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  • [Solved] Nursing Nursing Concepts Hallmark assignment

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    This week you will build on your previous research and simulation experience to now care for a client newly diagnosed with preeclampsia. Research, design, and submit a 'Client Teaching Assignment' PowerPoint presentation for client Amy based on the scenario and guidelines below. This assignment shou…

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    Assignment Prompt & Instructions

    This week you will build on your previous research and simulation experience to now care for a client newly diagnosed with preeclampsia. Research, design, and submit a 'Client Teaching Assignment' PowerPoint presentation for client Amy based on the scenario and guidelines below. This assignment should also follow 7th edition APA guidelines including in-text citations and references.
    – _Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management._
    **Assignment Instructions:**
    – Conduct thorough research to support your content and findings.
    – Ensure your information is presented clearly on the slides.
    – Speaker’s notes should elaborate on the key points mentioned in the slides.
    – Submit 10-15 PowerPoint slides including speaker notes.
    – Slides should include the following:
    – _Title page_
    – _Pathophysiology_: Provide an overview of the pathophysiology of preeclampsia.
    – _Recognize Cues_: Describe signs/symptoms, client statements, lab work, or assessment findings you would recognize as specific to a client with this disease process.
    – _Generate Solutions_: List at least 3 SMART goals for this client. At least one goal should be short-term; at least one goal should be long-term.
    – _Take Actions:_What nursing interventions would you implement for Amy? At a minimum, include the following topics with the rationale for each intervention.
    – Expectant management or serial assessments and testing
    – Pharmacology management (include at minimum labetalol, hydralazine, betamethasone, magnesium sulfate, and calcium gluconate)
    – Describe each medication use, desired effects, and adverse reactions. Are any pre-assessment required before administering each medication?
    – Activity level
    – _Evaluate Outcomes_: What signs will point to improving, declining, and unchanged status?
    – _Reference slide_
    – Slide Content
    – Key points: Utilize concise phrases (maximum 8 words, 5 lines) on each slide.
    – Visual Aids: Incorporate graphs, images, or diagrams to enhance understanding and engagement.
    Please visit the [Writing Center](https://nightingale.instructure.com/enroll/APCLX3) if you need assistance.
    How to save and submit the assignment:
    When you have completed the assignment, save a copy for yourself in an easily accessible place.  Then save the file to a Word document (see video for directions). When you follow the directions, it will create a file that has your slides and your presenter notes.  Submit a copy of the PowerPoint and the Word document through Canvas. Please upload .pptx files and .docx only. Make sure the presenter's notes are visible within the PowerPoint uploads to Canvas.
    Note: A voiceover is not required for this assignment. Please disregard that portion of the video and utilize this video for how to upload your assignment.
    ## Rubric
    **300 level rubric: PowerPoint client teaching assignment** 300 level rubric: PowerPoint client teaching assignmentCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePowerPoint guidelines **10** **ptsFull MarksPowerPoint slides follow instruction criteria. Place key points on the slides (maximum 8 words, 5 lines). Utilize full-sentence speaker notes and in-text citations. Full assignment submission should be 10-15 slides. Upload both the PowerPoint and the Word document per the assignment instructions.5** **ptsPartial MarksPowerPoint slides veer from the instruction criteria. The presentation is missing speaker notes OR in-text citations OR is not 10-15 slides total. Learner fails to upload both the PowerPoint and the associated Word document per the assignment instructions.0** **ptsNo MarksPowerPoint presentation is incomplete and does not represent a professional submission. Speaker notes and in-text citations are missing and submitted number of slides is incorrect.** 10 pts
    This criterion is linked to a Learning OutcomeTitle page / Reference page **5** **ptsFull MarksBoth title page and reference page are present.2.5** **ptsPartial MarksEither the title page or reference page is missing,0** **ptsNo MarksBoth the title page and reference page are missing.** 5 pts
    This criterion is linked to a Learning OutcomePathophysiology slide(s) **10** **ptsFull MarksPathophysiology is accurate and complete and represents a comprehensive overview of the disease process.5** **ptsPartial MarksPathophysiology is accurate but is missing key points. A comprehensive overview of the disease process is incomplete.0** **ptsNo MarksPathophysiology slide is missing, or the information documented is inaccurate.** 10 pts
    This criterion is linked to a Learning OutcomeRecognizing cues slide(s) **10** **ptsFull MarksDescribe signs/symptoms, patient statements, lab work, or assessments findings you would recognize as specific to a client with this disease process. Include a minimum of six (6) cues on this slide.5** **ptsPartial MarksIncluded three (3) to five (5) cues on this slide (signs/symptoms, patient statements, lab work, or assessments findings you would recognize as specific to a client with this disease process).0** **ptsNo MarksIncluded one (1) or two (2) cues on this slide (signs/symptoms, patient statements, lab work, or assessments findings you would recognize as specific to a client with this disease process). Also choose this if the slide is missing or contains inaccurate information.** 10 pts
    This criterion is linked to a Learning OutcomeGenerate solutions slide(s) **10** **ptsFull MarksList at least three (3) goals for this client. At least one of the goals should be short-term, and at least one of the goals should be long-term. All goals are written in the SMART format.5** **ptsPartial MarksLearner listed two (2) goals for this client. One goal is short-term, and the other goal is long-term. Both goals are written in the SMART format.0** **ptsNo MarksLearner listed only one (1) goal for this client. Also choose this if the learner did not identify short- and long-term goals, goals were not written in SMART format, the goals are inaccurate or unrealistic, and/or this slide is missing.** 10 pts
    This criterion is linked to a Learning OutcomeTake action slide(s) **10** **ptsFull MarksDefine and describe appropriate interventions the nurse would implement for this client. At minimum, include the following topics with rationale for each intervention: – Expectant management or serial assessments and testing – Pharmacology management (include at minimum labetalol, hydralazine, betamethasone, magnesium sulfate, and calcium gluconate) -Describe each medication use, desired effects, and adverse reactions. If any pre-assessments are required before administering each medication, list those. -Activity level.5** **ptsPartial MarksLearner did not include all of the required elements for this section. Information presented does not provide a comprehensive overview of nursing interventions appropriate for this client.0** **ptsNo MarksThese slides are missing OR contain inaccurate or harmful nursing interventions.** 10 pts
    This criterion is linked to a Learning OutcomeEvaluate outcomes slide(s) **10** **ptsFull MarksOn this slide, describe/define/discuss how the nurse will evaluate the effectiveness of the interventions implemented. Provide a comprehensive overview of what signs will point to improving, declining, and unchanged status.5** **ptsPartial MarksThis slide is present but incomplete. The learner does not offer a comprehensive overview of how the nurse will evaluate the effectiveness of their interventions. Details indicating signs that point to improving, declining, or unchanged status are missing.0** **ptsNo MarksThis slide is missing OR contains inaccurate information.** 10 pts
    This criterion is linked to a Learning OutcomeAPA 7th edition format **5** **ptsFull MarksReference(s) is/are cited from a textbook or peer-reviewed medical journal that is/are less than 5 years old. Presentation follows APA guidelines and includes in-text citations.5** **ptsPartial MarksReferences are outdated or not from a required source (textbooks or peer-reviewed journals). An attempt to follow APA 7th edition guidelines is made.0** **ptsNo MarksReferences are not cited or no attempt to follow APA 7th edition is made.** 5 pts
    Total Points: 70

  • [Solved] Nursing Hallmark Assignment for Advanced Issues in cognition

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    For this assignment, you will examine the role of the nurse in caring for clients with cognitive and/or mental health issues. You will identify your target audience (such as staff nurses, pre-licensure nursing students, etc.) and create an educational PowerPoint presentation (instructions below). Th…

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    Assignment Prompt & Instructions

    For this assignment, you will examine the role of the nurse in caring for clients with cognitive and/or mental health issues. You will identify your target audience (such as staff nurses, pre-licensure nursing students, etc.) and create an educational PowerPoint presentation (instructions below). This final assignment will reflect ability and achievement in the following areas:
    – Intentional Learning, Reflection, and Clinical Judgment
    – Decision Making and Evidence Based Practice
    – Organization and Presentation
    –  Writing and APA Formatting
    ## Objectives
    – Demonstrate collaborative standardization of safe practices through health promotion.
    – Integrate course concepts within management of a cognitive alteration.
    ## Instructions
    You are the nurse educator preparing an orientation on cognitive or mental health illness. There is a need to address the many clients with cognitive issues that seek healthcare services and how to better understand their needs. Choose a cognitive/mental health illness that you feel less knowledgeable about and address the following prompts by including two to three examples of each bullet point:
    – Choose a cognitive or mental health illness.
    – What is it? How is it diagnosed? How is it treated?
    – How does it differ from a physical or "visible" illness?
    – Address the following for your chosen diagnosis.
    – Historical
    – Socioeconomic impact
    – Political issues or impact
    – Educational needs
    – Topographical findings
    – Geographical impact
    – Cultural impact
    – Include interdisciplinary interventions for this disease.
    – Discuss the impact of a patient's value systems on management of this disease.
    – Address the following health-care practices:
    – Acute versus preventive care
    – Barriers to health care
    – Impact of pain and the sick role
    – Cultural practices
    – Identify challenges related to:
    – Learning styles
    – Autonomy
    – Educational preparation
    – Disease management
    Your presentation should be 15-20 slides (not including title, objectives, and references slides) with detailed presenter notes with in-text citations for each slide. Include at least four (4) scholarly sources. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment. **Audio recording is required**. Be sure to completely answer all the prompts/questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with in-text citations throughout your presentation. Make sure to reference the citations using the APA 7th Edition writing style for the presentation. Include at least one slide for your references at the end.
    **Assignment Expectations**
    – Length: 15-20 slides; answers must thoroughly address the questions in a clear, concise manner.  Include at least four (4) scholarly sources. Below is a recommended breakdown for the assignment.
    – Title: 1 slide
    – Objectives/Introduction: 1 slide
    – What is the cognitive/mental health disease?: at least 2 slides
    – Address historical, socioeconomic, political issues, educational needs, topographical findings, geographical impact, and cultural impact: at least 4 slides
    – Interdisciplinary interventions: at least 3 slides
    – Address health care practices: at least 4 slides
    – Identify any challenges such as learning styles, autonomy, educational preparation, or disease management:  at least 3 slides
    – Conclusion: 1 slide
    – References: 1 slide
    – Audio recording narration
    **How to create an APA 7th edition formatted PowerPoint presentation:**
    – In-text citations are required just as with any professional writing.
    – Utilize detailed presenter’s notes.
    – To open presenter’s notes, click on 'notes' in the bottom right-hand corner of PowerPoint.
    – Detailed presenter’s notes should be a minimum of 75 words per body slide.
    – These notes will help guide you during the audio recording.
    Tips for formatting your presentation, adding slides, and applying APA 7th edition format can be found [here.Links to an external site.](https://www.youtube.com/watch?v=xRVWZ875vYs)![](https://nightingale.instructure.com/images/play_overlay.png)
    **Save and Submit Your Assignment**.
    When you have completed the assignment, save a copy for yourself in an easily accessible place.  Also, save the file to a Word Document (see video for directions). When you follow the directions, it will create a file that has your slides and your presenter notes. Then submit a copy of the PowerPoint and the Word document through Canvas. Please upload .pptx files and .docx only. Make sure the presenter's notes are visible within the PowerPoint uploads to Canvas.
    ## Rubric
    **BSN375 Hallmark 2025** BSN375 Hallmark 2025CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntentional Learning, Reflection, and Clinical JudgmentIntegrates new knowledge related to mental health, critically analyses of experiences, areas for improvement, and develop a deeper understanding of mental health dynamics. Develops clinical judgement by applying theoretical knowledge to real-world mental health scenarios. **45** **ptsExemplaryDemonstrates exceptional clinical judgment, applying knowledge accurately and efficiently in practice with no significant errors.40** **ptsProficientDemonstrates exceptional clinical judgment, applying knowledge accurately and efficiently in practice with no significant errors.35** **ptsDevelopingShows limited clinical judgment, with notable errors or gaps in knowledge and reasoning, requiring improvement in analyses and application.25** **ptsNeeds ImprovementLacks clinical judgment, with significant errors or misapplication of knowledge that need substantial correction.0** **ptsNot AttemptedNo content, response, or demonstration was provided for this criterion and the expectations were not attempted nor met** 45 pts
    This criterion is linked to a Learning OutcomeDecision Making and Evidence Based PracticeIntegrates new knowledge related to mental health utilizing various resources and evidence-based practices demonstrating the ability to critically evaluate sources of information, assess the quality of evidence, and apply findings to real-world mental health challenges. **45** **ptsExemplaryIntegrates high-quality, current evidence thoroughly into practice with a deep understanding of research and its application by providing more than (4) required sources with at least 1 source from a periodical database. Research sources are relevant, accurate, current (<5 years old), reliable, reflecting and validating the strength of the content.40** **ptsProficientProvides essential and correlating accurate evidence base to support the main concept with the required (2) research sources and comparing at 1 source from a periodical database displaying relevant, accurate, current (< 5 years old), and reliable.35** **ptsDevelopingProvides essential and correlating accurate evidence base to support the main concept with the required (2) research sources and comparing at 1 source from a periodical database displaying relevant, accurate, current (< 5 years old), and reliable.25** **ptsNeeds ImprovementLacks demonstration of the use of evidence in practice, with some outdated or minimal sources, lacking clear connection to clinical decisions. No scholarly resources used.0** **ptsNot AttemptedNo content, response, or demonstration was provided for this criterion and the expectations were not attempted nor met** 45 pts
    This criterion is linked to a Learning OutcomeWriting & PresentationDemonstrate effective and therapeutic communication skills through technology and in written and verbal formats to support health promotion and mental health initiatives. The presentation should be a well-structured PowerPoint presentation with an appropriate number of slides, a visually appealing design, and clean speaker notes incorporating specific health promotion methods, ensuring they are explained clearly and effectively. **45** **ptsExemplaryThe writing is clear, coherent, and free from grammatical errors. It has a professional structure that effectively communicates health promotion concepts. The content is well-organized and logically flows. The tone is appropriate and aligns with the target audience. The PowerPoint presentation adheres to the 5×8 rule, includes speaker notes, and has a clean, visually appealing design. The presentation meets the required number of slides and enhances the clarity of the health promotion message. Narration is included on each slide. The presentation uses appropriate images or animation.40** **ptsProficientThe writing is clear, coherent, and free from grammatical errors. It has a professional structure that effectively communicates health promotion concepts. The content is well-organized and logically flows. The tone is appropriate and aligns with the target audience. The PowerPoint presentation adheres to the 5×8 rule, includes speaker notes, and has a clean, visually appealing design. The presentation meets the required number of slides and enhances the clarity of the health promotion message. Narration is included on each slide. The presentation uses appropriate images or animation.35** **ptsDevelopingThe writing is somewhat clear but has grammatical and structural errors that impact clarity and flow. The content is understandable but lacks smooth transitions, and the tone may be inconsistent. The PowerPoint presentation communicates key health promotion concepts but has readability issues and does not consistently follow the 5×8 rule. Speaker notes or narration may be incomplete or not fully connected to the slides. The design is functional but inconsistent, with distracting images or animations. The presentation meets the required number of slides but could benefit from better organization and visual clarity.25** **ptsNeeds ImprovementThe writing is unclear, with grammatical and structural errors that hinder understanding. The structure is weak, and the tone may not suit the audience. The PowerPoint presentation fails to communicate health promotion concepts effectively, with overcrowded slides, poor font choices, and missing or misaligned speaker notes. The design is cluttered, with irrelevant or distracting visuals. The required number of slides may not be met, and the overall presentation lacks clarity.0** **ptsNot AttemptedNo content or response was provided, and the expectations for both written communication and PowerPoint presentation were not attempted or met.** 45 pts
    This criterion is linked to a Learning OutcomeProfessionalism and Leadership in NursingDemonstrates professionalism & leadership in commitment to the future of nursing in mental health area in organizational, local, and global environments. **10** **ptsExemplaryDemonstrates a strong sense of professional ethics, accountability, and integrity ensuring adherence to the standards and guidelines of mental health nursing by identifying and addressing health disparities, promoting access to care, and supporting policies that improve public health.  Presents  PowerPoint presentation with clear narration, easy to understand, and demonstrated familiarity with the content (did not read the notes word-for-word)8** **ptsProficientDemonstrates some sense of professional ethics, accountability, and integrity ensuring adherence to the standards and guidelines of community health nursing by identifying and addressing health disparities, promoting access to care, and supporting policies that improve public health. Presents the PowerPoint presentation with narration, without background noise, mostly reading from the speaker notes6** **ptsDevelopingDemonstrates an emerging sense of professional ethics, accountability, and integrity, ensuring adherence to the standards and guidelines of community health nursing by beginning to identify and address health disparities, promote access to care, and support policies that improve public health. Partially demonstrates professionalism with recorded presentation reading from the speaker notes or narration was not clear lacking familiarity with the content4** **ptsNeeds ImprovementDemonstrates minimal adherence to professional ethics, accountability, and integrity. Struggles to consistently follow the standards and guidelines of community health nursing, lacking the ability to identify and address health disparities, promote access to care, and or support policies that improve public health, reading the speaker notes for narration and did not show familiarity with the content0** **ptsNot AttemptedNo content, response, or demonstration was provided for this criterion and the expectations were not attempted nor met** 10 pts
    This criterion is linked to a Learning OutcomeAPA FormattingDemonstrate thorough understanding and application of APA formatting rules to ensure accurate, consistent, and professional presentation of in-text citations, references, headings, and overall document structure **5** **ptsExemplaryFlawless application of APA format with accurate citations, references, and overall structure.4** **ptsProficientMinor errors in APA formatting, but citations, references, and structure are largely correct.3** **ptsDevelopingSeveral APA formatting errors, especially in citations or references, but some adherence to structure.2** **ptsNeeds ImprovementSignificant issues with APA formatting, including incorrect citations, references, or structure.0** **ptsNot AttemptedNo content, response, or demonstration was provided for this criterion and the expectations were not attempted nor met** 5 pts
    Total Points: 150

  • [Solved] BJ pp week 4

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    In-depth study guidance and analytical solution covering BJ pp week 4.

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  • [Solved] Help

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    In-depth study guidance and analytical solution covering Help.

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  • [Solved] PRESCRIBING FOR OLDER ADULTS AND PREGNANT WOMEN peer answers

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    **Respond** to **two** of your colleagues who selected different disorders. Propose an alternative on-label, off-label, or nonpharmacological treatment for the disorders. Justify your suggestions with at least two references to the literature. Peer 1 Gina Ruggerio Treating Depression in Pregnancy Wh…

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    **Respond** to **two** of your colleagues who selected different disorders. Propose an alternative on-label, off-label, or nonpharmacological treatment for the disorders. Justify your suggestions with at least two references to the literature.
    Peer 1  Gina Ruggerio
    Treating Depression in Pregnancy
    When treating depression in pregnancy, the clinician balances managing maternal mental health while minimizing potential fetal risks. Evidence-based recommendations and clinical guidelines support a combination of pharmacological and nonpharmacological interventions, depending on the severity of the symptoms.
    FDA-Approved Pharmacologic Intervention
    Sertraline, or Zoloft, is a selective serotonin reuptake inhibitor (SSRI) that is used as a first-line pharmacologic treatment for moderate to severe depression during pregnancy (Yonkers et al., 2020). While there are potential risks, including neonatal adaptation syndrome and a small increased risk of persistent pulmonary hypertension of the newborn (PPHN) when used in the third trimester, it is FDA-approved for major depressive disorder and has a favorable safety profile in pregnant populations (Yonkers et al., 2020). Untreated depression during pregnancy can lead to suicide, poor prenatal care, and adverse birth outcomes, which outweighs the potential harms (Yonkers et al., 2020).
    Off-Label and Adjuncts: Mirtazapine & Omegas
    Mirtazapine (Remeron), though not FDA-approved specifically for use in pregnancy, is an effective off-label option, especially in cases where patients have poor appetite and insomnia (Berard et al., 2017). It is a noradrenergic and specific serotonergic antidepressant (NaSSA) that is has not been shown to increase the risk of major congenital anomalies, though it is associated with sedation and weight gain. However, it can be an appropriate choice for patients that cannot tolerate SSRIs or who need an alternative due to side effects such as sexual dysfunction or insomnia (Berard et al., 2017).
    Of additional note, omega-3 fatty acids have been shown to have mild antidepressant effects and are not only safe to take during pregnancy, they contribute positively to fetal brain development (Freeman et al., 2022). Although not considered a solo treatment option for depression, it can be a helpful adjunct to other pharmacological therapy.
    Interpersonal Psychotherapy (IPT)
    Interpersonal Psychotherapy (IPT) is an evidence-based, first-line treatment for mild to moderate depression in pregnancy (Sockol, 2018). IPT focuses on role transitions and interpersonal conflict, both of which are relevant for pregnant women. IPT has shown to be highly effective in reducing depressive symptoms in perinatal populations and may be offered individually or in group settings (Sockol, 2018).
    Clinical Guidelines
    Clinical practice guidelines from the American College of Obstetricians and Gynecologists (ACOG) and the American Psychiatric Association (APA) support SSRIs like sertraline as first-line pharmacologic treatment during pregnancy, especially when symptoms are moderate to severe (ACOG Practice Bulletin No. 235, 2023). They also endorse psychotherapy as the first-line intervention for mild to moderate depression. In clinical practice, I would use the Edinburgh Postnatal Depression Scale (EPDS) or PHQ-9 to assess symptom severity (ACOG Practice Bulletin No. 235, 2023).
    Summary
    An integrated treatment plan for depression in pregnancy could include an SSRI such as sertraline, or an off-label medication like mirtazapine if poor appetite and insomnia are part of the patient’s symptom profile. However, psychotherapy is the first-line treatment for mild to moderate depression, and interpersonal psychotherapy has been proven effective in treating symptoms of depression in perinatal women. By implementing an evidence-based approach supported by current guidelines and literature, we can responsibly treat maternal depression while minimizing fetal risk.
    References
    Berard, A., et al. (2017). Antidepressant use during pregnancy and the risk of major congenital malformations: An updated analysis of the Quebec Pregnancy Cohort. BMJ Open, 7(1), e013372. https://doi.org/10.1136/bmjopen-2016-013372
    Freeman, M. P., et al. (2022). Omega-3 fatty acids for perinatal depression: A systematic review and meta-analysis. Journal of Clinical Psychiatry, 83(1), 21r14119. https://doi.org/10.4088/JCP.21r14119
    Sockol, L. E. (2018). A systematic review of the efficacy of cognitive-behavioral therapy and interpersonal psychotherapy for pregnant women: Treatment of antenatal depression. Journal of Affective Disorders, 232, 85–100. https://doi.org/10.1016/j.jad.2018.02.004
    Yonkers, K. A., et al. (2020). The management of depression during pregnancy: A report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists. Obstetrics & Gynecology, 135(3), 703–713. https://doi.org/10.1097/AOG.0000000000003703
    ACOG Practice Bulletin No. 235. (2023). Screening for Perinatal Depression. American College of Obstetricians and Gynecologists.
    – Expand discussion thread from Gina Ruggerio **2 Replies, 2 Unread2 Replies, 2 Unread**
    – Reply to post from Gina Ruggerio **Reply**
    – Mark as Unread **Mark as Unread**
    ### Peer 2 Maurice Mccormick
    **Generalized Anxiety Disorder (GAD) in Pregnant Women**
    When treating a pregnant woman with GAD, it is important to find a balance between effective symptom relief and safety for both the mother and fetus. Sertraline is considered a good first-line treatment option and is an FDA approved drug commonly used to treat anxiety and depression.  It is often considered one of the safest antidepressants during pregnancy, especially when compared to others like paroxetine, which carry higher risks (Muzik et al., 2021). Buspar is another off-label option that is sometimes used. It is an anxiety medication that does not have the same sedating or addictive properties as benzodiazepines and has shown a relatively safe in treating pregnant women with anxiety (Andrade, 2020). Cognitive Behavioral Therapy (CBT) is a good nonpharmacological option. It has proven to have good results for treatment of GAD, works just as well as medication in some cases, and has no risks to the unborn fetus (Arch et. al., 2019). For many pregnant patients, especially those with mild or moderate symptoms, CBT is often the first step for treating pregnant patients, especially if their symptoms are mild to moderate.
    **Risk Assessment**
    It is important to weigh the risks and benefits before starting any treatment regime. This involves considering how severe a patient’s anxiety is, how far along they are in pregnancy, and how much anxiety is affecting their daily life. We also look at whether pharmacological treatment might affect fetal development or cause complications during or after delivery. Sertraline has a good safety record, but it is not completely risk-free. There is a small chance it could lead to neonatal adaptation syndrome and possibly a slight increase in the risk of persistent pulmonary hypertension of the newborn (Muzik et al., 2021). Yet, the benefits of reducing the mother’s anxiety symptoms often outweigh these risks. Buspirone, while used off-label, has not shown any known harmful effects and is not associated with withdrawal symptoms in newborns, however, since it is not well studied in pregnant populations, it is used more cautiously (Andrade, 2020). CBT does not come with any of these medical risks, which makes it a really good option when available.
    **Clinical Guidelines**
    There are clinical practice guidelines to help inform treatment, and the American College of Obstetricians and Gynecologists (ACOG) and the American Psychiatric Association (APA)recommend sertraline as a first-line treatment for moderate to severe anxiety and depression during pregnancy. They also highlight the importance of CBT alone or paired with medication, depending on how severe the symptoms are. These guidelines support using medications like sertraline when the benefits clearly outweigh the risks. Buspirone is not specifically endorsed in most guidelines due to limited data, but it is still used when SSRIs cannot be tolerated or are not effective (APA & ACOG, 2016). When no guidelines specifically address a medication, clinicians have to rely on current research, case studies, and risk assessments to personalize care for each patient on a case-by-case basis.
    **References**
    American Psychiatric Association & American College of Obstetricians and Gynecologists. (2016). _The American Psychiatric Association Practice Guideline on Psychiatric Evaluation of Adults_. Arlington, VA: American Psychiatric Association Publishing. https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines
    Andrade, C. (2020). Use of buspirone during pregnancy and lactation. _The Journal of Clinical Psychiatry, 81_(2), 20f13294. https://doi.org/10.4088/JCP.20f13294
    Arch, J. J., Dimidjian, S., Chessick, C. A., & Kendall, P. C. (2019). CBT for perinatal anxiety: A meta-analysis. _Journal of Anxiety Disorders, 68_, 102148. https://doi.org/10.1016/j.janxdis.2019.102148
    Muzik, M., DiPietro, J. A., & Rosenblum, K. L. (2021). Sertraline for perinatal depression and anxiety: A review. _Archives of Women’s Mental Health, 24_(2), 173–183. https://doi.org/10.1007/s00737-020-01074-1

  • [Solved] CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS

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    ### **THE ASSIGNMENT (2–3 PAGES)** – Explain the controversy that surrounds dissociative disorders. – Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature. – Explain strategies for maintaining the thera…

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    ### **THE ASSIGNMENT (2–3 PAGES)**
    – Explain the controversy that surrounds dissociative disorders.
    – Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
    – Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
    – Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

  • [Solved] Theory for doctoral Nursing Practice

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    **Scenario:** You are tasked with presenting a comprehensive theory-based care plan for a 65-year-old patient, Mrs. Carter, who has been admitted for a stroke. Her complex medical history includes hypertension, diabetes, and depression, affecting her recovery and rehabilitation. The healthcare team …

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    **Scenario:**
    You are tasked with presenting a comprehensive theory-based care plan for a 65-year-old patient, Mrs. Carter, who has been admitted for a stroke. Her complex medical history includes hypertension, diabetes, and depression, affecting her recovery and rehabilitation. The healthcare team needs a nursing theory-driven care plan to improve her recovery, guide clinical decision-making, and provide leadership within the healthcare team.
    As a Doctor of Nursing Practice (DNP) student, you will evaluate the relevance and clarity of various nursing theories, apply them to the clinical scenario, and propose interventions grounded in evidence-based practices. You will also analyze how nursing theories can influence leadership in healthcare and contribute to the overall quality of care. This presentation will showcase your findings and proposed interventions to a panel of healthcare professionals.
    **Presentation Components:**
    1. **Evaluate Conceptual Clarity of Nursing Theories**
    – **Choose one nursing theory** to guide Mrs. Carter’s care (e.g., Kolcaba’s Comfort Theory, Orem’s Self-Care Deficit Theory, or another relevant theory).
    – **Evaluate the clarity of the theory’s key concepts**:
    – Define the theory’s core concepts (e.g., "self-care agency," "comfort," or "self-care demand").
    – Explain how the concepts logically relate to one another and assess their relevance to stroke recovery, hypertension, diabetes, and mental health.
    – Evaluate the theory’s clarity in terms of its applicability to contemporary healthcare issues.
    – **Presentation Tip:** Create a clear and concise slide summarizing the theory’s key concepts, how they relate, and their relevance to the patient scenario.
    2. **Apply Analytical Skills to Evaluate Theory-Based Interventions**
    – **Develop a care plan**for Mrs. Carter using the chosen nursing theory:
    – **Evidence-based interventions**: Propose specific interventions based on the theory (e.g., medication adherence, rehabilitation exercises, mental health support).
    – **Data-driven methods**: Demonstrate how you will use **quantitative methods** (e.g., patient surveys, assessment tools) to measure patient outcomes such as adherence to treatment, physical recovery, or mental health improvement.
    – **Qualitative methods**: If applicable, explain how you will use **qualitative methods** (e.g., patient interviews, focus groups with healthcare providers) to assess the experience of care and identify barriers to successful interventions.
    – **Presentation Tip:** Use graphs, charts, or tables to visually represent how the interventions will be evaluated through data-driven methods.
    3. **Integrate Evidence-Based Practices within the Theoretical Framework**
    – **Research and integrate evidence-based practices**relevant to stroke recovery, hypertension, diabetes management, and mental health support:
    – Select **at least two evidence-based practices** that align with the nursing theory.
    – Explain how you will integrate these practices into the care plan to improve patient outcomes and ensure they align with the clinical goals.
    – **Presentation Tip:** Create a slide outlining the evidence-based practices, their sources, and how they will be incorporated into the care plan.
    4. **Analyze Leadership and Organizational Impact**
    – **Evaluate the role of nursing theories in healthcare leadership**:
    – Explain how theoretical principles (e.g., Transformational Leadership, Theory of Caring) can guide leadership within the healthcare team.
    – Analyze how leadership strategies can improve team collaboration, communication, and staff engagement in delivering patient-centered care.
    – **Presentation Tip:** Create a slide summarizing the impact of leadership theories on healthcare leadership and team dynamics.
    5. **Methodologies for Analytical Assessment**
    – **Describe the methodologies**you will use to assess the effectiveness of your theory-guided care plan:
    – Explain **quantitative methods** (e.g., surveys, statistical analysis) to evaluate patient outcomes.
    – Discuss **qualitative methods** (e.g., interviews, thematic analysis) to assess the patient and healthcare team’s experiences with theory-based care.
    – **Presentation Tip:** Use diagrams or flowcharts to visually represent the methods and how they will be applied to assess the care plan.
    **Presentation Guidelines:**
    – **Format**: The presentation should be 15 slides, including:
    – Title slide (with your name, title, and date)
    – Overview of the patient scenario and chosen nursing theory
    – Slides summarizing each of the components listed above (Conceptual Clarity, Interventions, Evidence-Based Practices, Leadership, Methodologies)
    – Visual aids (graphs, charts, and diagrams) to enhance understanding
    – A conclusion slide with key takeaways and implications for practice
    – **Presentation Style**:
    – **Engagement**: Use clear, concise, and professional language. Keep text minimal on slides, focusing on key points.
    – **Visual Appeal**: Ensure the slides are visually appealing, using colors, fonts, and graphics that are easy to read and help reinforce key points.
    – **Oral Presentation**: Be prepared to present your slides in a clear, confident, and engaging manner. Focus on explaining your reasoning behind the proposed care plan and the theoretical framework's relevance to the clinical scenario.
    ### Document Type/Template
    – Recorded PowerPoint Presentation
    \
    pprubric.docx](https://www.sweetstudy.com/files/pprubric-docx-10360445 "pprubric.docx")

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  • [Solved] aligning the essentials with a gap in practice or practice change

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    – ## WEEK3NEWASSIGNMENT.docx **## WEEK3NEWASSIGNMENT.docx** · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International. · Chapter 3, “The John…

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    – ## WEEK3NEWASSIGNMENT.docx

    **## WEEK3NEWASSIGNMENT.docx**

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

    · Chapter 3, “The Johns Hopkins Evidence-Based Practice (JHEBP) Model for Nurses and Healthcare Professionals (HCPs) Process Overview” (pp. 55–66)

    · Chapter 4, “The Practice Question Phase” (pp. 73–96)

    · American Association of Colleges of Nursing. (2021).
    [_The essentials: Core competencies for professional nursing education_ Links to an external site.](https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf). https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf

    · Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). T
    [he role of doctor of nursing practice-prepared nurses in practice settingsLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655418305852).
    _Nursing Outlook, 67_(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006

    · Johansen, M. L. (2023).
    [The value of a DNP degree.Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-202301000-00010&D=ovft) _Nursing Management (Springhouse), 54_(1), 56. https://doi.org/10.1097/01.NUMA.0000905020.79954.e6

    · Kesten, K., Beebe, S., Conrad, D., Corrigan, C., Manderscheid, A., Moran, K., & Niederer, M. (2023).
    [Alignment of DNP degree competencies with employer perspectives: The value of academic practice partnershipsLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S8755722323001096).
    _Journal of Professional Nursing, 48_, 112–118. https://doi.org/10.1016/j.profnurs.2023.07.003

    · Kesten, K., Beebe, S. L., Moran, K., Conrad, D., Manderscheid, A., Pohl, E., Burson, R., & Corrigan, C. (2022).
    [Practice scholarship satisfaction and impact as perceived by DNP-prepared nursesLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01741002-202205000-00006&D=ovft).
    _Journal of the American Association of Nurse Practitioners, 34_(5), 722-730–730. https://doi.org/10.1097/JXX.0000000000000707

    · Melander, S., Hampton, D., & Rayens, M. K. (2023).
    [Celebrating over 20 years: Outcomes from the first doctor of nursing practice programLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S8755722323001175?).
    _Journal of Professional Nursing, 48_, 186–193. https://doi.org/10.1016/j.profnurs.2023.07.011

    · Prado-Inzerillo, M., Rivera, R. R., & Fitzpatrick, J. J. (2023).
    [Academic-practice partnership for Doctor of Nursing practice in a large medical centerLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S1541461223000496?).
    _Nurse Leader, 21_(3), 366–369. https://doi.org/10.1016/j.mnl.2023.02.004

    · Thornton, C. P., Haut, C., Yefimova, M., Gettis, M. A., Calamaro, C., Ginsberg, J. S., & McCabe, M. A. (2024).
    [Student-led Doctor of Nursing practice projects in the clinical environment: Viewpoint from hospital-based nurse scientists and leadersLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S0029655424001325).
    _Nursing Outlook, 72_(5). https://doi.org/10.1016/j.outlook.2024.102239

    · Walden University. (n.d.).
    [Doctor of nursing practiceLinks to an external site.](https://academics.waldenu.edu/catalog/nursing/doctor/nursing-practice). https://academics.waldenu.edu/catalog/nursing/doctor/nursing-practice
    Note: Be sure to familiarize yourself with the degree requirements for completing the DNP at Walden.

    · Walden University. (n.d.).
    [Doctor of nursing practice (DNP) practicum manualLinks to an external site.](https://academicguides.waldenu.edu/dnp-practicum-manual).
    https://academicguides.waldenu.edu/dnp-practicum-manual

    · Walden University Office of Research and Doctoral Studies. (n.d.).
    [DNP capstone resources NURS 8702 and NURS 8703Links to an external site.](https://academicguides.waldenu.edu/research-center/program-documents/dnp-8702-8703). https://academicguides.waldenu.edu/research-center/program-documents/dnp-8702-8703
    Note: Check this website for the latest version of the DNP Project Process Guide.

    · Review the Learning Resources for this week, specifically Chapter 4 of Dang et al. (2021) addressing the practice question, AACN’s
    _The Essentials_, the
    _Doctor of Nursing Practice (DNP) Practicum Manual_, and the
    _DNP Project Process Guide_.

    · Consider the types of organizations you might select for your practicum experiences (e.g., a large acute care health system, a long-term care facility, a pediatric hospital, a community health center, etc.)

    · Consider the kinds of gaps in practice or practice changes that could benefit such organizations, including those specific to the organization and those that relate to healthcare practices more generally.

    · Consider how the gaps in practice or practice changes you are interested in pursuing align to
    _The Essentials_.

    · Select
    **one** organizational type and
    **one** gap in practice or practice change on which to focus for this Assignment.

    **Note:** You may select a new organizational type and gap in practice or practice change or, if you choose, you may reuse one on which you focused for a previous Assignment, Discussion, or Blog in this course.

    ·
    **Also Note:** These may or may not be the same organizational type and gap in practice or practice change as those you will focus on for your Practicum and DNP Project.

    · Select a minimum of
    **four** domains from
    _The Essentials_ that closely align with the gap in practice or practice change you selected.

    Write a paper in which you address the following:

    · Describe the organization type and the gap in practice or practice change that you selected for this Assignment.

    · Identify the
    **four** Domains from
    _The Essentials_ you identified which closely align with the gap in practice or practice change.

    · Justify your Domain choices, explaining how each aligns with the gap in practice or practice change you selected.

    **## WEEK3NEWASSIGNMENT.docx**

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

    · Chapter 3, “The Johns Hopkins Evidence-Based Practice (JHEBP) Model for Nurses and Healthcare Professionals (HCPs) Process Overview” (pp. 55–66)

    · Chapter 4, “The Practice Question Phase” (pp. 73–96)

    · American Association of Colleges of Nursing. (2021).
    [_The essentials: Core competencies for professional nursing education_ Links to an external site.](https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf). https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf

    · Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). T
    [he role of doctor of nursing practice-prepared nurses in practice settingsLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655418305852).
    _Nursing Outlook, 67_(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006

    · Johansen, M. L. (2023).
    [The value of a DNP degree.Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-202301000-00010&D=ovft) _Nursing Management (Springhouse), 54_(1), 56. https://doi.org/10.1097/01.NUMA.0000905020.79954.e6

    · Kesten, K., Beebe, S., Conrad, D., Corrigan, C., Manderscheid, A., Moran, K., & Niederer, M. (2023).
    [Alignment of DNP degree competencies with employer perspectives: The value of academic practice partnershipsLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S8755722323001096).
    _Journal of Professional Nursing, 48_, 112–118. https://doi.org/10.1016/j.profnurs.2023.07.003

    · Kesten, K., Beebe, S. L., Moran, K., Conrad, D., Manderscheid, A., Pohl, E., Burson, R., & Corrigan, C. (2022).
    [Practice scholarship satisfaction and impact as perceived by DNP-prepared nursesLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01741002-202205000-00006&D=ovft).
    _Journal of the American Association of Nurse Practitioners, 34_(5), 722-730–730. https://doi.org/10.1097/JXX.0000000000000707

    · Melander, S., Hampton, D., & Rayens, M. K. (2023).
    [Celebrating over 20 years: Outcomes from the first doctor of nursing practice programLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S8755722323001175?).
    _Journal of Professional Nursing, 48_, 186–193. https://doi.org/10.1016/j.profnurs.2023.07.011

    · Prado-Inzerillo, M., Rivera, R. R., & Fitzpatrick, J. J. (2023).
    [Academic-practice partnership for Doctor of Nursing practice in a large medical centerLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S1541461223000496?).
    _Nurse Leader, 21_(3), 366–369. https://doi.org/10.1016/j.mnl.2023.02.004

    · Thornton, C. P., Haut, C., Yefimova, M., Gettis, M. A., Calamaro, C., Ginsberg, J. S., & McCabe, M. A. (2024).
    [Student-led Doctor of Nursing practice projects in the clinical environment: Viewpoint from hospital-based nurse scientists and leadersLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S0029655424001325).
    _Nursing Outlook, 72_(5). https://doi.org/10.1016/j.outlook.2024.102239

    · Walden University. (n.d.).
    [Doctor of nursing practiceLinks to an external site.](https://academics.waldenu.edu/catalog/nursing/doctor/nursing-practice). https://academics.waldenu.edu/catalog/nursing/doctor/nursing-practice
    Note: Be sure to familiarize yourself with the degree requirements for completing the DNP at Walden.

    · Walden University. (n.d.).
    [Doctor of nursing practice (DNP) practicum manualLinks to an external site.](https://academicguides.waldenu.edu/dnp-practicum-manual).
    https://academicguides.waldenu.edu/dnp-practicum-manual

    · Walden University Office of Research and Doctoral Studies. (n.d.).
    [DNP capstone resources NURS 8702 and NURS 8703Links to an external site.](https://academicguides.waldenu.edu/research-center/program-documents/dnp-8702-8703). https://academicguides.waldenu.edu/research-center/program-documents/dnp-8702-8703
    Note: Check this website for the latest version of the DNP Project Process Guide.

    · Review the Learning Resources for this week, specifically Chapter 4 of Dang et al. (2021) addressing the practice question, AACN’s
    _The Essentials_, the
    _Doctor of Nursing Practice (DNP) Practicum Manual_, and the
    _DNP Project Process Guide_.

    · Consider the types of organizations you might select for your practicum experiences (e.g., a large acute care health system, a long-term care facility, a pediatric hospital, a community health center, etc.)

    · Consider the kinds of gaps in practice or practice changes that could benefit such organizations, including those specific to the organization and those that relate to healthcare practices more generally.

    · Consider how the gaps in practice or practice changes you are interested in pursuing align to
    _The Essentials_.

    · Select
    **one** organizational type and
    **one** gap in practice or practice change on which to focus for this Assignment.

    **Note:** You may select a new organizational type and gap in practice or practice change or, if you choose, you may reuse one on which you focused for a previous Assignment, Discussion, or Blog in this course.

    ·
    **Also Note:** These may or may not be the same organizational type and gap in practice or practice change as those you will focus on for your Practicum and DNP Project.

    · Select a minimum of
    **four** domains from
    _The Essentials_ that closely align with the gap in practice or practice change you selected.

    Write a paper in which you address the following:

    · Describe the organization type and the gap in practice or practice change that you selected for this Assignment.

    · Identify the
    **four** Domains from
    _The Essentials_ you identified which closely align with the gap in practice or practice change.

    · Justify your Domain choices, explaining how each aligns with the gap in practice or practice change you selected.