Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.

You will need to post your reflection here before you are able to see other students’ posts.

• Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace. In what ways does this impact your view of the nursing profession?
• If those outside of healthcare were aware, how might it impact their view?
• As you move towards your role as an NP, what will you do to support healthful work environments for yourself and your colleagues?
• Think about your personal use of social media. Are there changes you would like to make in how you use social media?
• What self-care practices do you engage in to promote personal holistic health?

The Electoral College Argument, Politics and Social Media

Discussion

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapters 5, 6 and 10

· Lesson: Read this Week's Lesson which is located in the Modules tab

· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts. 

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

·
Option 1: List the ways in which contemporary presidential campaigns have used social media as a campaign tool. Do you consider social media as a successful tool? Explain your answer. Do you see social media as an unsuccessful tool? Explain your answer and provide examples.

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Writing Requirements

· Minimum of 2 posts (1 initial & 1 follow-up)

· Minimum of 2 sources cited (assigned readings/online lessons and an outside source) for your Initial Post, and 1 scholarly source for your Follow-Up Post.

· APA format for in-text citations and list of references

EBOOK: The Struggle for Democracy, 2018 Elections and Updates Edition

https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/227 or

email:
[email protected]

pwd: Bryanthierry@09

Directions:

You are caring for a patient that has a high pain tolerance due to chronic pain and does not look like they are in pain. What would you do if they asked for more pain medication?

 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. 

1. Describe the presenting problems.
2. Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
3. Formulate and prioritize a treatment plan. 
4. Identify and discuss appropriate screening instruments for a patient who has suicidal ideation.

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.

Chamberlain

NR506NP-63763

Modules

Week 1: Barriers to Practice

Preparing the Discussion

Using the readings from this week as well as reliable outside resources to: 

1. Identify and describe practice barriers for all four APNs' roles in your state FLORIDA and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.

2. Identify forms of competition on the state and national level that interfere with APNs' ability to practice independently.

3. Identify the specific lawmakers by name at the state level (i.e., key members of the state's legislative branch and executive branch of government)

4. Discuss interest groups that exist at the state and national levels that influence APN policy.

5. Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.

6. A scholarly resource must be used for EACH discussion question each week.