discussion 5 psycho

 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:

Vee is a 26-year-old African-American woman who presents with a history of non-suicidal self-injury, specifically cutting her arms and legs, since she was a teenager. She has made two suicide attempts by overdosing on prescribed medications, one as a teenager and one six months ago; she also reports chronic suicidal ideation, explaining that it gives her relief to think about suicide as a “way out.”

When she is stressed, Vee says that she often “zones out,” even in the middle of conversations or while at work. She states, “I don’t know who Vee really is,” and describes a longstanding pattern of changing her hobbies, style of clothing, and sometimes even her job based on who is in her social group. At times, she thinks that her partner is “the best thing that’s ever happened to me” and will impulsively buy him lavish gifts, send caring text messages, and the like; however, at other times she admits to thinking “I can’t stand him,” and will ignore or lash out at him, including yelling or throwing things. Immediately after doing so, she reports feeling regret and panic at the thought of him leaving her. Vee reports that, before she began dating her current partner, she sometimes engaged in sexual activity with multiple people per week, often with partners whom she did not know.

Questions:

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

  1. Describe the presenting problems.
  2. Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
  3. Discuss which cluster the primary diagnosis belongs to.
  4. Formulate and prioritize a treatment plan.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

D.Saa Cultural Wk 2 Disc

Based on your clinical practice area and location. What are some of the greatest cultural issues and trends that are frequently encountered? How do we as professional nurses rise to these challenges? Provide examples of cultural recognition and potential health-related issues while implementing evidence-based standards of care

WORKPLACE ENVIRONMENT ASSESSMENT

 

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility. 

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.

 Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples. 

BMI

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

  • What is the client’s BMI?
  • Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?
  • One Outcome/Intervention/Rationale:
    • Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention.
  • Identify what weakness in the client’s life may be impacting the client’s activity and diet?
  • What referrals would you make and why?

(Use references for your responses, not just opinion.)

Nursing Discussion assignment

Discussion: Write at least 2 paragraph with citations in APA format.

Explain the meaning of an asset-based approach to health improvement.

· Provide an example of how positive resources available to individuals and communities enable them to gain more control over their lives and circumstances.

· Describe two to three implications for nursing practice including the cultural aspects.

Reply to the two discussions below (You do not need to use the same citation in the responses to the discussions.

Discussion #1

Hi Angelica, I agree with your view of the asset-based approach and its significance in healthcare. I think it means focusing on community resources that could promote health and well-being. Cassetti et al. (2019) explain that health assets are resources such as skills that improve people’s ability to maintain health. I have also thought that resources are a primary strength in communities that empower individuals and help in overcoming health promotion obstacles. Your example of using written or visual communication to overcome language barriers demonstrates the significance of utilizing community resources. In this scenario, some community members could have the ability to translate health promotion materials using local language. Nurses should build healthy relationships with such individuals to effectively advance individual well-being. I agree with your suggestions for nursing practice—practitioners should understand and respect communities’ communication styles. Do you think cultural competence is a vital element in an asset-based approach?    

References

Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: Development of a framework. 
Global Health Promotion
27(3), 175797591984892. https://doi.org/10.1177/1757975919848925

Discussion #2

Asset-based approaches to health promotion have become increasingly popular to tackle health inequalities by empowering people in more disadvantaged communities to use local resources and increase control over health and its determinants (Cassetti et al, 2019).  This approach focuses on resources available in the community and using those resources to address healthcare disparities facing the underserved communities.

I moved to Salt Lake City, UT from another country about 15 years ago; one of the resources I got connected early on and found very successful across the immigrants’ communities is a community gardening program run by local nonprofit, county, and city government. It is called ‘New Roots’ program (New roots in Salt Lake City, n.d.). It provides garden plots, technical support, seeds and other resources for local refugee and immigrants community to grow seasonal vegetables and help them sell those in local farmers’ markets. Fresh produces are sold weekly; individuals who have Supplemental Nutritional Assistance Program (SNAP) will be able to use it to buy double the produce than in local markets through match from grants. This asset-based approach provides immigrants with sense of ownership of gardens, sense of community, physical and mental exercises, fresh produces, and an ability to earn some money through selling produces.

Mental health, social work, and nursing embrace an asset-based approach to assessment within the health promotion context (Edelman & Kudzma, 2021, p. 146). Nurses can use asset-based approach in identifying gaps in services for the patients/families we are caring for and connect them to available resources to address their needs. Nurses are members of the community, and it is very crucial for us as nurses to be aware of the health care context, service gaps and resources in our community, especially when we are working with individuals from underserved communities.

                                                                                                References

Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: development of a framework. 
Global Health Promotion
27(3), 15–23. 

https://doi.org/10.1177/1757975919848925Links to an external site.

Edelman, C., & Kudzma, E. C. (2021). 
Health Promotion Throughout the Life Span – E-Book. Elsevier Health Sciences.

New roots in Salt Lake City. (n.d.). The IRC. 

https://www.rescue.org/announcement/new-roots-salt-lake-cityLinks to an external site.


PN1

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600 w 6 p2

Write aof 2-3 pages about the proposed interventions for your problem/issue supported by evidence collected by conducting a literature search and review. Integrate the information into your project.

The assignment should include:

  1. The extent of evidence-based data for proposed interventions.
  2. Comprehensive description of factors that might influence the use of proposed interventions.
  3. Identify the barriers related to the proposed interventions.
  4. Detailed list of resources that will be needed.
  5. Detailed steps, or sequence of events, or specific implementation activities that will be required to implement the intervention.
  6. Monitoring, tracking and ongoing review.
  7. Performance of tasks required for implementation. Staff responsible in the implementation of the interventions and their qualifications.
  8. Strategies that facilitate the implementation of the proposed intervention.
  9. Timeline.
  10. Expected outcomes to be achieved by your project.

Expectations

  • use US sources and project is nurse retention and the role of leadership in this
  • Length: 2-3 pages
  • Format: APA 7th ed.
  • Research: At least one peer reviewed reference within the last 5 years

Health Policy: The purpose of learning the ropes of policy, politics and advocacy is to influence health care or broader social agendas that influence human health. Discuss a time where you influence health care through advocacy.

Discussion 2The purpose of learning the ropes of policy, politics and advocacy is to influence health care or broader social agendas that influence human health.  Discuss a time where you influence health care through advocacy.  

The discussion must address the topic.

From week #2 and on, you are expected to post 500 words, with at least 2 references of less than 5 years old.

YEN PART 2

TOPIC: HIGH BLOOD PRESSURE

I have already completed PART 1 which is attached , for guide. This is Part 2 and must be as continuation of Part 1 , NOT A SEPARATED DOCUMENT

INCLUDE IN PART 2 FROM SECTION 5-9

5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2  paragraph. You may use bullets if appropriate).

6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph).

7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

9. Conclude the paper with a Conclusion paragraph. Don’t type the word “Conclusion”. Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph). 

Paper Requirements :

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

-3 PAGES PART 2 

-REMEMBER THE ASSIGMENT MUST BE A CONTINUATON OF PART 1 NOT A SEPARATED DOCUMENT

-DON’T BE MORE THAN 10 % PLAGIARISM IN PART 2 SECTION

-DUE DATE OCTOBER 12, 2023

Psychopharmacology

What challenges do you expect with the PMHNP role?

What is the role of the Nurse Practitioner in the use of psychotropic medications? What is so important the knowledge of these class of medications? 

If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting.