This week, we talked about the Resilience Portfolio Model and profiles of strengths and resilience. We also took a look at the Resilience Portfolio Interview, which can be found here:

There are two tasks for this assignment: One is to reflect on yourself, and the other is to discuss counseling practice applications of assessing resilience. How you do that could be quite variable, however!

(1) For this reflection, ask yourself some of the questions from this interview and share a little about some of your personal resilience factors. Of course, only share what you are comfortable sharing with me. You DO NOT need to answer all of the questions. You could spend the whole paper answering one question in depth (with a story, as they say), or you could answer multiple questions at a more vague level if you prefer. ūüôā

(2) If you have experience assessing strengths with clients, talk a little about this experience—was it effective/helpful? Were there any challenges? If you have not assessed strengths with clients, is this something you would consider doing in the future? How might it be incorporated into your work with trauma/PTSD?

Grading Criteria

I'm really not looking to take off points for the reflection assignments. I don't have specific rubrics for them, but if you do not seem to be engaging with the prompt or answering the questions, I may take off points. Each reflection assignment is worth
5 points.


 For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. For this practicum experience, be sure to develop goals and objectives that allow you to synthesize knowledge and skills related to assessment, diagnosis, and treatment planning. 

structure of the neuron and central nervous system


Address the following Short Answer prompts questions:- 

1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.

2. Answer the following (listing is acceptable for these questions):

o What are the major components that make up the subcortical structures?

o Which component plays a role in learning, memory, and addiction?

o What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?

3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.

4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.

5. In 3‚Äď5 sentences, explain the concept of ‚Äúneuroplasticity.‚ÄĚ Be specific and provide examples.



  • Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
    • Chapter 1, “Chemical Neurotransmission”¬† (pp. 1-28)


As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?

For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

To Prepare:

  • Review the Resources for this module and reflect on the different health needs and body systems presented.
  • Your Instructor will assign you a complex case study to focus on for this Discussion.
  • Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.


Theoretical and Scientific Foundations of Nursing




case study

MSN 5550 Health Promotion: Prevention of Disease
Case Study Module 6

Instructions: Read the following case study and answer the reflective questions. Please provide
evidence-based rationales for your answers. APA, 7th ed. must be followed.

Due: Saturday by 23:59 pm


Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business
presentation in 3 months. Although he has traveled widely in the United States as a consultant,
this is his first trip to the Middle East.

He requests information regarding immunizations needed before his trip. Albert states that as
he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time
and therefore believes that it is illogical to obtain immunizations.

Albert states that he has heard that the side effects of the immunizations might be worse than
the diseases they prevent. He is also concerned about leaving his wife at home alone because
she is 6 months pregnant.

Reflective Questions
How would you address Albert’s beliefs?
What learning would be needed in each domain?
What learning theories would you consider?
How might his family concerns be addressed?

NURSING nursing

Medication Errors

Unit 11: Discussion Medications for Pain Management. 800w. 4 references. Due 11-01-23

Unit 11 Discussion Medications for Pain Management. 800w. 4 references. Due 11-01-23

1. Why are many parties, including the U.S. Government, concerned about the use of opioids for pain management?

2. Provide input on the following article ‚ÄúAmerica‚Äôs opioid crisis: the need for an integrated public health approach‚ÄĚ

3. Which mental health disorders are commonly associated with patients who also need pain relief? ——–I believe this is depression and anxiety.

4. What is an MME and how is it calculated?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Medications for Pain Management Pain relievers in the opioid class work by binding to specific cells known as opioid receptors in the brain and nervous system. Opioid drugs dull pain perception and heighten pleasure when they bind to opioid receptors within brain cells, activated when the blood reaches the brain. That which makes opiate painkillers so effective also makes them potentially harmful. Many organizations are concerned about opioids because while at lesser dosages, they may make patients sleepy (Townsend et al., 2021). In more significant quantities, they can cause breathing and heart rate slowdowns, resulting in death. Additionally, the pleasurable effects of opioids might make the patients crave more of them, which can be a dangerous spiral into addiction. By taking medications as prescribed, patients can lessen the likelihood of experiencing adverse effects. Patients should inform their healthcare providers of all their drugs and supplements (Mark & Paris, 2019). Significant evidence also links chronic pain to mental health issues and substance dependence. However, the exact nature of the connection, particularly in terms of causation, is sometimes unclear. According to Slawek et al. (2022), pain can increase mental health difficulties such as anxiety, difficulty sleeping, depression, and panic disorders, while stress and depression can make chronic pain severe. Pain can also make it more difficult to sleep. Opioid overdose most commonly causes respiratory depression, which can cause severe consequences or even death. When a patient is close to a potentially harmful threshold, medical professionals look at their daily morphine equivalent doses (MED),which is the sum of the MMEs of all opioids they are likely to take within 24 hours. The Morphine Milligram equivalent (MME) value is the relative potency of a dose of opioids compared to morphine (Dasgupta, This study source was downloaded by 100000769192234 from on 10-22-2023 14:20:45 GMT -05:00 2 2021). MME aims to aid physicians in making safe and appropriate judgments when considering modifications to existing opiate treatment plans. The MME converts multiple different opiate doses into a uniform number based on the strength of morphine using a universal conversion factor defined by the Centers for Disease Control and Prevention (CDC). Every prescription is given in MME daily according to the CDC conversion factor, dosage, and the number of days' worth of medication. Each opiate dose a patient takes per day is converted to milligrams of morphine using a morphine-based conversion factor, and the daily average rate is then used to determine the MME. This study source was downloaded by 100000769192234 from on 10-22-2023 14:20:45 GMT -05:00 3 References Dasgupta, N. (2021). Verbatim MME calculation methods from studies cited in the CDC pain guideline identified from a previous methods review. FDA U.S. Food and Drug Administration. Mark, T. L., & Parish, W. (2019). Opioid medication discontinuation and risk of adverse opioidrelated health care events. Journal of Substance Abuse Treatment, 101(1), 58-63. Slawek, D. E., Syed, M., Cunningham, C. O., Zhang, C., Ross, J., Herman, M., Sohler, N., Minami, H., Levin, F. R., Arnsten, J. H., & Starrels, J. L. (2022). Pain catastrophizing and mental health phenotypes in adults with refractory chronic pain: A latent class analysis. Journal of Psychiatric Research, 145(1), 102-110. Townsend, T., Cerda, M., Bohnert, A., Legisetty, P., & Haffajee, R. L. (2021). CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain: Study examines the impact of CDC guidelines for opioid prescribing. Health Affairs, 40(11), 1766-1775.


How would you anticipate this life changing diagnosis is going to affect your patient according to his age and sex? 



Respond by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.

2 scholarly references

According to Clifton Strengths results, the top 5 Signature Theme report presents.

Consistency –I are keenly aware of the need to treat people the same, no matter what.

Achiever –Achiever describes a constant need for achievement. By the end of the day, I must achieve something tangible in order to feel good about myself.

Significance- I want to be very significant in the eyes of other people. I want to be heard and be part or be useful. You want to stand out.

Restorative – I love to solve problems. I enjoy the challenge of analyzing the symptoms, identifying what is wrong,

Woo- stands for winning others over. I enjoy the challenge of meeting new people and getting them to like me.

                                                                                   Core values

     The two core values I would like to improve on or strengthen are accountability and healthy competition. I am responsible for my own action, so I must make the right decision or do what is right. To me healthy competition is helping my family and friends, colleagues strive to the best and professional outcome.


   Also, I would like to improve my strength on good communication skills and to learn and acquire more knowledge and skills to help me become a professional Nurse. It will help me to build a better relationship with other people.


    Based on Clifton strength result, the two essential quality I would like to improve is emotional intelligence by helping people to think and act. Emotional intelligent is the ability to build relationships with others and understand their feelings or emotions.  Encouraging myself and others will also help to reach goals. 


Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert

           clinician to influential leader (3rd ed.). New York, NY: Springer.

Rath, T. (2007). StrengthsFinder 2.0. Gallup Press.