Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework and 12 domains. Write 750-1,000 exploring the Purnell Model for Cultural Competence. Include the following:

1-Explain culturally sensitive care and its application within health care.

2-Explain the theory and organizational framework of the Purnell Model, and discuss its relevance to transcultural health care.

3-Describe Purnell’s 12 domains of culture, and assess how each of these domains plays an active role in the diversity of health care in your specific field.

4-Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.

5-Cite at least three references, including the course textbook.

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

1.  A family is gathered around in the ICU waiting room to monitor the status of a 22-year-old male, David, who sustained traumatic injuries in a motorcycle accident. He is in critical unstable condition with many wounds and severe abrasions. David’s mom keeps crying and saying, “What did I do to deserve this, God?” The family is Roman Catholic.

• a.   What information should you ask the family regarding their culture, beliefs, and coping mechanisms?
• b. The family wants to be at the bedside with David and requests to be present if he has a code blue or becomes asystolic.
• c. What is your best response to their request?

2.  A 45-year-old divorced Filipino man with end-stage Alzheimer’s disease was found dead from hanging. While preparing the body for the morgue, the mother tells the nurse that he has disgraced the family and he will go to hell.

• a.   What religious or spiritual beliefs influenced the mother’s reaction?
• b. How should the nurse respond to the mother?

Submission Instructions:

• Your initial post should be at least 500 words 
• APA style 
• 2 academic sources. 

The purpose of this assignment is to implement communication strategies for delivering negative news.

Select one of the following scenarios:

• You have failed a course in your program major and you have been notified by the financial services office that you will be suspended from playing your collegiate sport and you may lose your university scholarship. Draft a professional email notifying your coach of the news.
• You are a sales team manager at GCU and your department has just notified you that a new technology is being implemented in the workplace. This software is a management and time tracking tool that provides an efficient and transparent view of work tasks and current clients. The current software the department is using is being discontinued which will require a manual migration of data from the old system to the new system. This is a very time intensive and challenging migration; it will require change and new training. Draft a professional email to your team notifying them of the news and try to get buy-in for this new technology.
• You are moving on to different professional horizons and you must notify your supervisor that you will be resigning your current job position. The timing is inconvenient as you have been groomed for a management position. Draft a professional email that notifies your supervisor of the news.
• You are a student that recently failed a high stakes assignment due to a misunderstanding. You are disputing the grade you received on the assessment and you have decided to email your professor. Draft a professional email to your instructor.

Write a 100-250 word email responding to the scenario. Your email should have a subject or title line that is consistent with the content of the message. Incorporate the conventions related to delivering negative news by including the following elements: 

• Buffer statement
• Reasons for the situation or decision
• Negative news
• Suitable or desired resolution
• Respectful closing

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance. 

PLEASE FOLLOW THE FOLLOWING INSTRUCTIONS BELOW AS INDICATED:

ZERO PLAGIARISM

5 REFERENCES 5 YEARS OR LESS THAN 5 YEARS.

PLEASE SEE THE ATTACHED RUBRIC DETAILS.  

FOLLOW THE APA 7 STYLE/FORMAT

As a psychiatric nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat patients, you must not only understand the pathophysiology of psychiatric disorders but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues. 

For this Discussion, review the Learning Resources and reflect on the concepts of foundational neuroscience as they might apply to your role as the psychiatric mental health nurse practitioner in prescribing medications for patients. 

Post a response to each of the following:

1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.
2. Compare and contrast the actions of g couple proteins and ion gated channels.
3. Explain how the role of epigenetics may contribute to pharmacologic action.
4. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.