Choose an individual for whom you have cared in the clinical setting or virtual setting.

Create a concept map based on the complete physical assessment you performed while providing care using the provided PowerPoint template.

Purpose

This assignment is designed to extend the learner’s use of concept mapping as a tool for clinical care planning. The nursing process continues to provide the foundation for organizing information and thought, whereas the mapping becomes the process for intentional critical thinking and clinical reasoning.

Course outcomes:  This assignment enables the student to meet the following course outcomes:

CO 1: Demonstrate the nursing process while providing basic care to individuals and families reflecting different stages of the life span in the extended care, acute care, and community-based settings. (PO 1)

CO3: Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care to individuals and families. (PO #3)

CO4: Incorporate critical thinking skills into clinical nursing practice. (PO #4)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment. Nursing homework help

Total points possible: 100 points

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Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Choose an individual for whom you have cared in the clinical setting or virtual setting.
2. Create a concept map based on the complete physical assessment you performed while providing care using the provided PowerPoint template. Nursing homework help
   1. Components of the concept map
      1. Client’s information (10 points/10%)
         1. Age
         2. Medical diagnosis/Reason for hospitalization
         3. Brief review of underlying pathophysiology

*Describe what functional changes are happening

*Describe process that initiated and maintained disorder or disease

* MUST INCLUDE: Scholarly reference to support information

1. Assessment Data (15 points; 15%)
2. Nursing Diagnoses (15 points/ 15%)
   1. Select three actual nursing diagnoses for this client (not allowed to use ‘RISK FOR’ diagnosis)
      1. NANDA of Actual problem/need that is high priority
      2. NANDA of Actual problem/need, not necessarily a high priority
      3. NANDA that focuses on psychosocial problem/need
   2. Linkages Within and Between Diagnoses (5 points/5%)
      1. Short summary rationale for why these diagnoses were chosen and how they connect to the client. Nursing homework help

• Planning (15 points/15%)
  1. Ensure NANDA diagnosis are appropriate priority
  2. Develop one (1) short term S.M.A.R.T. goal for each diagnosis
  3. Develop one (1) long term S.M.A.R.T. goal for each diagnosis
  4. Provides rational for each short- and long-term goal

1. Implementation (15 points/15%)
   1. Provide three (3) client specific interventions to help obtain the short-term goal for each diagnosis
   2. Provide three (3) client specific interventions to help obtain the long-term goal for each diagnosis. Nursing homework help

1. Evaluation of Goal/Outcomes (5 points/15%)
   1. Determine if goal/outcomes were met or not.
   2. Provide evidence that supports that determination.
   3. Describe what changes, if any, are needed to the plan to promote expected outcomes in the future.
2. Safety-Communication-Infection Control 16 points/16%)
   1. What specific elements of communication were used when providing care for this client,
   2. What safety concerns related to the client you cared for
   3. What infection control practices were followed while caring for this patient. Nursing homework help

• APA Citations and Writing (4 points/4%)
  1. Minimum of two (2) scholarly nursing references, within 5 years submitted with assignment.
  2. Includes intext citation(s) in all appropriate areas (pathophysiology, planning, etc.)
  3. Uses appropriate APA format and is free of errors.
  4. Grammar is free of errors.
  5. Spelling is free of errors.
  6. Mechanics of writing are free of errors.
  7. Power Point Template (0 points/0%) (deduction if not used)
  8. Used provided Power Point Template for assignment completion or an alternate that is approved by faculty.

For writing assistance, visit the Writing Center.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module. Nursing homework help

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Please give a response to those 2-discussion post with their reference separately
#1

Dawit H.

week 2 Discussion Post
A nuanced understanding of crucial interview components and assessment tools is indispensable for nurse practitioners in psychiatric assessment. As frontline healthcare providers specializing in mental health, nurse practitioners are pivotal in evaluating, diagnosing, and treating individuals facing various psychological challenges (Koutra et al., 2021). Their ability to conduct comprehensive psychiatric assessments determines the accuracy of diagnoses and sets the stage for effective therapeutic interventions. To navigate the complex mental health landscape, nurse practitioners must skillfully employ a multifaceted approach encompassing thorough patient interviews, standardized assessment instruments, cultural competence, and ongoing monitoring to provide holistic, patient-centered care. Nursing Discussion Response

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Three Important Components of the Psychiatric Interview
1. Patient History
Patient history forms the cornerstone of psychiatric assessment. It encompasses gathering information about the client’s past and present experiences, including medical history, psychiatric history, family history, and psychosocial factors.  Nursing Discussion Response.This component is paramount because it provides context for understanding the client’s mental health and potential contributing factors. Abd El-Hay (2018) notes that comprehensive patient history assists in identifying patterns, triggers, and underlying issues that may influence the client’s condition. For instance, a family history of depression may indicate a genetic predisposition, guiding the nurse practitioner’s diagnostic considerations and treatment planning.
2. Mental Status Examination
The MSE systematically assesses the client’s cognitive, emotional, and behavioral functioning during the evaluation. It encompasses various domains: appearance, behavior, mood, affect, thought process, thought content, perception, cognition, insight, and judgment. The MSE is crucial because it offers a snapshot of the client’s current mental state, aiding in identifying psychiatric symptoms and potential disorders (Voss & Das, 2022). It helps in establishing diagnostic impressions and informing treatment decisions. For example, identifying disorganized thought processes or impaired cognition during the MSE can indicate schizophrenia or other cognitive disorders, prompting the need for specialized interventions. Nursing Discussion Response
3. Clinical Judgement
Clinical judgment involves synthesizing all available information, including patient history, MSE findings, and diagnostic criteria, to understand the client’s mental health status comprehensively. The nurse practitioner can interpret data, make diagnostic decisions, and develop an individualized treatment plan. Clinical judgment is vital as it guides the nurse practitioner in determining the appropriate interventions, whether they involve psychotherapy, medication, referrals, or supportive care (Smith et al., 2020). A well-informed and evidence-based clinical judgment ensures clients receive tailored, effective care that aligns with their unique needs and circumstances.
Psychometric Properties of the Generalized Anxiety Disorder (GAD-7) Rating Scale:
The Generalized Anxiety Disorder 7 (GAD-7) health questionnaire is a widely self-reported rating scale for assessing and severity measuring GAD. It comprises seven elements, each corresponding to a symptom of anxiety. The psychometric properties of the GAD-7 have been comprehensively researched: It reveals good internal consistency (De Man et al. 2021) had a sensitivity value of 0.89 and a specificity value of 0.84 for identifying that its items consistently measure GAD symptoms.  Nursing Discussion Response.The assessment is designated by adding the total scores for the scale of all seven elements with responses getting zero to three points which is: zero points for not all, one point for experiencing anxiety for several days, two points for experiencing more than half days, and three points for almost all days.
Appropriate Use of the GAD-7 Rating Scale:
The GAD-7 is appropriate for patients during the psychiatric interview, especially when anxiety is suspected. It can be administered at the initial assessment to screen for generalized anxiety disorder and later as follow-up visits to evaluate symptom severity and treatment progress (Dugas et al., 2018). The scale benefits a nurse practitioner’s psychiatric assessment by providing several advantages. For example: it provides a standard criterion, a clear way to assess anxiety symptoms, avoiding bias in the assessment process. Scores on the GAD-7 can guide treatment decision-making. Nursing Discussion Response. Based on the research of (De Man et al. 2021) higher scores may suggest the need for more aggressive interventions, such as medications, referral to specialists, and or psychotherapy. Regular use of the GAD-7 enables the nurse PMHNP to detect changes in symptom severity over time, helping to evaluate the effectiveness of interventions and adjust the treatment plan accordingly.

References
Abd El-Hay, M. A. (2018). Essentials of psychiatric assessment. Routledge. https://doi.org/10.4324/9781315148137Links to an external site.
De Man, Jeroen; Absetz, Pilvikki; Sathish, Thirunavukkarasu; Desloge, Allissa; Haregu, Tilahun; Oldenburg, Brian; Johnson, Leslie C. M.; Thankappan, Kavumpurathu Raman; Williams, Emily D. (2021-05-13). “Are the PHQ-9 and GAD-7 Suitable for Use in India? A Psychometric Analysis”Links to an external site.. Frontiers in Psychology
Dugas, Michel J.; Charette, Catherine A.; Gervais, Nicole J. (2018), “Generalized Anxiety Disorder (2nd ed.)”Links to an external site., A Guide to Assessments That Work, Oxford University Press, pp. 293–310, doiLinks to an external site.:10.1093/med-psych/9780190492243.003.0014Links to an external site., retrieved 2022-11-30
Koutra, K., Mavroeides, G., & Triliva, S. (2021). Mental health professionals’ attitudes towards people with severe mental illness: Are they related to professional quality of life? Community Mental Health Journal, 58(4). https://doi.org/10.1007/s10597-021-00874-x. Nursing Discussion Response
Smith, M., Francq, B., McConnachie, A., Wetherall, K., Pelosi, A., & Morrison, J. (2020). Clinical judgment, case complexity, and symptom scores as predictors of outcome in depression: An exploratory analysis. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02532-0
Voss, R. M., & Das, J. M. (2022, September 12). Mental status examination. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK546682/

#2
Angela D.

Hello Class,
Developing a rapport, determining the patient’s mental state, and learning about their psychosocial background are three essential aspects of a psychiatric interview. These components are crucial because they serve as the cornerstone for thoroughly understanding the client’s mental health, making a precise diagnosis, and supporting the creation of a personalized treatment plan.  Nursing Discussion Response.The first stage of the psychiatric interview, rapport building, is creating a therapeutic alliance and a sense of trust between the client and the nurse practitioner (NP). This component is essential because it promotes open communication, invites clients to express their feelings and experiences, and lessens the stigma frequently connected to mental health issues (English et al., 2022). A positive relationship with the client makes them more open about their symptoms, which helps the NP make a precise evaluation and diagnosis.
The client’s cognitive, emotional, and behavioral functioning during the interview are assessed as part of the mental status assessment. This element is crucial since it offers a quick understanding of the client’s mental state. There is an evaluation of speech, mood, thought processes, and cognitive capacities. The NP can identify suspected mental diseases, gauge the intensity of symptoms, and assess the risk of harm to oneself or others by spotting any irregularities or inconsistencies. The psychosocial history exploration process involves investigating the client’s life experiences, upbringing, relationships, and societal settings (Sewell, 2020). It exhibits strong internal consistency and inter-rater reliability, indicating that assessments conducted on the same patient by other doctors will typically produce reliable results. Compared to other depression measures, the scale has also shown contemporaneous and predictive validity. Nursing Discussion Response

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When evaluating clients for depression during a psychiatric interview, the HAM-D is a suitable tool. It aids the NP in tracking changes over time, determining treatment effectiveness, and assessing the severity of depressed symptoms. The scale lowers subjectivity and improves the precision of diagnosis and treatment planning by offering an organized and consistent assessment. Additionally, it makes it easier for healthcare personnel to communicate with one another, ensuring that everyone is aware of the client’s condition and progress.
References
English, W., Gott, M., & Robinson, J. (2022). The meaning of rapport for patients, families, and healthcare professionals: A scoping review. Patient Education and Counseling, 105(1), 2–14. https://doi.org/10.1016/j.pec.2021.06.003Links to an external site.
Sewell, K. M. (2019). Examining the place of emotions, affect, and regulation in social work education. Journal of Social Work Education, 56(1), 5-16. https://doi.org/10.1080/10437797.2019.1627262Links to an external site. Nursing Discussion Response

Discussion Post #2

Select one of the following discussion questions below.  Post a substantive initial response with references.

Option 1)

L.G. is a 5-year-old boy being seen in the pediatric clinic for a yearly physical examination.

Subjective Data

The patient is accompanied  by a parent (mother)

The mother said that the child takes no medications and is healthy. Nursing homework help

Patient attends preschool

Plays T-ball

There are no smokers in the house

Lives with mother and father

Objective Data

Vital signs: T 37 P 124 R 12 BP 104/64

Weight: 35 lb

Height: 52 inches

Immunizations: Up to date

Questions

1. What should the nurse include in the general inspection of this patient?
2. What observations are important regarding physical appearance and hygiene?
3. How should a 5-year-old child be assessed?
4. What teaching is appropriate for this age group?
   

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Option 2)

J.P. is a 45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot. He does not recall injuring his foot. Nursing homework help

Subjective Data

Pain level is a 6/10 location = right foot, throbbing

Works as a truck driver

Objective Data

Vital signs: T 37 P 80 R 14 BP 120/68

+2 edema great toe and second toe, right foot, warm to touch

+ pulses

+2 capillary refill

Questions

1. What other assessments should be included for this patient?
2. From the readings, what is the most probable cause of the edema?
3. What are two known nursing diagnoses?
4. What would be included in the nursing care plan?
5. What interventions might be included in the plan of care for this patient? Nursing homework help

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE
As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.
In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER
To Prepare:
• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
o This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.
Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

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LEARNING RESOURCES
Required Readings
• Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
o Chapter 10, “The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change” (pp. 365–393)
o Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 410–427) DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER
o Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 466–518)
• Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice changeLinks to an external site.. American Journal of Nursing, 111(3), 54-60.
• Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practiceLinks to an external site. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f
• Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.Links to an external site. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a
• Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model.Links to an external site. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e
• Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomesLinks to an external site.. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188. DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER

WEEK 4 ASSIGNMENT – PRICING STRATEGY

WEEK 4 ASSIGNMENT – PRICING STRATEGY

OVERVIEW

Imagine that you work for a pricing strategy consulting business. Select a business to be your next client. Think of a scenario that would result in your client seeking advice from your consulting business. You will use this same business or client for the Week 10 assignment: Pricing Strategies and Decisions. WEEK 4 ASSIGNMENT – PRICING STRATEGY

INSTRUCTIONS

Develop a 2–4 page report about your client for your boss that includes the following components:

Company Description.

Describe the company, the products it makes or services it provides, and the problems or issues that the company is facing related to its pricing strategy.

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Pricing Strategies.

Evaluate the pricing strategies relative to the product life cycle for your client’s three top-selling products.

Summarize the critical factors (for example, technology, regulation, market information, and consumer preferences) that affect your client’s pricing decisions.

Describe the impact value has on the company’s pricing strategy and profitability, and the importance of market segmentation.

Determine the effectiveness or ineffectiveness of your client’s price and value communication strategies. WEEK 4 ASSIGNMENT – PRICING STRATEGY

References.

Use three sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

Check with your professor for any additional instructions

The specific course learning outcome associated with this assignment is:

Assess the pricing strategy of a given company.

Requirements: 2-4pages. WEEK 4 ASSIGNMENT – PRICING STRATEGY