Category: Nursing

Nursing Care Models Paper

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes – Nursing Care Models Paper

Completion of this Nursing Care Models Paper assignment enables the student to meet the following course outcomes.

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CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Nursing Care Models Paper Due Dates

Submit by Sunday, 11:59 p.m. MT, end of Week 5.

Rubric

Click to view and download the NR447 Nursing Care Models Paper Rubric (Links to an external site.)Links to an external site..

Points

This Nursing Care Models Paper assignment is worth 200 points.

Nursing Care Models Paper Directions

Read your text, Finkelman (2016), pp- 111-116.

Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

Write a 5-7 page Nursing Care Models Paper that includes the following:

Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

Discuss your observations about how the current nursing care model is being implemented. Be specific.

Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

Write your Nursing Care Models Paper using APA format using Microsoft Office 2010 or later.

NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

Week 1 discussion

Organizational Foundations

As you strive to grow in your leadership skills and abilities, you will find that the context in which you work influences your motivation and areas of focus. In a similar vein, your commitment to developing professionally can contribute toward organizational effectiveness.

To that end, it is critical to recognize the importance of organizational culture and climate. In particular, through this week’s Learning Resources, you may consider several questions: How do an organization’s mission, vision, and values relate to its culture? What is the difference between culture and climate? Moreover, how are culture and climate manifested within the organization?

For this Discussion, you explore the culture and climate of your current organization or one with which you are familiar. You also consider decisions and day-to-day practices and the way they relate to the organization’s mission, vision, and values.

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To prepare:

Review the information related to planning and decision making in health care organizations presented in the textbook, Leadership Roles and Management Functions in Nursing: Theory and Application. Consider how planning and decision making relate to an organization’s mission, vision, and values, as well as its culture and its climate. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

Familiarize yourself with the mission, vision, and values of your organization or one with which you are familiar. Consider how the statements and actions of leaders and others within the organization support or demonstrate the organizational mission, vision, and values. In addition, note any apparent discrepancies between word and deed. Think about how this translates into expectations for direct service providers. Note any data or artifacts that seem to indicate whether behaviors within the organization are congruent with its mission, vision, and values.

Begin to examine and reflect on the culture and climate of the organization. How do culture and climate differ?

Why is it important for you, as a master’s-prepared nurse leader, to be cognizant of these matters?

By Day 3

Post a description of your selected organization’s mission, vision, and values. Describe relevant data, or artifacts, words, and actions of leaders and others in the organization that support, or perhaps appear to contradict the organization’s mission, vision, and values statement. In addition, discuss the organization’s culture and its climate, differentiating between the two. Explain why examining these matters is significant to your role as a nurse leader.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

Module 2 discussion

Transitioning From Closed to Open Systems

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.

For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.

To prepare:

Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.

Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

By Day 3

Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

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Week 3 discussion

Organizational Structures and Leadership

In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.

In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

To prepare:

Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.

Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat? Note: It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization?

What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.

Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.

To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.

By Day 3

Post a depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. Explain the influence of formal and informal leadership on decision making within this department or unit.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

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Discussion – Week 4

Critiquing a Change Effort

As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.

Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?

How did the change affect your job and responsibilities?

Consider the results of the change and whether or not the intended outcomes have been achieved.

Was the change managed skillfully? Why or why not? How might the process have been improved?

By Day 3

Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

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Week 5 discussion

Groups

The dynamic and increasingly complex world of health care often requires nurses to work collaboratively on interprofessional teams. In the group environment, individuals with unique skills and expertise come together to focus on a common goal; however, groups must become cohesive before they can become effective.

Your experiences working with groups—whether you perceive them as positive, negative, or neutral—can be used to facilitate insight and development. Health care, with its focus on interprofessional teamwork and collaboration, offers ample opportunities and an imperative for continuous learning.

For this Discussion, you focus on strategies for facilitating the group process.

To prepare:

Review the information in this week’s Learning Resources regarding the stages of group formation, problematic roles individuals play in groups, and strategies for facilitating and maintaining positive group collaboration. In particular, review Learning Exercise 19.14 of the course text.

Reflect on various groups with which you have been or are currently involved. Select one specific group to analyze for the purposes of this Discussion. Identify the purpose or task that the group is or was meant to perform.

Consider the four stages of group formation (forming, storming, norming, and performing). How would you describe the progression between stages? Is there a stage in which you believe your group is or was “stuck”?

Consider the task or group-building role you normally play in a group setting. How could you apply the information from the Learning Resources to improve your group participation and facilitation, as well as the functioning of the group as a whole?

In addition, think about which individuals within your group (including yourself) may fall into problematic roles such as the Dominator, the Aggressor, or the Blocker. How have you and your group members addressed the enactment of these roles and its impact on interactions? With information from the Learning Resources in mind, what strategies would you apply now or going forward?

By Day 3

Post a description of a group with which you have been or are currently involved. Assess where the group is in terms of the four stages of group formation. If you are reflecting on a past experience, explain if your group moved through all four stages. Describe the task or group-building role you typically play, or played, in this group. Then, explain what strategies you, as a leader, can apply to better facilitate the group process and address any problematic individual roles in the group.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

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Week 6 discussion

Power Dynamics

There is no graded Discussion Board assignment this week; however, a Week 6 optional discussion board is available for your voluntary participation. Bring to mind a nurse whose words, behaviors, or reputation convey power. What is it about this individual that suggests power? How does your perception of this person relate to your view of yourself as a nurse leader and the image you associate with nursing?

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Week 7 discussion

Addressing Barriers to Effective Communication

From moment to moment, a nurse leader’s day involves communication—with patients, families, colleagues, supervisors, and so on.

Think of a particular day you spent working in a health care environment, and consider three or four distinct points in time. For each point of time, consider the following: With whom did you interact? Which forms of communication did you use? What issues were communicated about—did they seem to be light-hearted or sensitive? Straightforward or complicated? How would you describe the pace of the interactions and your work?

As you consider these questions, it becomes clear that communication can be quite complex, with many layers of meaning that shape the experience for everyone involved. How could this awareness help you to understand instances of ineffective communication when they arise? NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

To prepare:

Review the information in Chapter 19 of the course text, as well as the assigned articles.

Reflect on an incident involving ineffective communication within your organization or another health care setting. Consider this incident through the lens of the communication process outlined in Figure 19.1 of the course text.

What barriers contributed to this incident? What other challenges may have influenced this situation?

Using the information presented in the other Learning Resources, consider what could have been done to prevent or address the ineffective communication. Why do you think the use of these strategies would have resulted in better outcome(s)?

By Day 3

Post a summary of an incident involving ineffective communication. Describe communication barriers and other challenges that contributed to the incident. Propose one or more strategies that could have been employed to promote a better outcome. Be sure to refer to elements of the communication process.

Read a selection of your colleagues’ responses.

By Day 6

Respond by critiquing at least two of your colleagues’ postings on two different days using elements of the communication process and recommend additional strategies to overcome the barriers. If you think other factors may have contributed to the situation, provide an analysis with the support of literature.

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Week 8 discussion

The Distinction Between Leadership and Management

Think of the managers you have reported to thus far in your career. Now consider the people you have worked with or know of that you would consider leaders. Based on these experiences, what would you surmise about the responsibilities of managers and leaders and about the distinctions between these two categories in health care settings?

This week’s Learning Resources classify management and leadership (which are often confused in everyday discussion) and explain their significance for health care organizations. As you advance professionally, it is critical to understand the distinctions between management and leadership and how you can apply this knowledge for increasing effectiveness in your workplace.

To prepare:

Review the information in the Learning Resources.

Conduct additional research on your own and select at least two current, credible sources that contribute to your understanding of management and leadership.

Reflect on how the roles of management and leadership differ in supporting the organization to set and achieve goals.

Drawing upon specific examples from a current or previous practice setting, bring to mind someone who seemed to be a leader but not a manager and someone who seemed to be a manager but not a leader (generally speaking, or within a specific circumstance). Be prepared to support your assessment with specific behavioral descriptions found in the literature.

By Day 3

Post an analysis of how management and leadership roles differ in terms of supporting an organization to set and achieve goals. In addition, post descriptions of an individual who demonstrates leadership behaviors but not management behaviors and an individual who demonstrates management behaviors but not leadership behaviors. Provide your rationale, identifying specific characteristics of effective managers and leaders. (Note: Do not identify these individuals by name, position, or location.)

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

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Week 9 discussion

Leadership Style

Throughout your career, you will work with many people who display differing leadership styles. As a nurse leader, it is imperative that you communicate well and get along with those whose leadership style does not align with your preferences. It is also important to understand your own leadership style, as this can prompt insight into how others relate to you and what skills you may need to develop as your leadership responsibilities grow. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

To prepare:

Review the information in the Learning Resources, including the leadership styles identified in Chapter 2 of the course text.

Bring to mind a leader in your organization or one with which you are familiar. Would you describe his or her style as authoritative, democratic, or laissez-faire? Why?

Which characteristics or approaches demonstrated by this person would you integrate into your own leadership style? Which ones would you prefer not to integrate?

Think about how this leader’s style and resulting interactions may impact health care quality and patient outcomes.

By Day 3

Post a description of a leader, distinguishing his or her style as authoritative, democratic, or laissez-faire. Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate. Explain at least one potential effect of this leadership style on health care quality and patient outcomes.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

Week 10 discussion

Effective Ethical, Moral, and Legal Leadership

In this ungraded and voluntary discussion board, please post any questions or examples that may help your colleagues better understand an ethical, moral, or legal dilemma. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

Week 11 discussion

Conflict Management Styles

In Week 10, you considered how ethical, moral, and legal dilemmas can provoke internal conflict when a nurse’s values are not in alignment with the apparent demands of a situation or with others’ values, as well as external conflict that can arise as these dynamics are played out. Of course, conflict can also emerge through seemingly simple issues of little consequence—little consequence, that is, except when they are not properly managed.

Nurse leaders need to be familiar with conflict management styles and the impact these styles can have on interpersonal dynamics, and, ultimately, patient care. For this Discussion, you evaluate a situation marked by conflict and consider how conflict management strategies could be applied to promote positive results.

To prepare:

Consider a conflict situation you witnessed or were engaged in within your practice setting. Then, proceed as follows:

Think about who was involved, how it was resolved (if it was), and how it might have been handled more effectively.

Identify the conflict management style(s) employed by various individuals, including ineffective responses or no response to the situation. NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

Evaluate your personal response to this conflict.

What do your thoughts and actions in this and other conflict situations reveal about your typical approach to conflict?

By Day 3

Post a description of how you handled or avoided a conflict, as well as the results of your approach. Explain how would you respond to this conflict today and/or what steps you would take to improve your comfort level and skill for managing conflict in the future (including specific conflict management strategies you would use). Explain how conflict management relates to your effectiveness as a leader.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

NURS 6053 – Discussion Essay Assignment Papers – Interprofessional Organizational and Systems Leadership

NR447 Collaborative Healthcare Essay Assignments

Week 1 discussion

The Affordable Care Act

Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.

Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student).

How did your fellow healthcare workers react to implementation of the ACA?

How were citizens in your community impacted?

Week 2 discussion

AACN Essentials Self-Assessment and Patient-Centered Care

Week 2: The AACN Essentials of Baccalaureate Education for Professional NursingSelf-Assessment

Understanding the competencies related to the AACN Essentials of Baccalaureate Education for Professional Nursing Practice provides you with valuable information as you begin to study this course.

Complete this self-assessment, which is based on The Essentials of Baccalaureate Education for Professional Nursing from the American Association of Colleges of Nursing (2008) prior to posting to the discussion on this topic

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Place a check mark or X in the column that best describes your current level of competency or understanding of the Essential’s statement. There are no incorrect answers.

After you have completed the assessment, total the number of points that you earned. Record this number in a location where you will be able to retrieve it at the end of the course, when it will serve as the basis for a future discussion.

AACN (American Association of Colleges of Nursing) Baccalaureate Essentials Poor

1 Good

2 Very Good

3 Excellent

4

Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety

Apply leadership concepts, skills, and decision-making in the provision of high qualitynursing care, healthcare team coordination, and the oversight and accountability for care delivery in a variety of settings.

Demonstrate leadership and communication skills to effectively implement patientsafety and quality improvement initiatives within the context of the interprofessional team.

Participate in quality and patient safety initiatives, recognizing that these are complex systemissues, which involve individuals, families, groups, communities, populations, and other members of the healthcare team.

Employ principles of quality improvement, healthcare policy, and cost-effectiveness to assist in the development and initiation of effective plans for the microsystem and system-wide practice improvements that will improve the quality of healthcare delivery.

Essential V: Healthcare Policy, Finance, and Regulatory Environments

Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.

Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice.

Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.

Advocate for consumers and the nursing profession.

Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes

Use inter and intrarofessional communication and collaborative skills to deliver evidence-based, patient-centered care.

Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams.

Advocate for high-quality and safe patient care as a member of the interprofessional team

Essential VIII: Professionalism and Professional Values

Demonstrate the professional standards of moral, ethical, and legal conduct.

Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.

Reflect on one’s own beliefs and values as they relate to professional practice.

Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.

Total for each column

Grand total (add all columns)

Source: American Association of Colleges of Nursing (AACN). (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: AACN. Retrieved from http://www.aacn.nche.edu/education-resources/baccessentials08.pdf/

After you have completed your self-assessment, answer the following questions:

If you are willing, please share your total score on the AACN Essentials Self-Assessment. If you do not wish to share your score, give a general description of your current KSA levels. NR447 Collaborative Healthcare Essay Assignments

Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking?

Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?

Week 3 discussion

Conflict and Collaboration

Please watch the video and listen to the dialogue before posting.

Second Life Video (Links to an external site.)Links to an external site.

Transcript (Links to an external site.)Links to an external site.

At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here?

Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader.

How might earlier collaboration have been beneficial?

Some organizations utilize non Registered Nurses in the Case Manager role. What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management in this scenario?

Week 4 discussion

Transformational Nursing Leaders

Review Appendix A, Sections I–V in Finkelman (2016).

Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.

In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?

Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.

Week 5 discussion

Patient Outcomes

Review the story at the link below before posting to the discussion:

Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)Links to an external site.

After you have finished, consider how you would respond to the following situation:

Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.

As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.

Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.

Week 6 discussion

Civility in the Workplace

Complete the Clark Workplace Civility Index Assessment (Links to an external site.)Links to an external site..

After you are finished, read the assigned article:

Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=100927729&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Next watch the video by clicking on the link below.

Video (Links to an external site.)Links to an external site.

Transcript (Links to an external site.)Links to an external site.

Reflect on what you observed in the video as you answer the following:

Based on what you observed, what leadership skills should you, as Masaya’s preceptor, model for your fellow coworkers to promote his acceptance into the work-group or team.

Does incivility seem to be an issue in the scenario?

Describe any common themes you discovered among the article, the video and the Civility Index

Share how you may improve your score on the index based on what you have read.

Week 7 discussion

Our Future Leaders

In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?

Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives.

Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.

Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live (Links to an external site.) NR447 Collaborative Healthcare Essay Assignments.

Week 8 discussion

Closing the Loop

Complete the Week 8 AACN Essentials Self-Assessment (Links to an external site.)Links to an external site..

Compare your scores from Week 2 to Week 8.

Describe how far have you come and how much further do you wish to go in improving your competencies during the next two years of practice.

Next, review the Course Outcomes as listed in the Syllabus. Select one of the course outcomes and share with your classmates how you feel you have achieved the outcome and how you will utilize the essentials and course outcomes in your practice setting.

Week 3: Conflict Resolution Paper

Purpose

The purpose of this assignment is to learn how to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation. You will gain insight into conflict management strategies and develop a plan to collaborate with a potential nurse leader about the conflict and its impact in a practice setting.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO6: Develop a personal awareness of complex organizational systems, and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

Week 5: Nursing Care Models Paper

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7) NR447 Collaborative Healthcare Essay Assignments.

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Week 6: Performance Measurement PowerPoint Slide Show

Purpose

The purpose of this PowerPoint presentation is to locate and compare performance measurement data on common health conditions for the hospitals in your area. You will investigate the Centers for Medicare and Medicaid Services websites and locate hospital compare data for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. You will prepare a PowerPoint presentation and share the results of your findings. Opportunities for improving performance measurement indicators will be shared.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7). NR447 Collaborative Healthcare Essay Assignments

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

NR447 Collaborative Healthcare Essay Assignments

DeVry nr501

Week 1 discussion

Importance of Theory in Nursing

For many students enrolled in NR501, this is an initial course for nursing theory. So, let’s have a debate!!! Is nursing theory important to the nursing profession? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession? Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion.

Week 2 discussion

Significance of Nursing Concepts within the Profession

This discussion considers the metaparadigm of nursing and the four concepts of the nursing profession—person, environment, health and nursing profession. Select a practice area of the nursing profession (i.e. education, executive, informatics, healthcare policy, and advanced clinical practice) and apply EACH of the four concepts to the selected area. Be sure to apply EACH of the four concepts and include an example that demonstrates the application to the practice area. Don’t forget to support your initial posting with scholarly references.

Week 3 discussion

Steps of Concept Analysis

At the end of Week 4 your concept analysis is due. This discussion provides an opportunity to start this assignment.

Select a nursing concept (be sure to use a nursing theory) and then provide a response to each one of the steps included in a concept analysis regarding your selected concept. This information does not have to be comprehensive but provides a foundation to the upcoming assignment. Be sure to include a scholarly reference.

Week 4 discussion

Connection Between Theory and Advanced Clinical Practice

While the focus of this course is nursing theory, some nurses say that theory has no role in clinical practice. What are your thoughts? Does nursing theory have a role in clinical practice? How would you use nursing theory to improve or evaluate the quality of clinical practice? Be sure to include an example that demonstrates your thoughts. Don’t forget to include a scholarly reference!

Week 5 discussion

Borrowed (non-nursing) Theories Applied to the Nursing Profession

While the focus of this course is nursing theory, frequently the use of non-nursing or borrowed theories occurs. Select a nursing practice area (i.e. education, executive, advance clinical practice, informatics, and health care policy); then identify a non-nursing (borrowed) theory; and apply it to the area you have selected. Be sure to provide an example of how the non-nursing theory can be used to enhance the selected practice area. Don’t forget to include scholarly reference(s) to support your information.

Week 6 discussion

Impact of Nursing Theory Upon Healthcare Organization

Discuss how a specific middle-range nursing theory has been or could be applied by nurse leaders or nurse managers to effectively deal with an administrative issue (i.e., staffing, use of supplies, staff performance issues). Include an example from the literature or your own experience to illustrate your points.

Week 7 discussion

Nursing Theory Applied to Research

In NR 500, you developed a PICOT question. Select a nursing theory that you find useful in nursing practice. Discuss each of the following selected elements of the PICOT format by applying your selected nursing theory to the element. Be sure to include a scholarly reference.

Population/ Patient Problem: Consider how your selected nursing theory may guide you in selecting the population and/or patient problem

Intervention: Does your selected nursing theory identify a possible intervention? If not, how is your selected intervention consist with your selected nursing theory?

Outcome: How would the outcome of your PICOT study contribute to your selected nursing theory? Would it add new information? Would it confirm some part of the theory?

Week 8 discussion

Course Reflection and Future Application

Throughout the discussions occurring within NR501, a common element has been application of theory. In this our last discussion regarding theory, it is time to focus on you and your capstone experience (yes, it is never too early consider this major project!). While it is too early to identify your project, let’s consider on your future practice area as this is the setting your project will occur in.

Based upon your self-reflection and use of nursing theory within the discussions and assignments, select ONE nursing theory that you prefer and answer the following questions:

1. Why do you prefer the nursing theory you selected?

2. How can this theory be used in your current practice area (education, executive, advanced clinical practice, informatics, or healthcare policy)?

3. How can this theory be used in your future practice area (education, executive advanced clinical practice, informatics or healthcare policy)?

Week 2 assignment

Importance of Theory: Guidelines with Scoring Rubric

PURPOSE

The purpose of this assignment is to a) identify a nursing theory, b) analyze the importance of the selected theory to the nursing profession, c) summarize key concepts and relationships among the concepts of the selected nursing theory, d) present views of the selected theory on areas of specialization, and e) communicate ideas in a clear, succinct, and scholarly manner.

COURSE OUTCOMES

Through this assignment, the student will demonstrate the ability to:

• (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)

• (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)

• (CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7)

DUE DATE

Sunday 11:59 PM MT at the end of Week 2

TOTAL POINTS POSSIBLE: 100

REQUIREMENTS

Description of the Assignment

This assignment focuses on the importance of nursing theory within the profession. Selecting one nursing theory (non-nursing theories are not allowed), the nursing theory will be presented by identifying the key concepts present within the theory. The selected nursing theory will then be applied to ONE of the following professional nursing practice areas:

• Education (e.g. undergraduate, staff development, etc.)

• Leadership (e.g. nurse executive, manager, leader, etc.)

• Informatics (e.g. data management, etc.)

• Healthcare policy (e.g. application to local, state, national, or global healthcare concerns, etc.)

• Nurse practitioner

Criteria for Content

1. Introduction:

The introduction requires the following information.

• Statements about nursing theory in general

• Identification of the ONE nursing theory (non-nursing theories are not allowed) selected by the student to be used within this assignment. The specific selected nursing theory may be from any of the three categories of nursing theory (i.e. grand, middle-range, or practice), but must be a specific nursing theory (i.e. Orem, Roy, Benner, etc.); a category may not be used.

• Identification of the sections of the paper.

• References from nursing literature are required.

2. Importance of Nursing Theory:

This section requires the following information.

• Present an analysis of the importance of nursing theory, in general, to the nursing profession. Each of the following questions are to be answered.

o Why should the study of nursing theory be included in a master’s program?

o How is nursing theory useful to the nursing profession?

o How can nursing theory be used to separate the nursing profession from other healthcare professions?

o What would be ONE concern regarding the use of nursing theory within the profession?

• References from nursing literature are required.

3. Summary of Selected Nursing Theory:

This section requires the following information.

• Present the name and author of the selected nursing theory (bibliographic and historical information about the theory or theorist is NOT included). Identify when the nursing theory was initially published and the latest edition of the selected nursing theory.

• Provide a summary of the key concepts contained within the selected nursing theory.

• Provide a detailed description of how this nursing theory addresses each of the metaparadigms/ concepts (person, health, environment, and nursing profession) associated with nursing.

• Identify why this nursing theory selected and its potential use within the student’s selected Master’s track (i.e. education, leadership, informatics, healthcare policy, or nurse practitioner)

• References from nursing literature are required.

4. Application of Specific Nursing Theory to Selected Professional Nursing Practice area:

This section includes the following elements:

• Present a discussion of how the selected nursing theory defines and explains one of the following professional nursing practice areas:

o Education (e.g. undergraduate, staff development, etc.)

o Leadership (e.g. nurse executive, manager, leader, etc.)

o Informatics (e.g. data management, etc.)

o Healthcare policy (e.g. application to local, state, national, or global healthcare concerns, etc.)

o Nurse practitioner

• Present 2 (two) examples illustrating the above information. Professional examples come from a student’s own practice experiences or from the scholarly literature. If the example is from the student’s experience, identify this as the source by using the first person in describing the example.

• Keep each example succinct (about 1 – 3 paragraphs).

• References from nursing literature are required.

5. Conclusion:

This section includes the following elements:

• Summarizes presented information regarding theory in general and its use within the nursing profession

• Summarizes the selected nursing theory.

• Presents self-reflection regarding what was learned from writing this assignment.

Criteria for Format and Special Instructions

1. A nursing theory was used.

2. This assignment must be submitted to TurnItIn™, as required by the TurnItIn™ policy. A Similarity Index of “blue” or “green” must be obtained. A score in the blue or green range indicates a similarity of less than 24% which is the benchmark for CCN graduate nursing students. Any other level of similarity index level requires the student to revise the assignment before the due date and time. To allow sufficient time for revision, early submission of the assignment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If a Turnitin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.

3. A minimum of 4 (four) scholarly references must be used. A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them. For additional information regarding scholarly resources, please see “What is a scholarly source?” located in the Course Resource tab. Information from .com websites may be incorrect.

4. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

5. The paper (excluding the title page and reference page) should be at least 5, but no more than 7 pages. Points will be lost for not meeting these length requirements.

6. Ideas and information that come from scholarly sources must be cited and referenced correctly.

7. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

8. PLEASE note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

PREPARING THE ASSIGNMENT

Criteria for Format and Special Instructions

9. This assignment must be submitted to TurnItIn™, as required by the TurnItIn™ policy. A Similarity Index of “blue” or “green” must be obtained. A score in the blue or green range indicates a similarity of less than 24% which is the benchmark for CCN graduate nursing students. Any other level of similarity index level requires the student to revise the assignment before the due date and time. To allow sufficient time for revision, early submission of the assignment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If a Turnitin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.

10. A minimum of 4 (four) scholarly references must be used. A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.

11. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

12. The paper (excluding the title page and reference page) should be at least 5, but no more than 7 pages. Points will be lost for not meeting these length requirements.

13. Ideas and information that come from scholarly sources must be cited and referenced correctly.

14. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

15. PLEASE note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

Week 4 assignment

Concept Analysis

PURPOSE

This assignment provides the opportunity for the student to complete an analysis of a concept supported by a nursing theory using an identified process. The assignment fosters analytical thinking related to the selected concept as well as application within the profession.

COURSE OUTCOMES

Through this assignment, the student will demonstrate the ability to:

• (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)

• (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)

• (CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4. 7)

DUE DATESunday 11:59 PM MT at the end of Week 4

Total Points Possible: 250 Points

REQUIREMENTS

Description of the Assignment

This assignment presents a modified method for conducting a concept analysis of ONE concept that is important and useful to nursing. The concept for this assignment must be supported by a published nursing theory. The selected concept is identified and then the elements of the analysis process are applied in order to synthesize knowledge for application as demonstrated through the creation of model, borderline, and contrary cases. Theoretical applications of the concept are also discussed. Non-nursing theories may NOT be used. The paper concludes with a synthesis of the student’s new knowledge about the concept. The scholarly literature is incorporated throughout the analysis.

Only the elements identified in this assignment should be used for this concept analysis.

Criteria for Content

1. Introduction

The introduction substantively presents all the following elements:

• Identifies the role of concept analysis within theory development.

• Identifies the selected nursing concept.

• Identifies the nursing theory that addresses the selected concept.

• Names the sections of the paper.

• Scholarly support is required.

2. Definition/Explanation of the selected nursing concept

This section includes:

• Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).

• A substantive discussion of this section with support from nursing literature is required.

3. Literature review

This section requires:

• A substantive discussion of at least 6 (six)scholarly nursing literature sources on the selected concept.

• Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.

• Support from nursing literature is required.

Please Note: Primary research articles about the selected nursing concept are the most useful resource for the literature review.

4. Defining attributes

For this section:

• A minimum of THREE (3) attributes are required.

• A substantive discussion of this section with support from nursing literature is required

Explanation: An attribute identifies characteristics of a concept. For this situation, the characteristics of the selected nursing concept are identified and discussed.

5. Antecedent and Consequence

This section requires the identification of:

• 1 antecedentof the selected nursing concept.

• 1 consequence of the selected nursing concept.

• A substantive discussion of the element with support from nursing literature is required.

Explanation: An antecedent is an identifiable occurrence that precedes an event. In this situation, an antecedent precedes a selected nursing concept.A consequence follows or is the result of an event. In this situation a consequence follows or is the result of the selected nursing concept.

6. Empirical Referents

This section requires the identification of:

• 2 (two)empirical referents of the selected nursing concept.

• A substantive discussion of the element with support from nursing literature is required.

Explanation: An empirical referent is an objective ways to measure or determine the presence of the selected nursing concept.

7. Construct Cases

Explanation: hypothetical or real-life situations demonstrating the use or absence of the concept.

This section requires the creation of a model case, borderline case, and contrary case.

• 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas:

o Definition

o All identified attributes

Explanation: A model case is an example of a hypothetical or real-life situation that demonstrates all of the attributes noted previously in this assignment.

• 1 Borderline Caseis created by the student in which one or two of the previously identified attributes are missing.

• 1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case.

Explanation: Borderline case is a created case where one or two of the previously identified attributes are missing.Contrary case is a created case that demonstrate the complete opposite of the selected nursing concept – all identified attributes are missing.

8. Theoretical Applications of the Concept

• Discuss the purpose of a concept analysis in relationship to theory.

• Explain how the concept applies to the selected nursing theory.

• A substantive discussion of the element with support from nursing literature is required.

9. Conclusion

This section requires:

• Summarization of key information regarding:

o Selected nursing concept.

o Selected nursing theory.

o Application of concept analysis findings to advanced practice nursing (specific to selected specialty track professional role and/or area of practice).

• The concluding statements include self-reflection on the new knowledge gained from conducting a concept analysis. (Self-reflection may be written in first-person.)

PREPARING THE ASSIGNMENT

Criteria for Format and Special Instructions

1. The paper (excluding the title page and reference page) should be at least 6, but no more than 8 pages. Points will be lost for not meeting these length requirements.

2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

3. The source of the concept for this assignment must be a published nursing theory. Non-nursing theories may NOT be used.

4. A minimum of 6(six) scholarly references must be used. Required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. A dictionary maybe used as a reference for the section titled “Definition/Explanation of the selected nursing concept”, but it is NOT counted as one of the 6 required scholarly nursing references. Be aware that information from .com websites may be incorrect and should be avoided.

5. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.

6. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.

7. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

8. PLEASE note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

Possible Concepts: The following concepts are not required; students may select one of these concepts or find another concept. Each selected concept must be associated with a nursing theory; the use of non-nursing theories is NOT allowed. If you have any questions regarding your concept or the nursing theory, please consult with your faculty member for assistance. Please note: the concepts of incivility and civility are not allowed for this assignment.

• Adaptation

• Burnout

• Caring

• Comfort

• Compassion

• Compassion fatigue

• Competence

• Cultural humility

• Empowerment

• Engagement

• Health • Leadership

• Meaningfulness

• Modeling

• Noise

• Pain

• Palliative care

• Quality of life

• Resilience

• Self-care

• Sensory overload

• Situational awareness

Week 6 assignment

Application of Nursing Theory

PURPOSE

The purpose of this assignment is to use nursing theory as a way to resolve a problem or issue occurring within nursing leadership, nursing education, nursing informatics, health policy, or advance clinical practice.

COURSE OUTCOMES

Through this assignment, a student will demonstrate the ability to:

(CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)

(CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)

(CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7)

DUE DATE: Sunday 11:59 PM MT at the end of Week 6

TOTAL POINTS POSSIBLE: 275

REQUIREMENTS

Description of the Assignment:

One nursing theory will be presented as a framework to resolve a problem occurring within one of the professional areas of leadership, education, informatics, healthcare policy or advance clinical practice. The same nursing theory selected in Assignment One may be used to resolve the identified problem.

A specific nursing theory must be used. No non-nursing theories are permitted. A category of nursing theory (grand, middle range, practice) may not be used—only a specific, published nursing theory is to be selected and applied to the issue or concern important to the profession of nursing as documented in the nursing literature.

Please note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

Content

1. Introduction:

The introduction for this paper includes:

• A nursing theory is required; non-nursing theories may not be used.

• General statements on the idea of nursing theory being applied to solve problems/issues in nursing practice. You do not need to go into the specialty area of practice in-depth as this will be covered in another section of the paper.

• A one-paragraph summary of the selected specific nursing theory is required.

• Information identifying the sections of this assignment.

• References from nursing literature are required.

2. Description of Issue or Concern:

The selected issue or concern must be clearly identified as being significant to the professional area of either leadership, education, informatics, healthcare policy or advance clinical practice. The issue or concern must be presented comprehensively, but concisely by answering each of the following questions.

• What is the specific issue or concern being presented?

• Why should the nursing profession care about this issue or concern?

• What does the nursing literature have to say about this issue or concern including its frequency of occurrence?

• Who are the stakeholders or the people affected by the issue or concern?

References from nursing literature are required.

3. Application of Selected Nursing Theory to Issue or Concern:

This section of the assignment focuses on using the selected nursing theory to resolve the described issue or concern. Required information includes:

• Restating the selected nursing theory to be used

• Identification of one strategy useful in resolving the identified issue or concern.

• The strategy should be presented in depth with the following information being required:

o A specific description of how the selected nursing theory can help to resolve the issue or concern

o A specific and detailed description of the strategy to be used

o A specific and detailed description of how the strategy can be implemented

o A specific and detailed description of one suggestion for future research into either the selected nursing theory or selected issue or concern.

References from nursing literature are required.

4. Conclusion:

This section provides a summary or review of the key elements of the assignment including theselected nursing theory and its application to the issue or concern.

The concluding statements include self-reflection on the new knowledge gained about applying nursing theory to a professional issue or concern.

PREPARING THE ASSIGNMENT

Format and Special Instructions

1. A nursing theory is required; non-nursing theories are not allowed to be used.

2. Paper length: 6 pages minimum; 8 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements.

3. A minimum of 6 (six) scholarly references are required. References must be current – not older than 5 years, unless a valid rationale is provided and the instructor has approved them. Consult with the course instructor about using an older source.

4. A dictionary, required textbooks for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment. For additional information regarding scholarly references, please review “What is a scholarly source?” located in the Course Resource tab. Information from .com websites may be incorrect.

5. Title page, running head, body of paper, and reference page(s) must be in APA format as presented in the 6th edition of the manual

6. Ideas and information from readings and other sources must be cited and cited correctly.

7. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6th edition of the APA manual

DeVry nr501

DeVry nr443

Week 1 discussion

Determinants of Health

What are some factors that make some people healthy and others ill? Healthy People 2020 identifies five determinants of health that influence the health of individuals and populations. Healthy People 2020 describes them as “a range of personal, social, economic, and environmental factors that influence health status” (U.S. Department of Health and Human Services, 2014, About Determinants of Health, para. 1). Determinants fall into five categories including: (a) policy making, (b) social factors, (c) health services, (d) individual behavior, and (e) biology and genetics.

Go to the “Determinants of Health” link at http://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health (Links to an external site.)Links to an external site. and click on each determinant to read about them.

Choose one of the five determinants. In your post, describe this determinant and its importance.

Discuss how this determinant relates to one intervention from the Public Health Intervention Wheel (Nies & McEwen, 2015, pp. 14–15).

U.S. Department of Health and Human Services. (2016). Healthy People 2020: About Determinants of Health. Retrieved from http://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health (Links to an external site.)Links to an external site.

Week 2 discussion

Demographic and Epidemiological Assessment

For this discussion, you will collect assessment data about your city or county. This post will include information about demographics (general characteristics) and epidemiological data (disease or health behavior rates) of your community.

Demographic data: Go online to the U.S. Census Bureau at https://www.census.gov/quickfacts/ (Links to an external site.)Links to an external site.. Obtain a range information about the demographic characteristics of the population for your city or county of residence. You may have to look at county data if your city is not listed. Discuss demographic data about age, ethnicity, poverty levels, housing, and education.

Epidemiological data: Go to your city or county health department website (search the Internet) or County Health Rankings (http://www.countyhealthrankings.org/ (Links to an external site.)Links to an external site.) and report epidemiological data about your area.

Identify several priority health concerns for your area.

The Instructions on Finding Demographic Data on the U.S. Census Website (Links to an external site.)Links to an external site. will assist you in using this website as a resource.

Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.

Week 3 discussion

Caring for Vulnerable Populations

Review the Week 3 Case Study (Links to an external site.)Links to an external site.. This case study focuses on a vulnerable young woman who is facing many risk factors.

Discuss several risk factors that may impact health outcomes for vulnerable populations.

Assurance is one of the three core functions of public health. Find a resource in your community (other than WIC) that could assist Mary during her pregnancy. Start by searching the Internet for your local health department’s website. What services does it provide for pregnant women, those living in poverty, or those with mental health concerns? What about your local welfare office? Does it provide prenatal or mental health services? Are there any service organizations, crisis pregnancy centers, or churches providing help for pregnant women or those experiencing mental health concerns? (The Internet, your local newspaper, and the telephone book may also help you locate resources.)

Briefly describe the types of services that you found.

Choose one agency and assess this agency in terms of the 4 A’s. Is it accessible, acceptable, affordable, or available for Mary or other pregnant women that you case manage?

Are there adequate resources for other vulnerable populations in your community?

Week 4 discussion

Healthy People Objectives for Community Settings

Community health nurses practice in a variety of settings. Choose one of the following CH settings and describe what you have learned about the setting and the role(s) of the nurse in that setting (see Nies & McEwen, 2015, Chapters 29–33).

School nursing

Occupational health nursing

Faith-based or parish nursing

Home health nursing

Hospice nursing

Forensic nursing

Correctional nursing

The federal government developed Healthy People as a set of national health objectives that are revised every 10 years. These objectives are very specific in order to guide and measure our nation’s progress related to public health. Please visit http://www.healthypeople.gov/2020/topicsobjectives2020/ (Links to an external site.)Links to an external site.. Click on a topic area that relates to a role you chose to discuss. Click on the green Objectives tab in that topic area to choose one Healthy People 2020 objective.

Discuss one specific, numbered Healthy People 2020 objective (not a goal) related to this community health role.

How could a community health nurse help meet this objective?

Introduction to Healthy People 2020 website (Links to an external site.)Links to an external site. is an aid to help you navigate the HP 2020 website.

Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.

U.S. Department of Health and Human Services. (2016). Healthy People 2020: Topics & Objectives. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/ (Links to an external site.)Links to an external site.

Week 5 discussion

Disaster and Communicable Disease Preparedness

Preparing for disasters, terrorist threats, or communicable disease outbreaks is an important part of public health nursing. Visit the websites http://www.ready.gov (Links to an external site.)Links to an external site. and http://www.ready.gov/pandemic (Links to an external site.)Links to an external site.. Review the steps for being prepared for a disaster or pandemic.

Choose a natural or man-made disaster that could impact your community and discuss how a CHN can help the community to prepare or respond to this disaster.

Choose a potential infectious disease outbreak and discuss how a CHN can help to prevent or respond to an outbreak.

How well is your community prepared for a potential outbreak or disaster?

Federal Emergency Management Agency. (2016). Ready: Prepare. Plan. Stay Informed. Retrieved from http://www.ready.gov/ (Links to an external site.)Links to an external site..

Federal Emergency Management Agency. (2016). Pandemic. Retrieved from http://www.ready.gov/pandemic (Links to an external site.)Links to an external site..

Week 6 discussion

Environmental Health

Visit the U.S. Environmental Protection Agency’s MyEnvironment site at http://www.epa.gov/myenvironment (Links to an external site.)Links to an external site. and enter your city and state, ZIP code, or location into the location box. Explore the site to learn more about your environment and things that might be impacting the health of its citizens.

Identify something new you learned about your environment and how it could be affecting health by completing this statement: “I didn’t know _____.”

How could you, in the role of a community health nurse, address these concerns?

Optional: For more environmental health information, you can also visit the following websites.

Environmental health tracking: http://ephtracking.cdc.gov/InfoByLocation/ (Links to an external site.)Links to an external site.

Air quality: http://www.airnow.gov/ (Links to an external site.)Links to an external site.

Toxic release inventory: http://www.epa.gov/toxics-release-inventory-tri-program (Links to an external site.)Links to an external site.

Week 7 discussion

The Affordable Care Act

The Affordable Care Act is a controversial topic, and there probably are many different viewpoints represented in our class. For this discussion, let’s start by focus on understanding the basics of the Healthcare Marketplace so that we can provide accurate information to our patients and communities. Please explore the healthcare marketplace website at https://www.healthcare.gov/ (Links to an external site.)Links to an external site.. Choose the Get Answers tab toward the top of the page.

Review several of the topics in this tab and share two things that you learned about how the marketplace works.

How does this information apply to those in your community?

As a healthcare provider, has this raised any ethical questions or concerns for you?

Week 8 discussion

Future Directions

Reflect on what you have learned in this course.

What future concerns are likely to impact public health?

How do you see global health concerns impacting your community?

How can you apply what you have learned in this course to your current practice?

DeVry nr443

nurs521 Week 1 Discussion Forum

Discussion Prompt #1

Reflect upon the survey you took. In your initial response, address some of the following questions. Explain your answers.

Did you find it easy to make confident and decisive decisions with several strongly agree or strongly disagree answers, or did you select mostly moderate responses?

Did any subject areas trigger personal emotions or issues? If so, do you feel you were able to remain objective?

Were any of the decisions especially difficult to make?

Did you employ any critical thinking or resolution strategies to determine a response?

Did you rely on policy or legal parameters to make your decisions?

Would you be comfortable making your answers to the survey public, or do you prefer anonymity?

Have you dealt with similar situations and could you perceive similar situations occurring in your clinical practice?

How might a moral inventory such as this survey impact your clinical practice?

Please share additional thoughts as well.

Discussion Prompt #2

Identify examples of active and latent errors. Provide examples from your clinical experience, if possible. How can such errors be avoided to support better patient care?

nurs521 Week 2 discussion

Discussion Prompt #1

Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)

Discussion Prompt #2

Apply the framework of The Five R’s approach to ethical nursing practice from this week’s reading to answer the questions about values and choices.

What are values?

Q. What are your personal values?

Q. Why do you value them?

Q. What are the values in your society?

Q. How do you make choices?

Q. Are your choices based on your values?

Q. What values are useful in society?

What are the limits to personal choice?

Q. Who limits your choices?

Q. Are limits to choices good?

Q. Do you limit other people’s choices?

Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances?

In your responses to peers, feel free to agree, disagree, question, compare, and discuss each other’s responses in a way that fosters thoughtful and respectful dialog. You may also address the following: Did any responses surprise you? If so, how? Did reading your peers’ responses to the questions expand your own view of ways to answer questions?

Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?

nurs521 Week 3 discussion

Discussion Prompt #1

Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues.

Discussion Prompt #2

The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:

Did you find any of the scenarios more difficult to deal with than others?

Did you feel any internal conflict with any of the scenarios?

How did your personal and professional background impact how you decided to interact with the patient?

Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical?

Were you taken aback by any of the patient reactions?

How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?

Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.

nurs521 Week 4 discussion

Discussion Prompt #1

Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.

Discussion Prompt #2

Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case.

Patient Safety Advocate Carole Hemmelgarn

nurs521 Week 5 discussion

Discussion Prompt #1

Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.

Discussion Prompt #2

The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text.

nurs521 Week 6 discussion

Discussion Prompt #1

Identify two issues that a nurse might bring to an institutional ethics committee. Describe why the nurse should bring these issues to the ethics committee. Elaborate on how a nurse should prepare to present one of the issues to the ethics committee.

Discussion Prompt #2

Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”

If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.

Do you consider this situation a conflict of interest? Why or why not? Give your rationale.

What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.

nurs521 Week 7 discussion

Discussion Prompt #1

Discuss the elements of informed consent and provide a clinical example about what can happen when some elements are not adhered to.

Discussion Prompt #2

Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.

nurs521 Week 8 discussion

Discussion Prompt #1

Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich text to further explain the situation, and the possible mitigation strategies.

Discussion Prompt #2

Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?

Week 1 Virtue Ethics Essay

Respond to one of the following three “news clippings” related to virtue ethics from your Pozgar text. Write a 1- 2 page essay addressing the discussion questions posed for the one you selected. Be sure to clearly identify the news clipping you selected.

Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 40

Watch the following 3 videos and choose one to address for your assignment.

#1. Wrong-Operation Doctor

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The Pain of Wrong Site Surgery

Judgment Upheld in Arkansas Brain Surgery Lawsuit

National Quality Forum

Assignment Discussion Questions

1. Discuss the issues of integrity in this case.

2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.

3. Why did you choose to respond to this story?

4. How is integrity displayed in your clinical setting?

#2. Cheney’s Staff Cuts Testimony on Warming

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The full story Cheney’s Staff Cut Testimony On Warming

CDC on Air Quality

Assignment Discussion Questions

1. Discuss how headlines such as this affect your opinion of politicians.

2. At the end of our days, the most basic principles of life–trust and survival–are on trial. What is your verdict, if you believe there was a cover-up?.

3. Why did you choose to respond to this story?

4. How are government and political trust displayed in your clinical setting?

#3. Surgeon Uses Ministry in Medical Practice

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The full story: Praying with patients: A Dallas surgeon finds a way to put ministry into practice

Should Your Doctor Pray With You?

South Korean Hospitals Shut Over MERS Fears; 11th Person Dies

Note the picture in this article

Assignment Discussion Questions

1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.

2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.

3. Why did you choose to respond to this story?

4. How is religion or faith displayed in your clinical setting?

Week 2 Ethical Frameworks Essay

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

Optional: You may download this pdf, complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 60

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

Medical Indications: The Principles of Beneficence and Nonmaleficence

1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

2. What are the goals of treatment?

3. In what circumstances are medical treatments not indicated?

4. What are the probabilities of success of various treatment options?

5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

Patient Preferences: The Principle of Respect for Autonomy

1. Has the patient been informed of benefits and risks, understood this information, and given consent?

2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?

3. If mentally capable, what preferences about treatment is the patient stating?

4. If incapacitated, has the patient expressed prior preferences?

5. Who is the appropriate surrogate to make decisions for the incapacitated patient?

6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?

Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?

5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

6. What are plans and rationale to forgo life-sustaining treatment?

7. What is the legal and ethical status of suicide?

Contextual Features: The Principles of Justice and Fairness

1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

4. Are there financial factors that create conflicts of interest in clinical decisions?

5. Are there problems of allocation of scarce health resources that might affect clinical decisions?

6. Are there religious issues that might influence clinical decisions?

7. What are the legal issues that might affect clinical decisions?

8. Are there considerations of clinical research and education that might affect clinical decisions?

9. Are there issues of public health and safety that affect clinical decisions?

10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

Week 3 Contemporary Issue Position Essay

Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

In your 2-3 page paper:

Identify the issue and state your ethical position.

How might this scenario play out or impact you in your role as a nurse practitioner?

Defend your position with legal, ethical, and professional evidence.

As part of your position, propose strategies and solutions for addressing the issues.

What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Review the rubric for further information on how your assignment will be graded.

Week 4 Article Summary and Review Essay

Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.

Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68

Link: Ethical issues in nursing practice

Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.

Or,

Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

Link: Nursing malpractice: determining liability elements for negligent acts

Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.

Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article. Additional sources are optional.

Review the rubric for further information on how your assignment will be graded.

Week 5 Field Activity Paper

This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.

Complete the advance directive for yourself. Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

Identify where you obtained the AD and explain its compliance with state law.

Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.

Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

What is a Physician Orders for Life-Sustaining Treatment (POLST) form?

When should this form be completed?

Who can complete the form?

Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

Use current APA format.

The paper should be between 3-5 pages in length excluding the title and reference page(s).

Cite and reference the course text and at least two (2) additional appropriate professional sources.

Review the rubric for further information on how your assignment will be graded.

nurs521 Week 6 Organizational Ethics Presentation

This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. Your presentation must include both audio and visual components and be professional in nature.

You will submit your final presentation here for grading, and you will submit it to the discussion board this week as a draft for your peers to review and as a final product to share. See the discussion board for details.

1. Choose a topic below.

Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”

2. Create a presentation of 10-15 slides or screens excluding the title and references.

Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.

3. In your presentation:

Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.

Identify how this situation relates to one provision within the Code of Ethics for Nurses.

Identify two ethical principles that may arise when facing this situation.

Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.

In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.

Close with a summary of your topic, and APA formatted reference slide(s).

Audio is optional.

Review the rubric for further information on how your assignment will be graded.

nurs521 Week 7 Advocacy Paper

Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent.

Include the following in your paper:

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.

Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.

Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.

Your paper should be 4-5 pages.

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

Review the rubric for further information on how your assignment will be graded.

nurs521 Week 8 Nine Tenets Essay

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.

Your paper should be 1-2 pages.

Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

Organizational Ethics Presentation nurs521

This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. Your presentation must include both audio and visual components and be professional in nature.

You will submit your final Organizational Ethics Presentation nurs521 here for grading, and you will submit it to the discussion board this week as a draft for your peers to review and as a final product to share. See the discussion board for details.

1. Choose a topic below.

ORDER A CUSTOM-WRITTEN PAPER NOW

Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”

2. Create a presentation of 10-15 slides or screens excluding the title and references.

Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.

3. In your presentation:

Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.

Identify how this situation relates to one provision within the Code of Ethics for Nurses.

Identify two ethical principles that may arise when facing this situation.

Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.

In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.

Close with a summary of your topic, and APA formatted reference slide(s).

Audio is optional.

Review the rubric for further information on how your assignment will be graded.

Organizational Ethics Presentation nurs521

nurs521 Week 8 Nine Tenets Essay

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients
.
Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice
.
Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse
.

Your nurs521 Week 8 Nine Tenets Essay  paper should be 1-2 pages
.

Include a title page and a reference page to cite your text
.
Adhere to APA formatting throughout, and cite any outside sources you may use
.

Review the rubric for further information on how your assignment will be graded
.

nurs521 Week 8 Nine Tenets Essay

westcoast nurs521 Week 3 Contemporary Issue Position Essay

Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

In your 2-3 page westcoast nurs521 Week 3 Contemporary Issue Position Essay paper:

Identify the issue and state your ethical position.

How might this scenario play out or impact you in your role as a nurse practitioner?

Defend your position with legal, ethical, and professional evidence.

As part of your position, propose strategies and solutions for addressing the issues.

What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Review the rubric for further information on how your assignment will be graded.

westcoast nurs521 Week 3 Contemporary Issue Position Essay

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

The PMHNP is working with a family during their first therapy session. According to the Gestalt school of perception, what must the PMHNP do to change the group behavior?

A.

Create a process/content distinction with the family

B.

C.

D.

None of the above

 

 

The PMHNP is meeting with the parents of a school-aged girl. The mother reports feeling frustrated, because they cannot get their daughter to do her homework. “All she wants to do is play on her phone,” the father reports. The mother tells the PMHNP that they have tried threatening her by telling her that she won’t be able to have her friends over and that she won’t be allowed to watch TV. Which of the following responses made by the PMHNP demonstrates use of the Premack principle? NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers.

A.

“Do you know what other parents do for their kids, and does it work for them?”

B.

“Have you tried making her phone privileges contingent on finishing her homework?”

C.

“Why do you think your daughter doesn’t want to do her homework?”

D.

“Can you think of a time when your daughter did her homework without you having to ask her?”

 

During a family therapy session, the mother says, “I don’t know why my son is always in trouble at school. He does what he wants to do.” The father adds, “He’s almost 14 years old. It’s up to him to get his life in order.” What is the most appropriate intervention by the PMHNP?

A.

Encourage the family to spend some time at home becoming enmeshed

B.

Ask the parents to elaborate on why they don’t know much about their son’s life

C.

Give the family an assignment to spend quality time together before the next session

D.

Ask the parents to experiment with being excessively involved in their son’s life

 

ORDER A PLAGIARISM-FREE PAPER OR ONLINE EXAM NOW

 

The PMHNP is discussing problem-solving techniques with a married couple. What recommendation will the PMHNP provid

e to the couple?

A.

B.

“Avoid trying to ”

C.

D.

“Speak on behalf of your partner to show that you understand.”

During a family therapy session, the PMHNP hears the father say to the son, “You shouldn’t play video games where you shoot people.” According to the Bion school of thought, what is the content of the message that the father is trying to express? NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

A.

B.

C.

“You’re better at other types of video games.”

D.

A couple and their 13-year-old daughter have been in family therapy. The mother explains that her daughter is unhappy at private school and would like to be in public school. The father has been listening quietly and then says, “We are upset that our daughter wants to leave private school.” When using a systemic family therapy approach, what is the appropriate response by the PMHNP to the father?

A.

B.

“I’d like for you to rephrase your statement starting with ‘I am upset.’”

C.

D.

“If I understand correctly, you are both upset about this situation.”

 NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

The PMHNP is working with a father and his son, who is 7 years old. According to the father, the son frequently experiences outbursts and poor impulse control. Using the differentiation of self-concept, what advice does the PMHNP offer the child?

A.

B.

“You should practice agreeing with your father when he tells you to do something.”

C.

D.

“Let your father know when something he does triggers you to feel bad.”

 

 

The PMHNP is assessing a 19-year-old patient who reports feeling burdened and constrained by her family. “I feel like I can’t live my own life, and like I need their approval for everything I do,” she says during the assessment. Which response by the PMHNP supports the principles of family therapy?

A.

B.

C.

D.

“Family is there for unconditional acceptance of you and your life.”

 

 

The PMHNP is meeting with a woman and her 11-year-old child, who was a victim of sexual abuse. The offender is the child’s stepfather, who is currently in jail. What action does the PMHNP employ with the child and mother during the first session?

A.

Providing the child and mother an outline of the things to cover during the session, to make it easier for them to open up

B.

Asking the child and mother to describe the sexual abuse as it occurred

C.

Telling the child to pretend that the stepfather is in the room now, to discuss how the child feels

D.

Giving the child and mother a choice about how much to discuss

 

 

The PMHNP is working with a patient who is sleep deprived and depressed. Which of the following is an appropriate scaling question for the PMHNP to ask?

A.

B.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

C.

D.

“How many”

 

The PMHNP is providing family therapy to two parents and their twin 14-year-old children. The children become defiant around bedtime and are still working on their homework late into the night. How does the PMHNP employ an experiential technique of family sculpting? NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

A.

Asks one of the parents to arrange the family into a typical bedtime scene

B.

Asks each person to comment on bedtime challenges

C.

D.

 

Using a systemic family therapy approach, a PMHNP is meeting with a couple for an initial session and is asking each member to describe why he or she came to family therapy. After creating a genogram, the PMHNP says, “I can see that the men in your family are often the sole providers, and the women have been in charge of running the household.” Which is the most appropriate next response by the PMHNP?

A.

“Do you think this pattern is contributing to your issues?”

B.

“Do you see why this may be causing a dysfunctional relationship?”

C.

“This is likely the reason for your problems.”

D.

“These days, traditional roles are not the norm.”

 

 

A PMHNP learns that the family has been experiencing dysfunction because a mother and her teenage son have been getting easily annoyed and yelling at each other. When using a strategic family therapy approach, which directive should the PMHNP suggest to solve the problem?

A.

B.

C.

D.

All of the above

 

The PMHNP is meeting with parents who are having difficulty disciplining their child at home during his emotional and behavioral outbursts. The mother feels that the father is too strict but realizes that she is tired of getting “walked on” by their child. Which statement made by the PMHNP demonstrates the use of internal family systems therapy model?

A.

“Each person in the family has certain roles to fulfill. You might be taking on a less active role when it comes to disciplining your child because of the experiences you had in your own childhood.”

B.

“As a parent, you can create the dynamic and relationships you want. Maybe you could try asking your husband to be less strict with your child and see what kind of response you get from your child.”

C.

“It sounds like there’s a part of you that thinks your husband is too strict, but another part of you that thinks you should be stricter yourself. What does that second part of you look or sound like?”

D.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

 

 

The PMHNP is meeting with a married couple. The woman feels very insecure, particularly when it comes to her husband working with women in his office. She reports, “My girlfriends say that it’s not attractive to be insecure like I am, so I’m really making the problem worse by being so insecure.” How can the PMHNP externalize the woman’s problem?

A.

Have the woman talk to her husband directly about her concerns

B.

Help the woman free herself from the label of “insecure”

C.

Have the woman make a list of all the things about which she is insecure

D.

None of the above

 

 

The PMHNP is working with a married couple who have agreed to seek sex therapy due to the wife’s gradual decrease in interest in sex. The wife explains that she feels as though she cannot feel comfortable naked and enjoying being intimate. The PMHNP recognizes that the couple could possibly benefit from sensate focus. To apply the sensate focus exercise, the PMHNP suggests the couple first do what?

A.

Practice desensitizing themselves from sex so that they do not feel any anxiety

B.

C.

D.

Practice touching one another intimately

The PMHNP works with a husband and a wife, but in separate sessions, to address marital issues. One day, the wife asks the PMHNP how her husband is progressing with his therapy. Which response made by the PMHNP is most appropriate?

A.

“I’m sorry, ”

B.

“I can .”

C.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

D.

All of the above

 

The PMHNP is meeting with a family composed of two parents and their two children. The PMHNP observes that the mother projects her concerns onto one of the children, and that child seems to conform to the parents’ way of thinking. The other child seems to be less involved in the family’s fusion. What action taken by the PMHNP demonstrates the use of the Bowen Family Systems Therapy model? NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers.

A.

B.

C.

A and B

D.

None of the above

 

 

The PMHNP is performing an intake assessment on parents who had their son later in life. Since their son left for college 6 months ago, the couple reports arguing a lot and not getting along in general. When applying the theory of the family life cycle, what does the PMHNP say in response to this concern?

A.

“These sorts of e

B.

“It’s very co.”

C.

“This is an issue”

D.

None of the above.

 

The PMHNP is meeting with a married couple who have recently had a baby. The transition of becoming new parents has caused a lot of friction and tension in the household. The wife wishes the husband would help out at least once with the nighttime feedings so she can get more than 3 hours of sleep at night. The husband feels like this is an unfair request, because the wife no longer works, but she still asks the husband to do a lot of errands during the day. What does the PMHNP do to create a quid pro quo contract between the husband and wife?

A.

Suggest the wife to agree to do more errands during the day, and then have the husband agree to do one nighttime feeding

B.

Convince the couple that this transition period with a new baby is normal and is not permanent, because soon the baby will start sleeping longer during the night

C.

Recommend that the husband and wife spend more quality time together outside of the home and without the baby around

D.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

 

The PMHNP is working with a family consisting of a father, a mother, and a daughter who is a sophomore in high school. The issue being discussed has to do with the daughter’s emotional outbursts about wanting to spend more time with her friends. Recently, the daughter blew up at the parents over the fact that they wouldn’t let her go to a party, since older kids from the school were throwing it. This outburst led to arguments in the household, which led to the daughter getting grounded for 2 weeks. Which theory does the PMHNP recognize as the most applicable?

A.

Systems theory

B.

C.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

D.

 

 

The PMHNP is meeting with a mother and her 9-year-old child. The child is upset that the father left the house and hasn’t been back in a long time. Which action will the PMHNP perform to employ the role-playing technique with the child?

A.

Have the child draw his relationship to his father on a piece of paper

B.

C.

D.

Ask the child to discuss how he feels about his father being gone

 

The PMHNP is working with a family that includes two parents and their two children. The PMHNP defined the problem and goal in a previous session. Today, the PMHNP wants to find out whether the family has experienced any attempted solutions. What does the PMHNP identify as an attempted solution that actually perpetuates the family problem?

A.

The parents fail to punish both children for stealing alcohol from the kitchen and drinking in their rooms.

B.

The children crave attention and affection, so the parents buy them each a motorized scooter.

C.

The wife wishes the husband would spend more time at home, and the husband tries to make her feel better by paying for a trip to visit her sister.

D.

All of the above

 

 

 

The PMHNP is working with parents who argue about ways to discipline their school-aged son. The PMHNP initiates enactment, telling the parents to discuss the disciplinary choices directly with each other. At what point does the PMHNP determine that the parents are demonstrating enmeshment?

A.

The mother interrupts the father while he is speaking.

B.

C.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

D.

All of the above.

 

The PMHNP is working with 12-year-old twin sisters. Their parents report that the twins got into a big fight recently, which they haven’t been able to overcome. Which cognitive interaction can the PMHNP use to help the sisters gain a new perspective of the argument to help soften their own opinion of it?

A.

B.

Encourage the sisters to write down why they believe they are right

C.

D.

Suggest the sisters find something they both like and can relate to

 

 

The PMHNP has just completed an intake assessment on a 15-year-old patient and believes the patient would benefit from family therapy. How does the PMHNP describe the goals of the therapy to the patient and the patient’s parents?

A.

B.

“Our goal is to strengthen the patient’s internal influences.”

C.

D.

All of the above

 

The PMHNP is working with a family in a group setting. When employing the experiential technique, what action will the PMHNP take with the family during assessment?

A.

B.

C.

Analyze

D.

Ask the family members to

 

 

 

The PMHNP is meeting with a single father and his adolescent daughter. They have been “butting heads” because of the daughter’s differing opinions about her curfew and social life. They haven’t been able to communicate well. The PMHNP tries an experiential technique of family drawing. What will the PMHNP have the father and daughter do for this technique?

A.

Draw a picture as they see themselves in relation to one another

B.

Draw a picture of what they wish they could say to each other

C.

Draw a picture of their behaviors and actions, without using any words

D.

All of the above

 

The PMHNP wants to identify the unique outcomes of a married couple who are having arguments about finances. In particular, the wife is concerned about her husband splurging without consulting her. What question will the PMHNP ask to arrive at the unique outcomes?

A.

“How do these money problems affect you?”

B.

“How do these money problems influence your ideas about yourself?”

C.

“How does the money problem affect the relationship you have with each other?”

D.

All of the above

 

The PMHNP is meeting with a mother and her teenage daughter; they are having trouble getting along. The mother complains that the daughter is defiant and never listens or goes out whenever she wants to. The daughter complains that the mother is too strict and won’t let her see her friends. What does the PMHNP do to employ the use of the paradoxical intervention technique?

A.

Tell the mother to be stricter with her daughter by imposing harsher consequences

B.

Tell the daughter to make plans with her friends whenever she wants to

C.

Tell the mother and daughter to discuss how their actions affect each others’ feelings

D.

A and B

 

The PMHNP meets with an older adult couple having marital problems. The husband and wife both admit to the PMHNP that it is difficult for them to speak to each other because of how much they disagree on things lately. The husband complains that the wife is always talking about their issues to their adult daughter. The wife reports that the husband does the same thing. Using the Bowen Family Systems Therapy model, what does the PMHNP interpret about this family dynamic?

A.

There is an emotional cutoff between the parents and their adult daughter.

B.

C.

D.

All of the above

 

The PMHNP is meeting with a husband and wife who have separated but are trying to rekindle the marriage. The PMHNP asks the couple what they hope to gain from the sessions, and they provide the PMHNP with vague answers. What can the PMHNP can ask the couple to help them create better defined goals?

A.

B.

“How will you know when you solved your problem?”

C.

“What will be the first sign that tells you that you are moving in the right direction?”

D.

 

During a family therapy session, a 10-year-old girl says to her father, “You are at work all the time and are never around.” What is the most appropriate response by the PMHNP to improve communication?

A.

Suggest that the daughter now say something positive to her father

B.

Ask the father what he heard when his daughter made that comment

C.

Tell the daughter that adults may have to work long hours sometimes

D.

Give the father a chance to explain why he is working all the time

 

The PMHNP is working with the parents of an 8-year-old. They are facing challenges with their daughter’s school because of her behavior toward other students. “Our daughter has become a problem,” they explain. Which statement(s) made by the PMHNP supports the use of the narrative therapy model?

A.

“Your daughter is facing a struggle against a problem but is not a problem herself.”

B.

“The problem is the problem, but the problem is not your daughter.”

C.

A and B

D.

None of the above

 

 

A group member realizes he gets anxious when making small talk and tends to talk only about himself. Using the principle of development of socializing techniques, what might the PMHNP recommend that the group do next?

A.

Give the member feedback on what the group participants have noticed about his interaction style, for example, if he does in fact talk only about himself when he seems anxious

B.

Share emotions about similar struggles to improve cohesiveness

C.

Reflect on ways they can work together to achieve catharsis

D.

Discuss how the original family unit might relate to the problem

 

 

The PMHNP is working with the parents of an adolescent daughter. The parents complain that the daughter is misbehaving and having emotional outbursts on a nightly basis. However, the parents cannot agree on ways to discipline and deal with the daughter. This leads to arguments between them. What does the PMHNP do to support the strategic use of rituals? NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

A.

Suggest the mom help the daughter with homework on even days of the week

B.

Ask the dad how his daughter might describe the mother’s attitude in the house

C.

Have the parents reframe their daughter’s symptoms to validate their own relationships

D.

Advise the parents to solicit feedback from their daughter on why she has emotional outbursts

 

 

The PMHNP is meeting with a husband and wife and observes that the husband is able to maintain his composure while the wife becomes more teary and emotional throughout the session. Which principle is used to describe this observation?

A.

Complementary relationship

B.

Symmetrical relationship

C.

Family homeostasis

D.

All of the above

 

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

The PMHNP is meeting with a family consisting of two parents and their 10-year-old son. The parents are concerned about the child’s behavior. “He keeps disobeying us. All he does is misbehave,” the mother cries. The PMHNP meets individually with the son for a few sessions to learn more about his behavior and identifies that he is participating in attention-seeking behaviors. When the PMHNP invites the parents and son back to a family group setting, what action made by the PMHNP supports the use of constructivism?

A.

Providing the parents with consequences to use when the child misbehaves

B.

C.

Getting the parents to think about their child as being hyperactive, rather than misbehaving

D.

 

The PMHNP is working with a married couple in a family session setting. The wife reports feeling upset because her husband does not pay attention to her. Which statement made by the PMHNP will challenge the wife to see things differently?

A.

“Why do you think your husband ignores you at home?”

B.

“How does it make you feel when your husband ignores you?”

C.

“How might you be contributing to your husband not paying you any attention?”

D.

“What can you say to your husband to get him to change his actions?”

 

 

The PMHNP is working with a father and his teenage daughter. The father has full custody of his daughter as of recently. He reports that the two of them get into arguments all the time over curfew, chores, and the daughter’s lack of responsibility that “she gets from her mother.” The daughter feels like the father never listens to her. Which of the following actions taken by the PMHNP demonstrates unbalancing the relationship?

A.

Telling the father that he might be patient enough with the newness of having a teenage daughter in the house all the time

B.

Asking the daughter to describe how she feels about the transition of living with her father full time

C.

Inviting the father to speak directly to the daughter about what she can do to accommodate his lifestyle

D.

Recommending the father find a hobby outside of the house to give his daughter alone time

 

 

A man calls a PMHNP to set up an initial appointment for family therapy.  He explains, “My wife lost her job several months ago. She has been angry and less patient with the kids. All of the stress is taking a toll on me. I can’t focus at the office and I’m mentally exhausted at home.” Based on this phone contact, who would the PMHNP most likely choose to see for the first session?

A.

The husband alone

B.

The wife alone

C.

The couple alone

D.

The family as a unit

 

The PMHNP is assessing a family that consists of a mother and a father and their daughter Rachel. The family is discussing the issue of time management in the home, particularly involving the daughter’s extracurricular schedule. The mother asks, “Rachel, how many times has your father been late to pick you up from soccer?” What does the PMHNP take away from this interaction?

A.

The family uses a

B.

The family is de

C.

The family is involved in

D.

The family requires

 

 

 

The PMHNP meets with the parents of a 3-year-old boy, who was adopted at 6 months of age. The parents ask the PMHNP if he will see the child individually for therapy sessions on a weekly basis, based on the fact that the parents are having difficulty getting their son to listen to them. Which statement made by the PMHNP supports the systems theory approach to treatment?

A.

“It would be difficult for me to make sense of your child’s behavior without the rest of the family around.”

B.

“It would be better for us to meet as a group since your child likely has attachment issues.”

C.

D.

 

The PMHNP is working with a married couple who are having trouble communicating. The wife wants to ask for things from the husband, but she doesn’t want to be perceived as a nag. The husband wants to tell the wife that he needs alone time, but he doesn’t want to hurt her feelings. Which pretend technique can the PMHNP use with the couple?

A.

Ask the husband what he thinks the wife would say about his behavior

B.

Ask the couple to engage in negotiation

C.

Tell the husband to call the wife a nag three times a day

D.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

The PMHNP is working with a single mother and her adolescent son. The mother reports to the PMHNP that all she wants is for her son to call her when he is going to be late to dinner, so that she doesn’t worry about where he is. The son explains that his mom is “too paranoid” and calls or texts him constantly throughout the day, even if it doesn’t have to do with his whereabouts. How can the PMHNP advise the mother and son to accommodate one another?

A.

Recommend the mother to limit her texts and calls to her son throughout the day

B.

Recommend the son to send his mother a text when he is going to be late

C.

Recommend the mother and son to stop being so hard on one another

D.

 

A PMHNP is using a structural family therapy approach. During a family therapy session, a child says, “Is that what you really mean?” Tracking the phrase, the PMHNP discovers that the family often uses sarcasm when communicating. What is the appropriate next step by the PMHNP?

A.

Make each member apologize to the other whenever sarcasm is used during the session

B.

Ask the family to point out when a statement is sarcastic so others know they are joking

C.

Listen for the use of sarcasm and, when it occurs, help members communicate more directly

D.

Have members put a quarter in the “sarcasm jar” each time a sarcastic statement is used

 

 

The PMHNP is meeting with a set of parents and their 12-year-old son, who according to the parents is fearful of “nearly everything.” The son admits that he does not like to ride his bike, play with his friends, or participate in activities such as sports, in which he could hurt himself or become dirty. What does the PMHNP say to the son to personify the problem using externalizing conversation techniques?

A.

“What can you do when you become scared of something?”

B.

“How is being fearful controlling your life?”

C.

“How often does fear make you do what it wants you to do?”

D.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

 

A PMHNP is working with a mother and daughter to help them improve their communication skills. The mother explains that they have had numerous arguments caused by miscommunication lately. Using a structural family therapy approach, what is the appropriate response by the PMHNP?

A.

“Perhaps we can role play the scenario of a recent argument and then observe how it unfolds so you can find some underlying causes.”

B.

“Please act out what happened during a recent argument, and then try that same enactment using a healthier approach.”

C.

“I’m going to ask you to plan an event together while paying attention to your communication as a mother and as a daughter.”

D.

All of the above

 

 

During family therapy, a husband says to his spouse, “When you ignore me, I can’t help but shout.” Using an emotionally focused family therapy approach, the PMHNP comments to the husband, “You feel like you are invisible and need to be heard.” Why does the PMHNP make this comment?

A.

To assist the couple in creating new attachment patterns

B.

C.

To help the client capture an elusive emotional experience

D.

 

A family is in therapy because they have been unable to resolve conflicts and are arguing frequently. When using a strategic family therapy approach, which of the following directives might the PMHNP suggest to create a sense of togetherness? NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

A.

Encourage the family to address concerns by writing letters to each other

B.

Direct the family to temporarily become overly dependent on one another

C.

Ask the family to engage in pleasant activities following the problem behavior

D.

Exaggerate in a fun family ritual by preparing for the event in a specific order

 

 

The PMHNP is meeting with a family that consists of a husband, wife, and the wife’s mother and sister. The husband complains to the PMHNP that the way his mother-in-law and sister-in-law barge into their home whenever they want, without any warning, is becoming intrusive. He says, “Because, of course, everyone in the family has keys to our home.” Which pattern does the PMHNP identify in this family relationship?

A.

The family is

B.

The family is

C.

The family is

D.

The family is s.

 

 

The PMHNP is meeting with two women, ages 35 and 42, who are concerned about their mother’s use of alcohol. During the meeting, what question(s) should the PMHNP ask the mother to help uncover the potential drinking problem?

A.

“Why do you want to ?”

B.

“How many ?”

C.

“Do you ever ?”

D.

B and C

 

During the initial assessment of a newly married couple, the PMHNP learns that they decided to come to family therapy in order to address their communication problems. Which of the following actions taken by the PMHNP demonstrates the use of the solutions-focused approach? NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

A.

Drawing a communication model for the couple and having them discuss where the communication breakdown occurs

B.

Having the couple take turns describing, in their own words, what the communication problem is

C.

Asking the couple how things will be different in their relationship once their communication problems are solved

D.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

 

The PMHNP is leading a group session when a group member who is usually quiet angrily interrupts another group member. He then apologizes for his outburst and explains that he has been having a hard time since his only child left for college. Using a person-centered approach to group psychotherapy, which of the following is the most appropriate response by the PMHNP?

A.

“Thanks for your apology. Do you think the reason you are having a hard time might be related to your fear of abandonment?”

B.

“You sound angry. Can you elaborate on what you are experiencing now as you share this story with the rest of the group?”

C.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

D.

“It’s understandable that you are having a hard time. Let’s ask group members to share about the experience of having an empty nest.”

 

 

The PMHNP is meeting with a mother and her adult daughter, who report that they have had a hard time getting long. The adult daughter complains that her mother tells her what to do regarding her children, which puts strain on the adult daughter’s marriage. The mother denies this and explains that she is “only trying to help.” What does the PMHNP say to the mother or daughter to convey acceptance into this family?

A.

B.

“It sounds like you have a difficult time accepting your mom’s help when you don’t ask for it.”

C.

“I have to side with your mom on this issue, since she is older and wiser.”

D.

 

Members of a therapy group have become aligned and are starting to take ownership of their group experience. They are sharing more and are being more open with each other. During the next session, the PMHNP decides to address termination of the group. Which of the following is the most appropriate response by the PMHNP when a group member expresses anxiety about termination?

A.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers

B.

C.

“I think all of you are ready to leave the group.”

D.

NURS 6650 Psychotherapy with Groups and Families Midterm & Final Exam Questions and Answers