Research the different nursing care facilities in your community. Discuss the pros and cons of the facility in terms of what they offer. Provide a brief report with the following questions:

• What is the basic rate for room, board, and services (it’s a good idea to get this information in writing)?
• What services are covered by this rate?
• Are there other services available and how much do they cost?
• What are the payment policies?
• What is the refund policy if someone leaves before the end of a month?
• What is the policy for rate increases?
• How long has the current administration been in place?
• Is there enough staff available to meet my needs?
• Is there frequent staff turnover?
• Is some level of nursing care provided (RN, LPN, Nursing
• Assistant)? How often is it available?
• Who will help me with medications if I need it (e.g. reminding me to take them, opening the bottle)?
• Can someone administer medications to me if I can’t take them myself (e.g. applying medication to my skin, putting a pill in my mouth)?
• Can someone help me if I need special care (e.g. caring for a wound)?
• What happens if I have an emergency? Can I get help right away?
• Are staffs suitably dressed, personable, and outgoing?
• Do the staff members treat residents with respect and dignity?
• Do staff members treat each other in a professional manner?
• What language does most of the staff speak?
• What type of help with personal care is available (e.g. bathing, dressing)?
• How flexible is the schedule for receiving help with personal care?
• What, if any, transportation services are available? (e.g. medical appointments, shopping, religious services).
• Will staff arrange for activities (e.g. hair appointment, concert)?
• How does the home support and accommodate personal hobbies?
• Are there regularly planned activities that I will enjoy?
• Will I be able to attend religious services of my choice?
• Can I bring my pet with me when I move?
• When can I have visitors?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Is the floor plan easy to follow?
• Are doorways, hallways, and rooms accommodating to wheelchairs and walkers?
• Are there hand rails to help with walking and in the bathroom?
• Are cupboards and shelves easy to reach?
• Are there nonskid floors and firm carpets to assist walking?
• Does the home have good natural and artificial lighting?
• Is the home clean, free of odors, and well heated and cooled?
• Does the home meet my standards of cleanliness?
• Is the home free from obvious environmental hazards?
• Are the home’s rooms clean, safe, and adequate for my needs?
• Will I have free use of common areas, such as the kitchen, activity rooms, toilet facilities, dining room, or grounds?
• Can I smoke in my room or in common areas?
• What furniture is provided?
• Can I bring along some of my furniture or other personal items?
• Can I adjust the temperature of my room?
• Is there a sit-down shower?
• Can I have my own personal phone line or internet connection?
• Are emergency procedures clearly posted?
• Am I able to lock my room and/or are there locked areas in each room for personal valuables?
• Is the food pleasing, nutritious, adequate, and attractively served?
• What if I don’t like what is being served?
• Can I cook in my room?
• Are snacks available?
• Are there specific meal times or are they flexible?
• Is there a refrigerator available to store my personal food?
• Will the home meet my dietary or cultural food preferences?
• Can I request special foods?
• Do other residents socialize with each other and appear happy and comfortable?
• Do residents speak favorably of the facility?
• Do the residents look like people I want to live with?
• How are room changes and roommate concerns addressed?
• Is there a resident group that meets?
• Do any of the other residents have a history of violent or other problem behaviors? How are these situations handled by staff?

1. Do you think the benefits of this research outweighed the costs to participants-what is the overall risk/benefit ratio?
2. Does the report indicate that the study procedures were reviewed by an IRB or other similar institutional ethical review committee?
3. Would the participants in this study be considered “vulnerable”?
4. Were participants subjected to any physical harm or discomfort or psychological distress as part of the study? What efforts did the researchers make to minimize harm and maximize good?
5. Were participants deceived in any way?
6. Were participants coerced into participating in the study?
7. Were appropriate informed consent procedures used?
8. Was there full disclosure, and was participation voluntary?
9. Does the report discuss steps that were taken to protect the privacy and confidentiality of study participant?

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

• What is the health problem
• Which group(s) are most likely to be at risk
• What social/behavioral/health system determinants affect this
• Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
• What resistance might be met in implementing the intervention/activity

View these links on how to create infographics:

• https://www.visme.co/make-infographics/
• http://blog.hubspot.com/blog/tabid/6307/bid/34223/5-Infographics-to-Teach-You-How-to-Easily-Create-Infographics-in-PowerPoint-TEMPLATES.aspx
• http://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-ht

You should submit two infographics and one reference list containing at least three scholarly sources. These can be submitted as three separate files.

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:

Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting? 

Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?

Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?

Use APA Style and appropriated references.

· Consult the Internet or telephone directory for a listing of the self-help group (AA/CA/NA or Al-Anon/Alateen) meeting places.

· Do not select a meeting place that you, your family or your relatives are currently attending or have recently attended. 

· Contact the AA/CA/NA meeting place conveniently located for you.

· Call and ask for the AA/CA/NA schedule of the meetings.

· Explain that you are a nursing student and ask permission to attend a meeting.

· Contact the Al-Anon/Alateen meeting place conveniently located for you.

· Explain that you are a nursing student and ask permission to attend a meeting.

· Read Boyd, 2018, p. 560 before attending the AA/CA/NA meeting.

· Attend the one meeting (AA/CA/NA or Al-Anon/Alateen) outside of regularly scheduled class and clinical times before or by the third week of clinical. See your assignment due date sheet on when to submit your paper to faculty. At your fourth week of clinical, you will report your experience in post clinical conference.

· You are not expected to speak during the meeting. You are there to observe.

*Websites

http://www.aahouston.org/

http://www.houstonalanon.org/meetings.html

You will be able to obtain the local chapter locations and/or contact person from the support group web page.

Guidelines in Writing the Paper:

1.         The paper will be three pages in APA format, not including the cover page, the APA title page, and  

the reference page. See page 54 for the cover page format.  

2.         The paper will contain an introduction, body, and conclusion.

3. The introduction explicitly identifies the concept “self-help group” and the purpose(s) of the paper.

4. The body will include:

· The date, time, location of the meeting

· A description of the atmosphere of the meeting place (approximate number of people, environment, attitude of different people, etc.)

· Explain the step(s) that was (were) discussed in the AA/CA/NA meeting. If the step(s) were not discussed, then explain what was discussed. OR Explain what was discussed in the Al-Anon/Alateen meeting. Provide examples.

· A description of some of the interpersonal relationships you observed

· How you think a “newcomer” with a substance-related problem or mental illness disorder may feel attending the meeting for the first time.

· How you felt as an individual attending the meeting 

· A description of how AA/CA/NA or Al-Anon/Alateen is a therapeutic intervention for persons living with a substance-related or mental illness disorder.

5. The conclusion is based on your experience of observing the (AA/CA/NA or Al-Anon/Alateen) meeting. In addition, describe the significance to mental health nursing/nurses of the information presented in the paper.

6. Please take the utmost care in writing this paper to ensure that you do not reveal 

anyone’s identity. Confidentiality!