Purpose: Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.

Scenario:

Kel is a 42-year-old certified public accountant (CPA) who dreams each year that she will board a cruise ship the day after Tax Day and go somewhere, anywhere, except Portsmouth, Virginia. Each year the dream, like the ocean, ebbs and flows, but this year she is not even going to think about such a “ridiculous idea.” In fact, she does not even have the energy to dream; getting out of bed and preparing to go to work is simply too labor intensive. 

Each evening Kel retires to bed with a lack of energy to complete her normal tasks such as readying her clothes for work and making a lunch. She lacks the energy to shop in the evening; consequently, she eats mostly crackers and canned soup. She is not hungry, and her scale reflects this. She has lost 15 pounds over the last 2 months. She does not attend to her makeup or clothes; she finds both too taxing. The clothes she selects are drab and not ironed. At work she makes no effort to talk with her co-workers and does not initiate new contacts with clients. The normal work of filing taxes and writing reports, which she used to enjoy, are overwhelming, and she feels too disorganized to complete them. Telephone calls and e-mail messages from friends are ignored. Attendance at work is spotty.

Sue, her sister, becomes alarmed with Kel’s unanswered telephone calls and e-mails. Worried, she decides to visit her sister at home. She finds the apartment unclean and in disarray. Kel is unkempt, disheveled, and looks sad. Her voice is monotone and flat. Kel tells Sue that she feels “sad and hopeless. Nothing is ever going to change. I am a bad person and I can’t even do my work right. Although I sleep for many hours, I am still tired all the time.” Sue is alarmed at the changes in her sister and arranges for Kel to visit a health care worker at the medical clinic.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

Describe the presenting problems.

Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.

Formulate and prioritize a treatment plan. 

Identify and discuss appropriate screening instruments for a patient who has suicidal ideation.

Weekly objective

1. Explore an area of interest through patterns of knowing (CO 1)
2. Examine the components of the nursing metaparadigm.
3. Examine different patterns of knowing in nursing. (CO 2)
4. Analyze the benefits of reflection for shaping and understanding theory. (CO 2)
5. Differentiate between the received and perceived schools of scientific thought. (CO 2)

Course Outcomes

1. Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5)
2. Apply nursing theory as a framework to guide the development of new knowledge and implementation of evidence-based practice in future professional settings. (PO 1 and 4)

The above is just additional information for the question below.

 Write 1-2 paragraphs reflecting on ways of knowing and the use of metaparadigm in the NP role 

• Provide one specific example of how you achieved the weekly objectives.
• What do you value most about your learning this week?
• What else about the weekly topics do you need to explore to grow further as a future NP?

 

There are many purposes for and types of health care data. In this discussion, you will summarize the purpose for and types of health care data, and discuss the emerging field of data analytics and Big Data as they are used in health care management. Include the following in your discussion post:

• Explain the purpose of healthcare data and its relevance to patient outcomes and reimbursement.
• Discuss the difference between:
  • Internal and external sources of data in healthcare
  • Qualitative and quantitative data in healthcare
• Discuss data analytics and how it is being used in healthcare management and healthcare delivery.

The purpose of this assignment is to discuss the community teaching experience, describing your observations on the community’s response to the teaching.

In 750-1,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include the following:

1. Summary of the community teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strength and areas for improvement 

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

What other assessment findings should you anticipate?

Why does this patient probably have bradycardia?

Does this dysrhythmia need treatment?

Why or why not?

What intervention would you implement first?

What is the drug treatment and dosage of choice for symptomatic bradycardia?

How does this drug increase heart rate?

This assignment is to be completed using APA format. Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format. The body of your submission must be at least 350 words.