager at Echo Electronics proposed a plan to install new computerized workstations to increase productivity in the plant. It seemed to be a good idea to Paul, and he welcomed the change. The CEO also approved the plan, and the new equipment was installed immediately.

Three months later, Paul was surprised and disappointed to find that the expected increase in productivity did not occur. In fact, productivity and quality actually decreased. The marketing manager told Paul that several of their best customers complained about receiving Echo equipment that was defective. Paul does not believe that the problem lies with the new workstations. Technicians from the firm that built the workstations recently checked them and found that they were operating properly. Paul talked to someone at another company that uses the workstations, and his contact reported that they were having great success with them.

When Paul discussed the problem with his four production supervisors, he found that they shared his concern but did not agree among themselves about the cause of the problem. Reasons given for the decline in performance included poor design of the workstations, inadequate training of the production workers who operate them, and lack of financial incentives for increasing productivity. The supervisors also told Paul that the production workers have strong feelings about the workstations. Morale declined, and two employees quit because they were upset about the changes made in the way the work is done.

This morning, Paul received a phone call from the CEO who just received the production figures for last month and was calling to express concern about them. The CEO indicated that the problem was Paul’s to solve, but he must take immediate steps to deal with it. The CEO wants to know by next week what steps Paul will take to reverse the decline in productivity and product quality.

 Questions

  1. What actions could Paul have taken to prevent the problem?
  2. What steps should Paul take now to deal with the problem?

Essay #2: Case Study: Alvis Corporation

Kathy McCarthy was the manager of a production department in Alvis Corporation, a firm that manufactures office equipment. The workers are not unionized. After reading an article that stressed the benefits of participative management, Kathy believed that these benefits could be realized in her department if the workers were allowed to participate in making some decisions that affect them. Kathy selected two decisions for an experiment in participative management.

The first decision involved vacation schedules. Each summer the workers are given two weeks’ vacation, but no more than two workers can go on vacation at the same time. In prior years, Kathy made this decision herself. She would first ask the workers to indicate their preferred dates, then she considered how the work would be affected if different people were out at the same time. It was important to plan a vacation schedule that would ensure adequate staffing for all of the essential operations performed by the department. When more than two workers wanted the same time period, and they had similar skills, she usually gave preference to the workers with the highest productivity.

The second decision involved production standards. Sales had been increasing steadily over the past few years, and the company recently installed some new equipment to increase productivity. The new equipment would make it possible to produce more with the same number of workers. The company had a pay incentive system in which workers received a piece rate for each unit produced above a standard amount. Separate standards existed for each type of product, based on an industrial engineering study conducted a few years earlier. Top management wanted to readjust the production standards to reflect the fact that the new equipment made it possible for the workers to earn more without working any harder. The savings from higher productivity were needed to help pay for the new equipment.

Kathy called a meeting of her 15 workers an hour before the end of the work day and explained that she wanted them to discuss the two issues and make recommendations. Kathy figured that the workers might be inhibited about participating in the discussion if she were present, so she left them alone to discuss the issues. Besides, Kathy had an appointment to meet with the quality control manager. Quality problems had increased after the new equipment was installed, and the industrial engineers were studying the problem in an attempt to determine why quality had gotten worse rather than better.

When Kathy returned to her department just at quitting time, she was surprised to learn that the workers recommended keeping the standards the same. She had assumed they knew the pay incentives were no longer fair and would set a higher standard. The worker speaking for the group explained that their base pay had not kept up with inflation, and the higher incentive pay restored their real income to its prior level.

On the vacation issue, the group was deadlocked. Several of the workers wanted to take their vacations during the same two-week period and could not agree on who should go. Some workers argued that they should have priority because they had more seniority, while others argued that priority should be based on productivity, as in the past. Because it was quitting time, the group concluded that Kathy would have to resolve the dispute herself. After all, wasn’t that what she was being paid for?

Questions

  1. Were the two decisions appropriate for a group decision procedure according to the Vroom–Yetton model?
  2. What mistakes were made in using participation, and what could have been done to avoid the difficulties the manager encountered?
  3. Where these two decisions appropriate ones for introducing participation into the department?

Essay #3: What are the potential benefits of delegation, and when is it most likely to be successful?  What are some guidelines on what to delegate? Why do some managers find it so difficult to delegate or share power?  Write an essay on Steve Jobs style of functioning? Did he delegate his job effectively?

Essay #4: Case Study: National Products

Susan Thomas is the vice president for human resources at National Products, a manufacturing company with 500 employees. The company has an opening for a general manager in one of its product divisions, and the president asked Susan to review the backgrounds of three department managers who are interested in being promoted to this position. She is expected either to recommend one of the three internal candidates or to begin recruitment of external candidates. The internal candidates are Charley Adams, Bill Stuart, and Ray Johnson. The following information about each candidate was obtained from performance records, interviews with the candidates, and discussions with the boss of each candidate.

Charley Adams

Charley Adams has been a production manager for the past eight years. He is an easygoing person who loves to swap jokes and tell stories. Charley stresses the importance of cooperation and teamwork. He is uncomfortable with conflict, and he tries to smooth it over quickly or find an acceptable compromise.

Before becoming a manager, Charley was always willing to take on extra assignments for his boss and to provide helpful advice to less experienced coworkers in his department. Charley is proud of his reputation as a “good team player” and a loyal “company man.” It is important to Charley to be liked and appreciated by people in the organization.

Charley comes from a cultural background emphasizing the importance of close family ties. He holds frequent Sunday dinners at which the entire Adams clan gathers for an afternoon of swimming, baseball, eating, and singing. On Saturdays, Charley likes to play golf with friends, including some of the other managers in the company.

Charley wants his department to have a good performance record, but he is reluctant to jeopardize relations with subordinates by pushing them to improve their performance beyond current levels, which he believes are adequate. When Charley gives out performance bonuses to subordinates, he usually tries to give something to everyone.

Bill Stuart

Bill Stuart has been the manager of an engineering department for three years. He was promoted to that position because he was the best design engineer in the company and was ambitious to further his career by going into management. At the time, Bill had little understanding of what the job would be like, but he saw it as both an opportunity and a challenge.  Bill grew up as somewhat of a loner. He still feels awkward around people he doesn’t know well, and he dislikes social functions such as cocktail parties and company picnics. As a design engineer, Bill preferred assignments where he could work alone rather than team projects. He is impatient with bureaucratic authority figures and he is critical of corporate policies that he regards as too restrictive. Bill gets along well with his present boss, because he is left alone to run his engineering group in his own way.

Bill likes challenging assignments, and he tries to save the most difficult and interesting design projects for himself. Although Bill usually performs these tasks effectively, his preoccupation with them sometimes takes time away from some of his managerial responsibilities, such as developing and mentoring subordinates.

Ray Johnson

Ray Johnson has been a corporate marketing manager for five years. He grew up in a poor ethnic neighborhood where he learned to be tough in order to survive. He has worked hard to get where he is, but for Ray, good performance has been a way to get ahead rather than something he enjoys for its own sake.

Ray lives in a large house with a big swimming pool in the best part of town, and he likes to throw big parties at his home. He wears expensive clothes, drives a luxury car, and he belongs to the best country club. Ray is married, but fancies himself as quite a playboy and has had many affairs, including some with female employees.

Ray views the organization as a political jungle, and he is quick to defend himself against any threats to his reputation, authority, or position. He tries to undermine or discredit anybody who criticizes or opposes him. He keeps a tight control over the operations of his department, and he insists that subordinates check with him before taking any action that is not routine.

Questions

  1. What are the dominant motives for each candidate?
  2. What are the implications of these traits for the success of each candidate if selected for the general manager position?
  3. Should Susan recommend one of these candidates for the position, or look for external candidates?

Changing Maladaptive Behaviors in Nursing – 2025 In your reading assignment there are two sections on chemical dependency and codependency which are maladaptive behaviors

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Changing Maladaptive Behaviors in Nursing – 2025

In your reading assignment, there are two sections on chemical dependency and codependency, which are maladaptive behaviors nurses may become “emotionally and physically” trapped in. Discuss your feelings about these behaviors affecting nurses in their careers and home life. If you were the unit manager, how would you try to help these nurses who have become chemically dependent or codependent in their practice?

Evidenced Based Nursing – 2025 In this Assignment you will use an appraisal tool to conduct a critical appraisal of published research You will

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Evidenced Based Nursing – 2025

  

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

· Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.

· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

· Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Articles reviewed. Topic: Falls & prevention of falls in our healthcare setting

Bechdel, B., Bowman, C., & Haley, C. (2014). Prevention of Falls: Applying AACN’s Healthy Work Environment Standards to a Fall Campaign. Critical Care Nurse, 34(5), 75–79. https://doi-org.ezp.waldenulibrary.org/10.4037/ccn2014987 . 

(November 9, 2015 Monday). TJC: Time to curb patient falls in healthcare settings. ED Management. Retrieved from https://advance-lexis-com.ezp.waldenulibrary.org/api/document?collection=news&id=urn:contentItem:5HBV-SJB1-JBDY-B361-00000-00&context=1516831.

Quigley, P. A. (2016). Evidence Levels: Applied to Select Fall and Fall Injury Prevention Practices. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses, 41(1), 5–15. https://doi-org.ezp.waldenulibrary.org/10.1002/rnj.253

Robey-Williams, C., Rush, K. L., Bendyk, H., Patton, L. M., Chamberlain, D., & Sparks, T. (2007). Spartanburg Fall Risk Assessment Tool: a simple three-step process. Applied Nursing Research : ANR, 20(2), 86–93.